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Does Anybody Here Do " D B T " Therapy?

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I participated in DBT about 10 years ago (for almost 2 years) and it did help. I still use a lot of what I learned, although I often feel I could use some refresher sessions.
 
I use the internet as a key support for my DBT skills. If you do a search for DBT and self help there are two great website that will come up. I will not promote either but tell you that they are both good. In addition, I use guided meditation which is an aspect of DBT training. My T recommended Tara Brach. She has a really odd voice but if you can get past that the meditations are good and it helps with pain reduction. Honestly, practicing skills is key and since I left group I have a difficult time practicing.
Things I try to remember...

-do things one mindfully
-be non judgmental of myself, my actions and others
-observe and describe...no story, save the drama
-I like to keep a list of positive affirmations on my iPad to go to...

Here is my non judgmental worksheet:

DBT Non Judgmental
Date

Observe the judgmental thoughts.

How intense are they? (0-100)

Describe the judgmental thoughts.

Re-describe yourself, others, and/or events in a non judgmental way.

What are the actual consequences of the event?

Is there something I want to commit to doing differently?

If this event occurred to a friend what would I say to him/her?

Don't Judge Your Judging!
 
I am in the middle of my stay in an in-patient DBT centered 14-day crisis intervention programme (optimised for borderliners).
First week was ho-hum. It's skills and mindfulness, basically, with a diary card and inner tension documentation. I am waaaay more tense and scared than I thought, and I'm pogo sticking my angsty way through the day. Up, down, up, down, up, down. A list of specific skills I didn't know yet is the only useful information I got until now. I'll work through a book of interactive skill training (for borderliners) now, some 350 pages, and see what's in there for me.
 
In this podcast, my hero & creator of DBT, Marsha Linehan, Ph.D. schools David Nuys on the benefits of DBT.

...and really runs rings around his biases against trauma, amnesia, and people with Borderline Personality Disorder. Gotta LOVE it.

"Mental Help Net ([DLMURL]http://www.mentalhelp.net[/DLMURL]) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. "Marsha Linehan, Ph.D. on Dialectial Behavior Therapy", posted October 15, 2007. In this interview, Dr. Van Nuys talks w..." source: podcast info

at [DLMURL]http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=28746&cn=8[/DLMURL]
 
Would one of you mind explaining what DBT actually is in the 'simplist possible way'. .
Hi Teddy,
From what I can gather its a spin off of CBT with a few things added. I am hoping you are familiar with CBT otherwise this won't help!;)

CBT basically says, "this thought is wrong". "This is the correct way".
DBT basically says, "this is your thought/feeling so accept it, but what can you do to change it? How about this and this?"
Dialectical (the D in DBT) basically says you can do two apposing things at once.

On one the most amzing parts of it in my opinion is the emotion regulation work.
Firstly the approach is to accept and listen to the feeling/emotion and then let it flow over you like a wave. One just observes them.

Fighting it keeps it there but acceptance allows it to pass.
Emotion identifcation is an nb part of it too. The emotion regulation stuff changed my life.
So glad to see this post, Jewel!
 
I would even say, CBT in its general sense, cognitive + behavioural does the same thing, however; whilst stress inoculation is part of CBT, many don't use it, and the BIG difference, is that DBT focuses more time on emotional stability than normal CBT, because this is where those with personality disorders fall apart, the moment they begin reviewing their trauma. This extra time on emotional stability is in order to aid them during the trauma processing aspects of therapy. It would not be uncommon that a severe case in the complex trauma range spend 12 months alone on emotional stability, behavioural stability, self esteem building, etc... before hitting trauma therapy itself; again, depending on the severity and attitude of the person.

I would say this is where most trauma therapist really run out of time... because it is quite a full-time role to get a personality disorder emotionally stable with rational thinking when placed under significant distress when faced with trauma therapy. Even then, most still fall apart and forget most of what they learnt... and have to be heavily reminded, baby sat even, to ensure they focus on their emotional stability after being duressed.

Personally... I don't think a 2 or 4 week program could effectively teach a person with trauma + personality disorder, effectively enough to manage when pushed by a therapist to face their trauma. The majority would still fall apart. It is always a good start though, and if the person does the right thing afterwards, being to practice, practice, practice, that would significantly help then.

I would say that most of the people I have done one on one help with over the years here, have been complex cases, and every single one was significantly time consuming for a good 3 - 6 months of my life, daily, multiple times daily, or every 2-3 days minimum, some form of contact and reassurance was required. Obviously during the worst stages, multiple daily support is required to a person enduring trauma therapy.

Its not anyone's fault... its just the nature of complex trauma. The worst the childhood trauma, the harder the fallout usually, ie. suicidal behaviour, self harm, destructive behaviour, etc. If you get someone who can devote that sort of time though, usually a person with complex trauma can be significantly better within that time frame... massive improvement.
 
There are DBT groups where one can learn the techniques and skills and although I cannot speak on behalf of the ones outside of my area in the US; here in the South East the groups run once a week for eight weeks and you must commit for at least one eight week round and many have been in for a year or two. I was in for three rounds and may go back. Additionally, I see a DBT therapist who helps me weekly. He is there for me whenever i am in crisis and need to work on an issue outside of my session. He is not readily available to chit chat but only to work on skills.
Being in the group is very effective as it gives you other people who will be sharing the same skills. If recovery from trauma is important than you won't forget to use your skills. I use them daily.
 
My non judgmental exercise: How can I learn who I am in a non judgmental way?
After my accident I became a different person....someone I didn't know or like. So my way of trying to figure out who I am again was this assignment that I came up with.

FRIENDSHIP 101
In an attempt to discover my self worth I look to others for help in how I offer anything to their lives. I sent this to my five closest friends. Some things were for fun to lighten the mood and others were for me to be able to do my weekly therapy journaling.


• What are the top three attributes you NEED in a friend?
• How do you like to interact with your friends? Phone, email,text or in person?
• Do you like to dig deep in a friendship or keep it nice and light?

YOU BABY, ALL YOU!!!!
• What is your favorite fragrance?
• What is your favorite color?
• What is something that instantly cheers you up?
• What is your favorite food?
• When is your birthday?

ME.....ME.....ME!!!!
• What do I offer to our friendship?
• What was your first impression of me?
• What is your impression of me now?

For each one who does this I will send one back. :)
 
Part II of my exercise:
Taking the list of traits from pre accident (which is who I liked) and seeing how much they match up with who I am today.
My DBT therapist loved this idea. :)

I had an aha moment when I saw the positive traits were still there, as that is what others saw in me. Yet the negative traits were gone. Now I have to learn to see myself the way others do since those were traits I liked and had.
 
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