Dialectical behaviour therapy (DBT) is an effective treatment for borderline personality disorder and other problems underpinned by difficulties with emotional regulation. The main components of DBT are skills training groups and individual therapy. The COVID-19 outbreak forced a rapid adaptation to online delivery, which largely mirrored face-to-face programmes using videoconferencing technology. Developed by Dr. Peter L. King, the Australian DBT Institute provides a high-fidelity DBT programmes, which established an online delivery platform called DBT Assist.

Research conducted in conjunction with Southern Cross University (Gold Coast) found delivering skills training online, either exclusively or in hybrid form (with face-to-face individual therapy), was acceptable and even preferable to therapists and clients. It was considered safe, the programme was associated with few non-completers, and it improved the accessibility of DBT to those who might otherwise not be able to engage in a face-to-face programme.

This skills training approach utilises a ‘flipped-learning’ approach which improved the efficiency of online delivery. Other unique and helpful features of the online programme are described within this self-paced webinar.

Further explored will be the best outcomes associated with online DBT that can be achieved through careful adaptation to the online environment in accord with the principles of DBT rather than mirroring face-to-face processes.