Dialectical Behavior Therapy DBT Part 1 Continuing Education for Mental Health Counselors

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16 Jul 2021

Explore the basics of DBT SUBSCRIBE and click the BELL to get notified when new videos are uploaded Unlimited CEUs 59 based on these videos at a https 3A 2F 2Fallceus com a for social work counseling marriage and family therapy addiction counseling case management pastoral counseling and more Want to chat with me Join me at a https 3A 2F 2Fmembers docsnipes com 2F a For 10 month you get access to my tips for health and wellness and you can text chat with me privately Counseling CEUs from AllCEUs and Dr Dawn-Elise Snipes for this webcast can be earned through ondemand classes found at a https 3A 2F 2Fwww allceus com 2Fmember 2Fcart 2Findex 2Fproduct 2Fid 2F665 2Fc 2F a AllCEUs provides counseloreducation and CEUs for LPCs LMHCs LMFTs and LCSWs Objectives The Basics of DBT for mental health The B in DBT What You Need to Know About Behavior Mindfulness Reducing Emotional Reactivity Distress Tolerance Skills What Clients Need to Know About Emotions Regulating Painful Increasing Positive Helping Clients Become More Effective In Relationships Dialectical Theory Everything is interconnected Action reaction The truth always evolving can be found by integrating multiple perspectives and tolerating that two opposite things may co-exist Simultaneous understanding things differently by taking multiple people s perspectives of the same event Example Crime scene Example Interpersonal disagreement Longitudinal understanding things differently as knowledge is gained Example Mommy had no use for us and that is why she left Example Mommy loves me but she beats me so I must be bad Skills Training Groups Core Mindfulness Increase self-awareness of thoughts feelings and urges Develop an understanding of emotions as things that do not have to be acted upon Interpersonal Effectiveness Develop assertiveness skills Identify the goals of relationships and skills activities needed to achieve those goals Emotion Regulation Skills Label and effectively communicate feeling states Understand the function of emotions and why we don t want to eliminate them Learn the connection between thoughts feelings and behaviors and how to break the chain Distress Tolerance Skills Survival skills alternatives to self-harm DBT Assumptions Clients are doing their best They want to get better They need to work harder smarter and be more motivated Even if clients didn t create their problems they have to fix them Clients need to learn to act skillfully in EVERY area of their lives Clients cannot fail in therapy Treatment Priorities in DBT Suicidal or self-harming behaviors Behaviors that interfere with therapy including clinician Suicidal or self-harm ideation and misery Maintaining treatment gains Other goals identified by the client The B in DBT Benefits Positive and Negative Reinforcement Punishment Positive and Negative Consequences Negative Positive Neutral Intermittent reinforcement variable interval or ratio Modeling The B In DBT Reinforcers Increase the likelihood of a behavior Punishments Reduce the likelihood of a behavior Vulnerabilities Increase the likelihood of fight or flight responding Backward Chaining Outburst Co-Worker said something insensitive Felt drained upon awakening Had to put cat down the day before The B In DBT Triggers - Cause a reaction The B in DBT Shaping Example Addiction or other self-harm Level 1 Engaging in secondary coping behavior smoking walking eating listening to music drawing Level 2 Taking a mindfulness minute to evaluate the situation then choosing a behavior consistent with goals Mindfulness Developing an in-the-moment awareness of how you are Emotionally Mentally Physically Exploring the interconnection of thoughts feelings and physical sensations Distress in one leads to distress in others Becoming aware of the emotional wave Reducing Emotional Reactivity Reduce Vulnerability Please P L Treat Physical Illness Eating Altering Drugs Sleep Exercise Build Positive experiences Be mindful of current emotion Distress Tolerance Activities Do hobbies watch a video go for a walk Contribute Do volunteer work Compare yourself to people coping the same as or less well than you Emotions Distract with opposite i e Comedy Push away a distressing situation by leaving it mentally for awhile Thoughts Think about something else Puzzles book Sensations Distract with intense sensations What Clients Need To Know About Emotions Increasing the Positive Decreasing the Negative cheap ce cbt