Clinical Evidence

If you've done talk therapy and find yourself just talking without getting better or learning how to build a life you want, try DBT! At Green Mountain DBT, you are welcome to continue to see an individual psychotherapist while attending a DBT skills training class, however, as it is not clinically necessary according to the data on DBT Skills training, it is not required. 

Clinical Evidence supporting group psychotherapy's effectiveness when delivered via telehealth: "Our study results coupled with such qualitative feedback highlight the value of telehealth technologies, particularly amid global crises such as COVID-19. More specifically, it emphasizes the vital role that group psychotherapy delivered via telehealth can play in combatting the social isolation disproportionately experienced by underserved communities by fostering connectedness and feelings of mutual support, appreciation, and understanding. (Audrey Kucer, Olivia J. Derella, Anna Kilbride & Amanda Zayde (2024) Therapeutic Alliance and Group Cohesion Across Telehealth Delivery of Mentalizing-focused Parenting Groups, International Journal of Group Psychotherapy, 74:2, 122-148, DOI:10.1080/00207284.2024.2319627)

Clinical evidence proves that DBT Skill Training (DBT-ST) is an effective intervention for many different human conditions, see below:

In a study with the goal "to evaluate the feasibility and acceptability of dialectical behaviour therapy skills training (DBT-ST) in a sample of autistic adults without intellectual disability...findings provide preliminary evidence of (1) the feasibility of providing DBT-ST for autistic adults in community-based clinics, and (2) the perceived benefit of DBT-ST for this under-served population." (Ritschel LA, Guy L, Maddox BB. A pilot study of dialectical behaviour therapy skills training for autistic adults. Behavioural and Cognitive Psychotherapy. 2022;50(2):187-202. doi:10.1017/S1352465821000370)

DBT Skills Training DECREASES depression, anxiety, PTSD, ADHD, grief, anger/anger expression, irritability, bingeing/purging  behavior, concerns around weight/shape/eating, aggression, impulsivity, intimate partner violence potential, psychopathy, treatment drop out, emotional intensity, drinking-related problems, hopelessness, problems in interpersonal functioning, perceived family member burden, emotional over-involvement, inpatient hospitalizations, outpatient appointments, general psychopathology, dynamic risk, general distress and negative behaviors (Linehan, M. (2015). DBT Skills Training Manual. New York: Guilford Press pages 20-21)

DBT Skills Training INCREASES emotional processing, full remission of depression symptoms, adaptive coping, mindful awareness, emotion regulation, positive mood, job satisfaction, number of hours worked, abstinence from bingeing behavior, mastery, global mental health, relative strengths, coping skills, global functioning, productive behaviors and social adjustment (Linehan, M. (2015). DBT Skills Training Manual. New York: Guilford Press pages 20-21)

"Evidence suggests that autistic people can benefit from DBT skills such as mindfulness and distress tolerance to cope with emotion dysregulation and improve interpersonal relationships...Too many autistic people have lived with enduring stress and hopelessness, and many suffer with suicidality and non-suicidal self-injury. DBT and best practices in autism intervention share DBTs signature goal of helping individuals create a life worth living." (Keenan, Eliot Gavin; Gurba, Ava N; Mahaffey, Brittain; Kappenberg, Catherine Faith; Lerner, Matthew D. Leveling up Dialectical Behavior Therapy for Autistic Individuals with Emotion Dysregulation: Clinical and Personal Insights. Autism In Adulthood. Volume 6, Number 1, 2024: p 1-8.

In a study looking at DBT-ST in adults with treatment resistant depression who have tried therapy and medication without relief, DBT "Skills group participants showed significantly greater improvements in depressive symptoms compared with the control condition" (Harley, Rebecca PhD; Sprich, Susan PhD; Safren, Steven PhD; Jacobo, Michelle PhD; Fava, Maurizio MD. Adaptation of Dialectical Behavior Therapy Skills Training Group for Treatment-Resistant Depression. The Journal of Nervous and Mental Disease 196(2):p 136-143, February 2008. | DOI: 10.1097/NMD.0b013e318162aa3f)

In a study looking at DBT-ST for adults with Borderline Personality Disorder (BPD), Bipolar Disorder (BD) and Attention Deficit Hyperactivity Disorder (ADHD) Durpoix et al noted “73% participants estimated that group impact was important or very important, 64% stated using the skills learned often or very often, mainly emotion regulation skills. An improvement in emotional instability, substance use, impulsivity and suicidal thoughts was reported by respectively 100%, 91%, 86% and 85% of participants. Quality of life improved according to 90% participants. All patients reported an improvement in suicidality during the post-group year, especially in suicide attempts. Psychotropic medication decreased in 59% of participants.” (Durpoix, A., Lachaux, E., Weiner, L. et al. Transdiagnostic skills training group of dialectical behavior therapy: a long-term naturalistic study. bord personal disord emot dysregul 10, 37 (2023). https://doi.org/10.1186/s40479-023-00243-y)

 “Dialectical Behavior Therapy Skills Training (DBT-ST) as a stand-alone treatment is an effective intervention for alcohol use disorder (AUD) and other SUDs [Substance Use Disorders]” (https://www.sciencedirect.com/science/article/abs/pii/S0005789423000217 Behavior Therapy Volume 54, Issue 5, September 2023, Pages 809-822)

“Significant findings were found regarding participants self-reported decrease in emotional intensity and increases in reported quality of life.” (Matthew J. E. Catino, 2023. "DBT Skills Group for Individuals with Complex Emotional Needs: A Pilot Study," International Journal of Psychological Studies, Canadian Center of Science and Education, vol. 15(3), pages 1-19, September.)

In a study looking at using DBT skills training to treat Eating Disorders (ED) "improvements in DBT skills use predicted greater improvements in ED, depressive, and emotion dysregulation symptoms from treatment admission to discharge. Notably, early versus later change in skills use was a stronger predictor of outcome. Results are consistent with the theoretical model of DBT and add to a growing literature on DBT for EDs." (Brown, T.A., Cusack, A., Anderson, L. et al. Early Versus Later Improvements in Dialectical Behavior Therapy Skills Use and Treatment Outcome in Eating Disorders. Cogn Ther Res 43, 759–768 (2019). https://doi.org/10.1007/s10608-019-10006-1)

"DBT-ST proves as an effective short-term treatment to emotion dysregulation in college students. It decreases experienced depressive and anxiety symptoms. DBT-ST is a cost-effective way to treat multiple people at the same time with variety of psychological distress." (Dialectical Behavior Therapy -Based Group Skills Training Applied to College Students: Effects on Emotion Dysregulation, Depression and Anxiety: Uitto, Miranna (2020) https://urn.fi/URN:NBN:fi:tuni-202004294657)

In a study comparing group therapy delivered in person vs telehealth, it was noted that "intensive group therapies delivered via videoconference may be as effective as in-person therapies, even among individuals with more complex psychiatric presentations. Providers who have transitioned group therapies to videoconference formats or are considering creating remote groups can be more confident that they are not sacrificing treatment efficacy." Bean, C et al. A comparison of telehealth versus in-person group therapy: Results from a DBT-based dual diagnosis IOP. Journal of Clinical Psychology. 09 May 2022 (https://doi.org/10.1002/jclp.23374)