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

Think my Mum taught me mindfulness @Winterz ...... and she probably taught herself. She had a mother with an undiagnosed mi ..... and you just have to find ways to make things work as best you can, from both sides of the fence ......

I am so glad this is a tool that is being better studied, and actively taught ..... all to the better .....

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

Hi @Winterz and @Former-Member, it is super nice to meet you here on the DBT thread. Smiley Happy Seeing you pop by reminded me that I really need to find my mojo and get on with working on the next module. Both @CheerBear and I seem to keep getting squished by buses that knock us around a bit and thus this is a bit of a stop-start adventure...and that's ok. Smiley Happy

@Winterz I totally agree with you that CBT and DBT are quite different, although I wouldn't call them opposites. DBT (along with some other therapies such as ACT) are often called "third wave" behavioural therapies, where behaviourism was the first wave, and CBT was the second wave. DBT is actually a form of CBT, but as you said, it adds a lot of acceptance to the concept. Linehan titled her treatment manual, wherein she introduced the world to DBT back in 1992, Cognitive Behavioural treatment for Borderline Personality Disorderhttps://www.bookdepository.com/Cognitive-Behavioral-Treatment-Borderline-Personality-Disorder-Marsha-M-Linehan/9780898621839?ref=grid-view&qid=1522127954554&sr=1-3. In it she discusses that this then-new therapy, which she was calling DBT, includes a lot of CBT strategies, but adds to it the idea of acceptance/mindfulness. 

It's really interesting that you find CBT helpful in any situation. I find CBT useful in SOME situations, but I find it super unhelpful regarding a lot of my muddles. This is because my muddles are attachment and trauma based, so changing my perceptions and thoughts doesn't address the underlying issues at all. The thing I need most in the world is a sense of connection and safety, which thankfully I am now finding with my new psychologist (who I call TTT, as in therapist-take-thirteen, around here).

I super agree with you @Winterz, that becoming adept at mindfulness takes a LOT of practice. Like you, I am still working on managing my super gigantic emotions better. It's a work in progress. Smiley Happy

@Former-Member ooooh I'm super excited to hear you have ordered the DBT book! Yes, I am a VERY big fan of getting to the source of our muddles. It is a source of frustration to me that the vast majority of therapists out there only want to teach "coping skills" rather than helping people to actually heal. It truly is possible to heal from trauma...the challenge is finding a therapist to do this sort of work with! 

As you've probably noticed, we are travelling through the manual very very sloooooowly, so I'm sure you'll catch up in no time. Smiley Happy

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

Here it is @CherryValentine ..... šŸ‘‹

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

Thanks all for welcoming me Smiley Happy and I look forward to the chats about DBT.

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

@Phoenix_Rising 

Your sorting through the issue of NOT being people savvy but being called manipulative is good/important/relevant to me etc ....  Not great that it happens, but it really clears up some muddles ... as you say.  Maybe they are other people's muddles tho and we are all in the big puddle together ...

a la @Decadian

I cant help it. I do the as in Rome thing  ... it happens naturally in conversation ... I think ???

Yeah it would be great to get on with this show .. no pressure  Heart  

Best to have ALL of you along, big feelings too, not just your head or your fingers typing mindlessly away.

Heart

 

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

That's cool if you disagree with me that CBT and DBT are 'almost opposite. We just differ in opinion.
Therapists specialise in different methods of Counselling and when I changed from CBT therapy to DBT therapy, my therapist would often point out that I was using CBT strategies rather than DBT . Which is when I realised the difference.
I did also say that I personally prefer CBT but that is just me. If it doesn't work for you, fair enough.

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

Being people savvy to me means being aware of what is socially acceptable and being considerate of, pleasant to and interested in others so that I will not be disliked and will be respected by most and loved by a few.

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

Hello @Winterz, @Former-Member Smiley Very Happy

hello @Former-Member. @Phoenix_Rising, @Appleblossom xx

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

Hello @Winterz,
Iā€™m interested to know if you actually participated in a group when you ā€œdid DBTā€ ?

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

Hi all, Smiley Happy

@Winterz yep, it's cool for you to believe that CBT and DBT are almost opposites. Just to clarify though, it isn't MY opinion that DBT is an extension of CBT, it's the opinion of Marsha Linehan, the developer of DBT. As I mentioned, she titled her seminal work on DBT (i.e. the treatment manual for BPD) Cognitive-Behavioural Treatment of Borderline Personality Disorder. She discusses how DBT relates to CBT on pages 20-22 of the manual (Linehan, 1992). According to Linehan, DBT utilizes a lot of CBT techniques, but also builds on it by:

  • Focusing on acceptance and validation of behaviour as it is in the moment. 
  • Focuses on addressing therapy-interfering behaviours.
  • Emphasises the therapeutic relationship more than is done in CBT. 
  • Focuses on dialectical processes. 

Whereas CBT focuses on change, DBT balances change with acceptance. According to Linehan, the focus on dialectical processes sets DBT off from standard CBT, but not as much as it appears at first glance (Linehan, 1992).

I would love to hear more about the sorts of strategies your therapist considered part of CBT rather than DBT (only if you want to share of course). Smiley Happy