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!
Cognitive distortions arising from negative core beliefs are something to be deeply analyzed on a daily basis, for the automatic thoughts crossing our minds!
Taking a step back and looking at what just happened in our mind is all it takes to stay present with ourself and really being true to our personality.
Measuring the possibility of our core beliefs to be even slightly incorrect based on the existing evidence shown by the people around us and other environmental factors is very critical!
Here’s to looking closely at our thoughts that sometimes make no sense in hindsight! Lol!
Have a great weekend!
To me Motivational interviewing is the most person centered approach available for a therapist to adapt. I believe I like the rolling with resistance aspect of it the most, knowing there’s nothing worse than entering into an argument with a client or even worse get in to a heated conversation leading into a full blown conflict.
There’s the broader framework of stages of change that helps baseline the approach and introduce the client to a new perspective of what’s ahead of them in this therapeutic alliance.
I am also intrigued by the ability to appreciate and sit with the client during their ambivalence, although there’s a lot of stepping back in progress and sitting in silence of the client through their confusions about why they need to change.
Looking forward to starting a 6-week group therapy curriculum at work based on motivational interviewing soon!
This piece was originally published in The Mighty about the unexpected emotions I felt while battling and eventually defeating depression…. I’m grateful for my battle with depression. I know …
Source: The Emotion I Discovered After Overcoming Depression: As Seen in The Mighty