General DBT
True or False: A dialectic is two things that cannot be true at the same time.
False! A dialectic is balancing two seemingly opposite things (two opposite things can be true at the same time).
Being strong AND gentle. This is hard AND possible. Trust AND suspicion. Openness AND privacy.
What is the best skill to use to get someone to do what you want?
DEARMAN
Taking a shower is a ___-term way to accumulate positive emotions.
The practice of recognizing the reality of a situation and acknowledging what cannot be changed
Radical Acceptance
Bob is bummed that he did not get the job he really wanted. He is choosing to use radical acceptance as a way to deal with these feelings.
What skill could Bob have used before the interview?
Cope ahead!
True or False: Emotional vulnerability is biological.
TRUE! It's simply how some people were born.
They are more sensitive to emotional stimuli, can experience emotions much more often, and emotions can hit out of the blue. They can have more intense emotions.
What does DEARMAN stand for?
Describe what happened
Express how you feel
Ask for what you want
Reward the person for listening
(be) Mindful of your goal
Appropriate and confident behavior
Negotiate or compromise
Give an example of a time when cope ahead would be useful?
What three minds comprise traditional DBT? Which one is used for logical thinking?
Emotional, Wise, Rational
Rational or reasonable.
Rocky is extremely agitated and angry about his job. He feels as if any comment could make him explode. He needs to lower his SUDS now.
What distress tolerance skill would you suggest?
TIPP-- this is used to reduce extreme emotions fast.
Tip the temperature, intense exercise, paced breathing, paired muscle relaxation
What is the purpose of DBT?
The create a life worth living
This interpersonal skill is best used for maintaining your self-respect
The FAST skill
In your DBT booklet, there are six factors listed that make it hard to regulate emotions. Name two that make it hard for you to regulate emotions.
1. Biology
2. Lack of skill
3. Reinforcement of emotional behavior
4. Moodiness
5. Emotional overload
6. Emotion myths
There are two different purposes for distress tolerance skills. What are they?
Think of when you would use STOP, TIPP, IMPROVE vs. radical acceptance, half smile, turning the mind
1. Surviving a crisis -- STOP, TIPP, IMPROVE
2. Accepting reality -- radical acceptance, half smile, turning the mind
I am making an effort to tell my friend that their feelings make sense given the things they have experienced in life.
What DBT interpersonal effectiveness skill am I using?
Validate!
What are the four modules (skills) that DBT focuses on?
Mindfulness, Interpersonal Effectiveness, Emotional Regulation, Distress Tolerance
1. Be skillful in getting what you want and need from others.
2. Build relationships and end destructive ones.
3. Walk the middle path
DAILY DOUBLE
What is the other emotional regulation skill that is used when problem solving? Hint: it's the second step. They are seven.
Check the facts!!!!!!!!!!!
The steps are...
1) figure out and describe, 2) check the facts, 3) identify your goal, 4) brainstorm solutions, 5) choose a solution, 6) put solution into action, 7) evaluate the results.
What is the goal of mindfulness? There are three things. One is to increase control of your mind. What are the other two?
1. Reduce suffering and increase happiness
2. Experience reality as it is
Mackenzie is struggling to make an important decision about her future. She wants help managing her feelings and making a decision.
What skill would be best to suggest to Mackenzie? Hint: There is more than one skill that would be effective.
Pros and cons list, wise mind, cope ahead
True or False: All behaviors (actions, behaviors, and thoughts) are caused.
True!
Under skills training assumptions about patients, we assume that all behaviors (thoughts, actions, and emotions) are caused. Assumptions are beliefs that cannot be proved, but we agree to abide by them anyway.
In the DBT booklet, there are six factors listed that can get in the way of interpersonal effectiveness. Name two.
1. You don't know what you want
2. Your emotions are getting in the way
3. You forget your long-term goals for short-term goals
4. Other people are getting in your way
5. Your thoughts and beliefs are getting in the way
6. You don't have the interpersonal skills you need.
DAILY DOUBLE
When should you use opposite action vs problem solving?
Opposite action should be used when your emotions do not fit the facts or when acting on your emotions is not effective. Acting opposite will change your emotional reactions.
Problem solving is used when the facts themselves are the problem (emotions fit the facts) and solving the problem will reduce the frequency of negative emotions.
There are three WHAT skills and three HOW skills in the mindfulness module. Name the missing skills in each.
WHAT skills: Observe, ____, ____
HOW skills: One-mindfully (in the moment), ____, ____
WHAT: Observe, describe, and participate
HOW: One-mindfully, nonjudgemental, and effectively
Karly is struggling with impulsive behavior and the urge to engage in harmful actions. What DBT skill can she employ to pause and make a more mindful and intentional choice?
STOP skill!
Stop and do not just react
Take a step back from the situation
Observe what is going on outside and inside
Proceed mindfully and act with awareness