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DBT Modules
- Distress Tolerance
- Emotion Regulation
- Mindfulness
- Interpersonal effectiveness
Skills taught, reviewed later (Corey, 2016)
Emotion Regulation
- "Understanding & changing unwanted emotions" (Sangeeta & Dudi, 2023)
- Returning to emotional baseline
Emotion Regulation Skills:
- Opposite action
- ABC Please
- Build mastery
- Cope ahead
- Positive self talk
- STOP skill
(Linehan)
**Awesome resource:**
https://dbt.tools/emotional_regulation/index.php
DBT, a long term solution!
Distress Tolerance
Populations
- Previously designed for Borderline Personality Disoder
- Borderline a cluster B disorder: Highly impulsive, suicidal, problematic behavior patterns (Sangeeta & Dudi, 2023)
- Now linked to successful treatment in anxiety, depresison, SUD, and more (Corey, 2016)
- Lack of literature on effectiveness between cultures,
- "Managing crises without making them worse" (Sangeeta & Dudi, 2023)
- Getting through uncomfortable emotions without using avoidance
Examples of distress tolerance skills:
- Pros and Cons skill
- ACCEPTS skill
- TIPP skill
- IMPROVE the moment skill
- 5 Senses Soothing skill
(Floyd, 2023)
Don't sabatoge long term!
What is DBT?
- Dialectical Behavioral therapy
- Invented by Marsha Linehan
- Subcategory of CBT
- Emphasis on skills based learning
- Childhood trauma, therapeutic relationship, client validation (Corey, 2016)
DBT and Group Settings
Mindfulness
- Skills to be taught in groups and practiced outside of session (Sangeeta & Dudi, 2023)
- Groups a form of positive social modeling
- Accountability and additional support for struggling clients
- Connection as a tool
- Being in the present moment, not the past or the present.
- Meditation often a componenet of mindfulness.
Mindfulness skills:
- Wise mind
- What
- How
(Linehan)
Interpersonal Effectiveness
- "Meeting interpersonal goals, maintaining relationships, & raising self-respect in relationships" (Sangeeta & Dudi, 2023)
- Connection a core component of overall wellness
Interpersonal effectiveness skills
- GIVE skill
- DEAR MAN skill
- FAST skill
- Boundary Setting
(Linehan)
DBT Skills Groups
Leah Gatto
References
Corey, G. (2016). Theory and practice of group counseling (9th ed.). Boston, MA: Cengage Learning.
Floyd, E. (2023, May 26). DBT distress tolerance skills. Skyland Trail. https://www.skylandtrail.org/survive-a-crisis-situation-with-dbt-distress-tolerance-skills/?gclid=Cj0KCQjwib2mBhDWARIsAPZUn_kV1fq9RWmBUhVP517q0DfO2ULQKYXkFy43dGUG478eOGZ_U5f9Cz4aAjWfEALw_wcB
Linehan, M. (n.d.). Dialectical Behavior Therapy (DBT) Tools. https://dbt.tools/
Sangeeta, Singh, C. K., & Dudi, J. (2023). Review on the Effects of Borderline Personality Disorder on Human Life. Indian Journal of Health & Wellbeing, 14(2), 265–270.