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M e c h a n i s m s  o f  c h a n g e  i n  D B T

S h e l l e y M c M a i n
Based in Toronto, Canada, I work as a senior scientist at the Centre for Addiction
and Mental Health (CAMH) and as an Associate Professor in the Department of
Psychiatry at the University of Toronto. My professional focus is psychotherapy
research, with particular attention to DBT, personality disorders, and trauma.
My introduction to DBT dates back to the early 1990s, when I was working with
highly complex, multi-diagnostic patients. Encountering Marsha Linehan’s work
marked a turning point, as the model stood out for its clarity, compassion, and
clinical relevance. As a clinician-scientist, I am especially interested in
understanding what works, for whom, and how treatments can be improved,
scaled, and made more accessible. I am proud to have contributed to research that
helped challenge stigma around borderline personality disorder and
demonstrated that effective treatment is achievable.