We all have emotions. By being aware of what triggers yours you can aim to increase positive emotions by IMPROVING the moment, and decrease distress by preventing things that make you more vulnerable to anxiety, depression and irritability.
2. Dialectical Behavior Therapy
Techniques
Emotion Regulation
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Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
3. Objectives
Review the basic premises of DBT
Learn about the HPA-Axis
Define emotion regulation
Identify why emotion regulation is important and
how it can help you reduce your distress
Explore emotion regulation techniques
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4. Basic DBT Premises
Dialectical Theory
Everything is interconnected
Reality is not static
Constantly evolving truth can be found by synthesizing
differing points of view
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5. Activity
Interconnectedness
How do your relationships impact your mood and how
does your mood impact your relationships?
How does your environment impact your mood, and
how does your mood impact your environment?
How does your health/energy impact your mood, and
how does your mood impact your health/energy?
How do your thoughts impact your feelings, and how do
your feelings impact your thoughts?
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6. Activity
Interconnectedness
How do your thoughts impact your feelings
Think about a time you dreaded doing something.
What was your mood like?
How patient and tolerant were you toward others?
How did others seem to react to you?
How did their reaction to you affect you?
What was your environment like?
How is this scenario different when you are looking
forward to something?
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7. Activity
Reality is ever-changing
What is real and accurate in this very moment may not
be accurate in the next moment.
Have you ever started exercising and gotten stronger?
Have you ever gained or lost weight and changed clothing
size?
Have you ever known someone who was attentive and
kind who started being neglectful and irritable?
How have your needs changed over the past 5 years?
How have your needs changed over the past 5 hours?
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8. Activity
Truth can be found by synthesizing differing points of
view
Think of a disagreement you had with someone.
What was your perception of what was going on?
What was their perception?
Was reality somewhere in the middle?
Think about a time you had to make a decision about
something you were totally torn on. Play Devil’s advocate.
Think about a time when you had to make a decision and
your heart told you one thing, but your head told you
something else?
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9. Section Summary
Everything is interconnected
Your feelings, thoughts and physical health all impact
each other
Your mood and behavior impact your environment and
your relationships which, in turn, impact you.
You have the ability to control
Thoughts
Physical vulnerabilities (health)
Environment
Relationships
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10. Section Summary
Reality is not static
However, it is what it is.
Needs, wants and situations can change dramatically over
time
Reality is based on finding the truth
Truth can be found by synthesizing differing points of
view at that exact moment
In situations involving other people, put yourself in their shoes
(or ask them) and explore their point of view
In situations involving only yourself, examine situations from a
logical perspective of how it will help you achieve your long
term goals, and from an emotional perspective of what will
ultimately make you happier.
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12. Dialectical Behavior Therapy
Techniques
Emotion Regulation
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
13. Objectives
Define emotion regulation
Identify why emotion regulation is important and
how it can help
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
14. What is Emotion Regulation
Emotional dysregulation results from a
combination of
High emotional vulnerability
Extended time needed to return to baseline
Inability to regulate or modulate your emotions
If you are emotionally reactive you may find that
your environments have often been invalidating
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15. Understanding Emotions
Emotions are a natural response
Emotions are functional to the person in their
reality at that moment
Emotions function to:
Communicate to others and influence and control their
behaviors
Serve as an alert or alarm which motivate your own
behaviors
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16. What is Emotion Regulation
Emotional regulation is how you experience and
express emotions
Emotion Regulation
Mitigates unwanted emotions by reducing
vulnerabilities
Teaches that:
Emotions in and of themselves are not good or bad
Suppressing emotions makes things worse
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17. Emotion Regulation & Vulnerabilities
Sleep
Nutrition
Illness
Pain
“Stress”
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18. Activity
Reactivity Solution
Identify all of the vulnerabilities you have today, and decide
how much “room” you have for additional stressors
What can you do to make room for stressors today? (What
vulnerabilities can you eliminate?)
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Additional
Stressors
Nutrition
Illness
Pain
Sleep
Stress
19. Activity
Vulnerability Reduction: How can you reduce each
one of these vulnerabilities
Lack of quality sleep
Poor nutrition (including hydration)
Pain
Illness
“Stress”
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20. Activity
Emotions are normal
Think about finding a spider crawling on the wall next to you
In that moment, your reality at the time, did the situation involve
a threat to your safety or sense of control?
If so, getting anxious would be a normal response
Think about a time you got angry because a friend disagreed
with you
In that moment, your reality at the time, did the situation involve
a threat to your safety, sense of control or self-esteem?
