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

Good morning @CheerBear and everyone else, Smiley Happy

Your post-it note super made me giggle @CheerBear. I have a super funny picture in my brain of you running around like an energizer bunny going "we're up to the doing bit, we're up to the doing bit, we're up to the doing bit...er...how do we do the doing bit Phoenix_Rising?" Smiley LOL

I have been sidelined by, well, life for the past couple of weeks, but I am moving back into a headspace to continue this adventure now. My aim is to have the next bit of the adventure appear here on Monday. Stay tuned! {Wanders off to DBT headquarters to find that pesky little energizer-carebear.}. Smiley Very Happy

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

"the need for a person to accept themselves as they are, and the need for them to change"

I'm generally really wary about new mainstream techniques about solving depression. There are some anti-social people out there in power who don't wish the common person very well.

There used to be a think called CBT (Cognitive Behaviour Therapy), which involved anything that was basically a 'forehead slapper' - any solution that was bleedingly obvious was going to be a good solution to the problem. I think this is still a winner for me.

The quote above that is the 'key' to the whole thing can be taken drastically wrong by someone with personality problems and voices in their head. EG "I am no good and I need to change.. but I can't change."

There should at the least be a seperation of personality, tone, and survival.

Personality (cant change): Your personal outlook. IE being emotional and passionate much more than others, or being light and airy all the time (EG justin beiber), or being burning precise about things, or super down to earth and real more than others. You can't change it, and different personalities/outlooks improve the overall survival potential of the group.

Tone (can improve): EG. Needing someone to tell you what to do or controlling others or blaming when things go wrong... to being apathetic and numb, grateful, coy.. to being bored and feisty... to being creative and interested in everything 24/7.

Survival (can improve): Knowing any self-sabotage routines you do such as self over-criticism, over-commanding, over-confusing (demonology) and anything that leads you away from doing what you're doing and giving you fatigue and confusion. Including physical health and vitamin/mineral deficiencies, toxins. There is also some genetic disposition to not detoxing well common in autism via the MTHFR gene, so you may need a lot more B vits than normal (B12, B6) and natural folate (green foods).

Being aware and crafting emotion only does so much.

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

Hi @SGde3a 🙂

I can definitely understand how approaching or engaging in any form of therapy, may cause feelings of needing to be careful or cautious. I feel it too, and I think that for me it is because it requires a great deal of trust to open up to someone and hope you're better off for it. Trust for me doesn't just happen, it has to be earned (and it can easily be broken).

From my understanding, which is not vast but I am learning, DBT is a form of CBT with the aim being to provide and learn/practice skills that may enhance a person's life. I would be wary of any one thing that suggested it could solve depression or any mental health condition too.

You raised a point that I hadn't considered before, and that is the potential effect of the confusion that may happen when presenting ideas such as the dialectics and paradoxes to different people. I don't have much to say other than I did find it felt unsettling and confusing to explore notions such as this, and I can see how this might be really problematic for some.

I've been thinking about your thoughts about personality not being able to change and respect that everyone may have different views on this. I'm not sure where I sit with this idea today. Perhaps I believe that aspects of our "selves" are static but others can change. I will always be me, but the me I am is a constantly growing and evolving person, through things like environment, circumstances, learning, experiences, age etc. Really interesting to think about though. I fully believe, as it seems you mentioned, that there is a place for all people/personalities.

The other point you touched on which I really appreciate, was about being aware of anything that leads to fatigue or confusion. It made me think of a section in the emotion regulation module that highlights the role of biology in regulating emotions, and the importance of addressing any factors (including nutrition, sleep, illness etc) that may contribute to us being vulnerable to our emotions. I think it's definitely important and relevant as there are so many elements that can play into overall health and wellbeing.

Thanks for sharing your thoughts SGde3a and for the food for thought 🙂

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

@CheerBear, I'm happy to look at anything that suggests it will definitely cure people, but I'm wary when the answer is vagueness and top-level control and does not target the cause in any way.

One of the new things is online CBT/DBT. I did one on social anxiety and it was 99% description, phone numbers, and happy-pill promotion, 1% cause finding. It should be reversed.

There were people in the 70's that actually went around giving people labotomies, by putting a sterilised pick in the corner of their eye and digging away at their brain. It ruined their cognitive ability, the ability to stand up for themselves properly, get things done in their life etc. Now there are pills that do the same thing, and fear & pain can also do the same thing. Not everyone out there who writes material, even if it's well funded or has a big name on it, is automatically going to mean well. If it doesn't target cause, it's useless and dangerous to people who actually need help. And the person should go to jail for preying on the vulnerable.

