About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (2023)

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (3)

(Video) Dialectical Behavior Therapy as a School-based Social Emotional Program

Kevin Holtzman, Psy.D.

Dr. Holtzman is a licensed clinical psychologist. He is the director of our practice. Dr. Holtzman is one of the first psychologists in the Northeast to achieve Board Certification in DBT through the Linehan Group, a board headed by the developer of DBT, Marsha Linehan Ph.D. He also has been intensively trained in DBT by an organization headed by the developer of DBT, Marsha Linehan, Ph.D. Dr. Holtzman has had extensive training in DBT and CBT and is fluent in the use of both therapies. He has particular expertise in using DBT and CBT with adolescents and adults in the treatment of anxiety (OCD, Generalized Anxiety and Phobias) and eating disorders, depression, insomnia, alcohol and drug use, and personality disorders, in particular borderline personality disorder. In addition to clinical work, Dr. Holtzman regularly offers consultation and supervision in both DBT and CBT. For several years he served as a consultant for Silver Hill Hospital with respect to the development and implementation of their in-house DBT programs. He has given many talks, trainings, and grand rounds on DBT and CBT. Dr. Holtzman has been involved in clinical research, including two clinical trials at Yale, which he co-led, that looked at the effectiveness of DBT compared to other “talk therapies.” In addition, he is an Assistant Clinical Professor at Yale University School of Medicine.

Dr. Holtzman received his Psy.D. from the Illinois School of Professional Psychology and is a graduate of the University of Illinois where he earned a B.S. in psychology. He completed his CBT and DBT focused one year doctoral internship at Yale University School of Medicine. Also at Yale, Dr. Holtzman completed a 2-year post-doctoral fellowship as part of a training grant he was awarded by the National Institute of Drug Administration.

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (4)

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (5)

Alisa G. Crossfield, Ph.D.

Dr. Crossfield is a licensed clinical psychologist. She is among the first in the state to achieve Board Certification in DBT by the DBT-Linehan Board. Furthermore, she has trained extensively in the empirically supported treatment models of Cognitive Behavioral Therapy and Dialectical Behavior Therapy. Dr. Crossfield integrates these models to develop an individualized treatment plan for each client. Her specialties include working with depression, anxiety disorders, personality disorders (especially Borderline Personality Disorder) and self-injury in both adults and adolescents. She has additional expertise in providing consultation to parents and family members of those living with mental illness.

In an effort to reinforce her clinical work and reach a broader group of people, Dr. Crossfield further applies her expertise by maintaining a regular blog on Psychology Today. Entitled “Emotionally Healthy Teens,” the blog features posts on applying DBT to parenting adolescents and the issues they may encounter.

Dr Crossfield earned her B.A. in psychology from Carnegie Mellon University, where she graduated Phi Beta Kappa. She then earned her Ph.D. in Clinical Psychology from Temple University in Philadelphia. While at Temple, Dr. Crossfield was awarded a Faculty Commendation for Excellence based on research activities. She co-authored several articles on the development of depression and conducted research on the developmental origins of eating disorders. Dr. Crossfield completed her pre-doctoral internship in Philadelphia at Friends Hospital where she received specialized training in working with adolescents and eating disorders. She then completed her post-doctoral training in a private practice in Bucks County Pennsylvania, working with individuals across the lifespan. In addition to private practice, Dr. Crossfield held an adjunct faculty appointment at Rider University in New Jersey.

(Video) Emotional dysregulation Westport, CT - Dr. Maura, The Center for Cognitive and Behavioral Health

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (7)

Margaret Horton, LCSW

A clinical social worker by training, Ms. Horton specializes in using Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT), and has extensive experience using these treatments with a variety of populations. She uses DBT and CBT to help adolescents and adults with a broad range of issues, including depression and anxiety disorders, post traumatic stress disorder, personality disorders, in particular borderline personality disorder, and substance use. Ms. Horton brings to her work a deep sense of empathy and compassion, and provides clients with a supportive environment in which they can work to better understand the impact of emotions and behaviors on their functioning, and learn more skillful ways of managing them. In addition to clinical work, Ms. Horton teaches courses related to behavior therapy and is Adjunct Faculty in the School of Social Work at Sacred Heart University.