If so, getting angry was normal
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21. Addressing Emotions
Change the reality to change emotions
The situation
Your knowledge
Your thoughts
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22. Activity
Emotions are normal
Think about finding a spider crawling on the wall next to
you
The situation
Your knowledge
Your thoughts
Think about a time you got angry because a friend
disagreed with you
The situation
Your knowledge
Your thoughts
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23. Section Summary
Emotions are not good or bad.
You tend to be more reactive with unpleasant
emotions when you are already “vulnerable”
By reducing vulnerabilities you can reduce your
reactivity because you have more energy available to
deal with what life throws at you.
The next step is to address unpleasant emotions by
improving the next moment through changing
The situation
Your knowledge
Your thoughts
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
25. Dialectical Behavior Therapy
Techniques
Emotion Regulation
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
26. Objectives
Define emotion regulation
Identify why emotion regulation is important and
how it can help
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
27. What is Emotion Regulation
Emotional vulnerability refers to [situations] in
which you are more emotionally sensitive or
reactive than others
What makes people more reactive
Current vulnerabilities (including stress)
Differences in the central nervous system and HPA Axis
Different learning experiences
Degree to which something conflicts with your beliefs
about how the world “should” be
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28. The HPA-Axis
Hypothalamic Pituitary Adrenal (HPA) axis is our
central Threat Response System
When it is activated it causes cortisol to be released
Cortisol causes
Blood glucose to increase
Wake-up/Excitatory chemicals and hormones to be
released
Stimulation exhaustion
Sex hormones to be SUPPRESSED
Anxiety
Poor sleep
Depression
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29. Basic Threats
Loss of control/The unknown
Rejection/Failure
Death
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30. The Brain and Stress
When there is a chronic threat to safety and a
constant underlay of anxiety
You brain makes connections from your experiences and
prunes away connections that are not utilized.
If 5 out of 6 of your last friendships ended poorly, and one
is still going, what is your expectation of that relationship?
People who feel a lack of control over their
environment are particularly vulnerable chronic
stress
Abused and neglected children or adults
Adults with anxiety or depressive disorders
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31. The Brain and Stress
The hypervigilant state activated by stress:
Disrupts the ability to focus and learn
Impairs the ability to form new memories and recall
information (Do you really learn much when you are
highly stressed or feeling threatened?)
Is associated with emotional and behavioral
dysregulation.
You remember the unpleasant things
Have difficulty recalling the pleasant ones
Have difficulty exploring alternate possibilities
= STRESS
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https://campuspress
.yale.edu/exploring
mentalhealth/stress-
and-the-hpa-axis/
32. Chronic Stress and Hypocortisolism
When people are under chronic stress, the brain
May stop getting as stressed about each individual thing
to prevent overload
Conserves excitatory brain chemicals for the fight or
flight response
When it perceives a threat/stressor worth responding
to, it responds extremely strongly. (dysregulation)
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33. Chronic Stress and Hypocortisolism
By reducing chronic stress, over time your brain
will
Recover and rebalance and quit staying in survival
mode.
Become more able to access positive memories
You will be more able to tolerate distress and explore
stressors from the wise-mind.
Form new, positive memories
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34. Section Summary
Emotional dysregulation results from high
emotional vulnerability due to
long-term stress
Invalidating environments
If you grew up in an invalidating environment, you
may have never developed the tools to deal
effectively with your emotions
This created a source of constant stress for you
which only intensified your emotional reactions.
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35. Section Summary
Under stress your brain does not learn or retrieve
memories as effectively
When you are feeling unpleasant emotions, you
notice and remember things that support those
feelings.
Emotional dysregulation activates the Threat
Response System which:
Disrupts the ability to focus and learn
Impairs the ability to form new memories and recall
new, contradictory, positive information
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36. Section Summary
Emotion Regulation involves eliminating or
mitigating vulnerabilities in order to allow the
brain to rebalance and get out of survival mode.
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37. Connect With Us
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Subscribe to the podcast
Subscribe to our YouTube Channel
https://youtube.com/allceuseducation
Join our Facebook Group
https://Docsnipes.com/Facebook
Join our Community & Access
Additional Resources
https://docsnipes.com
39. Dialectical Behavior Therapy
Techniques
Emotion Regulation
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
40. Objectives
Define emotion regulation
Identify why emotion regulation is important and
how it can help you
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
41. Emotion Regulation
Is useful for anyone
Increases present focused emotion awareness
Increases cognitive flexibility
Identifies and prevents patterns of
Emotion avoidance
Emotion-driven behaviors
Increases awareness and tolerance of emotion-
related physical sensations
Uses emotion focused exposure procedures
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42. Identifying Obstacles to Changing Emotions
Biological factors
Organic
Brain abnormalities
Trauma induced brain damage
Situationally caused by
Chronic stress
Addiction
Sleep deprivation
Nutritional problems +/-
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43. Activity
Mitigation
Some days you just won’t be 100% What can you do to
be kind to yourself so you have the resources to deal
with the must dos?
