Adam C. Payne, PhD Center for Cognitive and Dialectical Behavior Therapy December 3, 2014

Size: px
Start display at page:

Download "Adam C. Payne, PhD Center for Cognitive and Dialectical Behavior Therapy December 3, 2014"

Transcription

1 Adam C. Payne, PhD Center for Cognitive and Dialectical Behavior Therapy December 3,

2 What is DBT? Why is DBT Important? Why is DBT Important for Transition Age Youth? DBT Implementation Q&A

3

4 Dialectical Behavior Therapy is a form of cognitive-behavioral therapy that was developed to treat adults exhibiting symptoms of borderline personality disorder, who were self-injuring and suicidal DBT has expanded to treat adolescents who engage in suicidal, impulsive, and selfinjurious behaviors DBT often combines a skills group component with individual psychotherapy (CCDBT, 2014)

5 How many of you are using DBT in your current work? A. Yes B. Somewhat C. No

6 Simon Sinek, Talk given at TED. How Great Leaders Inspire Action, May 2010

7

8 Emotions are not the enemy, and yet.

9

10 Borderline Personality Disorder Suicide and Non-Suicidal Self- Injurious behavior Eating disorders Bulimia Binge Eating Substance use disorders

11

12 Year Total 4.7% 1, % 1, % 1, % 7, % 7, % 8, % 10, % 10,18 5 Female 6.5% % % % 3, % 3, % 4, % 5, % 5,622 Male 2.8% 1, % % % 3, % 3, % 3, % 4, % 4,535 (during the 30 days before the survey) New York City, NY, High School Youth Risk Behavior Survey (YRBS)

13 Year Total 20.6% 1, % 1, % 1, % 7, % 7, % 8, % 11,214 Female 15.6% % % % 3, % 4, % 4, % 6,074 Male 25.6% 1, % % % 3, % 3, % 4, % 5,138 (during the year before the survey) New York City, NY, High School Youth Risk Behavior Survey (YRBS)

14 Marsha Linehan, Ph.D., ABPP Treatment developer of Dialectical Behavior Therapy (DBT) Professor at the University of Washington in Seattle New York Times article from 2011 details her own emotional struggles as an adolescent

15 Marv Goldfried, Ph.D. Professor of Clinical Psychology at Stony Brook University Worked with Marsha Linehan when Marsha did a post doc in behavior therapy Introduced Marsha to the seminal idea that psychologists could TEACH their clients, i.e., going beyond insight as the mechanism for change in therapy

16 DBT Individual Therapy = Brain DBT Phone Coaching = Blood DBT Consultation Team = Heart DBT Skills Class = Backbone

17 Multifamily skills group with six to eight families Alec Miller, Psy.D. & Jill Rathus, Ph.D. first developed family-based DBT Families members are considered equal in group and all learn and practice the skills, i.e., parent(s) and teen Conducted like a class, 90 minutes with a short break Six month curriculum, repeated, for one year total in DBT class. Feels more like a class than traditional group therapy. Skills can be taught in individual therapy. However, data from research is predominantly on DBT skills group.

18 PAUSE & REDUCE EMOTIONAL DISTRESS

19 Jon Kabat-Zinn s definition: Mindfulness means paying attention in a particular way; On purpose, in the present moment, and nonjudgmentally. Attending to the present moment, the here and now, not the past or the future Marsha Linehan s definition: Mindfulness in its totality has to do with the quality of awareness that a person brings to everyday living; learning to control your mind, rather than letting your mind control you. Mindfulness as a practice directs your attention to only one thing, and that one thing is the moment you are living in. 19

20 Reasonable Mind W WISE I I MIND S M N E D Emotional Mind

21

22 100 0 ANGER SADNESS ANXIETY SHAME GUILT DISGUST NAME IT CLAIM IT TAME IT IN THE PRESENT MOMENT IN THE ZONE NOT THE PAST NOT THE FUTURE WITHOUT BEING SELF-CONSCIOUS OBSERVE DESCRIBE PARTICIPATE

23 PAUSE & REDUCE EMOTIONAL DISTRESS

24

25 Be prepared for emotions, problem solve emotions Be able to redirect attention away from emotional stimuli Be able to appraise situations accurately and then redirect away from extreme thoughts Be able to change the action tendencies that further increase emotion dysregulation Be able to use their physiology to their benefit in reducing emotion distress and intensity

26

27 THOUGHTS PROMPTING EVENT EMOTIONS ACTIONS BODY SENSATIONS

28 THOUGHTS PROMPTING EVENT EMOTIONS ACTIONS BODY SENSATIONS

29 1. the process of thought by which such contradictions are seen to merge themselves in a higher truth that comprehends them. Oxford English Dictionary, Second Ed., debate establishing truths on both sides rather than disproving one argument. Encarta World, English Dictionary, North American Edition.

