The Lions Rear

Dialectical behavior therapy

Dialectical behavior therapy

References

Archive This is perhaps good therapy for navigating my Anxiety and building Empathy.

DBT has been used by practitioners to treat people with depression, drug and alcohol problems,[6] post-traumatic stress disorder (PTSD),[7] traumatic brain injuries (TBI), binge-eating disorder,[1] and mood disorders.[8][9] Research indicates DBT might help patients with symptoms and behaviors associated with spectrum mood disorders, including self-injury.[10] Recent work also suggests its effectiveness with sexual-abuse survivors[11] and chemical dependency.[12]

I have attacked myself at length about needing to re-start mental health care, and I think DBT might be effective here. It's about building Tools and Habits to manage "mal-adaptive" responses to emotions.

DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from contemplative meditative practice. DBT is based upon the biosocial theory of mental illness and is the first therapy that has been experimentally demonstrated to be generally effective in treating BPD.[13][14] The first randomized clinical trial of DBT showed reduced rates of suicidal gestures, psychiatric hospitalizations, and treatment drop-outs when compared to treatment as usual.[9] A meta-analysis found that DBT reached moderate effects in individuals with borderline personality disorder.[15]

Four modules:

  • Mindfulness (Meditation)

  • Distress tolerance

  • Emotion regulation

  • Interpersonal Effectiveness There is a lot of overlap here and in things i have started to explore myself (How to Love -- Thich Nhat Hanh, and my exploration of Buddhism and Zen)

Linehan observed "burn-out" in therapists after coping with "non-motivated" patients who repudiated cooperation in successful treatment. Her first core insight was to recognize that the chronically suicidal patients she studied had been raised in profoundly invalidating environments, and, therefore, required a climate of loving-kindness and somewhat unconditional acceptance (not Carl Rogers' positive humanist approach, but Thích Nhất Hạnh's metaphysically neutral one), in which to develop a successful therapeutic alliance.[note 1] Her second insight involved the need for a commensurate commitment from patients, who needed to be willing to accept their dire level of emotional dysfunction.

dark laughter are you willing to accept your dire level of emotional dysfunction? probably. I could deal with more structure in the self-help I have been undertaking and this is perhaps closest to the world I am building for myself.

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