Dive Into DBT for Counseling Success
Channel: Doc Snipes
Date: 2017-04-14

Explore the basics of DBT.   https://allceus.com/Intro-DBT  With Dr. Dawn-Elise Snipes 
#DBT #CBT #cognitivebehavioraltherapy
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Objectives
~    The Basics of #DBT for mental health
~    The B in DBT: What You Need to Know About Behavior and #CBT
~    Mindfulness
~    Reducing Emotional Reactivity
~    Distress Tolerance Skills
~    What Clients Need to Know About Emotions
~    Regulating Painful
~    Increasing Positive
~    Helping Clients Become More Effective In Relationships
Dialectical Theory
~    Everything is interconnected (Action/reaction)
~    The truth (always evolving) can be found by integrating multiple perspectives, and tolerating that two opposite things may co-exist
~    Simultaneous (understanding things differently by taking multiple people’s perspectives of the same event)
~    Example: Crime scene
~    Example: Interpersonal disagreement
~    Longitudinal (understanding things differently as knowledge is gained)
~    Example:  Mommy had no use for us and that is why she left.
~    Example: Mommy loves me, but she beats me, so I must be bad.

Skills Training Groups
~    Core Mindfulness
~    Increase self-awareness of thoughts, feelings and urges
~    Develop an understanding of emotions as things that do not have to be acted upon
~    Interpersonal Effectiveness
~    Develop assertiveness skills
~    Identify the goals of relationships and skills/activities needed to achieve those goals
~    Emotion Regulation Skills
~    Label and effectively communicate feeling states
~    Understand the function of emotions and why we don’t want to eliminate them
~    Learn the connection between thoughts, feelings and behaviors and how to break the chain
~    Distress Tolerance Skills
~    Survival skills/alternatives to self-harm

DBT Assumptions
~    Clients are doing their best
~    They want to get better
~    They need to work harder/smarter and be more motivated
~    Even if clients didn’t create their problems, they have to fix them
~    Clients need to learn to act skillfully in EVERY area of their lives
~    Clients cannot fail in therapy
Treatment Priorities in DBT
~    Suicidal or self-harming behaviors
~    Behaviors that interfere with therapy (including clinician)
~    Suicidal or self-harm ideation and misery
~    Maintaining treatment gains
~    Other goals identified by the client


The “B” in DBT
~    Reinforcers: Increase the likelihood of a behavior
~    Punishments: Reduce the likelihood of a behavior
~    Vulnerabilities: Increase the likelihood of fight or flight responding
~    Backward Chaining
~    Outburst Co-Worker said something insensitive  Felt drained upon awakening Had to put cat down the day before
~    Triggers (+/-)
~    Cause a reaction
~    Shaping
~    Example: Addiction or other self-harm
~    Level 1: Engaging in secondary coping behavior (smoking, walking, eating, listening to music, drawing)
~    Level 2: Taking a mindfulness minute to evaluate the situation, then choosing a behavior consistent with goals

Mindfulness
~    Developing an in-the-moment awareness of how you are:
~    Emotionally
~    Mentally
~    Physically
~    Exploring the interconnection of thoughts, feelings and physical sensations
~    Distress in one leads to distress in others
~    Becoming aware of the emotional wave

Reducing Emotional Reactivity
~    Reduce Vulnerability: (Please)
~    P & L Treat Physical Illness
~    Eating
~    Altering Drugs
~    Sleep
~    Exercise
~    Build Positive experiences
~    Be mindful of current emotion

Distress Tolerance
~    Activities: Do hobbies, watch a video, go for a walk
~    Contribute. Do volunteer work
~    Compare yourself to people coping the same as or less well than you
~    Emotions. Distract with opposite (i.e. Comedy)
~    Push away a distressing situation by leaving it mentally for awhile.
~    Thoughts. Think about something else (Puzzles, book)
~    Sensations. Distract with intense sensations

What Clients Need To Know About Emotions
~    Increasing the Positive
~    Decreasing the Negative cheap ce cbt

0:00 Introduction
0:38 Objectives
1:33 The Clients
8:25 Dialectical Theory
17:00 Skills Training Groups
21:35 DBT Assumptions
26:07 Treatment Priorities in DBT
29:39 Stages of Treatment
30:35 Stages cont...
33:11 The "B" in DBT
45:25 Mindfulness
46:44 Reducing Emotional Reactivity
47:44 Distress Tolerance
49:13 What Clients Need To Know About Emotions
49:47 Interpersonal Effectiveness
52:09 Summary