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Let's do Dialectical Behaviour Therapy (DBT)

Let's do Dialectical Behaviour Therapy (DBT)

Good morning Forum Land,

So... @CheerBear @Zoe7 and I have decided to embark on an adventure of working through the DBT skills training manual together but not. That is, we all bought the manual at the same time, but we will probably work through it each in our own muddled puddled confuddled way. Consequently, who knows how this thread will end up looking. That's ok, that's why it's an adventure.

We would super love other Forumites to join us on this adventure if they want to. You definitely don't need to own the manual to join us, though if you want to, this is the book we are working from: DBT Skills Training Manual (second edition) by Marsha Linehan published in 2015. The manual has LOTS of worksheets in it, but happily, you can download those for free from this website: https://www.guilford.com/companion-site/DBT-Skills-Training-Manual-Second-Edition/9781462516995

It is important to be aware that this manual is not a self-help book. This is the manual designed to train therapists in how to deliver DBT to clients. Therefore, it can make for challenging reading at times. Personally, I find it hugely validating reading the way in which Linehan addresses the all-too-common negative and stigmatising attitudes that many mental health professionals have towards clients with Borderline Personality Disorder (BPD). However, others may find it distressing realising just how pervasive these attitudes can be across the mental health profession.

DBT was originally developed specifically to treat people with BPD. However, there is now a strong evidence base showing that is effective across a wide range of mental health issues. This is due to the core focus of DBT being on emotion regulation. DBT has also been shown to be effective in helping non-clinical populations manage their emotions. It may be of particular interest to some people in Forum Land, that DBT skills training has been shown to be effective in helping the carers of those with mental health issues cope with the challenges associated with that caring role.

As I said, I'm really not sure how this adventure is going to pan out...but we will never know if we don't try, will we! The manual begins with an introductory chapter outlining the theoretical basis for DBT. It has lots of nice little subheadings which breaks it up into easily manageable chunks. Thus I'm thinking @CheerBear and @Zoe7, that we could tackle the introduction based on these subheadings. Ideally I would love to do a little bit each day, but given the muddle that is my world, that is unlikely to happen. I expect it is far more likely that some weeks I will have a lot to say, and at other times, weeks may go by where I have nothing to say. I am guessing it will be the same for you...and that is a bazillion percent ok.

I superly duperly hope that some other Forumites decide to join us. But if not, that's ok too. I'm just as happy playing by myself.

And on that note, let the adventure begin...

Finding your way in the DBT adventure.

The following is a bit of a guide to navigating your way around what I anticipate will end up being quite a lengthy thread. The link will take you to the relevant page. Here in Forum Land, there are ten posts per page so you may need to scroll down a little way to find the actual post. The relevant headings are in large blue font to help you find them easily.

What is DBT? (This bit is on this first page so just scroll down).

Understanding Emotion Dysregulation

Are People With BPD Manipulative?

Accepting Our Emotions

The Consequences of Emotion Dysregulation

An Overview of DBT

Orientation, Goals and Guidelines

Pros and cons of learning and using DBT skills

Pros and cons of using DBT skills versus self-harming

Introduction to mindfulness

Mindfulness "What" Skills: Observe

Mindfulness "What" Skills: Describe and Participate

Mindfulness "How" Skills: Part One - Nonjudgmentally

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In response to: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Thus endeth the Mindfulness module, so sayeth th L...r..d.

Thanks so much @Phoenix_Rising I've printed it out for future reference, & I've just been going through it.

Adge

In response to: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

WOW , Thanks so much @Phoenix_Rising

Doing one thing at a time and focusing fully on that one thing enables us to achieve more. Multi-tasking is inefficient!--- I have multi- tasked for a long long time @Phoenix_Rising

when I did child care I years ago , I would try to do one trip ,carrying everything at once , I used to hold the baby while serving morning tea to the other 8 children while doing a load of washing and cleaning up

Can you think of any others? -- Doing the ironing , writting a shpping list ,there is soo many @Phoenix_Rising, but I still do washing up the dishes while I am vacuuming the house , I have sooo many examples that I never end up completing one thing at the end of the day '

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Great news - my DBT books just arrived at my door!

Have opened them and had the briefest of looks.

