The client has the potential to progress through 4 stages in DBT (Reddy & Vijay, 2017).

Stage 1: May take anywhere from 3-12 months, but generally takes at least a year. The focus is on reducing suicidal, therapy-interfering, and quality-of-life-interfering behaviors, and improving behavioral skills.

Stage 2: Treating issues related with past trauma. For example, exposure techniques for post-traumatic stress disorder.

Stage 3: Development of self-esteem, reclaiming ordinary happiness, and improving day-to-day behavioral skills.

Stage 4: Development of capacity for optimum experiencing and finding a higher purpose.
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