Meet our consultation team members:
A DBT consultation team is one of the required components of providing comprehensive DBT because it is a critical resource for maintaining motivation to deliver effective treatment, enhancing clinical skills, and monitoring fidelity to the treatment model. Each member agrees to abide by the following assumptions:
1. Dialectical Agreement: We agree to accept a dialectical philosophy: There is no absolute truth (nor is truth relative). When caught between two conflicting opinions, we agree to look for the truth in both positions and to search for a synthesis by asking such questions as, “What is being left out?”
2. Consultation to the Client Agreement: We agree that the primary goal of this team is to improve our own skills as DBT therapists, and not serve as a go-between for clients to each other. We agree to not treat clients or each other as fragile. We agree to treat other team members with the belief that others can speak on their own behalf.
3. Consistency Agreement: Because change is a natural life occurrence, we agree to accept diversity and change as they naturally come about. This means that we do not have to agree with each other’s positions about how to respond to specific clients, nor do we have to tailor our own behavior to be consistent with everyone else’s.
4. Observing Limits Agreement: we agree to observe our own limits. As therapists and team members, we agree to not judge or criticize other members for having different limits from our own (e.g.: too broad, too narrow, “just right”).
5. Phenomenological Empathy Agreement: All things being equal, we agree to search for non-pejorative or phenomenologically empathic interpretations of our client’s, our own, and other members’ behavior. We agree to assume we and our clients are trying our best, and want to improve. We agree to strive to see the world through our clients’ eyes and through one another’s eyes. We agree to practice a non-judgmental stance with our clients and one another.
6. Fallibility Agreement: We agree ahead of time that we are each fallible and make mistakes. We agree that we have probably either done whatever problematic things we’re being accused of, or some part of it, so that we can let go of assuming a defensive stance to prove our virtue or competence. Because we are fallible, it is agreed that we will inevitably violate all of these agreements, and when this is done, we will rely on each other to point out the polarity and move to a synthesis.
The teams at Pacific DBT Collaborative are made up of both DBT providers at Pacific DBT Collaborative as well as DBT clinicians outside of Pacific DBT, who have their own private practices in the San Francisco Bay Area. Listed below are the non-Pacific DBT Collaborative members of our teams.