Progress in treatment can be slow for a number of reasons. For example, you might be experiencing severe symptoms that are difficult to manage, you and your therapist have not identified an effective treatment plan and clear goals, your therapist’s skills and knowledge may not be a fit for you or you might be experiencing fear and anxiety about making changes in therapy.
Sometimes, particularly when people are fearful and anxious, lack of progress in treatment is a result of resistance to the therapy process.
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Dialectics, in Dialectical Behavior Therapy, refers to the process of investigating and synthesizing apparently opposing or contradictory ideas. In DBT, there might be your truth and my truth, but there is no search for absolute truth. Instead, there is a dialog about our contradictory positions in which both can find a new meaning. It is not a search for resolution by establishing right and wrong, but a development of understanding, over time, that may never result in a final truth or indisputable fact.
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