What is the correct order of targets for a DBT session with a stage 1 client?

In a Dialectical Behavior Therapy (DBT) framework, especially in working with stage 1 clients, the prioritization of targets is critical for ensuring that treatment is effective and clients can stabilize before progressing. The correct order, as provided, emphasizes a structured approach to addressing the most immediate risks to safety and therapy efficacy.

Beginning with the reduction of life-threatening behaviors is essential, as these behaviors pose the greatest risk to the client's health and safety. Once these are adequately managed, the focus can shift to decreasing therapy-interfering behaviors, which can hinder the therapeutic process and the client's progress. By addressing these resistance behaviors, therapists can create an environment more conducive to change and support further engagement in therapy.

After handling these immediate threats, attention is turned to decreasing quality-of-life interfering behaviors. These behaviors, while not immediately life-threatening, greatly diminish the client's overall well-being and quality of life. By prioritizing them after life-threatening and therapy-interfering behaviors, a more systematic approach to therapy is maintained.

Lastly, increasing behavioral skills is positioned as a vital component at the end of this sequence. Skill-building is aimed at equipping clients with new tools to manage their emotions and behaviors in socially constructive ways, which allows for meaningful and lasting change.