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Staying Balanced When Treating Patients at Risk for Suicide (Part 2)

Staying Balanced When Treating Patients At Risk for Suicide Part 2

A fundamental goal of consultation to the therapist is to provide balance for each therapist so that he or she can stay within the dialectical frame of the therapy.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Laurence Y. Katz, MD is Part 2 of a two-part series about therapists’ need to stay balanced when treating patients at risk for suicide and how the framework of DBT facilitates this balance. In part 1 (read it here), we examined the need for balance and the first two principles of how DBT fosters that balance.  In this part, we will explore two more principles: therapist mindfulness practice and the application of radical acceptance.

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Staying Balanced When Treating Patients at Risk for Suicide (Part 1)

Staying Balanced When Treating Patients At Risk for Suicide Part 1

A fundamental goal of consultation to the therapist is to provide balance for each therapist so that he or she can stay within the dialectical frame of the therapy.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Laurence Y. Katz, MD is Part 1 of a two-part series about therapists’ need to stay balanced when treating patients at risk for suicide and how the framework of DBT facilitates this balance. In part 1, we start by examining the need for balance and the first two principles of how DBT fosters that balance.

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Reflecting on DBT Assumptions about Patients and Therapy (Part 4)

DBT Assumptions about Patients and Therapy Part 4 Blog

“The most important thing to remember about assumptions is that they are just that—assumptions, not facts.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Vibh Forsythe Cox, PhD is our fourth and final part in this series of blogs about DBT assumptions. In DBT, in order to organize our behavior towards our clients, we adhere to certain assumptions. Through the first three parts of this blog series, we examined the assumptions that “Patients are doing the best they can,” that “Patients want to improve,” that “Patients need to do better, try harder, and be more motivated to change,” that “Patients may not have caused all of their own problems, but they have to solve them anyway,” that “the lives of suicidal, borderline individuals are unbearable as they are currently being lived,” and that “patients must learn new behaviors in all relevant contexts.”

In this fourth part, we will shine a light on the last two assumptions: that “Patients cannot fail in therapy” and that “Therapists treating borderline patients need support.”

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Reflecting on DBT Assumptions about Patients and Therapy (Part 3)

“The most important thing to remember about assumptions is that they are just that—assumptions, not facts.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Vibh Forsythe Cox, PhD is Part 3 in a series of four blogs about DBT assumptions. In DBT, we adhere to several assumptions that help us organize our behavior towards our clients. In our first two parts we examined the assumptions that “Patients are doing the best they can,” that “Patients want to improve,” and that “Patients need to do better, try harder, and be more motivated to change.” In this third part, we take a closer look at three more assumptions about patients with Borderline Personality Disorder and therapy described in the treatment manual. First, that patients may not have caused all of their own problems, but they have to solve them anyway. Second, that the lives of suicidal, borderline individuals are unbearable as they are currently being lived. And finally, that patients must learn new behaviors in all relevant contexts.

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Reflecting on DBT Assumptions about Patients and Therapy (Part 2)

“The most important thing to remember about assumptions is that they are just that—assumptions, not facts.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Vibh Forsythe Cox, PhD is Part 2 in a series of four blogs about DBT assumptions. In DBT, we adhere to several assumptions that help us organize our behavior towards our clients. In this second part, we take a closer look at two of the assumptions about patients with Borderline Personality Disorder and therapy described in the treatment manual: that patients want to improve and that patients need to do better, try harder, and be more motivated to change.

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Reflecting on DBT Assumptions about Patients and Therapy (Part 1)

“The most important thing to remember about assumptions is that they are just that—assumptions, not facts.”

Cognitive Behavioral Therapy for Borderline Personality Disorder; Marsha M. Linehan, Ph.D, 1993

This feature by Vibh Forsythe Cox, PhD is Part 1 of 4 in a series about assumptions about patients with Borderline Personality Disorder and therapy described in the treatment manual. In DBT, we adhere to several assumptions that help us organize our behavior towards our clients. The first is the assumption that “Patients are doing the best they can.”

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The Role of Emotion Regulation in DBT (Part 2)

The Role of Emotion Regulation in DBT Part 2 - Blog

We sat down with Behavioral Tech Trainer Dr. Sara Schmidt to learn all about the role that emotion regulation plays in DBT.  In Part 1 of this interview, Sara took a deep dive into the idea of emotion regulation and what it means to experience emotion dysregulation, as well as a framework therapists can use to help their clients assess their emotions.

In part 2, we take a closer look at how we support clients in understanding those emotions and the specific DBT skills to give clients to help them regulate emotions and change problematic behaviors.

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The Role of Emotion Regulation in DBT (Part 1)

The Role of Emotion Regulation in DBT Part 1 - Featuring Dr. Sara Schmidt

We sat down with Behavioral Tech Trainer, Dr. Sara Schmidt, to learn all about the role that emotion regulation plays in DBT.  With emotion regulation being such a central topic to the practice of Dialectical Behavior Therapy, Sara shed light not only on how it factors in, but specifically how DBT allows therapists to work with clients to regulate emotions in a way that will enable them to change problematic behaviors.

In part 1, we started by uncovering what emotion regulation is and what it means for clients when they have trouble regulating their emotions.

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Zen Mindfulness in DBT

Zen Mindfulness in DBT - Featuring Randy Wolbert

In our research and practice, we have seen the connection between Zen mindfulness and DBT. Behavior therapy has an inherent compatibility with Zen principles. Behavioral Tech trainer and Zen teacher, Randy Wolbert, breaks down for us the seven points of overlap between Zen mindfulness and DBT and how these links came to be.

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The Measure of Mindfulness

The Measure of Mindfulness

For the first years of this century, mindfulness-based interventions generated a lot of enthusiasm from the general public and researchers alike. Research on mindfulness treatments for education, health, and mental health increased exponentially (Farias & Wikholm 2016). Recently, however, reviews of mindfulness-based interventions have re-assessed the data, especially because of small effect sizes and a lack of real control conditions (Farias & Wikhom 2016). A serious, methodological problem common to most of the studies is the lack of a standard operational definition for mindfulness (Lutz 2015).

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