DBT part 2

Today was all about understanding the dialectics or doing both the acceptance and change of the client’s target (problem) behavior. Unlike CBT, which is focused on change purely, DBT focuses on finding a solution acceptable to both client and therapist that includes both approaches of solving the target behavior called the synthesis.

Then we dived into behavior therapy, specifically operant and classic conditioning. We did understand the positive & negative reinforcement and punishment concepts.

Following this, we did a case specific behavior chain analysis that is essentially a functional analysis of identifying the target behavior, recognizing the precipitating event or the antecedent in general behavior therapy language, in light of that day’s specific vulnerability factors for that client like lack of sleep or hunger etc. It is to be noted that, when identifying the precipitating event, we also want to know what thought & emotion led the client to do the target behavior- the culminating F it moment! These are the key controlling variables we want to track across chain analyses of various events of such critical nature over time. These will show a pattern, that we can then use to reinforce relevant skills that were used during such crises events , as identified as controlling variables. This is a good way to problem solve, is what I understand.

Well that’s it from me on DBT learnings so far ! Enjoy!



DBT part 1

This day has been filled with understanding mindfulness in light of dialectical behavior therapy (DBT). I understood the difference between reasonable mind, emotional mind (extremes) and the wise mind that sits at the intersection of these extremes. Wise mind as I understand is to come from a deep sense of knowing the truth! It’s definitely a Zen acceptance concept adapted well in therapy.

I really appreciated the importance given to self-validation to be placed in high priority above other validation strategies used in DBT.

Tomorrow we look at behavior therapy side of things along with details on chain analysis!

See you tomorrow!