Dialectical Behavior Therapy (DBT) Part 1 | Continuing Education for Mental Health Counselors
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- Äas pĆidĂĄn 22. 07. 2024
- Explore the basics of DBT. allceus.com/Intro-DBT
#DBT #CBT #cognitivebehavioral
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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 peopleâs 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 donât 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 didnât 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 âBâ in DBT
~ Benefits-Positive and Negative Reinforcement
~ Punishment - Positive and Negative
~ Consequences
~ Negative
~ Positive
~ Neutral
~ Intermittent reinforcement (variable interval or ratio)
~ Modeling
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
~ Outburstï Co-Worker said something insensitive ï Felt drained upon awakening ïHad to put cat down the day before
The B In DBT
~ Triggers (+/-)
~ Cause a reaction
The âBâ in DBT
~ 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
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This helps those who cannot afford therapy as well . Thank you
I am glad the videos are helpful.
FOR REAL
Yes I pay 75 and donât get stuff this good!
@@janedoe8566 âgive a man a fish, and heâll eat for a dayâŠteach a man how to fish, and heâll for lifeâ
Sometimes you gotta teach yourself how to fish
I've just had my 4th emotional breakdown in 3 years requiring hospital. I cannot afford therapy and dont know where to start as my emotions and Empathy rule my life. Hopefully this is the course
I feel so validated, it's crazy. Thank you for this insight.
Thanks for watching. Wishing you peace, health, and happiness.
I canât believe this information is out here for free, thank you for your work đ
Youâre so welcome. I am grateful to be of help and I appreciate you watching the video. Other videos you might be interested in can be found at czcams.com/users/DocSnipessearch?query=DBT
itâs been 10 minutes and I have cried twice. I feel so seen.
Awww. I am grateful to be of help and I appreciate you watching the video. Here are other videos on DBT: czcams.com/users/DocSnipessearch?query=DBT
Why tell a child not to feel. Tell them how they should feel. Why not allow them to have feelings, questions. Why arenât the children helped to understand how to resolve the circumstances? Logic, reasoning.perspective. Real insightful solutions for topic at large. How long has mental health organizations neglected paying attention.
I think this is army training to be another nazi
This is absolutely fantastic!!!
Thank you so much for this video. I have been looking for this kind of info & help! It is very useful to me.
Thanks for watching. Glad it helped!
So good.. so good! I started DBT at my treatment program. Understanding that I have to take action and be participating in my recovery and what I do really matters has made literally my whole life make more sense. Such a good skill set to learn!!! Thank you for these videos!
Thanks for watching. Wishing you peace, health, and happiness.
I must say you are doing a divine job. I am preparing my PhD research topic relating to DBT and now know why I want to work on DBT and feel eveb more curious and interest3d about it
Wonderful. Good Luck on your research. Thanks for watching!
Fantastic training video, thank you!
Glad you enjoyed it!
Thank you for this video!
Very articulated and nicely presentaded
Ty
Thank you đđŒ
Great Video! Thank you!
Glad you liked it! Thanks for watching.
The best video presentation related to the disorder treatment.
Ty. Thanks for watching
I agree. I am surprised of how many websites and videos there are that talk about DBT as a useful treatment but never explain how it works. This video does just that.
This video is so much more functional for helping 'a client' than wasting money in 'therapy'
Thank you
great thank you
You are welcome!
Thanks for your vid
Thanks for watching.
I HAVE BEEN STUCK IN THAT HEIGHTENED STATE OF AWARENESS FOR TOO LONG WHILE THE PRESSURE FROM OUTSIDE IS BEING TURNED UP ALL THE TIME.
I am sorry about that, Suzanne. What tips from the video would you use to address that? Thank you for watching.
Thanks!
