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

Thanks for sharing that @Former-Member.  It helps to know which sort of phrase is going to work best from both sides.

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

Good morning DBT adventurers, 

I confess that I have not written the next installment yet - mostly because I've been playing around far too much on the Christmas thread. Smiley Very Happy My plan is to super work on Operation DBT over the Christmas/New Year period and then have all the remaining posts for the mindfulness module set to go when the world starts functioning again at the beginning of January. Poor @CheerBear, she truly thought the 24 week DBT program was going to take 24 weeks. Clearly she has never done anything with a turtle before! Smiley Very Happy

@NatalieS I find it really sad that your psychologist would keep asking you why you don't feel safe. To me, that shows a lack of understanding of the effects of trauma on the brain. We can't talk ourselves into feeling safe. Our thinking happens at the front of our brain, whereas our feelings happen further back in our brain. Your psychologist could tell you eleventy million times that you are safe in her office and that isn't going to make you feel safe. 

I had my first session with a new psychologist last week. She is the thirteenth therapist I've tried in less than two years. Finding a therapist who truly understands trauma is HARD. Smiley Frustrated I spent most of the session curled up on her couch under a blanket, with my own soft toy and her teddy bear and weighted toy. I also got to choose which of the many other sensory objects she has, that I wanted to fidget with all through the session. She asked me early on in the session if there was anything in her office that made me feel unsafe - there wasn't. She also told me I could wander around and look at and touch anything in the office except for her desk. This approach made me feel safe. We probably won't talk about anything too deep for quite a while. Her focus right now is on helping me to feel safe, and yet I know we will establish that sense of safety without her ever asking me why I don't feel safe. We both know why I don't feel safe - because like you, the world has not been a safe place for me. Nope, I definitely don't understand why any psychologist would think you can make yourself feel safe by changing your thinking. The idea of changing feelings by changing thoughts is very CBT-ish. DBT (and some other therapeutic approaches like ACT) were developed because it was recognised that while CBT is fantastic for treating some issues (e.g. depression), it simply doesn't work with others (such as BPD/complex PTSD). The so-called "third-wave" cognitive therapies such as DBT and ACT build on CBT by incorporating mindfulness. That is, they still include a lot of CBT-based skills, but they also look at ideas like accepting emotions rather than challenging them. I wonder if it would be helpful to do some of your own research on the effects of trauma on the brain??? You mentioned that you find your psychologist really nice, so perhaps this is something you could talk through with her???

@Faith-and-Hope soooo my master bridge building consultant, what I'm hearing from @Former-Member is that you are teaching me social skills that are going to get me beaten up. Am I allowed to sue if I suffer physical injury while following any of your suggestions? Smiley LOL

@Former-Member I have to admit, I would want to punch someone who started a sentence with "with all due respect" too!!! I super like "I statements" - which, as an aside, I learnt from the DBT manual. Stay tuned for the interpersonal effectiveness module, which, if we continue at our current rate, we should get to sometime in the year 2020! Smiley Happy 

Ok, that's it from me. Thoughts, anybody??? Smiley Happy

I use the following "I statements."

  • I want...
  • I need...
  • I feel...
  • I believe...

When I was writing my honours dissertation, my uni counsellor used to review the emails I sent to my supervisor because I had so much trouble communicating with him. K explained to me that although I was super good at using my I-statements, if you ONLY use I-statements, the tone can shift from assertive to aggressive. She said I should throw in a we-statement occasionally too. I found that super helpful. 

@Former-Member how would you feel if someone started a sentence with "from my perspective..."? I don't mind that cushioning statement and I have started practicing using that one. I also like starting a sentence with "I can hear what you are saying, but...".

Anyway, that's all from me, for now. I'm super interested in hearing any thoughts/comments others might have. Smiley Happy

 

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

Hi little turtle,
Yes, I like those statements
I also like "I think you're saying x, y and z however I think/feel etc etc" That one gives you an opportunity to check in with them that you understand them and let them know you are listening to them. And I find it does the opposite of what I feel when someone says to me 'with all due respect'.
Using only I statements makes you look, well...... narcissistic?
Also, you have to bear in mind,
1. This is just one dinosaur's opinion.
2. I'm a very punchy/stabby dinosaur. That's just the way I am. (If you ever hear of someone being stabbed to death with a highlighter in a library, it was probably me, and they were obviously talking in the silent zone!)

