Radical Healing Dialectical Behavior Therapy : a transtheoretical intervention for LGBTQ+ adults
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[EMBARGOED UNTIL 08/01/2026] LGBTQ+ individuals face increased risk for stress-sensitive mental health difficulties in response to the added stress they experience as part of this marginalized group, yet few evidence-based interventions exist to support their mental health. Existing interventions are limited by a lack of attention paid to risk and protective factors that may be particularly important for LGBTQ+ mental health. The purpose of this project was to pilot Radical Healing Dialectical Behavior Therapy (RH-DBT), a group intervention for LGBTQ+ individuals that builds upon existing interventions. Eight participants ages 18 to 54 years completed RH-DBT. Participants also completed pre- and post-intervention measures of psychological symptom distress and risk and protective factors for mental health difficulties, and participated in focus groups to discuss their experiences. Results demonstrated that participants endorsed decreased levels of emotion dysregulation and hopelessness and increases in hope. Four of eight participants demonstrated reliable change on a measure of transdiagnostic psychological symptom distress. In addition, participants rated RH-DBT as highly acceptable and feasible, and provided some recommendations for revisions of the intervention. Overall, it appears that RH-DBT is a promising novel mental health intervention for LGBTQ+ adults.
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Ph. D