![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 4 to 28 of 88. Go back in thread:
Posted by Dinah on March 24, 2006, at 9:02:01
In reply to What Is DBT Theraphy?, posted by Phillipa on March 24, 2006, at 0:16:07
As Racer said, it teaches a lot of good skills.
I tried to find a group around here, but there weren't any. :(
Posted by B2chica on March 24, 2006, at 9:22:53
In reply to What Is DBT Theraphy?, posted by Phillipa on March 24, 2006, at 0:16:07
dialectical behavior therapy.
group setting. like others mentioned helping you to observe, understand and better control your emotions. there's the emotional mind and rational mind. you need to recognize your emtions but learn how to better respond to them.
i'm in it now, but it's not really the way it's supposed to be taught. you're supposed to get into really deep stuff, but our group keeps it pretty surface...what happened during the week etc. not childhood stuff.
but i was totally against going and now that i'm in it, i think it's ok. i stay in it cuz i like a couple people in the group and it's good stability for me.it's worth a try. good luck. let us know what you think.
b2c.
Posted by gardenergirl on March 24, 2006, at 10:28:53
In reply to Re: What Is DBT Theraphy?, posted by Dinah on March 24, 2006, at 9:02:01
> As Racer said, it teaches a lot of good skills.
>
> I tried to find a group around here, but there weren't any. :(I keep meaning to ask here if anyone wants to go through the Skills Training book with me. I want the experience of doing all the exercises, which I know will help me teach them. And I also am quite sure that they will help me, too.
I'm out of town for the weekend, but maybe we can talk about this on another thread if anyone's interested.
gg
Posted by Dinah on March 24, 2006, at 10:30:43
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
I've been wanting to do it. :)
Posted by Racer on March 24, 2006, at 11:17:38
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
> >
> I keep meaning to ask here if anyone wants to go through the Skills Training book with me.
Can we use the information available online instead of buying the book? For those of me who have issues around, you know, spending the money?I'm interested in trying it, although I may have to drop out if it seems to be triggering me the way CBT does. But I am interested in trying it, because I think some of those skills would be helpful for me, too.
Of course, that's assuming I'm invited, too...
Posted by B2chica on March 24, 2006, at 11:26:30
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
Posted by NikkiT2 on March 24, 2006, at 17:01:16
In reply to What Is DBT Theraphy?, posted by Phillipa on March 24, 2006, at 0:16:07
To save re-inventing the wheel, I shall C&P the contents of a leaflet I wrote for work called "What is DBT".. I would link to it, but it includes my real name, and contact details which I'm obviously not too keen to share in public!!
I hope it is some help
N xx
+++
What is DBT?
Dialectical Behaviour Therapy (DBT) was initially developed for people who self-harm and feel suicidal. Many of these people had been diagnosed Borderline Personality Disorder.
Dialectics is a way of thinking about people in relation to what is going on around them. For example if someone is struggling with difficult feelings, DBT could address how her relationships with family members and friends affect her feelings.
In DBT behaviour refers to anything a person feels, thinks or does.
Who is DBT for?
DBT is helpful for people with a Personality Disorder who may also experience: anxiety, depression, eating disorders, post-traumatic stress disorder and substance abuse.
What kind of therapy do clients receive?
Clients in DBT are offered three different types of treatment.
• Clients meet with a DBT therapist once a week for individual therapy.
• They attend a skills training group weekly for a year. The group lasts for 2 hours with a break in the middle.
• Telephone coaching during, and out of hours, is also available.The idea behind this is to receive support when it is most needed and to be able to get advice in order to prevent crises from escalating.
What are the aims of treatment in DBT?
The most important goal in DBT is to support clients to reduce chaos and self defeating behaviours. In therapy clients and therapists work together to develop the skills and understanding necessary to manage difficult emotions, develop good quality relationships and to encourage activities that build self esteem and contentedness.
In skills training clients are taught to:
• Understand how the mind works and to be able to take hold of one’s mind (mindfulness)
• Learn skills that help with relating to others (interpersonal effectiveness)
• Understand difficult feelings and learn how to manage them (emotional regulation)
• Learn skills to survive crises and to prevent them from escalating (distress tolerance)
Does it work?DBT has been researched in clinical studies. There is evidence that DBT works and as a result of this it is now used with teenagers and older people in addition to adults.
Further Information on DBT
http://www.behavioraltech.com/
Skills Training Manual for Treating Borderline Personality Disorder
Marsha Linehan
ISBN 0898620341
Posted by ClearSkies on March 25, 2006, at 1:06:51
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
I have the book and want to go through it here with my friends.
Count me in.
