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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)

Interesting that you say you feel too old for DBT @Appleblossom.
I must say I did feel a bit confused when I participated in DBT as I was the oldest by far in my group. While researching to see why this may be , I found that many people no longer meet the criteria for this diagnosis by their 50’s.
So why do I still ?
I have no idea but I do feel my symptoms are starting to mellow (or is it because I have participated in DBT ???)
I’m yet to answer these questions.
I’m sorry @Phoenix_Rising if you felt my previous post a little harsh,
I also think you have done amazingly well in your change -the -world journey to Melb.
I’ve had a crap day 😞

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

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

Sorry it’s been a crap day @Catcakes ..... hoping you can manage self care tonight ....

💐🌿

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

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

Seven for dinner,
Place looks like a Chinese laundry
But thanks
@Faith-and-Hope

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

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

Just thought I’d add my two cents in here. I’ve been thinking about it a bit. For me I don’t see it as a dialectic and I may be really wrong with my understanding .....that two opposing things can be true at the same time. I think accepting a situation as it is is one step on its own. The dialectic to me would be to not accept a situation as it is or to see some alternative reality. I see accepting the situation as a step. You either accept or not a given situation then you have a choice what to do with that acceptance which is where the dialectics could be many any varied.

In my mind I was trying to think of a few situations to see if it worked. Please know I’m just toying with this and furthering my own clarity around it (Radical acceptance is not my strong point).

First example - getting an object from a retail store. To me the situation is you have to pay the agreed amount to the shop keeper for an item, that’s the reality. The opposite to this is you don’t pay for it and don’t expect to pay as you don’t see this as reality. If you accept the reality that all items from retails stores need to be purchased by legal tender then you have different choices with varying consequences. If you steal it or argue you shouldn’t have to pay or try to barter or whatever they are all choices after accepting the reality.

In dealing with people and situations I think it’s a bit the same. If you’ve been wronged/harmed, that is your reality. You didn’t choose it or want it to happen and it hurts, has ramifications and feels so unfair and unjust to you. The hard part is what you choose to do with that reality. The reality is you can’t turn back time for it not to happen but you can choose how you will approach it from that point or from any point along a time line.

I think in my past I have tried to fight the reality part that already exists. As @CheerBear said I think you don’t have to like it to radically accept situations but accept this is how it is and then work out from your values and strategies available what you do next. @Phoenix_Rising highlighted that sometimes that something doesn’t happen for a while, sometimes time changes things too and you choose a different action because that is more affective for you at the time.

PS just in case this sounds like I have my act together with this please know I don’t. I think I know the theory a bit but in reality I suck at this and often make things worse being in emotion mind.

@Sans911 I thought a lot about what you wrote too. Some of it was close to home but it made me question about the choice to take your life if you are a parent. It’s just a thought and no need to debate it. I get very confused with this part.

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

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

@Catcakes I hit send too soon multi tasking..... I really should only ever do one thing at a time. Sorry you’ve had a crap day too. It always makes it hard. I did DBT in my 50s too 😳.

@Appleblossom Interesting to see your points of view. Having only ever exposed to DBT, Schema Therapy and a tiny bit of ACT. I don’t have much to compare. I am still very much grappling with so many parts of therapy and lots of things about being human. I’ve struggled with living in fantasy world rather than even getting what is real.

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

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

Too many people here for me to contemplate your post @Teej
But I do wish you had been in my DBT group
Maybe I wouldn’t have felt like repairing everyone’s jeans 😏

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

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

That is so funny @Catcakes ROFL

I hope you dont get upset, but I see you seated in circle with all those factory shredded skinny jeans ...

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

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

It took @Appleblossom post for me to get that @Catcakes. I’ve had a very strange day. Somethings have clicked and some I’ve just been on go slow. I’ve had a smile since I got it. I am often surrounded by them here lately. You would be sewing over time. Both times I’ve done DBT there have been a real mix of ages which I felt a bit lucky for but the last time the young ones outnumbered us. They were all gorgeous though.

edited. Gorgeous on the inside. Don’t remember clothing much but I do notice ripped jeans with sons girlfriends.

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

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

I’m bouncing all over the place 😩
@Appleblossom

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

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

Its so good to share a laugh @Teej @Catcakes

I have been lucky to see the young ones can be truly gorgeous on the inside.

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