DBT Theory & Application
The goal of this theory is to change behavior and teach skills by opposing two truths.
Dialects Theory
What is the goal of mindfulness?
To reduce suffering and increase happiness
1. Highly stressful situation
2. Short-term situation
3. Creates intense pressure to solve it
What is a crisis?
Use this skill when an emotion doesn't fit the facts and acting on it would make things worse.
Opposite to Emotion Action
Main dialect of DBT
Balancing acceptance and change
This concept explains how invalidating environments and ones biological vulnerabilities interact with one another to create chronic emotion dysregulation.
The Biosocial Theory
Balancing emotion mind and reasonable mind
Wise Mind
This skill allows patients to distract themselves from intense emotions by participating in physical activities, doing something opposite of that emotion, or using physical sensations to distract from negative feelings.
Wise mind ACCEPTS
This skill is about taking care of ourselves so we can take care of others.
ABC Please
What behaviors are targeted in the first stage of DBT treatment
Decreasing life threatening behaviors, therapy interfering behaviors, and quality-of-life interfering behaviors.
High sensitivity to emotional stimuli, high emotional intensity, and a slow return to baseline
Characteristics of biological vulnerabilities
How do you be mindful? (HOW skills)
Non-judgmentally, one-mindfully, and effectively
When NOT to use crisis survival skills?
For everyday problems, solving all life problems, or making life worth living.
This interpersonal effectiveness skill helps individuals advocate for themselves and set clear boundaries.
DEAR MAN
Large and dysregulated behavior, challenging and obsessive, rejection sensitivity impulse control, difficulty building relationships, and "manipulative"
Characteristics of Borderline Personality Disorder
Description of how problematic behavior develops through a sequence of events that begin with vulnerability factors and are triggered by a specific prompting event.
Behavioral Chain Analysis
1. Observe through senses
2. Describe and label what you sense
3. Participate and get rid of pre-conceived notions
What you do to be mindful (WHAT skills)
Inhaling activates the __________ and increases heart rate. Exhaling activates the __________ and can bring down heart rate.
Sympathetic Nervous System and Parasympathetic Nervous System
This skill is helpful in making more balanced decisions when emotions are high by challenging assumptions and judgements.
Check the facts
The foundation for building more advanced skills in DBT
Mindfulness
A parent withdraws their affection/attention from their child when they are upset. What characteristic of invalidating environments would this apply to?
Punishment of emotional displays
Name 3 benefits of practicing mindfulness and acquiring present-moment awareness.
Reduce negative emotions, manage emotional arousal, reduce impulsivity, creates a balanced perspective, improves focus, reduces stress and anxiety, and improves sleep.
This skill may be used to help lessen a patients suffering by accepting the facts that cannot be changed, and to do it without judgement.
Radical Acceptance
This IE skill is important for maintaining healthy relationships through effective communication by being truthful and maintaining self-respect.
FAST
What type of cognitive distortion do individuals with BPD often struggle with
All-or-nothing thinking