Prior to joining the Center, Ms. Horton worked for a number of years at Silver Hill Hospital in New Canaan, CT where she served as a primary therapist and skills training group leader in both the DBT and Dual Diagnosis residential programs. She also developed and managed the Women’s Intensive Outpatient Program, and provided clinical supervision to masters level social work students and newly graduated social workers seeking clinical licensure. She has also previously worked with a variety of non-profit organizations, including the International Rescue Committee, Operation Hope, and the Center for Women and Families to help them develop programming and provide clinical services to marginalized populations such as refugees, homeless individuals and survivors of domestic violence and sexual assault. A regular practitioner of mindfulness herself, Ms. Horton weaves this into her work with clients, and has presented to NASW-CT and other community organizations on incorporating mindfulness into clinical practice. Ms. Horton holds a BA from Colgate University, and a Masters degree in Social Work from Columbia University.

(Video) Residential Eating Disorder Treatment Program Overview | Fairfield, CT | 203-408-1954

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (8)

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (9)

Denise Laframboise, Ph.D.

Dr. Laframboise is a licensed clinical psychologist with expertise in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and other evidenced-based treatment approaches. She is intensively trained in DBT, and has training with other mindfulness-based approaches to therapy. Her practice focuses on treatment of Anxiety Disorders, Eating Disorders, Depression, Substance Abuse and Personality Disorders, and she offers individual therapy, parent consultation, and leads groups.

Dr. Laframboise completed an Sc.B. with honors in psychology at Brown University and received her M.S. and Ph.D. from The University of New Mexico in Clinical Psychology with a minor in Cognitive Psychology. Her pre-doctoral internship was completed at the University of Vermont working in a partial hospital program that utilized Cognitive Therapy and Dialectical Behavior Therapy. She completed a clinical post-doctoral fellowship at the Yale Center for Eating and Weight Disorders, offering CBT and other evidence-based treatments. On completing her post-doctoral training she worked as a full-time faculty member for eight years in the Department of Psychology at The University of Hartford, as a core faculty member in the Clinical Practices in Psychology Master’s program where she specialized in mentoring graduate students and teaching psychotherapy, cognitive and behavioral therapies, Professional Issues, and clinical supervision of Master’s level trainees.

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (10)

(Video) Residential Eating Disorder Treatment Adult Program Overview | Fairfield, CT | 203-408-1854

About Us - The Dialectical and Cognitive Behavior Therapy Center, Westport & Fairfield CT (11)

Jenna Kiska, LCSW

Ms. Kiska is a licensed clinical social worker. She has proficiency in both Dialectical Behavioral Therapy (DBT) and Cognitive Behavior Therapy (CBT) and is fluent in making use of these two behavior therapies with children, adolescents, families, and adults in a variety of different settings, including inpatient, residential, and outpatient. Ms. Kiska has additional expertise in a type of CBT, Trauma Focused Cognitive Behavioral Therapy, and is certified in this approach. Her specialties include delivering DBT and CBT for the treatment of depression, anxiety disorders, PTSD, self-injury, substance use, oppositional defiance, and personality disorders, particularly Borderline Personality Disorder (BPD). Her clinical style blends validation, ease, and warmth with empirically supported skill-based strategies. In addition to direct clinical work, Ms. Kiska provides supervision to both master level clinicians and those seeking licensure.

Prior to joining the Center, Ms. Kiska worked in variety of settings, including a psychiatric hospital, a safe home for children removed due to abuse or neglect, a residential placement for adolescent boys, in home psychiatric services, and most recently was the director of a Child Guidance Clinic. Ms. Kiska had a leadership role in helping several of these settings adopt and implement DBT programs. As Director of the Child Guidance Clinic, Ms. Kiska provided individual DBT and CBT psychotherapy, family psychotherapy, led DBT skills training groups, and supervised a multidisciplinary team of clinicians. Ms. Kiska graduated from Sacred Heart University with her Bachelor’s in Social Work. She received her Master’s in Social Work from New York University.

FAQs

What is dialectical behavioral therapy good for? ›

Dialectical behavior therapy (DBT) is especially effective for people who have difficulty managing and regulating their emotions. DBT has proven to be effective for treating and managing a wide range of mental health conditions, including: Borderline personality disorder (BPD). Self-harm.

Can I do dialectical behavior therapy by myself? ›

Unlike CBT, it can be difficult to learn DBT techniques by yourself. It can also be overwhelming when you start doing DBT. So doing it by yourself doesn't usually work as well as going to sessions run by trained therapists.