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

Not everyone is the same .... so we need a “fruit salad” of responses .....

Thats where psychs teach certain ones ..... like “I” statements .... for certain people or certain situations .... and there are times when “with all due respect” is appropriate, like offering an alternative opinion to that of a visiting international lecturer in a subject they are well versed in, and you are relatively not ..... but of course that is not an every day event either ..... on the other hand you are unlikely to be beaten up for it in a lecture room full of witnesses ..... lol ....

The point is finding your individual comfort level with whatever you choose as an opening line.

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

@Former-Member I super like that one "I think you are saying x, y, z, however I think/feel..." I laughed a lot at your comment about stabbing someone with a highlighter for talking in the library. Smiley LOL

@Faith-and-Hope Ahhhhhhhhhhhhh see, this is the problem!!!!! Everybody's different!!!!!!! Now with numbers, it is always the same. That's why I can do numbers and I can't do people!!!!!! All I have is rules, like K's rule that I should throw a "we" in sometimes amongst the I-statements. I can learn LOTS of rules. I can learn (and recite!!!!!) rules and subclauses of rules. But every darn person and situation is unique and thus I seem to have a remarkable talent for using the wrong rule in situations. It superly duperly hurts my brain, especially since no one will take the time to explain my mess-ups to me, they just dump me. Smiley Frustrated Smiley Sad

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

@Phoenix_RisingI totally GET that we cant always have frontal cortex to control whole brain for sustained mental activity like uni assignments.... or dealing with powerful biochemical cascades within the brain.

A lot depends on the nature of the overwhelming feeling. 

Sometimes there is no choice but to defer a task or a semester or a whole course .. and shift direction.

I love your tenacity.  You seem to love the intellectual life and hold it in high value and only are able to function in it at 95%.  I am a bit like that but I am also fine with 75% .. so I go with the flow more ... but only sometimes ... other times I just cannot .... there are too many competing issues for my attention. and my brain cannot put a sentence together let alone write a paragraph.

This is such a good thread to read ... I love that so many people genuinely engage with the DBT ideas and ARE BRILLIANT at pointing out limitations, problems or their own experiences.   It is not just about having handy tips and strategies but working out what actually does help.  Yeah @Faith-and-Hope a fruit salad of tips ....

Ha Ha @Former-Member love the thriller in the library ... very up my alley.

I have been away for a couple of weeks part darn NBN and darn life. 

Good to be back.

Smiley Happy

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

Hey @Awpgirl ..... perhaps this thread can help you if you go back to the start.  It’s working through the manual and workbook.

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

@Faith-and-Hope thanks a million!!!

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

Hi everyone I am new to this group and am wondering if you
guys are taking new people into your group and if so how do I get started.

Also is anyone else just starting out want to buddy up with me?

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

Hi @Awpgirl,

Welcome to our DBT adventure. Smiley Happy You are extremely welcome to join us - just jump right on in. The adventure started when @CheerBear @Zoe7 and I decided to buy the DBT manual at the same time a few months ago. As you may have noticed if you started reading the thread from the beginning, it isn't a terribly fast-paced adventure. That's partly because I'm a sea turtle and thus never do anything very quickly, and partly because CheerBear and I both seem to routinely find ourselves having not-so-fun adventures in real life that leave us feeling like we've been squished by a bus and thus the DBT adventure gets put on hold while we get unsquished. So...even though we've been DBT-ing for a few months, you haven't actually missed much! Smiley LOL

In the first post on the thread, there are details about the DBT treatment manual and the DBT skills workbook. You don't need either of these books in order to join in the conversation though. 

I have actually managed to get my brain in order enough to have been reading the manual over the past week and I plan to post my next post about it on Tuesday or Wednesday when the world kind-of starts to return to normal. I plan to finish off the mindfulness module over the next couple of weeks and then it will be @CheerBear's turn to start posting about the distress tolerance module (I wonder if she has started writing those posts yet... Smiley Very Happy). We are following a 24-week schedule from the manual and I think when we started, CheerBear had the hilarious idea that we were actually going to get through the manual in 24 weeks. Yeah...at the rate we are going, I'm anticipating a finishing date sometime in the year 2020. At least it gives everyone lots of time for reflecting and practicing each skill before moving onto the next one! Smiley LOL

Welcome again @Awpgirl. I super hope you find the discussions on this thread helpful and I super look forward to hearing any thoughts that you want to share. Smiley Happy