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date: 25 April 2019

Abstract and Keywords

In addition to the core posttraumatic symptomatology such as s trauma-related intrusions, avoidance, and hyperarousal, patients with complex PTSD related to childhood abuse often also exhibit distortions of emotion regulation, pervasive negative self-concepts, and difficult interpersonal relationships. DBT-PTSD is a comprehensive multicomponent treatment to specifically focus on the sequelae of childhood abuse with and without borderline personality disorder. Based on the principles of DBT, it adds trauma-specific cognitive and skills-assisted exposure-based techniques and interventions to improve acceptance as well as compassion for self and others. It has been developed for and tested in both a three-month residential treatment and a 12-month outpatient programme. The first randomized controlled trial evaluated the treatment under residential conditions, including borderline patients with ongoing self harm. The second large multi-centre trial investigates DBT-PTSD under outpatient conditions, compared to Cognitive Processing Therapy (CPT). This chapter reviews the principles and structure of this new and highly promising DBT-adaptation.

Keywords: PTSD, childhood trauma, DBT-Stage II, Evidence-based treatments, borderline personality disorder

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