DBT & CBT

I offer Comprehensive Dialectical Behavior Therapy (DBT). It is an evidence-based psychotherapy that can be used to treat personality disorders (eg BPD etc), interpersonal conflicts, PTSD, Binge Eating Disorder/Bulimia etc.

DBT is best described as a  ‘doing therapy’. It works because it successfully increases clients’ ability to use effective coping skills, particularly strategies for expressing, experiencing, and regulating intense emotions. You will find here Link to DBT: Context and Research Evidence further information on how DBT is useful.

Comprehensive DBT involves clients engaging in three related pieces of work: (i) One-to-one weekly therapy (ii) Weekly attendance at DBT Skills Training which is delivered in a group context (here is a good introduction to Link: DBT Group Skills Training) and (iii) Phone/text/email coaching between therapy sessions.

It is a substantial investment in terms of money, time and effort but also has a positive impact on desired therapeutic progress in my direct experience and as backed up by extensive research evidence.

I offer a short-term Psychoeducational Suppport Group for those who are supporting people with pervasive emotional dysregulation (e.g. BPD/EUPD etc). This group provides insight into emotional dysregulation and also provides space for participants to share experiences.

How long does a DBT Comprehensive Programme take and what will it cost?  

A DBT Comprehensive Programme will take at least six months during which time the client will complete the majority of the full skills training process. Current research evidence is that those experiencing pervasive emotional dysregulation (i.e BPD/EUPD) will experience a signifcant reduction in symptoms after a minimum six months of Comprehensive DBT (McMain et al, Psychother Psychosom. 2022 https://pubmed.ncbi.nlm.nih.gov/35738244/).

Those also experiencing trauma-related symptoms (eg Complex PTSD) can expect to spend at least twelve months in the DBT Prolonged Exposure (PE) programme.

The standard cost of the programme is €550 (VAT included) per calendar month. I expect that any person seeking DBT Therapy will also be able and willing to commit to the weekly DBT Skills Training Group.

Group DBT Skills Training only

Please contact me if you are already in personal therapy and you are wishing to avail of Group DBT Skills Training only. I will look to make an arrangement with your existing therapist to ensure that skills that are taught are then generalised in the various parts of your life. The cost of the DBT Skills Group only is €225 (VAT included) per module.

Emotion Dysregulation Support Group for Partners/Family

A short-term psychoeducational suppport group for those who are supporting people with pervasive emotional dysregulation takes place on Saturdays between 1-2 pm. Please contact me on tom@tomconlon.ie if you would like to receive further details.

Where does the work take place?

The next module of Cork Group DBT Skills Training process takes place at 32 Grand Parade, Cork City Centre on Friday evenings from 31st May 2024.  The Dublin group process takes place on Tuesday evenings at the Carmelite Centre, Aungier Street, with the next module commencing on 11th June 2024.

It may be possible, by mutual agreement, to attend these sessions virtually. Stephanie Romero Ponticelli  (clinical and analytic psychologist) and I conduct these groups.

The DBT Skills Training  is conducted over a 24 week, three module cycle – you can find further details on the following link: Skills Training – 24 Week Schedule. There are spaces available for the next training module for both the Dublin and Cork groups

The one-to-one therapy work takes place in person in the various clinics in Dublin and Cork in which I work.

Free Phone Consultation

I offer a free 20 minute phone consultation to anybody who is considering commencing Comprehensive DBT. This consultation is confidential and will give you the opportunity to discuss your situation, answer any questions you may have and see how I might be able to help you. Please contact to me to schedule a call.

What makes a DBT Treatment ‘Comprehensive?

This article  Link: Intro to Comprehensive DBT provides a good article on Comprehensive DBT.

For a DBT treatment to be considered “Comprehensive,” it must meet the following five functions :

1. Enhancing Capabilities
2. Improving Motivation
3. Generalising skills to the environment
4. Structuring the environment
5. Enhancing therapist capabilities and motivation

To meet these functions and therefore provide Comprehensive DBT, here is my way of working:

1. Enhancing Capabilities

I offer a weekly one and a half hour DBT Skills Group (in-person and online). It is designed to teach participants the core skills of Mindfulness, Emotion Regulation, Interpersonal Effectiveness and Distress Tolerance. Through teaching, discussion, homework practice and review, group members learn skills to begin to effectively problem solve and work on the process of developing a better life.

The Skills Training DBT is conducted over a 24 week, three module cycle – you can find further details on the following link: Skills Training – 24 Week Schedule

2. Improving Motivation

Clients receive weekly individual therapy, with each session lasting no more than 50 minutes. Individual sessions are shaped to address the client’s agenda, to validate the experience of the client while encouraging changes that can improve their lives. The DBT therapy process is collaborative in terms of identifying behaviours targeted for change, generating solution strategies, applying skills learned in groups, and improving decision-making skills.   

3. Generalising skills to the environment

I offer weekly phone consultation to patients to generalise the use of skills learned in the Skills Group into the various aspects of the client’s life.

4. Structuring the environment

 I work hard to reinforce positive behaviour by the client. I also work with the client’s environment on occasions e.g. engaging with the client’s family, care network etc. There may be occasions when I am required to advocate to advocate for the client in circumstances wheere they are not able to intervene for themselves.

I am working hard, with others to provide on-demand access to Comprehensive DBT. In so doing, we aim to reduce the lengthy waits that people often experience if they wish to access DBT via the public health system.  More information on our work in the DBT Centre of Ireland CLG,  a not-for profit organisation, can be found on the following link: https://www.linkedin.com/groups/13020091/

5. Enhancing therapist capabilities and motivation

I meet with my DBT Consultation Team each week. This team is comprised of peer group of mental health practitioners all of whom are engaged in DBT. I have the opportunity to receive a form of group therapy and also clinical supervision of my work during these sessions. This work is a mandatory component of Comprehensive DBT.

I am also engaged in accrediting my work as a DBT Therapist via the Linehan Institute

Please contact me on tom@tomconlon.ie 0r 086 368 8824 for further information.

REBT

I practise a form of CBT therapy called Rational Emotive Behaviour Therapy (REBT).  What is it? Here is a brief description taken from Dryden, W. (2009). Skills in Rational Emotive Therapy:

“REBT is one of the CBT, or Cognitive Behavioural Therapies, currently in vogue. REBT is based on an old idea attributed to Epictetus, a Roman and Stoic philosopher, who said that ‘Men are disturbed not by things, but by their rigid and extreme view of things’. Once they have disturbed themselves, they then try to get rid of their disturbed feelings in ways that ultimately serve to maintain their problems. As an REBT Therapist, I will help you to identify, examine and change the rigid and extreme beliefs that I argue underpins your emotional problems and help you to develop alternative and non-extreme beliefs. I will also help you to examine the ways in which you have tried to help yourself that haven’t worked and encourage you to develop and practise more effective, durable strategies.

At the beginning of counselling, we will consider together your problems one at a time and I will teach you a framework which will help you to break down your problems one by one into their constituent parts. I will also teach you a variety of methods for examining and changing your rigid and extreme beliefs as well as a variety of methods to help you to consolidate and strengthen your alternative flexible and non-extreme beliefs. As therapy proceeds, I will help you to take increasing responsibility for using these methods and my ultimate aim is to help you to become your own therapist. As this happens, we will meet less frequently until you feel you can cope on your own.”

I offer CBT and DBT appointments in Cork and Dublin – please contact me on tom@tomconlon.ie or on 086 368 8824