DBT

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This is a report based on Marsha Linehan's DBT.

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DBT

  1. 1. Free Powerpoint Templates Page 1
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  3. 3. Free Powerpoint Templates Page 3 What we’ll be covering today:• Components of DBT • Developing the ability to think dialectically • Mindfulness • Skills training individually and in groups • Current research findings and applications
  4. 4. Free Powerpoint Templates Page 4 Fundamentals of DBT • DBT is targeted at clients with emotional vulnerability and poor ability to regulate strong emotions. Vulnerability: a. Very high sensitivity to emotional stimuli b. Very intense response to emotional stimuli c. A slow return to emotional baseline following emotional arousal.
  5. 5. Free Powerpoint Templates Page 5 Power of Thoughts
  6. 6. Free Powerpoint Templates Page 6 Fundamentals of DBT • Emotion Regulation ability to inhibit inappropriate behavior related to strong emotions [+ or‐] • Organize oneself for coordinated action in service of an external goal • Self soothe physiological arousal • Refocus attention in the presence of strong emotion
  7. 7. Free Powerpoint Templates Page 7 Dialectics • The term Dialectics refers to opposing forces that create a whole or synthesis. • DBT focuses on finding a balance in opposing forces. • Opposing forces needing a balance can be found in many things all around us.
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  10. 10. Free Powerpoint Templates Page 10 DBT as Treatment Decrease (and) block dysfunctional response s that allow escape Reinforce opposite action approach Increase DBT skills Secondary targets Quality of life behaviors Build confidence Build motivation to create a “life w orth living” G O A L S
  11. 11. Free Powerpoint Templates Page 11 Some Core Differences between CBT and DBT CBT • Focus on change • Exposure to distress DBT • Dialectic of acceptance and change • Exposure to distress with acceptance of distress (Friedman, 2009)
  12. 12. Free Powerpoint Templates Page 12 Acceptance & Change • Acceptance based strategies: Validation Distress Tolerance • Change based strategies: Opposite action Some DBT skills
  13. 13. Free Powerpoint Templates Page 13 Dialectical Behavioral Skills• Core Mindfulness Skills • Emotion Regulation Skills- de-escalation skills • Distress Tolerance Skills –crisis survival skills • Interpersonal Effectiveness Skills –people skills
  14. 14. Free Powerpoint Templates Page 14 Mindfulness • Mindfulness based CBT can bring relief. Many people have found relief through mindfulness. • Because cognitive distortions can literally cause physical fear responses, mindfulness based CBT practices can reduce these symptoms and in turn help the brain become more receptive to new thoughts. • CBT is a powerful method of learning healthier, reality-based thought patterns. Together, mindfulness training and CBT can be very helpful in challenging cognitive distortions.
  15. 15. Free Powerpoint Templates Page 15 Mindfulness Awareness plus Acceptance of the HERE & NOW . . . is not a matter of explaining and solving, but of experiencing and describing. • Focusing on one thing, in that moment, without judgment • The ability to have awareness of one’s sensory and cognitive experience • The ability to discern emotions, verbal descriptions of events, appraisals and judgments of events, memories, perceptions of events from each other
  16. 16. Free Powerpoint Templates Page 16 Mindfulness
  17. 17. Free Powerpoint Templates Page 17 Practicing Mindfulness • Observe [just notice] • Describe [put words to an experience] • Participate [be involved in what you’re doing] • Learn how to notice without necessarily reacting • Distinguish between thoughts and facts • Bring non-judgment [neither good nor bad] • Be one-mindful [in the moment] • Be effective[focus on what works]
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  19. 19. Free Powerpoint Templates Page 19 5 Ways to Practice Mindful Eating • Eat with your senses. Try using all five senses with every bite, no matter how modest the meal. Truly taste your food with all your senses. • Check in. Take a moment before you eat to mentally check in on your hunger level. Does the amount of food on your plate make sense when compared with your hunger level? Are you eating because “it’s dinner time” or because you are actually hungry? Then, make a mindful promise to yourself to eat just until your hunger is satisfied. • Slow down. Believe it or not, many people do not chew their food adequately. In fact, many people do not even swallow one mouthful before taking another. A good rule of thumb is to put your fork down in between bites to remind yourself to slow down.
