DBT Orientation
Dialectical Behavioral Therapy
The skills of Mindfulness include three actions. Observe, Describe, and ...
What is participate
What does it mean to think dialectically
To have the ability to view issues from multiple perspectives
What skills are meant to be done IN THE MOMENT to reduce intense emotions
Distress Tolerance skills
What does it mean to “experience your emotion”
Observe how you are feeling, step back and just notice it, don’t try to get rid of it or push it away
DBT aims to replace _______behaviors with __________ behaviors
Problem, skillful
When we use the describe skill, what is the ONLY thing we describe?
The FACTS
When is the BEST time to use the bathroom during sessions?
In between groups or before/after sessions
What would be an example of opposite action for the emotion “sadness”
Get active, approach, don’t avoid, build mastery and increase pleasant activities
Name a PRO and CON of acting on impulsive urges
PRO = immediate relief
CON = long term damage, suffering, impaired relationships
What are DBT skills used for?
Help people deal with a range of emotions and replace harmful behaviors with skillful behaviors
Help navigate relationships and life
What is your favorite skill and when do you use it?
Multiple answers accepted
Name two therapists in the program
there's so many.... choose two
What does TIPP acronym stand for?
Temperature, Intense exercise, Paced breathing, Progressive muscle relaxation
Someone who absolutely refuses to do their DBT homework is demonstrating this dialectic
Willfulness
What does Dialectical mean
Dialectical = two opposite ideas can be true at the same time
A person is sitting comfortably in a chair, clenching and relaxing their muscles from head to toe
What is progressive muscle relaxation
What things should you have completed by the time of programming
Diary cards (adolescent and support people)
Any assigned homework
Why do we use the PLEASE skill?
To reduce emotional vulnerability
Name and explain an example of a “Thinking Mistake”
All-or-nothing/Black-and-White thinking, Catastrophizing, Mind Reading, Overgeneralization, Mental Filter, Disqualifying the Positive, Emotional Reasoning, "Should" Statements, Labeling, Personalization
What is something you should be doing every day?
Completing my diary card
Accepting things that we cannot change, despite feeling unhappy about
What is radical acceptance
Name one of the 8 DBT assumptions
People are doing the best they can
People want to improve
People need to do better, try harder, and be more motivated to change
The lives of emotionally distressed teenagers and their families are painful as they are currently being lived
Teens and families must learn and practice new behaviors in all the different situations in their lives (e.g. home, school, work, neighborhood)
There is no absolute truth
Teens and their families cannot fail DBT
Name at least two out of four parts of the GIVE skill
(be) Gentle, (act) Interested, Validate, and (use an) Easy Manner
_________+___________= the middle path
acceptance and change