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

Hi again @SGde3a.

I can see how trying understand the intentions of a person/organsation etc may be important to consider.

Regarding DBT, my understanding is that DBT was created by Marsha Linehan as a result of her own experiences living with mental health challenges, specifically borderline personality disorder. She said in an interview “But I suppose it’s true that I developed a therapy that provides the things I needed for so many years and never got.”

There is a post by Phoenix_Rising a cpuple of pages in that goes into more detail about how and why DBT was created if you're interested in reading it 🙂

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

@CheerBear& @SGde3aI too have been wary of glossy quick fixes and buzzwords like mindfulness.

One thing that I like is that DBT tries to be comprehensive, detailed and thorough.  I get that there can be ulterior motives and big money when medicare partially funds many programs ... etc ... but if there are benefits I would like to know them.  We dont want to throw bubs out with the bathwater.

 @Phoenix_Rising  I think this thread is a fantastic idea, so when life stops interfering. I'd like to hear more of your discussions and examples.

I think @SGde3a point of the limit in crafting our own emotion is very relevant. There are realities outside our experience that matter.

Sometimes too much self control can be pathological or interpreted by others in social settings as showing insuficient enthusiasm or effort.  I have been seen like that .. and then some dude thinks he has a right to play resident stirrer.  Cept for as a lil ole lady I am wising up to those dudes and dish it up back to them.  Not sure if Martha met as many stirrers as we have here in our country.  Maybe we can copyright a new improved Aussie version.

Social settings are always made up by different individuals and are rarely completely static.

Sorry I waffle on ... 

Smiley Happy

 

 

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

Good afternoon DBT adventurers, Smiley Happy

As you alluded to @Appleblossom life is getting in the way a little in my world at the moment, but I am hoping my brain is working enough to say something vaguely intelligible.

@SGde3a It is super nice to see you here. I agree with all that @CheerBear has said and I'm not sure that I have much to add.

I guess you could say DBT is an extension of CBT. That is, it includes many of the same techniques as CBT but it also has a focus on mindfulness. So, while CBT is very much about changing thoughts and feelings, DBT is PARTLY about that, but also partly about learning to sit with very big feelings at times.The skills training component that we are working through here in Forum Land is only one part of DBT (the other parts being individual therapy and telephone support).

There is certainly debate both in philosophy and psychology about whether personality is changeable or not. I haven't quite made up my mind where I sit in this debate yet - I can see and appreciate the arguments for both sides. Perhaps that is the very dialectic that Linehan is talking about when she says we are 100% ok just as we are and yet we also need to work at changing.

You mentioned @SGde3a that you are happy to look at anything that suggests it will definitely cure people. There is certainly no such guarantee with DBT. DBT does have a high success rate of treating BPD in the sense that many people after completing DBT no longer meet diagnostic criteria for BPD. But whether that means they are "cured" or not would be a matter of debate. Indeed, the whole concept of cure is grounded in the medical model, which I personally do not subscribe to in the way I conceptualise BPD.

I totally agree with you @SGde3a that targeting the cause of a person's issues is super important. I am desperately trying to find a therapist who will help me do that, thus far without success. I know that the DBT skills are not going to help me unmuddle my muddle. However, they help me to stay alive, and staying alive is a prerequisite to me ever finding the elusive therapist who will hopefully help me to address the cause of my muddles. Therefore, even though the DBT skills won't help me address the core issues, they are not useless for me.

@Appleblossom It definitely does my head in the way mindfulness has become such a buzz word. I'm sure it is thrown around without being well explained by a lot of people. I am grateful that I encountered the concept years ago before it became so trendy.

I totally agree with you @Appleblossom and @SGde3a that there are realities outside of our own experience that matter. I think for me the important thing is that when I'm in a situation that I have no control over, then being able to at least regulate my emotions enough to stay alive is super important. It's even better if I can regulate enough to feel more ok in the situation.

Anyway, I think my brain power has expired for the moment. Super big thank you for your contributions @Appleblossom and @SGde3a.

 

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

So I have been in therapy for over 5 years and I'm not 100% sure if my psycharist has been doing DBT with me, would anyone be able to clarfiy what it is and how it is used in therapy? I trust my therapst, but I am kinda really curious!

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

Forgot to mention, I have Borderline Personality Disorder, sorry 😕

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

He must be doing something right if you trust him. @mentalstuff Ask him directly.

Research online and see if it seems familiar.

He may use a mix.  

Sometimes they like being intuitive.