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DBT Presentation on Emotion Dysregulation

This document discusses the theory and practice of Dialectical Behavior Therapy (DBT). DBT is used to treat Borderline Personality Disorder (BPD), which is characterized by pervasive emotion dysregulation. DBT is based on a biosocial theory that BPD results from a biological vulnerability to emotion dysregulation combined with an invalidating environment. The goals of DBT treatment are to enhance capabilities, improve motivational factors, and structure the environment. Core DBT strategies include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills training.

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Anand Kirti
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60 views22 pages

DBT Presentation on Emotion Dysregulation

This document discusses the theory and practice of Dialectical Behavior Therapy (DBT). DBT is used to treat Borderline Personality Disorder (BPD), which is characterized by pervasive emotion dysregulation. DBT is based on a biosocial theory that BPD results from a biological vulnerability to emotion dysregulation combined with an invalidating environment. The goals of DBT treatment are to enhance capabilities, improve motivational factors, and structure the environment. Core DBT strategies include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills training.

Uploaded by

Anand Kirti
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Dialectical Behavior Therapy Presentation Materials
  • Theory of Borderline Personality Disorder in DBT
  • Biosocial Theory of BPD
  • Emotion Dysregulation
  • Invalidating Environment
  • Dialectical Communication
  • Balance Core Strategies
  • Dialectics as Persuasion
  • Dialectics within Therapy
  • Translating a Dialectical World View into Treatment
  • Goals of Treatment by Level of Disorder
  • Stage 1 Primary Targets
  • Structure the Milieu and Modes of Treatment
  • Standard DBT Modes
  • Five Functions of Comprehensive Treatment
  • The Overarching DBT Goal
  • Goals of Skill Training
  • Six Month Skills Training Cycle
  • Mindfulness Skills
  • Mindfulness Skills: Three Types of Mind
  • Mindfulness: Being a Personal Scientist

Dialectical Behavior Therapy

Presentation Materials
The Behavioral Technology Transfer Group
4556 University Way NE l Seattle, WA 98105
Phone 206/675-8588 l Fax 206/675-8590
Web: [Link]
information@[Link]

1
Theory of
Borderline
Personality Disorder
in DBT

2
BPD is a Pervasive Disorder of
the Emotion Regulation System

BPD criterion behaviors function


to regulate emotions or
are a natural consequence of
emotion dysregulation

3
Biosocial Theory of BPD
Biological Dysfunction in the
Emotion Regulation System

Invalidating
Environment

Pervasive Emotion Dysregulation 4


Emotion Dysregulation

Emotional Vulnerability

Inability to
Modulate Emotions
5
Invalidating Environment
Pervasively negates or
dismisses behavior
independent of
the actual validity
of the behavior
6
Change Acceptance
Irreverent Reciprocal

Problem
Solving Validation

Core
Consultation- Environmental
to-the-Patient Intervention
Team
Consultation

7
Balance Core Strategies

VALIDATION

Dialectics

8
Dialectics as Persuasion

A method of logic or argumentation


by disclosing the contradictions
(antithesis) in an opponent’s
argument (thesis) and overcoming
them (synthesis).
9
Dialectics within therapy
l Dialectics can be used within therapy to
help clients start to think less in black and
white and more in “gray” (e.g., a person
can be be “good” but still make a mistake)

10
Translating a Dialectical World View
into Treatment
Provides foundation of biosocial etiology
1. Transactional development and maintenance
2. Systemic disorder
Dialectically informs treatment strategies
1. Balance of Acceptance vs. Change
2. Search for "what is left out"
3. Emphasis on speed, movement, flow
Dialectically informs treatment goals
1. Emotion regulation
2. Interpersonal effectiveness
3. Mindfulness
4. Distress tolerance
11
Goals of Treatment by Level of Disorder
Dialectical Synthesis
Level 1: Severe Behavioral Dyscontrol
Behavioral Control
Level 2: Quiet Desperation
Emotional Experiencing
Level 3: Problems in Living
Ordinary Happiness & Unhappiness

