1. Dbt: not just for our clients
Alison Franklin, LCSW
Utica College

2. Objectives Gain a better understanding of the DBT model
Learn how to implement skills into your own  practice/personal life in order to help avoid burnout
Be connected to additional resources for further information  

3. "I directly model what I would like them to do in a therapy session," Beck says. "You are giving them experience of what structure and collaboration are like." Beck outlined this cognitive therapy supervision approach in a chapter in "Handbook of Psychotherapy Supervision" (John Wiley & Sons, 1997).

4. BURNOUT
“Natural emotional exhaustion that results from spending forty hours or more per week giving to others and forgetting to take care of ourselves”
Sleep disturbances or insomnia.
Irritability or depressed mood.
Lack of patience.
Lack of enthusiasm for things you once enjoyed.
Estrangement from others.
Increased startle response.
Fear and anxiety.
Fatigue.
Difficulty separating work and personal time.
Preoccupation with work.
Lack of compassion toward others.
Feelings of resentment.

6. UB MSW self care https://socialwork. buffalo

7. What is DBT?
Dialectical behavior therapy (DBT) was developed by Marsha Linehan, Ph.D., ABPP, in the 1970s.
It is a comprehensive cognitive-behavioral treatment (CBT) that was originally developed to treat chronically suicidal individuals suffering from borderline personality disorder (BPD). DBT has been found especially effective for those with suicidal and other multiply occurring severely dysfunctional behaviors. Research has shown DBT to be effective in reducing suicidal behavior, psychiatric hospitalization, treatment dropout, substance abuse, anger, and interpersonal difficulties.
Combines cognitive and behavioral therapy, incorporating methodologies from various practices including eastern mindfulness techniques.
THE GOAL: To learn and refine skills in changing behavior, emotional, and thinking patterns associated with problems in living that cause misery and distress.
Developed to help people who:
Live chaotic, painful lives
Feel suicidal most of the time
Hurt themselves deliberately to change the way they feel
Are anxious much of the time
Have spells of disassociation, forgetfulness or blackouts
Feel painful & empty
Fee out of control of their behavior
Having trouble staying sober
Hear voices
Eat and/or sleep too much or too little

8. 4 components of DBT Skills group Individual DBT sessions
Weekly classes that teach you skills for coping with very painful experiences to improve your relationships, to help you better focus on the things that are important to you and to help you to manage your emotional ups and downs more effectively.
Individual DBT sessions
This is where you will learn to apply the skills that you learn in skills group to your very individual and unique issues.
Skills coaching
This additional service is offered after hours for you to be able to contact your individual DBT therapist at times where you are feeling unsafe.
Consultation team
This work is difficult for both you and your therapist. Your individual therapist and skills group facilitators will meet weekly in order to maintain the most effective treatment for you.

9. Empathy

11. Reducing vulnerabilities
PHAULT
Pain
Hunger
Anger
Upset
Lonely
Tired

12. Moving on to the skills..

13. Mindfulness https://youtu.be/w6T02g5hnT4
An “intentional process of observing, describing, and participating in reality nonjudgmentally, in the moment, and with effectiveness” (Linehan, 2015).
Being aware of thoughts and emotions as they occur, before they lead to problem behaviors
Being present in the moment
Not being consumed by thinking about the past and/or future

14. Mindful activities
Write your name with your non-dominant hand or backwards
Take a walk
Color
Deep breathing
Fold laundry

15. Grounding
“That you are present in your body and connected with the earth, allowing you to feel centered and balanced no matter what's going on around you”

16. Emotion regulation
Develop a better understanding of emotions so we can better identify and describe them
Learn how to change unwanted emotions
Identify vulnerabilities
Learn how to manage extreme emotions
Anger
Disgust
Envy
Fear
Happy
Jealous
Love
Sad
Shame
Guilt

17. Learn how to change unwanted emotions…

18. Distress tolerance
“to experience one’s current emotional state without attempting to change it; and to observe one’s own thoughts and action patterns without attempting to stop or control them” (Linehan, 2015).
Learning how to better tolerate the stress
Sitting with the feeling instead of fighting it
Validating, acknowledge and not trying to push away or block

20. Interpersonal effectiveness
Learning how to express your feelings, needs, and wants without being judgmental
State the facts
“I” statements
State clearly what you want
Remain calm and focused

21. Resources Print Online Practice Ground DBT Self Help
Skills Training Manual For Treating Borderline Personality Disorder; DBT Skills Training Handouts And Worksheets (2nd Edition Skills Manual)
Linehan
The Relaxation & Stress Reduction Workbook
Davis, Eshelman, Mckay
Grieving Mindfully
Kumar
Mind And Emotions, A Universal Treatment For Emotional Disorders
Mckay, Fanning, Zurita
Practice Ground
DBT Self Help
Portland DBT Institute
The Linehan Institute, Behavioral Tech