What are the four stages of dialectical behavior therapy? ›

In treatment, four basic skill sets are taught. These are emotion regulation, mindfulness, interpersonal effectiveness, and distress tolerance. Generalization. DBT therapists use various techniques to encourage the transfer of learned skills across all settings.

What are the six main points of dialectical behavior therapy? ›

The six main points of DBT are to develop skills related to (1) accepting circumstances and making changes, (2) analyzing behaviors and learning healthier patterns of responding, (3) changing unhelpful, maladaptive, or negative thoughts, (4) developing collaboration skills, (5) learning new skills, and (6) receiving ...

Who benefits most from DBT? ›

Who Can Benefit from DBT?
  • Overwhelming emotions.
  • Impulsive behavior.
  • Self injury.
  • Suicidal thoughts.
  • Substance use.
  • Eating disorders.
  • Trauma.
  • Challenging relationships that are filled with conflict or arguments.

Who can benefit from dialectical behavior therapy? ›

It is especially useful for people with borderline personality disorder, suicidal ideation or self-harm — helping sufferers develop a more mindful, resilient and adaptable outlook. It does this using four modules.

What is the success rate of DBT therapy? ›

Research shows it's incredibly effective—one study from 2014 showed that 77% of participants no longer met criteria for BPD diagnosis after undergoing treatment. DBT is recognized as the “gold standard” for people with BPD. “It's weird how much better I've gotten from it.

What are the pros and cons of DBT? ›

Pros – Immediate relief, intense sensation that makes me forget emotional pain, and feeling of control. Cons – Scarring, infection, having to hide the wounded parts of my body, and having people ask questions about my wounds.

Is DBT good for everyone? ›

Originally created to treat borderline personality disorder, today it's also used to help people with bipolar disorder, eating disorders, and even those with traumatic brain injuries (TBI). The skills taught in DBT can help everyone though, regardless of their mental health status.

What are the disadvantages of DBT? ›

- DBT requires a significant time commitment (from the consumer and the clinician). - There are many skills in DBT, which may be overwhelming. As a result, consumers who may benefit from it may find it overly complex and unwilling to try. - DBT involves homework that may not be well suited for everyone.

What are the limitations of DBT? ›

While DBT can offer many benefits, it may not work for everyone. Some of the criticisms and potential limitations of DBT include: The therapy requires a significant time commitment in terms of attendance and homework. Not everyone is receptive to or able to complete homework on a regular basis.

What is DBT in a nutshell? ›

Dialectical Behavior Therapy (DBT) is an evidence-based proven therapy for disorders of behavior and emotional regulation. Developed by world-renown psychologist Marsha Linehan, Ph. D, it combines practical behavior science with mindfulness and contemplative practices.

How long does DBT take to work? ›

However, the research does suggest that “behavioral control”, that is the absence of suicidal behaviors and other life-threatening behaviors as well as severe qualityof- life interfering behaviors, can often be achieved within four to eight months of comprehensive DBT.

What are examples of DBT skills? ›

Some of these skills that can help clients deal with their emotions include:
  • Identifying and labeling emotions;
  • Identifying obstacles to changing emotions;
  • Reducing vulnerability to “emotion mind;”
  • Increasing positive emotional events;
  • Increasing mindfulness to current emotions;
  • Taking the opposite action;
14 Mar 2017

Is DBT good for depression? ›

It's another useful tool that works for treating borderline personality disorder and depression. While there are no miracle cures when it comes to treating depression, dialectical behavior therapy could be used to effectively help patients.

Can DBT be harmful? ›

DBT aims to treat the whole person as an individual, and does not include treatment of multiples. This can be harmful, as the lack of acknowledgment can feel invalidating for both the host and other parts in the system.

What is the difference between DBT and CBT? ›

CBT seeks to give patients the ability to recognize when their thoughts might become troublesome, and gives them techniques to redirect those thoughts. DBT helps patients find ways to accept themselves, feel safe, and manage their emotions to help regulate potentially destructive or harmful behaviors.

What causes borderline personality disorder? ›

Environmental factors

being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.

What are personality disorders? ›

A personality disorder is a type of mental disorder in which you have a rigid and unhealthy pattern of thinking, functioning and behaving. A person with a personality disorder has trouble perceiving and relating to situations and people.

