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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Dinah on November 29, 2003, at 12:10:44
Should we start with mindfulness? Or with the holidays upon us, should we start with doing what works? So much of dealing with family seems to call for that skill. :P
I broke down and got the videos, so I think I'll start watching them again today. I took a little DBT break while my therapist and I delved into deeper waters, but I think maybe I'd like to go back to discussing DBT with him for a bit at least once a week.
I really stink at homework though. :( Would anyone like to be my homework buddy?
Posted by crushedout on November 29, 2003, at 13:08:05
In reply to Anyone still interested in a DBT thread?, posted by Dinah on November 29, 2003, at 12:10:44
hi dinah,would you mind telling me what dbt is? i've been seeing it around for awhile, and i feel stupid not knowing what it is.
crushed
> Should we start with mindfulness? Or with the holidays upon us, should we start with doing what works? So much of dealing with family seems to call for that skill. :P
>
> I broke down and got the videos, so I think I'll start watching them again today. I took a little DBT break while my therapist and I delved into deeper waters, but I think maybe I'd like to go back to discussing DBT with him for a bit at least once a week.
>
> I really stink at homework though. :( Would anyone like to be my homework buddy?
Posted by Dinah on November 29, 2003, at 13:46:51
In reply to Re: Anyone still interested in a DBT thread? » Dinah, posted by crushedout on November 29, 2003, at 13:08:05
"Cognitive-Behavioral Treatment of Borderline Personality Disorder"
"Skills Training Manual for Treating Borderline Personality Disorder"
http://www.brtc.psych.washington.edu/DBT.htmhttp://www.growingstrong.org/mental/dbt.html
Here are a few links. As I understand it, it's cognitive behavior therapy mixed with Zen acceptance. The dialectic is between acceptance and change.
Linehan seems to have a scientific bend of mind and has done a lot of outcome studies on DBT. The bad news is that there doesn't seem to be a huge improvement in subjective feelings of depression, etc. The good news is that clients seem to cope better, with fewer dysfunctional coping mechanisms.
I'm reserving judgement until I get into it more deeply. So far, I've read the manual, but have never managed to be more disciplined in applying it for more than a week or so at a time. :)
Posted by crushedout on November 29, 2003, at 14:50:17
In reply to Re: Anyone still interested in a DBT thread? » crushedout, posted by Dinah on November 29, 2003, at 13:46:51
Posted by fallsfall on November 29, 2003, at 17:45:01
In reply to Anyone still interested in a DBT thread?, posted by Dinah on November 29, 2003, at 12:10:44
I have interest, but I don't know if I have energy.
Posted by Dinah on November 29, 2003, at 17:59:28
In reply to Re: Anyone still interested in a DBT thread? » Dinah, posted by fallsfall on November 29, 2003, at 17:45:01
Three of the five videos so far. I'm gearing up to watch the other two. But I'm working at the same time, so I think Dr. Linehan would not approve. Not one-minded of me. :(
I haven't decided what I think, quite yet. I kept thinking through the crisis survival skills that she left out the best one. Putting yourself to sleep until you feel better. Hmmmm....
I have a feeling it's just not going to be easy to do on a self-help basis. I'm thinking it probably works better if you hurl yourself into it wholeheartedly, immersing yourself in the ideas and lingo 12 step style. In other words, a group. I think I even remember some outcome studies that come to that conclusion. And there aren't any groups around here, even if I thought I could tolerate one.
Oh well, if I watch the videos often enough, and read the books, and keep the diary cards, perhaps enough will seep in to make a difference.If, if, if...
Posted by Dinah on November 29, 2003, at 20:45:47
In reply to Re: Anyone still interested in a DBT thread? » Dinah, posted by fallsfall on November 29, 2003, at 17:45:01
Aaaahhhhh, neither do I. (I fell asleep during one mindfulness).
Posted by Elle2021 on November 29, 2003, at 22:09:23
In reply to Re: Anyone still interested in a DBT thread? » fallsfall, posted by Dinah on November 29, 2003, at 20:45:47
"Putting yourself to sleep until you feel better."
Is that one of Linehan's theories? Hmm, I don't think that has ever been possible for me to do. When I'm not feeling well, I have trouble falling asleep even when I take the pills my pdoc prescribed for insomnia. Yuck.
Elle
Posted by Dinah on November 30, 2003, at 9:46:39
In reply to Re: Anyone still interested in a DBT thread?, posted by Elle2021 on November 29, 2003, at 22:09:23
No, that one's all my own. When I get upset, I also get overwhelmingly groggy and fall into a thick sleep that tends to make me either forget or at least gain distance from what was upsetting me. The grogginess went away with my headache when I took a Frova, so I'm now wondering if it's a migraine related phenomenon.
I don't want to lose it. It's kept me from doing really stupid things too many times for me to count.
Posted by fallsfall on November 30, 2003, at 10:50:39
In reply to Re: Anyone still interested in a DBT thread? » Elle2021, posted by Dinah on November 30, 2003, at 9:46:39
I also sleep when it is too too much (like after some therapy sessions...) I think it lets me sort out things a little and get some distance. At those times I don't have a lot of choice. I can either lie down and sleep or I could sleep while I drive or talk or try to do anything else...
Posted by fallsfall on November 30, 2003, at 10:52:55
In reply to Re: I'm in the midst of a DBT-athon :) » fallsfall, posted by Dinah on November 29, 2003, at 17:59:28
Unfortunately, I don't think that DBT is an osmosis kind of thing. That's why there is the homework and group practice. I think that if you don't actively practice it that you won't be able to use it.
It's not an insight thing as much as it is a behavior thing.
At least that is my experience after doing the group.
Posted by judy1 on November 30, 2003, at 21:08:06
In reply to Re: I'm in the midst of a DBT-athon :) » Dinah, posted by fallsfall on November 30, 2003, at 10:52:55
my therp practices DBT, but I don't do the group component part. after every session she gives me index cards that I refer to whenever I feel a negative behavior rearing its head. the homework does take some effort but quite honestly it has made a difference. I don't know if participating in a group would have reinforced coping skills, I just don't do well in groups- judy
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