the client is expected to complete homeworkwhich has a practice component and a self-analysiscomponent. There are standard diary cards and analysisprocesses.Telephone coachingClients are provided with telephone coachingfrom the primary therapist or someone trained in DBT.This telephone contact is to allow coaching on skillslearned in therapy and skills group at the time that the clientis in need of using the skills. Often this will be at thetime that the client is in crisis or has urges to self-harmor suicide. Ideally telephone coaching would be available24 hours a day seven days a week. This is rarely practical;however one does have to be available outside of the normal1 hour per week during business hours. The coachingis always focused on how the client can use learned skillsand is not a therapy session.Consultation GroupAll therapists attend a consultation group inwhich DBT principles and skills are practised, and therapistsexperience analysis of their own behaviour, with theassistance of others in the group. There is a facilitatorwho rotates and the use of a mindfulness bell to remindtherapists to come to and practice mindfulness. The contentis learning to work better with specific clients.General Working StyleWhile the format of DBT is very different toHakomi, the general working style is not incompatiblewith Hakomi. There are, however, differing emphases.DBT, through the use of the dialectic, focuses onachieving a balance of acceptance and change. Validationof the client, somewhat similar to contact statements, isused to demonstrate acceptance. This validation oftenprovides a missing experience for the client and providesan opportunity for change.The general working style which promotes thisbalance of acceptance and change includes 1) validating:respect for different values, encouragement, focus oncapabilities, searching for the kernel of truth, stayingnear and in contact with the client. 2) accepting: activeobserving and listening without bias, verbalising unverbalisedexperience back to the client, active searching forthe validity of the experience, 3) mindfulness 4) dialecticalinclusive expansive: tolerating and modelling ambiguity,and not but, yes/also, extending, allowing, willingnot wilful, 5) collaborative: curious, experimenting, commitment-enhancing, building on the clients desire tochange, using homework, 6) balancing: stability balancedwith compassionate flexibility, nurturing balanced withbenevolent demands, focus on capabilities balanced withfacilitation of skills development, problem solving balancedwith validation of now, emotion regulation balancedwith mindfulness, acceptance balanced with change, and7) oriented to building more skilful means: encouraging thedevelopment of a structure for analysis and experiments,encouraging an increase of mindfulness of now, allowingfor the possibility of positive change and reinforcing andgeneralizing the persons chosen positive change.Finally DBT works in stages with a lot of emphasisplaced on what they call pre-treatment. During the pretreatmentphase the therapist establishes a collaborativetherapeutic relationship and facilitates the client to state afocus for the change work. The therapist and client developa contract and commitment from the client. Duringthis time the therapist would also introduce mindfulnessand, work to stabilise the clients self-harm. Goals startwith life-threatening behaviour, next are therapy-interferingbehaviours, and finally quality of life interfering behaviours.In treatment, the therapy works on stabilizationand behavioural and cognitive control, followed by feelingbetter, changing quiet desperation into non-traumaticemotional experiences, opening the client to experiencesof ordinary happiness, resolving problems of living andfinally finding joy.SummaryWhile much of DBT is compatible with the HakomiPrinciples, the techniques