Mentalization Based Therapy (MBT)

What is MBT?

When people feel distressed, their ability to 'mentalize' can be severely reduced. Thinking becomes a real effort, and reasoned thinking about others nearly impossible. People who struggle with their ability to mentalize often find that they have difficulties in making and sustaining relationships with others, or frequently misinterpret the intentions of others which can lead to conflict. The approach assumes that mentalizing is a learned skill, and can be developed through therapy. Thus the therapy can also help you understand your own thoughts and feelings, and can help you to gain mastery over them when you are feeling intense emotions.

Who is it for?

MBT was originally developed to treat people with borderline personality disorder (BPD), and it is a recommended therapy for this disorder under NICE guidelines. It's also been found to be useful for people with other mental health difficulties, particularly for people suffering the long-term effects of trauma, or who have chronic problems in their relationships.

What is the therapy like?

The treatment begins with an assessment process, during which the therapy will be explained to you in depth. The decision to commit to this therapy will be made jointly between you and the assessing therapist. This will include liaison with other professionals involved in your care. The final decision about joining the programme will be made following a twelve week introductory group. The therapy lasts for 18months and consists of weekly sessions in an MBT Group, facilitated by two therapists, supported by weekly sessions of MBT with an individual therapist.  The sessions will be recorded to ensure a high quality of care and will conform to trust confidentiality standards.

Group and individual therapists meet together weekly to share your progress, so that we can provide you with the best possible therapy.

The introductory skills group begins by teaching members about mentalizing, and focuses on helping members develop their skills in mentalizing, as well as providing a setting where these skills can be put into practice.

Both the group and individual MBT sessions are carefully designed to be at a level of intensity that you can comfortably cope with. Our aim is to provide a safe space where you can challenge your own thinking without being overwhelmed by difficult and painful feelings.

Where will I get my therapy?

You will attend Macartney House Psychotherapy Service for your group sessions. You will also attend Macartney House for your individual therapy, though there may be some scope to provide you with individual sessions in other locations. We will discuss this with you at your assessment.

 

Further information

For a service user's account of this therapy see http://www.organiclemon.org/id7.html

Further information on MBT and Borderline Personality disorder can also be obtained from http://www.rcpsych.ac.uk/pressparliament/pressreleasearchive/pr748.asp