Learning From DBT: Five Insights From My Journey

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Learning From DBT: Five Insights From My Journey
DBTDialectical Behavior TherapyBorderline Personality Disorder
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This article explores the powerful impact of Dialectical Behavior Therapy (DBT) on mental health, drawing from personal experiences working with clients and practicing its principles. It delves into five core skills of DBT: distress tolerance, interpersonal effectiveness, mindfulness, and emotional regulation, highlighting their relevance for individuals beyond those with borderline personality disorder.

DBT is a complex type of psychotherapy originally designed for individuals with a borderline personality. Since its advent, DBT has been utilized to help diverse client groups ranging from adolescents to veterans. My curiosity about DBT began in grad school but didn't flourish until I met a select group of clients. What these people had in common is that they felt deeply, whose almost took its seat in the room, and whose heart wished to feel better.

Yet, these same individuals had often struggled in therapy, having seen multiple therapists with non-ideal endings. Some would have assigned a diagnosis of borderline to the physical pain of burn victims (2015). These are people with immense sensitivity, who often have great capability for compassion and awareness of others. The skills in DBT are designed to help people with BPD and others to work through these experiences. With some inspiration from Eastern philosophies, DBT also speaks of suffering. As a therapist, DBT gave me tools to reach these clients. As a person, DBT has assisted me in maintaining a sense of balance while doing my best to stay in tune with those around me. What follows are five things I have learned along the way. Distress tolerance skills in DBT are created to guide participants' ways through misery without making things worse. Often, when people enter DBT therapy, they are experiencing quite a lot of that, often with a mix of relationship troubles, depression, fears, and low self-esteem. Yet, all of us suffer. Some people utilize means like substance use or sleep to attempt to escape. In the long term, such a retreat is not fruitful. Time ticks on. The realities of life are death, illness, and pain. We must accept these realities to open ourselves to the many beautiful things this existence offers. When I first saw the term 'distress tolerance,' I bristled a bit. What my clients were experiencing was not distress. It was a crisis. How could anyone be expected to tolerate that? Yet, at times, experiences of crisis affect us all. We have to find a way to proceed. Whether through sensory soothing, problem-solving or just taking one day at a time, tolerating distress is a meaningful endeavor. Ignoring distress multiplies our agony in the long run while pushing us farther from those around us.Interpersonal effectiveness skills are another core component of DBT. Setting boundaries, negotiating relationships, saying 'no' when necessary, self-respect, and asking for what we need are just a few aspects of interpersonal effectiveness. Still, this particular set of skills is not near as surface level as the acronyms might give an impression. Interpersonal effectiveness skills are essential for maintaining relationships. A typical response of highly sensitive people, especially those with BPD, is to cut people off when boundaries are missed. For many, these skills can be the difference between connection and isolation. Mindfulness skills are among the first taught in DBT. Even making contact with the present moment outside our minds can be tricky when we struggle with intense emotions. At the same time, if we do not allow ourselves to have contact with the present moment, we, in a sense, do not allow ourselves to live. Districts skills are the final class of skills in DBT, capturing a wide range of strategies as diverse as identifying emotions and cultivating actions that will lead to more positive experiences in the long run of life. Among my favorite is that of accumulating positive experiences. We can purposely seek out pleasant and meaningful activities, choosing to water the flowers we hope to prosper. Life is meant to be lived. DBT components to assist with immense suffering such as that felt by people with borderline personality. Nonetheless, we can all benefit from the basic principles of DBT and the skills it offers. I am continually amazed by the profound impact it has had on my clients and myself. DBT has taught me that even in the midst of pain and suffering, there is always the possibility for growth, healing, and connection

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DBT Dialectical Behavior Therapy Borderline Personality Disorder Mental Health Distress Tolerance Interpersonal Effectiveness Mindfulness Emotional Regulation

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