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Good afternoon DBT-ers,

@Catcakes I really like the example you gave of how the between-session phonecalls were used when you were in a DBT program. I also really like your example of how it is more effective to communicate with your siblings than to silently bubble away with anger towards them.

@Former-Member I guess being "people savvy" probably does relate to emotional intelligence. In the manual, Linehan says, effectiveness often means being "political" or savvy about people. You know something I find funny? I am hopelessly and unbelievably bad at being people savvy, and yet I have spent many MANY years being accused of being manipulative. I would suggest that in order to manipulate people, one needs to be people savvy. That is, you need to be able to think through a whole lot of "if I do X, then they will feel Y, which will cause them to do Z." I have next to no idea about that stuff...which makes it so completely absurd that I've been accused of being manipulative so often! Once again I am filled with the agony of knowing that if my muddles had been seen through an Aspie lens rather than a BPD lens, I might have actually got some support with my muddles, rather than just being labelled manipulative etc. and had people walk out of my world.

@Former-Member I love that you have found the idea of making an appointment with yourself for worry time, helpful.

It sounds like we share similar frustrations with the over-focus on the present to the exclusion of planning for the future.

Cooking, customer service, crocheting, gardening, watching a sunset and eating a special meal all sound like super activities to practice doing one-mindfully. I love how varied your examples are - it really highlights the fact that this mindfulness thing is something we can apply to ANYTHING and it means so much more than sitting around cross-legged and saying Ohm. Mindfulness is a way of being - it isn't about one particular action or activity. Your examples really demonstrate that.

I also like how you mentioned that some of the examples don't work for you because they are reminders of "stuff." This shows that different things work for different people...and that's a bazillion percent ok. This is why it saddens me when people say they've tried mindfulness and it didn't work for them. I fear that they have not been well-instructed in what mindfulness really is. Because really, it is logically impossible for it NOT to work. That is, if you are fully focused on one event (such as cooking a meal), then it is logically impossible to simultaneously be focused on other events such as fears about the future, or traumatic memories of the past.

I fear that what people mean when they say mindfulness didn't work for them is that they were given particular examples to try and those particular examples didn't work.

@Shaz51 Ooooh maybe you could conduct an experiment of doing one thing at a time and then reporting back in about how you went! Ironing is apparently a really good mindfulness activity...although given I never iron anything, I don't know this from first-hand experience. I do find washing the dishes and vacuuming to be good mindfulness activities.

I can't multi-task at all, so I just naturally tend to do one thing at a time. Actually, I read something the other day in which the author suggested that people with autism have mastered mindfulness in that we can ONLY do one thing at a time and we also naturally tend to hyperfocus on what we are doing. I found this really validating because I have often said to people who try to tell me the answer to my muddle is mindfulness, that I am already really good at mindfulness. People don't seem to believe me because they see how not-so-great I am at other things like emotion regulation, but the whole doing-one-thing-at-a-time and super focusing on that one thing, is something I can actually do.

@Former-Member This is me after reading that your DBT books have just arrived.

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Oh, my, I nearly fell off my chair laughing! @Phoenix_Rising

thank you. just 'thank you'.

I'll have to come back, stuff to do right now. So interesting reading everyone's thoughts and management processes, ideas and everything.

Taking time to experience the sensation of tension being absent from the body for a moment - feeling very comfortable with 'stuff' just now.

Be well.

In response to: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Kermit always makes me laugh too @Phoenix_Rising, @Former-Member 🤣

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

@Catcakes and @Former-Member, the kermit run never ever gets old does it.

I'm glad I made you both laugh - laughter is very good for you, you know.

In response to: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Laughing and singing @Phoenix_Rising 👍🏼🌿🌸

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

Ohhh @Phoenix_Rising, I don`t iron much at all

I did just do the dishes tonight @Phoenix_Rising, I did not do anything else but the dishes on the bench -- it was different , I must say , it only took me 10 minutes -- wow

In response to: Re: Let's do Dialectical Behaviour Therapy (DBT)

Re: Let's do Dialectical Behaviour Therapy (DBT)

@Shaz51 Oh this is so super exciting that you are conducting an experiment on doing things one-mindfully rather than multi-tasking!

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