GG, do you want to start a new thread on this?ClearSkies
Posted by rubenstein on March 25, 2006, at 9:35:09
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
I have the workbook and always wanted to go through it, count me in.
Rachel
> > As Racer said, it teaches a lot of good skills.
> >
> > I tried to find a group around here, but there weren't any. :(
>
> I keep meaning to ask here if anyone wants to go through the Skills Training book with me. I want the experience of doing all the exercises, which I know will help me teach them. And I also am quite sure that they will help me, too.
>
> I'm out of town for the weekend, but maybe we can talk about this on another thread if anyone's interested.
>
> gg
>
>
Posted by gardenergirl on March 29, 2006, at 15:18:22
In reply to Re: What Is DBT Therapy? » Dinah, posted by gardenergirl on March 24, 2006, at 10:28:53
I'm glad others are interested. I do want to do this, but I've got a backlog of stuff to deal with for the next week or two, and I may not be online as much as I'd like in the next few days.
I'll start a new thread below where maybe we can talk about how to go about doing this?
Yeah!
gg
Posted by NikkiT2 on March 29, 2006, at 15:36:03
In reply to Glad to hear of interest, posted by gardenergirl on March 29, 2006, at 15:18:22
I'm trying to source online skills manual resources for us.
It turns out my boss just happens to be good friends with Marsha Linehan *L*
Nikki x
Posted by zazenduck on March 29, 2006, at 16:49:48
In reply to Online resources for skills, posted by NikkiT2 on March 29, 2006, at 15:36:03
This is a good collection of DBT handouts. I like the monthly mood chart. Something I like about Marsha Linehan is how willing she is to share the handouts!
http://home.everestkc.net/vics/
Posted by gardenergirl on March 31, 2006, at 13:17:00
In reply to Re: Online resources for skills, posted by zazenduck on March 29, 2006, at 16:49:48
There's also www.dbtselfhelp.com
You can download pretty much all of the handouts there, I think.
gg
Posted by gardenergirl on June 29, 2006, at 9:39:55
In reply to Re: What Is DBT Therapy?, posted by rubenstein on March 25, 2006, at 9:35:09
Anyone still interested? I'd like to go ahead and at least go through it myself, but I'd love to have others join me.
I'm not sure exactly how best to do it, but we could set a rough time frame for different modules and the lessons in them. I would recommend starting with the Mindfulness module, and then we could either follow the book in order or vote on what module we wanted to do next.
Many of the lesson handouts are available online at www.dbtselfhelp.com , so those who don't have the book and can't get it from a library can still follow along with the exercises.
We could take turns facilitating the discussion for different sections so that one person isn't seen as the leader.
Any other ideas?
gg
Posted by gardenergirl on June 29, 2006, at 10:28:21
In reply to Going through DBT skills training book together, posted by gardenergirl on June 29, 2006, at 9:39:55
Oh, I should link to the book:
"Skills Training Manual for Treating Borderline Personality Disorder" by Marsha Linehan.
And you don't have to be someone with borderline personality disorder to benefit from this, just fyi. Participating in this is not in any way saying you have BPD. All are welcome.
gg
Posted by Dinah on June 29, 2006, at 10:28:27
In reply to Going through DBT skills training book together, posted by gardenergirl on June 29, 2006, at 9:39:55
Sounds great!
I'm bringing it up again with my therapist, but I'm not sure I want him to do the homework type stuff with me, so this would be perfect.
I'm still working on the deadline I missed three weeks ago, so if you could take the lead this time? I'll do it next time, if you like. And if someone else can take the next shift it wouldn't be overwhelming for anyone?
How long do they normally take for each module? Would there be different time requirements online?
Posted by gardenergirl on June 29, 2006, at 10:29:35
In reply to Re: Going through DBT skills training book together, posted by gardenergirl on June 29, 2006, at 10:28:21
I don't know if the DBT self help site is down, gone, or if it's temporary. I'll see if I can find another resource.
gg
Posted by gardenergirl on June 29, 2006, at 10:37:24
In reply to Re: Going through DBT skills training book togethe » gardenergirl, posted by Dinah on June 29, 2006, at 10:28:27
> Sounds great!
Cool!
