Mastering the Art of Chain Analysis in Dialectical Behavior Therapy

• Chain analyses and their use in Dialectical Behavior Therapy are described in detail.
• Common problems in conducting chain analyses are highlighted with potential solutions.
• A case example of a detailed chain analysis is provided with commentary.

Behavioral chain analyses, which are common in behavioral and cognitive-behavioral treatments more broadly, are the primary assessment tool in Dialectical Behavior Therapy (DBT). As such, they are conducted in nearly every DBT session. Despite their importance in the treatment, very little has been written about the “how-tos” of chain analyses in DBT or how to improve therapist skill in this area. This article describes the rationale and proposed functions of chain analyses, provides details about the various components of the chain analysis, and includes common problems that arise in conducting chain analyses. A case example of a detailed chain analysis is provided.