  20. 20. Free Powerpoint Templates Page 20 5 Ways to Practice Mindful Eating • Appreciate. Imagine how magical food and eating really are. Think of the miracle behind growing food in a garden. The sun and the rain and the dirt coming together to produce such a colorful variety of different flavors and textures. Imagine the art and chemistry behind cooking. • Get support. Try eating, even starting with just once a week, at the table with your partner instead of, as so many of us do, in front of the television.
  21. 21. Free Powerpoint Templates Page 21 Summary: Mindfulness You can use these skills to: • re‐center, • calm yourself, • better understand your emotions, • reflect, or train your brain to stay in the present.
  22. 22. Free Powerpoint Templates Page 22 Mindful Breathing “Breathing in, I calm bodyand mind. Breathing out,I smile. Dwelling in the presentmoment know this is the only moment.” ---Thich Nhat Hanh
  23. 23. Free Powerpoint Templates Page 23 Breathing Exercise • Zen master Thich Nhat Hanh (Tick- Not-Hawn) has a very simple breathing meditation exercise for anxiety. • Sit comfortably. Close your eyes if possible. Gently focus your attention on your breathing. Don’t worry about deepening or controlling it in any way…just notice. • As your breathe in, say to yourself “I am breathing in.” • As you breathe out, say to yourself “I am breathing out.” • Continue for one minute. • The effects are cumulative, so the more often you do it, the faster your overall level of calm increases.
  24. 24. Free Powerpoint Templates Page 24 Exercise : Pictures of Emotions• How do you feel at this moment. Kindly mark the picture that best describes about your emotion at this moment. • At this point, we do not have to explain the “whys” yet but let us just focus on the “how” do you feel at this moment? We will get to understand the whys in awhile.
  25. 25. Free Powerpoint Templates Page 25 What to do next: • I invite you to think of myths about emotions and challenge them by mentioning an opposite statement.
  26. 26. Free Powerpoint Templates Page 26 Challenging Statements Myths:  Emotions help us deal with our lives.  Emotions are there for a reason.  Everyone has emotions. Challenging Statements:  Emotions are for babies.  If I had the right feelings, I wouldn’t have so much trouble.  Only good feelings are ok.
  27. 27. Free Powerpoint Templates Page 27 Emotion Regulation intends to teach us: • How to understand our emotions • How they get that way • How we become vulnerable to negative emotions and what we can do about it • Techniques for building positive emotions
  28. 28. Free Powerpoint Templates Page 28 ABCDE TherapeuticApproach
  29. 29. Free Powerpoint Templates Page 29 Handout “People are disturbed not by things, but by their view of things.” --- Epictetus Model for Describing Emotions
  30. 30. Free Powerpoint Templates Page 30 Emotions Emotions communicate to and influence others. (congruency/consistency )  Can you give some examples of situations where your experiences of emotions were misread?  Can you think of times when you misread the emotions of someone else? (Maybe their face looked one way, while they meant to express something else).  Give some examples of how your emotions influenced others.  Give some examples of how others’ emotions have influenced you.
  31. 31. Free Powerpoint Templates Page 31 Techniques : In emotion regulation, we get to learn some techniques on how to reduce vulnerability to negative emotions and for building positive emotions. 1. Paying attention to Positives  short-term experiences  long-term experiences
  32. 32. Free Powerpoint Templates Page 32 Long Term Experiences • Marsha Linehan often speaks of having “a life worth living.” This is part of what makes life worth living – having goals that will give us direction and purpose. • Goals: What are some things that you can do to make your life worth living in the long term? Unclear Clear Be less depressed. Increase doing pleasant activities to feel less depressed. The purpose of this exercise is to loosen you up and get you thinking about what you want in various areas of your life.
  33. 33. Free Powerpoint Templates Page 33 Short Term Positive Experiences• It is good to increase doing pleasant things (functional ones) that give you positive emotions. Doing more of this makes us feel good, which we deserve, even in the midst of all the turmoil, and it gets us in the habit of having positive feelings. • Things like these do not just happen by chance, you really have to find time doing them or including them in your schedule that is why it is good to allot time for them.
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