>
> I'm still working on the deadline I missed three weeks ago, so if you could take the lead this time?I can do that. I'm not sure about time frames. I think that we'd need a minimum of one week between exercises to give people a chance to do them and then post their experiences and feedback. But I'm thinking that two weeks between might be better given different schedules? I suppose if a discussion dies down, we could also agree to move on. And there may be times that someone has to play catch-up for whatever reason. Or they can skip stuff.
gg
Posted by Dinah on June 29, 2006, at 11:23:15
In reply to Re: Going through DBT skills training book togethe » Dinah, posted by gardenergirl on June 29, 2006, at 10:37:24
Posted by gardenergirl on June 29, 2006, at 11:58:50
In reply to Sounds good to me :) (nm) » gardenergirl, posted by Dinah on June 29, 2006, at 11:23:15
Apparently Dr. Linehan has released infro from the workbook to public domain.
http://www.borderlinepersonality.ca/dbt.htm
gg
Posted by Jost on June 29, 2006, at 20:04:03
In reply to Re: Going through DBT skills training book together, posted by gardenergirl on June 29, 2006, at 10:28:21
I'd be interested. What/how would we be doing it?
Jost
Posted by Deneb on June 29, 2006, at 20:43:15
In reply to Re: Going through DBT skills training book togethe, posted by Jost on June 29, 2006, at 20:04:03
I'm not very good at this psychology stuff, but I want to see what this is about.
Just tell me what I need to do. :-)
Deneb*
Posted by Dinah on June 30, 2006, at 10:16:28
In reply to Online resource, posted by gardenergirl on June 29, 2006, at 11:58:50
I wish there was some way I could lend out my videos. :( I sold a bunch of belongings once to buy her set of videos, convinced that it would be the key to curing me, but have only watched them once. :(
So when should we start, and do we need to do anything to prepare?
Posted by gardenergirl on July 1, 2006, at 12:14:39
In reply to Re: Online resource, posted by Dinah on June 30, 2006, at 10:16:28
Those who said they were interested either in March or currently. (This does not mean a committment, just interest).
gg
Dinah
B2chica
Racer
Clear Skies
Rubenstein
Jost
Deneb
Canadagirl
Verne (mentioned it on another board in March)Anyone I missed, or anyone else interested?
Posted by gardenergirl on July 1, 2006, at 12:16:17
In reply to Who's interested so far, posted by gardenergirl on July 1, 2006, at 12:14:39
Potential content:
There are four modules: core mindfulness skills , interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. According to the manual, the latter three can be covered in eight weeks each, although I think we might do better to allow two weeks between “assignments”, so likely we will need to go longer. The book also says to allow 2-3 sessions for the mindfulness skills. These skills are infused throughout the rest of the program, allowing us a chance to refine them and apply them fairly regularly.In each module there are “lessons” and activities that would be done in the group session, and then homework assignments. The homework is reviewed in the next “session”. So one way we could do this is to have someone (the current leader?) start a discussion about the current lesson/topic and describing the skills. We could take a week or some other amount of time to discuss it in a thread, and then take a week or two to do the homework and then post about it? Maybe Day 1 of topic: Start discussion thread. Day 5 (or 7): Assign/explain homework. Day 10 (or 14) start posting homework experiences. Going forward continue any discussion as needed about this, but at the same time (Day 14?) the leader introduces the next lesson? Or do we need to have a period of time to end discussion of current homework before moving on?
I also thought that maybe we could have a standard way of making subject lines that identify which module/activity it refers to. I think that would be easier for me, at least. And if someone gets behind, we could easily see what their posts refer to. For example, a subject line about the first Mindfulness lesson could include at the beginning: “M1” and then discussion. Or M1 homework. Or M1 question? Or M1 (specific issue/topic), etc. I don’t think we need to make this mandatory, but I think it would help.
Also, should these be all in one gigantic thread, or a new thread for each module? New thread for each lesson? Separate discussion and homework threads? Hmm, if this could be a large sticky thread (linked at the top) that could be helpful.
Another aspect of DBT skills training as it’s written is the use of diary cards. These are used to track specific behaviors and feelings, as well as track practice and use of the skills. I think that tracking is a useful thing, as our “impressions” of how we are doing are not always accurate. So I think there are two questions about diary cards. One, do we want to use them? And then if we do, do we want to share them either generally or specifically? There are also different versions of the diary card available. I found the following at: http://home.everestkc.net/vics/Diary%20Cards/diary_cards.htm
A few examples below.
Original card: http://home.everestkc.net/vics/Diary%20Cards/original%20diary%20card.pdf
Newer version: http://home.everestkc.net/vics/Diary%20Cards/DBT%20style%20mood%20chart%204-17-5.docThis one does not have a place to mark skills used, but it’s otherwise pretty good. The others are options as well. There may also be other versions out there, but I just clicked on the first google link. So if anyone finds something else, we can look at that as well. Links to the handouts and the book below:
http://www.borderlinepersonality.ca/dbt.htm
http://www.amazon.com/exec/obidos/ASIN/0898620341/drbobsvirte00-20Other ideas? Reactions? Suggestions for when to start?
Go forward in thread:
Psycho-Babble Psychology | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.