High Intensity Interventions for Youth: Treating the Fast and Furious-View Presentation

Video Transcription

Video Summary

This video transcript provides an insight into the use of Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) in high-intensity settings such as inpatient and intensive outpatient units. Dr. Bob Friedberg begins with an overview of CBT and DBT, emphasizing their integration into various healthcare settings. He touches upon Mesa Vista Hospital's program featuring a milieu approach where all staff tailor interventions from a consistent CBT or DBT perspective, enhancing treatment effectiveness through consistent therapeutic interactions.<br /><br />Dr. Sullivan and Dr. Thorteson delve into practical applications, sharing experiences from NYU Bellevue and Children's Hospital of Orange County. Sullivan discusses managing behaviorally dysregulated adolescents, emphasizing the importance of a structured environment and individualized behavior plans. He highlights the use of visual aids and rewards to maintain compliance and manage behavioral complexities. Treatment approaches balance safety interventions for aggressive behaviors and target emotion dysregulation in DBT-focused kids.<br /><br />Dr. Thorteson emphasizes the intensive outpatient setting, detailing the practical advantage of DBT's structured approach in stabilizing acute symptoms without hospitalization. She stresses the importance of cohesive program models that use experiential learning and consistent therapeutic methodologies. These programs facilitate significant clinical outcomes, showing reductions in distress and behavioral issues.<br /><br />Both settings highlight challenges such as staff training consistency, dealing with high patient-acuity, and maintaining therapeutic gains post-treatment. Overall, the roundtable underscores CBT and DBT’s adaptability in different high-intensity mental health settings, along with stressing the importance of a cohesive treatment approach for efficacy and improved patient outcomes.

Keywords

Cognitive Behavioral Therapy

Dialectical Behavior Therapy

high-intensity settings

inpatient units

intensive outpatient units

Dr. Bob Friedberg

Mesa Vista Hospital

behaviorally dysregulated adolescents

structured environment

emotion dysregulation

experiential learning

clinical outcomes

patient acuity