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!
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!
If all that I grasped from Miller and Rollnick’s book was how to do affirmations and summaries , I think my day was well spent! I loved the practice of role playing to summarize and affirm case studies of imaginary clients, and it was totally helpful. It put my senses of reflections in perspective and gave me an extra push to recognize strengths, efforts, values and skills in my clients😅 through these attuned reflections, aka affirmations!
Summaries can be transitional , linking as well as collective and can be rendered merely to fill an awkward pause in the conversation or as we are inundated with too much info and all you need is a break to collect your thoughts so far.
Unjumbled my day through this feat!
Enjoy a wonderful evening!
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!
We know there is this medical model of psychiatry that comes with diagnoses and labels that hurt the client’s experience with an authority of the diagnostician. To help move away from the painful labels of the client, one can rely on what is called the person-centered theory or client-based theory. Person-based theory is that which places focus on the client as the expert in the therapeutic relationship between the psychologist/social worker and the client.
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!
Talk with your doctor or therapist about improving your coping skills, and try these tips:
Simplify your life. Cut back on obligations when possible, and set reasonable goals for yourself. Give yourself permission to do less when you feel down.
Write in a journal. Journaling, as part of your treatment, may improve mood by allowing you to express pain, anger, fear or other emotions.
Read reputable self-help books and websites. Your doctor or therapist may be able to recommend books or websites to read.
Locate helpful groups. Many organizations, such as the National Alliance on Mental Illness (NAMI) and the Depression and Bipolar Support Alliance, offer education, support groups, counseling and other resources to help with depression. Employee assistance programs and religious groups also may offer help for mental health concerns.
Don’t become isolated. Try to participate in social activities, and get together with family or friends regularly. Support groups for people with depression can help you connect to others facing similar challenges and share experiences.
Learn ways to relax and manage your stress. Examples include meditation, progressive muscle relaxation, yoga and tai chi.
Structure your time. Plan your day. You may find it helps to make a list of daily tasks, use sticky notes as reminders or use a planner to stay organized.
Don’t make important decisions when you’re down. Avoid decision-making when you’re feeling depressed, since you may not be thinking clearly.