DBT Phone Coaching Guidelines
Phone coaching is an essential part of the Dialectical Behaviour Therapy (DBT) programme. It is designed to provide in-the-moment support to help with effective use of DBT skills in daily life, particularly during moments of crisis.
Purpose of Phone Coaching
- The primary goal of phone coaching is to assist individuals in generalising learned DBT skills, such as distress tolerance and emotion regulation, into their daily routines and real-life situations, preventing skill decay.
- Phone coaching is intended for brief, focused support during moments of struggle, offering immediate guidance on applying specific skills like "TIP skills" (Temperature, Intense exercise, Paced breathing) for acute distress or "STOP skill" (Stop, Take a step back, Observe, Proceed mindfully) for impulsive urges.
- Positive feedback on successes, such as effectively using validation skills in a difficult conversation or employing mindfulness to prevent escalation, is encouraged to be shared during these calls.
- Any negative feelings or ruptures arising from therapy sessions, such as feeling misunderstood or invalidated during group, can be addressed and worked through constructively during phone coaching to repair the therapeutic alliance.
Duration and Contact
- Typical phone coaching calls are brief, lasting approximately 5-10 minutes, and focus solely on immediate skill application rather than discussing therapy content or reviewing past sessions.
- Acceptable methods of contact for phone coaching include direct phone calls or secure messaging via the clinic's approved app.
- Phone coaching is included as part of the overall DBT programme fee, with no additional costs for scheduled calls.
Availability
- Individuals are encouraged to initiate contact for support with applying DBT skills whenever they encounter a challenging situation where they feel their learned skills could be beneficial, especially during moments of crisis or high emotional intensity.
- If immediate contact with the therapist is not possible, individuals are expected to utilise their self-soothing skills, distress tolerance techniques, and pre-planned coping strategies to manage the situation independently until they can connect with support.
- The therapist is unavailable for phone coaching calls after 8:00 PM GMT.
Focus on Skills
The aim of these calls will be to problem solve and to use DBT skills to do so.
DBT Phone Coaching Guidelines
Phone coaching is an essential part of the Dialectical Behaviour Therapy (DBT) programme. It is designed to provide in-the-moment support to help with effective use of DBT skills in daily life, particularly during moments of crisis.
Purpose of Phone Coaching
- [Describe the primary goal of phone coaching in relation to generalising DBT skills into daily life] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [Explain the intended use of phone coaching for brief, focused support during moments of struggle, including guidance on applying specific skills] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [State the type of positive feedback, successes, or effective skill use that is encouraged to be shared during phone coaching] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [Explain how negative feelings or ruptures arising from therapy sessions can be addressed and repaired through discussion, if described] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Duration and Contact
- [Describe the typical duration of phone coaching calls and their focus on immediate skill use rather than therapy content] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [Specify the acceptable methods of contact for phone coaching, such as phone calls or messages, if mentioned] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [Explain any costs or lack of costs associated with phone coaching within the DBT programme] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Availability
- [Explain when individuals are encouraged to initiate contact for support with applying DBT skills] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [Describe expectations regarding continued independent skill use if immediate contact with the therapist is not possible] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- [State the specific time after which the therapist is unavailable for phone coaching calls] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Focus on Skills
The aim of these calls will be to problem solve and to use DBT skills to do so. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include information if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the section or bullet point entirely. Never come up with your own patient details, programme rules, expectations, availability times, or therapeutic guidance. Use only the transcript, contextual notes or clinical note as the source of truth. If any information related to a placeholder has not been explicitly mentioned, do not state that it is missing—simply omit the placeholder or section entirely.)