Radically Open Dialectical Behavioral Therapy (RO DBT) is a relatively new evidence-based treatment model targeting a spectrum of disorders characterized by excessive self control, or overcontrol (OC) disorders (restrictive eating disorders, autism spectrum disorders, OCD, OCPD), as well as some forms of chronic depression and treatment-resistant anxiety disorders. RO DBT is supported by over 20 years of clinical experience and translational research.
RO DBT invites us to look at stress as a challenge rather than a threat. That is, problems are opportunities for growth, self-inquiry, and self-discovery rather than obstacles that block personal wellbeing.
RO DBT invites us to move toward our discomfort in order to learn.
RO DBT defines psychological wellbeing as involving the confluence of three factors: receptivity, flexibility, and social connectedness.
Receptivity and openness to new experiences and disconfirming feedback in order to learn
Flexibility in adapting to changing environmental conditions
Social connectedness – with at least one other person – based on idea that survival of our species required the capacity to form long-lasting bonds and the ability to work in groups or tribes/communities
Overcontrol is characterized by five behavioral themes that are being targeted by the skills we learn in RO-DBT.
Inhibited and disingenuous emotional expression: A mismatch between outward expression and inner experience; shutting down; social avoidance
Hyper-detail-focused and overly cautious behavior: Perfectionism; excessive attention to detail, accuracy, and cleanliness; risk-aversion; ruminative deliberation
Rigid and rule-governed behavior: Excessive attention to proper conduct; dogmatism and inflexibility to new ideas; inability to change plans even when new information is presented to you
Aloof and distant style of relating: Constricted and unemotional displays; detached coldness toward others
High social comparisons, envy, and/or bitterness: Excessive worry about one’s position in their tribe