When I am having an off day, to be good to myself, I
will…
By being kind to myself, I am preventing emotional
distress which…
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44. Activity
Time Management
Make a list of everything you need/want to do this
week
Cross off anything that doesn’t have to be done this
week
Highlight everything that MUST get done
Identify people that can help
Identify any short-cuts to make it more do-able
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45. Identifying Obstacles to Changing Emotions
Skills factors
Cognitive responses
Unhelpful thoughts
Pessimism
Behavioral responses
Inability to tolerate distress
Inability to delay acting on urges
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46. Activity
Identify 2 positive things you can tell yourself for
each of the following types of stressful situations
Loss of control/the unknown
Failure/rejection
Safety threats
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47. Identifying Obstacles to Changing Emotions
Environmental Factors
People
Places
Things
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48. Activity
Identifying and overcoming obstacles to changing
emotions (one page for each)
Identify all of the people who cause stress in your life
How can you deal with that?
Identify all of the people who buffer stress in your life
How can you nurture that?
Identify common stressful situations/things and places
How can you make them less stressful?
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49. Summary
Emotion regulation helps people become more
aware of their emotional states throughout the
day
Obstacles to changing emotions include
biological, skills and environmental factors
All obstacles can be traversed…
Prevent as many as possible
Find ways to work with or around the ones that are not
preventable.
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50. Connect With Us
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Subscribe to the podcast
Subscribe to our YouTube Channel
https://youtube.com/allceuseducation
Join our Facebook Group
https://Docsnipes.com/Facebook
Join our Community & Access
Additional Resources
https://docsnipes.com
52. Dialectical Behavior Therapy
Techniques
Emotion Regulation
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
53. Objectives
Explore emotion regulation techniques
Mindfulness
Identifying and labeling emotions
Changing emotions/Improving the next moment
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54. Mindfulness
Nonjudgmental observation and description of
current emotions
Remember that primary emotions are often
adaptive and appropriate
Much emotional distress is a result of secondary
responses:
Shame over having it
Anxiety about it being “wrong”
Rage due to feeling judged for it
Mindfulness serves as an exposure technique
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55. Mindfulness
Exposure to intense emotions without negative
consequences (Nonjudgmental acceptance)
extinguishes the secondary emotional response
Scenario 1
• Unpleasant experience
• Unpleasant emotion
• Guilt/Shame/Anger
• Acting to stop the avalanche of
negativity in the absence of
adequate skills
Scenario 2
• Unpleasant experience
• Unpleasant emotion
• Ability to deal with one emotion
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56. Identifying and Labeling Emotions
Mindfulness in context
Identify
The event prompting the emotion
Thoughts
Physical Sensations
Urges
Expressive behaviors associated with the emotion
Interpretations of that event
History prior to the event that increased vulnerability to
emotional dysregulation
After effects of the emotion on other types of functioning
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57. Changing Unwanted Emotions
Check the facts
For and Against
Emotional vs. Factual reasoning
Problem Solving
Changing the situation that is causing the unpleasant
emotion
Prevent vulnerabilities
Reduces reactivity
By turning down the stress response
Helping the person be aware of and able to
learn/remember positive experiences
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58. Reducing Vulnerability to the Emotional Mind
Building mastery through
Activities that build self-efficacy, self-control and a
sense of competence to handle your stressors
Goal Setting
Small steps
Mental Rehearsal
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59. Reducing Vulnerability to the Emotional Mind
Physical Body-Mind Care
Pain and illness treatment
[Laughter]
Eating to support mental and physical health
Addictive or mood altering drugs or behaviors
Sleep
Exercise
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60. Activity
Creating Mastery
Think of a situation that often gets you upset or
stressed out.
Identify the thoughts causing your distress
Check the facts
Identify how you want to react (set a goal)
Identify the steps in making that happen (don’t forget to
eliminate vulnerabilities & care for mind and body)
Rehearse it in your mind. See yourself successfully
handling the situation
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61. Summary
Emotional dysregulation is common in many disorders
People with dysregulated emotions have a stronger and
longer lasting response to stimuli
Emotional dysregulation is often punished or
invalidated, increasing hopelessness and isolation
Emotional regulation means
Using mindfulness to
Be aware of and reduce vulnerabilities
Identify the function and reinforcers for current emotions
Checking for facts
Problem solving
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62. Connect With Us
Happiness Isn't Brain Surgery with Doc Snipes https://docsnipes.com Access additional videos, worksheets and coaching.
Subscribe to the podcast
Subscribe to our YouTube Channel
https://youtube.com/allceuseducation
Join our Facebook Group
https://Docsnipes.com/Facebook
Join our Community & Access
Additional Resources
https://docsnipes.com