SILVA PSYCHIATRIC CARE
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • Apps
    • Decks
  • SPOTLIGHT
    • DIALECTICAL BEHAVIOR THERAPY
    • NEW YouTube CHANNEL
    • NOTICES & NEWSLETTER ARCHIVE

DIALECTICAL BEHAVIOR
​THERAPY

Dialectical Behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders, and interpersonal conflicts.  There is evidence that DBT can be useful in treating mood disorders, suicidal ideation, and for change in behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies, and ultimately balance and synthesize them, in a manner comparable to the philosophical dialectical process of hypothesis and antithesis, followed by synthesis. This approach was developed by Marsha M. Linehan, a psychology researcher at the University of Washington, to help people increase their emotional and cognitive regulation by learning about the triggers that lead to reactive states and helping to assess which coping skills to apply in the sequence of events, thoughts, feelings, and behaviors to help avoid undesired reactions. Linehan developed DBT as a modified form of cognitive behavioral therapy (CBT) in the late 1980s to treat people with borderline personality disorder (BPD) and chronically suicidal individuals. Research on its effectiveness in treating other conditions has been fruitful; DBT has been used by practitioners to treat people with depression, drug and alcohol problems, post-traumatic stress disorder (PTSD), traumatic brain injuries (TBI), binge-eating disorder, and mood disorders. Research indicates DBT might help patients with symptoms and behaviors associated with spectrum mood disorders, including self-injury. Work also suggests its effectiveness with sexual-abuse survivors and chemical dependency. DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from contemplative meditative practice. DBT is based upon the biosocial theory of mental illness and is the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. The first randomized clinical trial of DBT showed reduced rates of suicidal gestures, psychiatric hospitalizations, and treatment drop-outs when compared to treatment as usual.  A meta-analysis found that DBT reached moderate effects in individuals with borderline personality disorder.

(From Wikipedia, the free encyclopedia)

For recommended reading, click here.

See Dr. Silva's profile on Healthgrades.

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​SPC

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SERVICES

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  • Comprehensive Psychiatric Evaluations
  • Psychotropic Medication Management
  • Brief Counseling Sessions
  • Competency/Guardianship determinations
  • Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)​
  • DOT Clearances
  • + other fitness-for-duty and focused psychiatric evaluations
  • Emotional Support Animal Documentation
  • + other medical endorsements

ABOUT SPC

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  • Dr. Silva, M.D.​
  • Résumé
  • ​Areas of Expertise
  • ​Treatment Cost
  • Patient Reviews
  • Payment Policy
  • No-Show Policy
  • Refill Requests
  • Refill Policy
  • Privacy Practices

SUPPORT/FAQS

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  • Contact Me
  • Set Up/How To
  • Telemed App
  • ZOOM Download
  • GoodRx/$4.00 Meds
  • Medical Record Copies
  • Medication Prior Authorizations
  • Patient Portal
  • FORMS
  • FAQ

OTHER RESOURCES

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  • COVID-19
  • American Psychiatric Association (APA)
  • Alcoholics Anonymous
  • Centers For Disease Control
  • La Hacienda Treatment Center
  • NAMI (National Alliance on Mental Illness)
  • Narcotics Anonymous
  • NutritionFacts.org
  • Physician's Desk Reference​
  • SPC Blog (2009)
  • Talbott Recovery Center
  • ​Texas PMP AwaRxe

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  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • Apps
    • Decks
  • SPOTLIGHT
    • DIALECTICAL BEHAVIOR THERAPY
    • NEW YouTube CHANNEL
    • NOTICES & NEWSLETTER ARCHIVE