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DBT

Dialectical Behaviour Therapy
by

Ryan Cleland

on 1 July 2013

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Transcript of DBT

Learning:
how emotions work
the functions they serve
skills to manage them
reduce our vulnerabilities
build positive emotional experiences
Dialectical Behaviour Therapy
Who is it for?
Designed for the difficult to treat, severe and chronic client with multiple diagnoses

Posits that some people due to invalidation, trauma and biological factors unknown react abnormally to emotional stimulation

Leads to crisis strewn lives and distress, which the individual attempts to avoid with unhealthy behaviours.

Their level of arousal goes up more quickly; peaks at a higher level and takes more time to return to baseline.
What is D.B.T?
Is the art of holding two or more things in balance that are in conflict, contrary or mismatched and yet they are both real and true.

Synthesizing information, situations or emotions when they seem to be in opposition.

Things aren't necessarily simply right or wrong, black or white.
I can like you, but dislike a behaviour or action that you do.
What is DBT?
Balancing competing needs
So what does it consist of?
Learning skills in four major areas
Mindfulness
Living fully present in the moment
Becoming aware
Being still
Taking a step back and looking in
Being non-judgemental
Observing, describing, participating
Distress Tolerance
Learning to bear pain skillfully
Interpersonal Effectiveness
Improving our relationships
You Made It!
Does It Work?
DBT has been proven to be useful for people coping with the following:
Depression and mood disorders
Anxiety disorders
Eating disorders
Drug and alcohol addictions
Other personality disorders
What does this look like?
DIALECTICS
What is DBT?
Problem Solving
Validation
Dialectics
wants and needs
feelings and thoughts
recreation and responsibilities
self interests and the interests of others
skill enhancement and self-acceptance
Mindfulness
Emotional Regulation
Interpersonal
Effectiveness
Distress
Tolerance
DBT teaches us four sets of skills for tolerating (dealing with, getting through, accepting) the distressing events and activities in our lives.

STOPP
Distracting - Wise Mind ACCEPTS
Self-Soothing
Improving the Moment
Thinking of Pros and Cons
STOPP
Stop and Step Back (from the situation, in your mind)
Take a Breath
Observe
Pull Back - Put in some Perspective
Practice what works
ACCEPTS
Distract with:
Activities

Contribution

Comparisons

Emotions

Pushing Away (Leave it for a while)

Thoughts (think of other things)

Sensations
What if they take a wrong turn?
Mistakes are normal!
How we handle them is an opportunity
Stay calm
Reinforce the learning (examine the mistake)
Give them the choice
Support them in making the right decisions
Remember that what we say isn't as important as how we say it!
Back this way.......
Emotional Regulation
Learning about our emotions,
without becoming emotional
Learning how to:
identify emotions
recognize the associated physical symptoms
describe the emotion without feeling it
stop the typical behaviours associated with those emotions
not judge emotions
let go of emotions
triggers to our emotions


treat Physical iLlness
balance Eating
avoid mood Altering drugs
balance Sleep
get Exercise
build MASTERy
PLEASE MASTER
Moving from 'me' to 'we'.
Interpersonal Effectiveness
Goals
increase empathy
learn self-respect
learn self awareness
value clarification
reduce narcissism
reduce entitlement

G.I.V.E
be Gentle
Interested
Validate the other person
Easy manner with humour

F.A.S.T
be Fair
no Apologies
Stick to values
be Truthful

lack of skill
worry thought
emotions
indecision
environment
Of these, I would say that lack of skill is the number one factor.
This is why I believe that the
Process
is so much more important than the
Product
.
WHAT
we say isn't as important as
HOW
we say it.
Together!
Focus on the relationship
Be true to yourself
Factors reducing
interpersonal effectiveness:
Learning how to effectively navigate life
Full transcript