Level 4: Incompleteness
Capacity for Joy and Freedom
12
Stage 1 Primary Targets
Dialectical Synthesis
Severe Behavioral Dyscontrol Behavioral Control
l Decrease
• Life-threatening behaviors
• Therapy-interfering behaviors
• Quality-of-life interfering behaviors
l Increase behavioral skills
Core Mindfulness
Distress Tolerance
Interpersonal Effectiveness
Emotion Regulation
Self-Management
13
Structure
the Milieu and Modes
of Treatment

Standard DBT is
Outpatient
Treatment
14
Standard DBT Modes
l Outpatient Individual Psychotherapy
l Outpatient Group Skills Training
l Telephone Consultation
l Therapists’ Consultation Meeting
l Uncontrolled Ancillary Treatments
• Pharmacotherapy
• Acute-Inpatient Psychiatric
15
Five Functions of
Comprehensive Treatment
1. Enhance capabilities
2. Improve motivational factors
3. Assure generalization to natural
environment
4. Enhance therapist capabilities and
motivation to treat effectively
5. Structure the environment
16
The Overarching
DBT Goal is...

17
Goals of skill training
Behaviors to Behaviors to
increase decrease
Mindfulness skills Identity confusion
Emptiness
Cognitive dysregulation
Interpersonal skills Interpersonal chaos
Fear of abandonment
Emotion regulation Labile affect
skills Excessive anger
Distress tolerance skills Impulsive behavior
Suicide threats
Parasuicide
18
Six month skills training cycle
l Continuous loop
l Interpersonal skills (6 weeks)
l Mindfulness (2 weeks)
l Emotional regulation (6 weeks)
l Mindfulness (2 weeks)
l Distress tolerance (6 weeks)
l Mindfulness (2 weeks)
19
Mindfulness Skills
l Mindfulness is about learning to control one’s mind
instead of letting the mind control you.
l To a certain extent, learning to control the mind is
learning to be in control of attentional processes.
l Inability to control attention can cause problems
(inability to stop thinking about things).
l Western + eastern meditation practices, yoga are all
practices that help control mind. They are hard and
take practice.

20
Mindfulness Skills: Three types of
mind
l Rational Mind: rational, thinking, logical mind.
l Emotional Mind: In emotional mind when your
emotions are in control of thinking or behavior.
Emotional mind is important.
l Wise mind: integration of rational mind and
emotional mind. Wise mind is that part of each
person that can know and experience truth. It is
the integration of many types of knowing,
knowing by observing, analyzing, knowing by
what we experience in our bodies. 21
Mindfulness: being a personal
scientist: what skills
l Observe: pay attention to current moment.
• Step back and watch what’s happening inside
of you and outside of you.
• Control attention but not content.
l Describe: Put words to experience. Just describe
facts without your own theories.
• Feel the feelings -- Drop the story-line
l Participate- Enter completely into the moment.

22

1 Dialectical Behavior Therapy Presentation Materials The Behavioral Technology Transfer Group 4556 University Way NE l Se
2 Theory of Borderline Personality Disorder in DBT
3 BPD is a Pervasive Disorder of the Emotion Regulation System BPD criterion behaviors function to regulate emotions or are
4 Biosocial Theory of BPD Pervasive Emotion Dysregulation Biological Dysfunction in the Emotion Regulation System Invalidati
5 Emotion Dysregulation Inability to Modulate Emotions Emotional Vulnerability
6 Invalidating Environment Pervasively negates or dismisses behavior independent of the actual validity of the behavior
7 Change Core Problem Solving Acceptance Validation Team Consultation Reciprocal Environmental Intervention Consultation-
8 Balance Core Strategies Dialectics VALIDATIONPROBLEMSOLVING
9 Dialectics as Persuasion A method of logic or argumentation by disclosing the contradictions (antithesis) in an opponent’
10 Dialectics within therapy l Dialectics can be used within therapy to help clients start to think less in black and white

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