What is the gold standard treatment for borderline personality disorder? ›

Born from the randomized controlled trial by Linehan and colleagues in 1991, dialectical behavior therapy (DBT) has become the gold standard for treatment of individuals who are suicidal and have borderline personality disorder.

How effective is DBT for anxiety? ›

Naturally, researchers wondered if DBT might be able to help treat individuals living with debilitating anxiety. Luckily, research continues to suggest that DBT can, in fact, help individuals deal with anxiety, stress, restlessness, irritability, fear, and excessive worry.

Is DBT just for borderline personality disorder? ›

DBT was designed to treat borderline personality disorder, but it can be used for many other conditions. The world is filled with contrasts — up and down, happy and sad, stillness and movement.

When should I use DBT? ›

dbt enables data analysts to custom-write transformations through SQL SELECT statements. There is no need to write boilerplate code. This makes data transformation accessible for analysts that don't have extensive experience in other programming languages.

Does DBT help with PTSD? ›

DBT lends itself very well to treating traumatic stress-related disorders, including PTSD and complex trauma. We can conceptualize effective trauma treatment as occurring in three stages: STAGE ONE: Stabilization, safety and effective coping.

Is DBT good for ADHD? ›

Because many conditions are marked by an inability to control emotions — attention deficit disorder (ADHD or ADD), mood and anxiety disorders, substance use disorders — DBT has been found to be an effective treatment for all of them. It has become a go-to treatment for ADHD.

Who should not use DBT? ›

DBT will not work for someone who 100% does not believe that they need to change. Clients who want to develop new skills and are willing to acknowledge and work towards improving unhealthy behaviors get the most out of this treatment.

How do you know if DBT is right for you? ›

Is DBT Right for You? If your emotions interfere with your relationships, work, school, or goals, it may be a sign that DBT could be right for you. If your emotions feel out of control, overwhelming, or debilitating, DBT may also be helpful.

Is DBT good for anxiety and depression? ›

It has also been shown to be an effective intervention for people with depression, post traumatic stress disorder, substance use disorders, and people that need help regulating and managing their moods. DBT treatment focuses on helping people develop what seems like opposite strategies – acceptance and change.

Can you fail DBT? ›

Patients Cannot Fail in Therapy

If the therapy has been applied according to protocol, and the patients still do not improve, then the failure is attributable to the therapy itself.

What kind of therapy is DBT? ›

Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. Cognitive behavioral therapy tries to identify and change negative thinking patterns and pushes for positive behavioral changes.

What are the five functions of DBT? ›

Dialectical behavior therapy (DBT) must follow five basic functions to be comprehensive in nature. These five functions include motivating clients, teaching skills, generalizing skills to natural environments, motivating and improving the skills of therapists, and structuring the treatment environment.

What are the key concepts of dialectical behavior therapy? ›

DBT Primary Modes of Treatment

Group training is used to learn the DBT skills of mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Whereas individual therapy is focused on applying the skills and strategies of DBT to help them achieve their specific treatment goals.

What is standard DBT? ›

Structure of Standard DBT - YouTube

How is dialectical behavior therapy implemented? ›

DBT is a behavioral therapy that involves active and directive work to analyze and change target behaviors through cognitive restructuring, skills training, exposure procedures, and contingency management. Access to training in these component protocols is limited during both professional and postgraduate training.

How long does a DBT group last? ›

Although these timeframes are usually adhered to, the exact timeframe of a particular DBT program will depend on the specific needs of its participants, as the program may conclude in less time than the scheduled twenty-four weeks, or extend beyond, lasting longer than the twenty-four week period.

How long does BPD therapy last? ›

Although the course of BPD is generally positive, some patients do experience relapses over time. Most of the specialized treatments for BPD are time-limited and generally of 1 to 3 years' duration.

What is the best DBT skill? ›

My five favorite DBT skills to use at home:
  • Distress Tolerance: TIPP. ...
  • Distress Tolerance: ACCEPTING REALITY. ...
  • Emotional Regulation: PLEASE. ...
  • Walking the middle path: DIALECTICS. ...
  • Mindfulness: HOW and WHAT Skills.
24 Apr 2017

What DBT skills are used for depression? ›

Learn how to manage symptoms of depression through the 4 components of DBT: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness.

What are the pros and cons of DBT? ›

Pros – Immediate relief, intense sensation that makes me forget emotional pain, and feeling of control. Cons – Scarring, infection, having to hide the wounded parts of my body, and having people ask questions about my wounds.

