Show Summary Details

Page of

PRINTED FROM OXFORD HANDBOOKS ONLINE ( © Oxford University Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Handbooks Online for personal use (for details see Privacy Policy and Legal Notice).

date: 18 January 2021

Abstract and Keywords

This chapter discusses Dialectical Behavior Therapy for Substance Use Disorders (DBT-SUD), which expands standard comprehensive DBT to treat individuals with co-occurring Borderline Personality Disorder (BPD) and SUDs—a particularly high-risk population. It explores the compassionate formulation of addictive behaviour that underlies the treatment model, and describes the DBT-SUD treatment structure, e.g., addictions-focused skills and guidelines for targeting substance use within the DBT treatment target hierarchy. It covers strategic modifications of DBT-SUD as applied to the DBT case management strategies, and specific suggestions for overcoming common addictions treatment obstacles. It reviews the challenges of synthesizing replacement drug medications and drug toxicology screening with DBT, working with individuals who are prescribed potentially addictive medications, and avoiding substance use contagion among group members. It reviews research supporting DBT-SUD and preliminary studies of DBT-SUD with non-BPD populations, and suggests that DBT-SUD modifications can help to better target substance use within general DBT practice settings.

Keywords: dialectical behaviour therapy, DBT, borderline personality disorder, BPD, substance use disorders, addiction, skills, medication, lying

Access to the complete content on Oxford Handbooks Online requires a subscription or purchase. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can''t find the answer there, please contact us.