Summary: <p>Dialectical Behavior Therapy Skills<br> Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC,<br> Executive Director, AllCEUs</p> <p>CEs are available for this presentation at <a href="https://www.allceus.com/member/cart/index/product/id/518/c/">https://www.allceus.com/member/cart/index/product/id/518/c/</a></p> <p>Based in part on<br> ~ Doing Dialectical Behavior Therapy: A Practical Guide by Kelly Koerner (Guilford Press)<br> ~ The Dialectical Behavior Therapy Skills Workbook (New Harbinger Publications)<br> ~ DBT Made Simple (New Harbinger Publications)<br> ~ Use promocode 1168SNIPES at New Harbinger for 25% off your entire order.<br> ~ www.dbtselfhelp.com<br> ~ DBT for Substance Abusers</p> <p>Objectives<br> ~ Why was DBT created<br> ~ Understanding Emotional Dysregulation<br> ~ Identify DBT assumptions about clients and therapists<br> ~ Explore skills to help clients learn<br> ~ Distress Tolerance<br> ~ Emotional Regulation<br> ~ Interpersonal Effectiveness<br> Why I Care/How It Impacts Recovery<br> ~ Many of our clients experience emotional dysregulation<br> ~ The inability to change or regulate emotional cues, experiences and responses.<br> ~ They have tried to change and failed, leaving them feeling hopeless and helpless (depressed/anxious)<br> ~ Untenable emotional experiences lead to self preservation behaviors such as addiction, non-suicidal self-injury, even suicidality</p> <p>Why DBT Was Created<br> ~ People with emotional dysregulation have:<br> ~ High sensitivity<br> ~ Hypervigilance<br> ~ Overgeneralization<br> ~ Easily thrown off kilter (vulnerabilities)<br> ~ No “emotional skin”<br> ~ High reactivity<br> ~ Fight or Flight<br> ~ Slow de-escalation (Persistent heightened awareness)<br> ~ Invalidating environment</p> <p>The Emotional Reaction<br> ~ Hyperawareness of stimuli (Perceptions)<br> ~ Threat perceived (Cognitions)<br> ~ All hands on deck response (Physiological response—Fight or flight)<br> ~ Actions (Survival)<br> Primary Invalidation<br> ~ Caregivers dismiss emotional reactions as invalid<br> ~ Child is mocked, shamed for emotional response<br> ~ Child is not taught<br> ~ Self-soothing/de-escalation<br> ~ Mindfulness<br> ~ Effective cognitive processing<br> Secondary Trauma/Invalidation<br> ~ Coping skills can be overwhelmed by trauma or intense stress leading to a high-alert “raw” status<br> ~ Many people do not receive necessary support during these times and may be shamed for being weak or needy<br> ~ Crisis is a normal response to an abnormal event<br> ~ Most humans are not inherently prepared to deal with crisis alone<br> ~ What precipitates a crisis may vary between people based on pre-existing stress or mental health issues</p> <p>Result<br> ~ High sensitivity + high reactivity + invalidation = Frantic efforts to numb/withdraw/protect<br> ~ People learn that who they are and HOW they are results in rejection<br> ~ Avoidance of threats<br> ~ Avoidance of thoughts, feelings, sensations that may lead to invalidation<br> Assumptions About Clients<br> ~ Clients<br> ~ Are doing the best they can<br> ~ Want to improve<br> ~ Cannot fail at DBT<br> ~ Are existing in an unbearable state<br> ~ Need to learn new behaviors in all contexts<br> ~ Are not responsible for all of their own problems, but are responsible for all of their own resolutions<br> ~ Need to be motivated for change<br> Assumptions About Therapists<br> ~ Clarity, precision and compassion are of the utmost importance<br> ~ The therapeutic relationship is between equals<br> ~ DBT or therapists can fail to achieve the desired outcome<br> ~ Therapists who treat patients with pervasive emotional dysregulation need support</p> <p>Global—Core Mindfulness</p>
