1. MINDFULNESS DISTRESS TOLERANCE EMOTIONAL REGULATION INTERPERSONAL EFFECTIVENESS Dialectical Behavior Therapy Part II

2. TO BUILD A LIFE WORTH LIVING Strength-based model A life in recovery Holistic Comprehensive wellness Cognitive-behavioral model Stress reduction Secondary change

3. MINDFULNESS A focus on the here and now Staying present in the moment Minimize interpretations, assumptions, abstractions, and judgments Balance – emotions, thoughts, behaviors, & relationships Learning to be nonjudgmental – not assigning value to oneself or another

4. CLIENT DIALECTICS Don’t want to be in pain and don’t want to change Believe that reality is out of control while continuing to engage in controlling behavior Want their lives to be better but still engage in problematic self-destructive behaviors Demand respect while being disrespectful Want help and reject support

5. ADOLESCENT MINDSET Teenagers have a sense of loyalty and want to trust their friends and rely on their relationships. These same teenagers engage in gossip, indirect communication, and being judgmental The more they engage in these behaviors the more drama they will have as well as a decreased ability to rely on their relationships. These kids have self destructive behaviors that have been a survival strategy for managing their out of control life – balance is key to a new strategy

6. DISTRESS TOLERANCE Tools to cope, manage, distract and tolerate crises, stress and drama Frustration tolerance is moving away from willfulness “My way or the highway” Allows for the tolerance of being told “no” or being disappointed Trusting the process and letting go of the control Not sweating the small stuff

7. EMOTIONAL REGULATION Achieving a deeper understanding of the emotional life Developing more resiliency when dealing with emotions Individuals may experience negative emotions and may feel they need to rid themselves of them Learning impulse control Delaying gratification

8. INTERPERSONAL EFFECTIVENESS Getting what we want from relationships Meeting a need Accomplishing an objective Healthy co-dependence Communicate in clear effective ways Being respectful of others Helps to deal with difficult and challenging people

9. STAGES OF CHANGE Precontemplation Contemplation Preparation Action Maintenance Return to Old Behaviors OR Relapse