DBT Hierarchy

The DBT hierarch y:
1. Decreasing suicidal and self-harm behaviour
2. Decreasing behaviours that undermine or interfere with therapy
3. Decreasing behaviours which interfere with your quality-of-life; often behaviour which lead to crisis
4. Increasing other required skills
5. Decreasing post-traumatic stress
6. Increasing respect for self
7. Achieving other individual goals

Safety is always at the top of the hierarchy – you must work to stay safe (and alive) to benefit from therapy.

You may also have the opportunity to develop a DBT crisis plan to specify how Crisis services can be st help you to cope with crisis.