Category Archives: Asian American

Dialectical Behavior Therapy (DBT)

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Dialectical Behavior Therapy (DBT) is an empirically supported treatment designed to help people manage overwhelming feelings and self-defeating behaviors. These feelings and behaviors may create major challenges in life (such as angry outbursts, violence, depression, immobility and avoidance by suicide attempts, substance abuse, and eating disorders). DBT encompasses core modules of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills training. The emphasis is on building and enhancing skills to regulate emotions, deal with the distressing situations, and improve relationships. DBT was invented by Dr. Marsha Linehan, a psychologist, who used her own insights from living successfully with Borderline Personality Disorder to develop this novel therapy. In its standard form, there are four components of DBT: skills training group, individual treatment, DBT phone coaching, and consultation team.

Trauma Center-Justice Resource Institute

The Linehan Institute

DBT Fact Sheet – NAMI

Trauma Systems Therapy (TST)

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TST is a comprehensive, phase-based treatment program for children and adolescents who have experienced traumatic events and/or who live in environments with ongoing traumatic stress. TST is designed to address the complicated needs of a trauma system, which is defined as the combination of a traumatized child/adolescent who, when exposed to trauma reminders, has difficulty regulating his/her emotions and behavior and his/her caregiver/system of care who is not able to adequately protect the youth or help him/her to manage this dysregulation. The most common setting in which TST is implemented is for youth in child welfare who can be in birth homes, foster care, residential treatment centers, community-based prevention programs, and programs for unaccompanied refugee minors. There is an emphasis on involvement of the caregiver as being essential to success. TST was developed by Dr. Saxe and Dr. Heidi Ellis at Boston University School of Medicine and Children’s Hospital Boston. The materials are available in Spanish and Korean.

Parent-Child Interaction Therapy (PCIT)

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PCIT is effective with single parents, cognitively limited parents, court-ordered parents, two-parent families, and foster parents. Cultural adaptations have been effective with Latino/Hispanic families, African American Families, and Native American families. PCIT has been disseminated internationally (e.g. Hong Kong, Norway, The Netherlands) and has been translated into different languages (e.g. Spanish and Mandarin). PCIT has been adapted for: Head Start classrooms;Group treatment; Home rather than office based sessions; Domestic violence shelters; Residential treatment centers.

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Alternatives to Seclusion and Restraint

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Seclusion and restraint were once perceived as therapeutic practices in the treatment of people with mental and/or substance use disorders. Today, these methods are viewed as traumatizing practices and are only to be used as a last resort when less-restrictive measures have failed and safety is at severe risk.

For more information on alternatives to seclusion and restraint:

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Managing Traumatic Stress Through Art

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Three art therapists have collaborated to produce this unique workbook. Designed especially for trauma survivors, Managing Traumatic Stress Through Art introduces inventive ways to understand, manage, and transform the after effects of trauma. This dynamic workbook consists of carefully structured step-by-step art projects, augmented by tear out images, and writing experiences. The book’s first section, Developing Basic Tools For Managing Stress, is devoted to establishing a safe framework for trauma resolution. The second section, Acknowledging and Regulating Your Emotions, helps the trauma survivor to make sense of overwhelming emotional experiences. The final section, Being and Functioning in the World, focuses on self and relational development, leading into the future.

No specific age/population. Can be used in individual or group therapy. The art experiences are broad enough to be of value to survivors of a wide variety of traumatic experiences, ranging from childhood abuse to accidents to disabling mental illness.

Managing-Traumatic-Stress-Through-Art

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International Family Adult and Child Enhancement Services (FACES)

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International Family, Adult, and Child Enhancement Services (FACES) provides comprehensive, community-based mental health services for refugee, asylee and asylum-seeking children, adults, and families suffering from trauma or emotional disorders. Services include individual and family counseling, assistance accessing benefits and entitlements, expressive therapies, linkages to primary and dental health care, and case management. International FACES staff respect each culture’s definition of family roles and recognize the importance of working with and strengthening the family structure. Services are offered in a linguistically and culturally appropriate manner, often conducted by staff from the same culture as the family or with trained interpreters. Outreach and engagement strategies help educate participants about the value of mental health services, as well as providing linkages to other specialized services.

Used often with refugee families.

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Integrative Treatment of Complex Trauma (ITCT)

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Integrative Treatment of Complex Trauma (ITCT) was originally developed for use in school and clinic settings with culturally diverse clients, ages 3 to 21, and their families. Specific cultural groups include ethnic minorities (African American, Latino American, Asian American, and Pacific Islander American), low socioeconomic status, gender-specific child and adolescent groups, and immigrants from Mexico, Central America, Pacific Islands, and Southeast Asia. ITCT has also been adapted for use in urban schools in economically impoverished areas.

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Child Parent Psychotherapy

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Child Parent Psychotherapy is a dyadic, relationship-based treatment for parents and young children (birth-5) that helps restore normal developmental functioning in the wake of violence and trauma by focusing on restoring the attachment relationships that are negatively affected by violence, establishing a sense of safety and trust within the parent-child relationship, and addressing the co-constructed meaning of the event or trauma shared by parent and child. Sessions focus on parent-child interactions to support and foster healthy coping, affect regulation, and increased appropriate reciprocity between parent and child. Parent guidance on development, behavioral management, crisis intervention, and case management are provided as needed in an unstructured way.

For more information about CPP:

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