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Getting unstuck: Dialectical strategies to reduce suffering and build a life worth living
Author(s) -
Gold Andrea L.,
Yaptangco Mona
Publication year - 2019
Publication title -
the brown university child and adolescent behavior letter
Language(s) - English
Resource type - Journals
eISSN - 1556-7575
pISSN - 1058-1073
DOI - 10.1002/cbl.30360
Subject(s) - irritability , suicidal ideation , context (archaeology) , psychiatry , dialectical behavior therapy , anxiety , depression (economics) , psychology , cognitive behavioral therapy , clinical psychology , psychotherapist , medicine , poison control , suicide prevention , borderline personality disorder , medical emergency , paleontology , macroeconomics , economics , biology
Case: Katharina is a 16‐year‐old female referred for adolescent dialectical behavior therapy (DBT‐A) following her second psychiatric hospitalization for suicidal intent and plan. She presents with chronic suicidal ideation, frequent nonsuicidal self‐injury, severe hopelessness and worthlessness, and recent academic decline. Katharina's life‐threatening behaviors emerged last year in the context of worsening depression, anxiety, irritability, disordered eating, and increased familial conflict, particularly around limit setting. Her pervasive and severe emotion dysregulation had not improved following outpatient psychotherapy with multiple cognitive behavioral therapists, pharmacotherapy, and inpatient and partial hospitalizations.