Youâre so welcome. I appreciate you watching.Other videos you might be interested in can be found at: czcams.com/users/DocSnipessearch?query=DBTmadesimple
Likewise I shared this specific podcast with a friend who was not familiar with Dialectical Behavior Therapy by recalling how I saw this particular podcast a few times and the information here came in handy đđ
45:25
thank you
You're welcome
Weâre not soldiers were civilians were not in the army we donât have to be mute when our village is being killed
And unfortunately with some people you just cannot fix this problem. I can only personally attest to myself from 6 to 18 I was forced into this kind of therapy I was forced on to medication forced into areas like group therapy which made me feel no better and continuously targeted I am now 30 and I can no longer trust doctors cuz I feel like you're trying to do a one size fits all can no longer trust society cuz you learn that all humans are horrible in the right circumstances for me personally this therapy never helped me I feel like it traumatized me more.
Iâve worked in healthcare⊠pre and in-hospital⊠and youâre not exaggerating this at all. From both sides of the bed rail, I can attest that the majority of âhelpâ is shit. It really isnât the help that most individuals who are struggling to adapt to this modern world, really need. I believe, as HARD as it is to do, listening to what your inner self is saying to do is the best way to go. For me, I have a HUGE stack of hardships on top of an already Fâd up HSP brain, and the longer I go into my âpost fire-rescue/RNâ life, the more convinced I am of there simply being no options to âmake itâ. But deep within, the necessary but VERY hard thing to do is to get my brain away from all pharmaceuticals⊠mainly Kratom. Itâs a relatively harmless and helpful choice for many, but I just know that because of how it binds to receptors in critical areas for me, my emotional regulation ability will never prosper whilst on it. So I HAVE to chance phasing it out, and hope that while doing so I donât react so aggressively that I end up in trouble or alone completely. It sucks because mental health isnât lucrative enough for the people who can not only financially provide resources for therapy, but also they likely canât even sympathize with how it feels.
HOW DO I PROPERLY COMMUNICATE MY THOUGHTS NEED NEEDS AND URGES TO PEOPLE THAT I KNOW ARE ALL LYING TO ME HOW DOES THAT WORK?
I AM TOTALLY OVERWHELMED AND NEED HELP.
THERE IS NOTHING ETHICAL ABOUT PUTTING SOMEBODY THROUGH THIS THAT HAD NO IDEA IT WAS GOING TO HAPPEN YET THEIR INTUITION TOLD THEM SOMETHING WAS GOING ON AND THEY'VE BEEN ABLE TO PIECE TOGETHER CLUES AND THEY ARE QUESTIONING EVERYONE AND EVERYTHING AROUND THEM THERE IS NO ETHICAL IN THAT
I'VE BEEN BEING TOLD I'M CRAZY FOR 2 YEARS NOW AND IT'S ALL MY IMAGINATION
I am sorry about that, Suzanne. I am grateful that you are here
44:41 a secondary coping behavior such as SMOKING cigs??
"As long as they aren't using...."
Um, that IS using hahaha
Edit: otherwise, I feel the info and effort in this is simply outstanding. This is perfect for those who cannot afford consistent therapy, so thank you for this CZcams gold.
Addiction is ADDICTION..ONCE AN ADDICT ALWAYS AN ADDICT YOU JUST SWITCH ADDICTIONS...
This so so similar to ABA therapy
And CBT and ACT....there is a LOT of overlap, but I think that is a good thing. DBT does focus a lot on internal experiences though, which ABA does not.
@@DocSnipes , DBT derives from CBT.
IM NOT A RAT IN A MAZE.
I am sure you are not. Thank you for watching
Bruh ily oof
Okay so I have bpd. But I don't self harm and I don't have suicidal thoughts. I'm an atheist. I find everything idiotic. And I don't have friends not because I'm scared but because they waste my time and always want me to care about their stupid problems and I just don't.
So u lack empathy maybe? Sorry to hear it đ„
You donât owe anyone anythingâŠyou can be a friend but donât let them bring you down. Misery loves company. But the way you wrote it, I agree with Priscilla.
Sounds more like narcissism.
Tho u need therapy, Iâm noticing a lack of empathy , Iâm not criticizing or judging jus sayin
QueenFriend, you might just be a self-aware person who notices how insane the world is, and not engaging in people's pity party drama mind games.
If that's the case, congratulations, there's nothing wrong with you.
Clients or patientsđ.
I work at a clinic,drs refer to them as patients, I refer to my psychotherapy people as clients. Doesnât matter.