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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

381 replies

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

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

Okay everybody ..... I am just gonna stick my neck out here a bit and say something .....

I have been really impressed, and thankful, to see this thread tracking along so well for so long, and being so supportive to many of us.

If we can acknowledge, as we have often been able to do, that we are dealing in a community that has a wide spectrum of personalities, mental and emotional processing styles, experiences which often include trauma and ongoing struggles, etc ..... then after taking a pause for a little while, can we get back to business on this thread and focus our attention back onto the positive growth outcomes of DBT ?

I think it is also important to acknowledge that things can get prickly at times, owing to personal differences in communication, processing, and outlook ..... but I also believe that within that vortex, no real harm is intended. When things have become very reactive, perhaps we can look back on the DBT principles we are focussing on in this thread to find the trail again, and hopefully heal up some differences and misunderstandings along the way ......

I hope this link is helpful as a re-set .....

https://m.youtube.com/watch?v=hDJi86n9-Rk

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

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

Has anyone seen @Phoenix_Rising lately?

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

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

@outlander I was thinking the same think a few days ago

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

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

@Phoenix-Rising has been absent for a while, and I am missing her ...... 😔🌿🐢

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

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

i hope she comes back soon @Sans911@Faith-and-Hope

@Phoenix_Risinghoping your ok

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

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

@Bluetoo heres another that may help too

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

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

My psychologist was reminding me today of Radical Acceptance - which is part of DBT.

The problem is that after reading quite a bit, I still cannot find anything that suggests how you "Let Go" & "accept what is".

The assumption seems to be that we can somehow let go & not dwell on thoughts of what we don't like (or don't agree with).

Any suggestions?

Adge

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

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

Hi @Adge. Radical acceptance and I have had a turbulent history 😆. The first time I did DBT I hated it and couldn’t connect with the concept at all. Late last year I did it again and have a much better understanding of it (well for me anyway). On that note please know this is how I worked it out for me........after being the pesky one in group who asked a million questions trying to get my head around it.

So here’s teej’s take on it, others I’d imagine do it differently.

1) we don’t have to like what we need to radically accept and probably never will.

2) I think ‘it is what it is’ has helped me to accept things a bit easier

3) radical acceptance for me happens over a long time. I can’t just choose to accept something and ‘let it go’ as such for a long time. It’s more about not letting it have as much power anymore.

4) Again at a personal level just knowing I need to accept something is a huge starting point. It’s that little conscious thought in the back of your mind.

5) sometimes it will still feel like this thing you are trying to accept still has power over you but other times it doesn’t feel so big any more.

I went through something a few months back that I needed to radically accept. At the time it felt like a do or die issue. I knew I had to accept it at a logical level which I guess is owning it too. I hated that I had to but knew it was very capable of destroying me if I didn’t find a way to let it go and not have so much power over me. I tantrummed and cried and still felt the emotions but tried not to fight it or deny it was happening. For me knowing and telling myself that I had to accept it but didn’t like it helped. Over time I have been able to let it go. It’s not gone from memory but it’s not dominating like it was. For me it is a process that takes time and reminding myself that I need to accept this on repeat.

Im not sure if others have similar experiences. I think I’d been so caught up with thinking I had to feel ok about it and it would be magically lifted from my shoulders and let go so to speak. I have a few other things to work on with this too lately. I hope this helps 💜🤗

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

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

I can certainly relate to this @Teej @Adge ..... having to accept our relation at the start of this year was impacting on my health through psychosomatic symptoms that were a warning to me that I had to assimilate the changes, like it or not.

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

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

Thanks heaps @Teej

Hi @Faith-and-Hope

I'm sure that how you explained Radical Acceptance will help.

It always helps me to hear people's personal experience, rather than reading from a textbook (which I've already done).

I'm gona read & re-read what you said, & see if I can better accept this radical acceptance, & make the idea work...

Adge

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