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DBT

Mezzo Group Presentation
by

Valesia Ho

on 4 June 2013

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Transcript of DBT

What is DBT? Katie Bang, Valesia Ho, Noa Mandel, Ashleigh McDaniel, Deborah Son, Aisha Sullivan Group Implementation Group Sessions Interpersonal Effectiveness Mindfulness Distress Tolerance Emotion Regulation DBT TOPICS Termination and Conclusion Reminiscent of other potentially distressing major life terminating events (i.e.death, aging, and contingencies of existence) (Yalom, 2005)
-Facilitator should be watchful of avoidance patterns of the reality of termination
-Help clients process feelings and acceptance of reality of the end of the group and acknowledge insights gained from the group

Conclusion
-Four modules of DBT: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness
-Future fields of DBT (i.e. adolescents, women, eating disorders) Balancing "emotional mind" and "reasonable mind" to achieve "wise mind"
"What skills:" to observe, to describe, and to participate
"How skills:" with awareness and without judgment Teaches ability to effectively ask for what one needs
Teaches saying NO when necssary
Helps ct cope with conflicts in relationship
"DEAR MAN" "GIVE" Teaches how to bear pain skillfully and without judgment
Suffering is pain that has not been accepted
Teach: Distracting, self-soothing, improving the moment, thinking of pros and cons Time
Location
Assessment
Recruitment
Therapist leading the group take a very directive approach
Focus on skills training, often with a subsequent supportive process therapy group
Benefits of skills training group sessions:
Therapist can identify interpersonal behaviors as they occur with peers
Clients receive support from others like them
Clients learn from each other
The group often dilutes intense relationships between individuals and the therapist
Gives clients the opportunity to learn how to be in a group in a non-threatening setting Check in about mindfulness
Using examples from client's life Discussing diary cards Skills training (using worksheets) Mindfulness Process Session Layout DBT components for building skills to regulate emotions include:
- learning to identify and label emotions
- learning to identify obstacles to changing emotions
- reducing vulnerability to “emotion mind”
- increasing positive emotional events
- increasing mindfulness to current emotions, not
judge, and stop or block one from feeling certain
emotions
- begin taking opposite action by changing a
“behavioral-expressive component”
- applying distress tolerance techniques Created by Marsha Linehan to treat individuals with
Borderline Personality Disorder
Topics covered:
Mindful Awareness
Interpersonal Effectiveness
Distress Tolerance
Emotion regulation
Individuals are required to participate in groups and individual therapy
Usually takes place within a milieu setting
Use of diary cards (track progress) and a "bell" during group (keep people from participating in therapy interrupting behavior
Full transcript