Literature Review: A systematic review of the literature on the use of Dialectical Behaviour Therapy (DBT) in both inpatient and outpatient settings was conducted. The results demonstrated that significant treatment gains were made by individuals with BPD when treated with DBT. The review supported the use of DBT in both treatment settings.\ud Research Report: This explored patients’ experiences of DBT in a long term secure inpatient unit. Nine participants diagnosed with BPD were interviewed. The interviews were transcribed and analysed using Interpretative Phenomenological Analysis. A total of eight superordinate themes were identified and summarised separately. The first section related to the DBT programme and two superordinate themes emerged. These were the Components of DBT and the Effects of DBT. The second section examined the journey participants described when undergoing DBT in an inpatient unit. Six superordinate themes emerged, these were: A Hopeless Beginning; the DBT Programme; Promoters of Inpatient DBT; Obstacles of inpatient DBT; A Brighter Future and Preparing for Discharge. The present study highlighted that inpatient uses of DBT are as acceptable as outpatient uses. The journey participants described highlighted the unique promoters and obstacles of inpatient DBT therapy. The clinical implications of this research supported the use of DBT in inpatient settings and provide a rationale for the development of more DBT services. Areas for future research were also discussed.\ud Critical Appraisal: This paper provides an account of the researcher’s reflections and experience of the research process. Issues related to the decision making processes involved in the research and reflections on personal reflexivity are discussed
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