Lessons learned conducting dialectical behavior therapy via telehealth in the age of COVID-19
Open accessAbstract
Given the severity and suicide risk of patients typically treated by Dialectical Behavior Therapy (DBT) and the absence of guidelines regarding delivery of DBT via telehealth, it is crucial that the DBT treatment community gather and rapidly disseminate information about effective strategies for delivering DBT via telehealth. The current study surveyed DBT providers (N = 200) to understand challenges and lessons learned as they transitioned to conducting DBT via telehealth during the COVID-19 pandemic. Open-ended responses to challenges and lessons-learned were coded. Most frequently noted challenges were Therapy-Interfering Behaviors and elements related to the provision of Individual Therapy and Skills Training Group. The majority of providers offered advice for implementing group skills training, avoiding or overcoming therapist burnout, and emphasized continued adherence to treatment principles, even in the context of this new treatment modality. Overall, this qualitative study marks a starting point on identifying best practices delivering DBT via telehealth for which it is anticipated that clinical recommendations in this area will evolve, informed by clinician, researcher, and consumer input.
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Meta-analyses of DBT-SG studies highlight its efficacy as a stand-alone treatment for a variety of mental health concerns such as depression, mood disorders, oppositional defiant disorder, eating disorders, ADHD, and BPD.
“Importantly, meta-analyses of DBT-SG studies highlight its efficacy as a stand-alone treatment in treating a variety of mental health concerns such as depression and other mood disorders, oppositional defiant disorder, eating disorders, attention-deficit hyperactivity disorder, BPD, with implementation in variety of clinical settings, such as prisons or medium security settings, community or”
From Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review (2024) · cites this paper as Zalewski et al., 2021
The DBT Modes of Treatment section describes skills-training groups as one component of DBT, while the Results report providers’ ratings of groups delivered via telehealth. Neither passage reports meta-analyses or evaluates DBT skills groups as a stand-alone treatment for the listed conditions (searched for stand-alone skills training, meta-analyses, and the named disorders). (LLM, conf=0.72)
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- Authors
- Zalewski, M., Walton, C. J., Rizvi, S. L., White, A. W., Gamache Martin, C., O'Brien, J. R., & Dimeff, L.
- Affiliations
- University of Oregon (US)
- Hunter New England Local Health District (AU)
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Zalewski, Maureen
- Venue
- Cognitive and Behavioral Practice
- Publisher
- Elsevier BV
- Published
- 2021-11
- Volume
- 28
- Issue
- 4
- Pages
- 573-587
- ISSN
- 1077-7229 (ISSN-L)
- PMC
- PMC8488181
- OpenAlex
- W3154205983
- Cited by
- 39
- References
- 31
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 10 · 2023: 11 · 2022: 11 · 2021: 2
- FWCI
- 7.35
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Cognitive and Behavioral Practice (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Health
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- dialectical behavior therapy, telemedicine, COVID-19 pandemic, individual psychotherapy, therapist burnout, medication adherence, suicide risk, lessons learned
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