What are the five functions of DBT? ›

Dialectical behavior therapy (DBT) must follow five basic functions to be comprehensive in nature. These five functions include motivating clients, teaching skills, generalizing skills to natural environments, motivating and improving the skills of therapists, and structuring the treatment environment.

What are the disadvantages of DBT? ›

- DBT requires a significant time commitment (from the consumer and the clinician). - There are many skills in DBT, which may be overwhelming. As a result, consumers who may benefit from it may find it overly complex and unwilling to try. - DBT involves homework that may not be well suited for everyone.

What are examples of DBT skills? ›

Some of these skills that can help clients deal with their emotions include:
  • Identifying and labeling emotions;
  • Identifying obstacles to changing emotions;
  • Reducing vulnerability to “emotion mind;”
  • Increasing positive emotional events;
  • Increasing mindfulness to current emotions;
  • Taking the opposite action;
14 Mar 2017

What is the success rate of DBT therapy? ›

Research shows it's incredibly effective—one study from 2014 showed that 77% of participants no longer met criteria for BPD diagnosis after undergoing treatment. DBT is recognized as the “gold standard” for people with BPD. “It's weird how much better I've gotten from it.

Can DBT be harmful? ›

DBT aims to treat the whole person as an individual, and does not include treatment of multiples. This can be harmful, as the lack of acknowledgment can feel invalidating for both the host and other parts in the system.

Is DBT better than CBT? ›

For depression, anxiety, OCD, phobias and PTSD, research has shown that CBT tends to be the more effective treatment. For borderline personality disorder, self-harm behaviors and chronic suicidal ideation, DBT tends to be the better choice. According to Dr.

Is DBT good for depression? ›

It's another useful tool that works for treating borderline personality disorder and depression. While there are no miracle cures when it comes to treating depression, dialectical behavior therapy could be used to effectively help patients.

What is DBT in a nutshell? ›

Dialectical Behavior Therapy (DBT) is an evidence-based proven therapy for disorders of behavior and emotional regulation. Developed by world-renown psychologist Marsha Linehan, Ph. D, it combines practical behavior science with mindfulness and contemplative practices.

Who does not benefit from DBT? ›

DBT works best for motivated individuals. DBT will not work for someone who 100% does not believe that they need to change. Clients who want to develop new skills and are willing to acknowledge and work towards improving unhealthy behaviors get the most out of this treatment.

How long does DBT take? ›

A full course of dialectical behavior therapy takes around 6 months to complete. There are four main modules in DBT, mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These modules are also the stages used in DBT.

Does DBT work for everyone? ›

DBT does not work for everyone. It doesn't mean that the therapist can't fail because the therapist can fail to apply DBT treatment effectively. What this means is that even if DBT is applied 100% treatment to fidelity and the therapist is doing a fantastic job, if the patient fails, it is not their fault.

Does DBT work for anxiety? ›

DBT is increasingly used as an effective approach for managing anxiety and related issues such as emotion regulation.

Videos

1. Residential Eating Disorder Treatment Program Overview | Dallas, TX | 214-463-2078
(Center For Discovery)
2. Residential Eating Disorder Treatment Program - Fremont, CA
(Center For Discovery)
3. Eating Disorder Treatment Program Overview | Rancho Palos Verdes, CA | 424-343-2835
(Center For Discovery)
4. Residential Eating Disorder Treatment Program Overview | Bellevue, WA | 425-292-8772
(Center For Discovery)
5. Residential Eating Disorder Treatment Program Overview | Chicago, IL | 224-699-2174
(Center For Discovery)
6. Residential Eating Disorder Treatment Program Overview | Del Mar, CA | 858-413-9334
(Center For Discovery)
Top Articles
Latest Posts
Article information

Author: Van Hayes

Last Updated: 10/26/2022

Views: 5837

Rating: 4.6 / 5 (66 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Van Hayes

Birthday: 1994-06-07

Address: 2004 Kling Rapid, New Destiny, MT 64658-2367

Phone: +512425013758

Job: National Farming Director

Hobby: Reading, Polo, Genealogy, amateur radio, Scouting, Stand-up comedy, Cryptography

Introduction: My name is Van Hayes, I am a thankful, friendly, smiling, calm, powerful, fine, enthusiastic person who loves writing and wants to share my knowledge and understanding with you.