An experienced cognitive-behavioral therapy practitioner who focuses on evidence-based treatments, Lisa Napolitano, PhD, is licensed to practice psychology in Florida and New York. In 2009, Lisa Napolitano, PhD, founded CBT/DBT Associates, a New York City-based psychology practice group on Madison Avenue. As the executive director of the New York City practice, she guides the efforts of like-minded psychologists across various specialties. Possessing in-depth knowledge of evidence-based treatments and a commitment to clients’ well-being, Dr. Napolitano uses both comprehensive dialectical behavior therapy (DBT) and cognitive behavioral therapy approaches that are appropriate for people of all ages. Drawing on her own study of Buddhism and mindfulness practice, she has created a DBT for High Functioning People ™ program. The approach is based on the concept that high-functioning individuals can gain life benefits from DBT without foregoing their everyday academic and professional endeavors. Dr. Napolitano undertakes responsibilities that extend beyond individual and group consultations and include overseeing the training of psychiatry residents and early-career psychologists. In addition to her endeavors with CBT/DBT Associates, she is an adjunct assistant clinical professor at Mount Sinai Hospital and a clinical assistant professor in the Department of Psychiatry at the New York University School of Medicine. She graduated with a doctorate in clinical psychology from Fordham University and a Bachelor of Arts in political economy from Barnard College. Prior to entering the field of psychology, she earned a J.D. cum laude from the Benjamin N. Cardozo School of Law.
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Zen Meditation Method for DBT
Licensed psychologist and Clinical Associate Professor Lisa Napolitano, PhD, specializes in cognitive and dialectical behavioral therapy. At her Manhattan, New York City, practice, Dr. Lisa Napolitano offers a group that combines Zen mindfulness meditation practices with skills for daily living. Derived from Buddhist practices, Zen meditation encourages the practitioner to focus on immediate physical sensations while withholding judgment or commentary. Entering this state stimulates theta brain waves, which are associated with a relaxed mental state. The philosophy behind Zen coincides with many of the goals of dialectical behavioral therapy (DBT). For example, both approaches emphasize the concept of disattachment, or letting go of expectations or the anticipation of specific outcomes. Instead, individuals are challenged to accept reality without judgment. Additionally, practicing Zen meditation can also make it easier for the brain to disrupt negative, recurring thoughts and reduce reactivity to painful stimuli. This can help patients more effectively apply DBT approaches such as reality acceptance and exposure therapy.
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Dichotomous Thinking As a Symptom of BPD
New York City-based psychologist Lisa Napolitano, PhD, provides outpatient treatment to clients at her private practice in Manhattan. Dr. Lisa Napolitano has extensive experience addressing problems associated with personality disorders, such as dichotomous thinking. Also known as black-and-white thinking, dichotomous thinking is most commonly associated with borderline personality disorder but it characteristic of all personality disorders. Individuals engaging in dichotomous thinking may view situations or other people as either extremely positive or negative terms. Since these views can shift rapidly between extremes, dichotomous thinking can make it difficult for people with BPD to develop close relationships. Likewise, these individuals prone to dichotomous thinking may struggle to deal with everyday conflicts that can occur in the workplace or in interpersonal interactions. In CBT, clients learn a more balanced thinking style. Individuals with dichotomous thinking can learn in CBT how to re-evaluate their extreme thoughts and learn to identify and feel more comfortable with ambiguity.
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A Summary of Dialectical Behavior Therapy Research, by Lisa Napolitano, Ph.D.
About the author: Lisa Napolitano owns a private psychology practice group in New York City that specializes in cognitive behavior therapy (CBT)and dialectical behavior therapy (DBT). She has completed advanced intensive training in DBT. Since it was first created in the 1990s for those suffering from Borderline Personality Disorder (BPD), DBT has been proven an effective method of treatment with benefits for a wide range of patients. Such patients include those with chronic self-injurious tendencies, substance abuse, and eating disorders. Perhaps the most research regarding DBT has been done in the area of BPD. A one-year trial of DBT with an additional year of follow-up done at the National Institute of Mental Health found that individuals with BPD who received DBT were 50% less likely to attempt suicide than those who did not. Moreover, they had a lower dropout rate for treatment and fewer visits to the emergency room. A study conducted at the University of Washington in 2010 indicated that the use of DBT skills was an important component in reducing anger management, depression, and suicidal behavior. Research in the realm of substance abuse has shown equally impressive results. A 1999 study that appeared in the American Journal on Addiction found that patients suffering from substance abuse who undergo DBT were less than half as likely to drop out of treatment compared with those who underwent treatment as usual. During a follow-up 16 months later, the DBT patients also improved drastically in global and social adjustment. In addition, DBT proves useful when dealing with eating disorders such as bulimia nervosa and binge eating. In a study published in the Journal of Consulting and Clinical Psychology in 2001, 89% of the women who received DBT and completed the course of treatment had completely stopped binge eating.
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