Four Major Techniques:
Distress Tolerance
The first of these is distress tolerance. As we go through life, we all encounter circumstances that create problems and challenges for us, but, in some cases, when not appropriately dealt with, they can get out of control and cause acute or chronic emotional distress. The skills of distress tolerance provide the individual with the capacity to recognize potentially serious circumstances before they become acutely psychologically damaging and accept them without letting them become overwhelming. So, distress tolerance is a critically valuable skill used to avoid serious psychological complications before they become significantly damaging.
Emotional Regulation
The second skill in DBT is emotional regulation. In emotional regulation, the focus is to increase awareness so the individual learns to control his or her emotions. Oftentimes, one’s emotions get out of control and cause people to do things that are harmful to themselves or others, psychologically or physically. With emotional regulation, the individual learns how to recognize emotions that are going out of control so they can control them. One technique for regulation can be re-thinking the situation which, by advancing one’s understanding, reduces anger or anxiety that can often lead to further psychological problems. With this understanding and the techniques used to achieve it, the individual’s capability of control over his or her emotions is empowered.
Mindfulness
The third skill is mindfulness, which is the critical state of learning to live in the moment. Basically, this skill teaches one that “emotions are not facts” and that allowing oneself to be controlled by emotions can lead them away from learning to accept and live in reality as it is, not as one fears that it may become. Mindfulness orients one’s thinking to accept and acknowledge thoughts, feelings, and physical sensations in order to enhance mental focus on the here and now instead of on imagined threats, fears, and challenges of the near or far future. Living in the moment dissipates many of the thought patterns that people allow to get out of control causing them to think or act inappropriately.
Interpersonal Effectiveness
When put together as a therapeutic program, using these three critical skills, distress tolerance, emotional regulation, and mindfulness, DBT is directed towards a fourth objective: interpersonal effectiveness. This is a powerful emotional and psychological accomplishment that provides one with the skills and abilities to carry on positive communications with other people, to be self-assertive but without being controlling or demanding, and to establish and maintain one’s self-respect in communications and interpersonal relations with other people while not alienating or abusing them. Together, these skills contribute to the building and maintaining of strong interpersonal relationships by minimizing unhealthy or negative interactions.
Conditions Treated with Dialectical Behavior Therapy
There are a number of conditions that can be effectively treated through DBT:
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- Bipolar disorders
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- Eating and food disorders
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- AD/HD disorders
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- Borderline personality disorders
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- Generalized anxiety disorders
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- Depression
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- Mood disorders
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- PTSD
Other Services
Blair Wellness Group | A Professional Psychological Corporation
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What to Expect from DBT Therapy
To begin with, as the Dialectical Behavior Therapy program progresses, you can expect to develop a different perspective on your awareness, understanding of, and approach to circumstances that could potentially create psychological challenges and problems for you. DBT will not change the circumstances, but it will contribute to you discovering a new way to see, think about, and react towards these challenges and problems. DBT is a kind of one-on-one coaching situation between your psychologist and you.
One important objective of the therapy is to maintain the focus, attention, and interest in pursuing the steps and elements of the therapeutic process. Each of the four techniques will involve differing input, activities, and outcomes. The objective is for the patient to become more aware of emotional responses and reactions that may pose problems, so they may anticipate their effects. In doing so, the patient can gain improved control of emotional responses and reactions, reducing their adverse psychological effects.
Through the practice of mindfulness, the patient becomes more self aware, and recognizes the positive aspects of him or herself. This higher sense of individuality promotes living in the moment and is utilized as a source for personal enrichment and establishing a more balanced and positive mental state. Thus, the final outcome is that the patient may see his or her problems and challenges in a new and less threatening way since they have the “tools” needed to approach and defuse them.
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