Prompt Cast
Understanding Dialectical Behavior Therapy (DBT) for Emotional Regulation
TLDR Dialectical Behavior Therapy (DBT) is a form of talk therapy developed by Marsha Linehan to help individuals with complex mental health issues like borderline personality disorder by balancing acceptance and change, improving emotional regulation, and addressing vulnerability factors through specific skills training.
Timestamped Summary
00:00
Dialectical Behavior Therapy (DBT) is a form of talk therapy inspired by cognitive behavioral therapy, designed for individuals with complex mental health problems, originally for those who are suicidal, self-harming, or have borderline personality disorder.
07:46
Aaron Beck developed cognitive therapy in the 60s, which led Marsha Linhan to create Dialectical Behavior Therapy (DBT) in the 70s, initially aiming to improve upon standard Cognitive Behavioral Therapy (CBT) for chronically suicidal individuals.
16:11
Marsha Linehan's journey from being suicidal and self-injuring as a teenager to creating DBT was influenced by her personal struggles with mental health, including a spiritual experience in her late teens or early twenties, leading her to develop DBT based on the core domain of emotion dysregulation in borderline personality disorder.
24:40
Borderline personality disorder (BPD) is characterized by frequent mood changes and emotion dysregulation, often leading to difficulties in maintaining relationships and employment due to intense emotions and fears of abandonment, with a high risk of self-injury and suicide attempts.
32:59
Borderline personality disorder (BPD) has roughly equivalent rates among men and women, but there is a diagnostic bias that tends to under-diagnose men and over-diagnose women, with a strong genetic and environmental component to the disorder's development.
41:02
A therapist learns to balance acceptance and change in therapy sessions with chronically suicidal individuals, leading to the development of dialectical behavior therapy (DBT) and the concept of radical acceptance.
49:15
Wise mind involves finding a synthesis between acceptance and change, allowing for decisions that honor both perspectives.
57:39
Acceptance of the current moment, without trying to change past decisions or future outcomes, can reduce suffering and allow for a more bearable experience in difficult situations.
01:05:33
Practicing radical acceptance involves actively turning your mind towards acceptance, making a continuous choice to embrace acceptance over refusal in difficult situations.
01:13:18
DBT was originally developed as a treatment for severe cases, but its skills can benefit everyone, regardless of diagnosis.
01:21:09
Learning and implementing DBT skills in daily life is a journey, with the "Dear Man" skill in the interpersonal effectiveness module helping individuals ask for something effectively or say no in a way that increases the likelihood of acceptance.
01:28:46
DBT skills training involves teaching specific skills to individuals, including adolescents and their parents, in order to improve emotional regulation and interpersonal interactions.
01:35:45
Learning to identify and address vulnerability factors, such as physical pain, is a key skill in DBT to improve emotional regulation and interpersonal interactions.
01:43:15
Learning to identify and address vulnerability factors is crucial in DBT to understand problem behaviors and work towards change.
01:50:56
Biological differences, lack of skill, emotional overload, and emotional myths from childhood can impact emotional regulation and behavior patterns, while opposite action in DBT involves acting opposite to emotional urges to change unwanted emotions.
01:59:00
Opposite action in DBT involves acting opposite to emotional urges to change unwanted emotions, such as using cold water to calm the nervous system during high fight or flight mode, and engaging in activities that go against the desire to isolate, ultimately leading to positive outcomes.
02:06:13
Research is being conducted to explore the effectiveness of a stepped care model of DBT, starting with low-dose interventions like videos of skills, followed by phone coaching, and then full DBT therapy, in order to identify the most effective sequences of care.
Categories:
Health & Fitness