30 I don t want to miss out. Wants to go to party until: Wants teen home at: Safety Will either person be satisfied with compromise position of 11:30PM? Dialectics helps because the solution honors the essence of both sides

31 Please chat in your suggestions for honoring both sides of teen and momma.

32 Go till 1AM, teen checks in with momma regularly Go till 1AM, have momma pick up Go till 1AM, take cab home Home at 10PM, invite best friends back too Parents says no entirely, helps arrange another time where teen can be with friends.

33 THOUGHTS PROMPTING EVENT EMOTIONS ACTIONS BODY SENSATIONS

34

35

36 EMOTION ACTION URGE OPPOSITE ACTION Anxiety / Fear Avoid Approach Sadness Withdraw Get Active Anger Attack Gently avoid, Empathy Shame Hide Be Open

37 THOUGHTS PROMPTING EVENT EMOTIONS ACTIONS BODY SENSATIONS

38 emperature, Change Body ntense exercise rogressive muscle relaxation aced breathing

39

40 Not the same as diaphragmatic breathing Breath out to a longer count than you breath in That s it. (Pretty simple, huh?) Syncs breathing rate with heart rate and stimulates the parasympathetic nervous system

41 Resonance Frequency Breathing (from Milton Brown) Primarily the lower abdomen (diaphragm) Exhale longer than inhale (4 sec in, 6 sec out) Pursed lips to slow down the exhale Exhaling slows Heart Rate (and helps the vagal break where parasympathetic nervous system kicks on) Exhaling at Resonance Frequency pace activates most vagal break (a slow pace of about 5-6 breaths per minute) Visual feedback can maximize the Breathing - Heart Rate synchrony

42 12 breaths per minute

43 5 breaths per minute

44 THOUGHTS Dialectics Problem Solving PROMPTING EVENT ABC PLEASE EMOTIONS TO REGULATE EMOTIONS ACTIONS Opposite Action BODY SENSATIONS TIP Skills

45 DBT Individual Therapy = Brain DBT Phone Coaching = Blood DBT Consultation Team = Heart DBT Skills Class = Backbone

46 Distress Tolerance Skill Distract with ACCEPTS Furious Distress Tolerance Skill Pros & Cons Up all night studying Told that boyfriend was with another girl Felt worthless & betrayed Thoughts of wanting to be dead Cut arm & stomach Brought to ER, scars, parents upset

47

48 Materials owned by ICL, Licensed by CTAC

49 heet.pdf

50 December 17, :00pm-1:30pm Reimagining Children s Health Services Part II: Gearing up for Change January 12, :00am-12:00pm Adult Engagement Dissemination Project: Training for Supervisors January 14, :00-1:30pm Reimagining Children s Health Services Part III: Understanding the New Menu of Services February 2, :00pm-12:00pm Adult Engagement Dissemination Project: Training for Clinical Staff February 23, :00am-12:00pm Adult Engagement Dissemination Project: Training for Clinical Staff

51 Adam C. Payne, PhD Kara M. Dean-Assael Lydia Franco Jayson Jones 51

Why self-harm? Today s agenda: Self-Harm Behaviors in Adolescents and Adults. Self-harm vs. Suicidality. Common self-reinforcing reasons:

Why self-harm? Today s agenda: Self-Harm Behaviors in Adolescents and Adults. Self-harm vs. Suicidality. Common self-reinforcing reasons: UNC School of Social Work Clinical Lecture Series; UNC Injury Prevention Research Center; and North Carolina Society for Clinical Social Work present: Self-Harm Behaviors in Adolescents and Adults Jill

More information

EL29 Mindfulness Meditation

EL29 Mindfulness Meditation EL29 Mindfulness Meditation Lecture 3.2: Mindfulness-based cognitive therapy & stress reduction Quick check: How much can you recall so far? Which of the following is NOT a concern Buddhists have about

More information

Behavioral Impacts of Emotional Dysregulation. Victoria Choate, LCSW September 2018

Behavioral Impacts of Emotional Dysregulation. Victoria Choate, LCSW September 2018 Behavioral Impacts of Emotional Dysregulation Victoria Choate, LCSW September 2018 Introduction LCSW in the state of Utah Dialectical Behavior Therapy Mindfulness Emotional Dysregulation Overview Emotional

More information

Understanding Dialectical Behavior Therapy

Understanding Dialectical Behavior Therapy Understanding Dialectical Behavior Therapy Midwest Conference on Problem Gambling & Substance Abuse Amy M. Shoffner, Psy.D., Clinical Psychologist June 8, 2012 Development of DBT: Marsha M. Linehan Initially,

More information

K. Michelle Hunnicutt Hollenbaugh Texas A&M University- Corpus Christi

K. Michelle Hunnicutt Hollenbaugh Texas A&M University- Corpus Christi K. Michelle Hunnicutt Hollenbaugh Texas A&M University- Corpus Christi Overview of DBT Intro to DBT & Eating Disorders Treatment targets and behavior chain analysis with eating behaviors Specific DBT skills

More information

Regulating the Co-Occurring Young Adult and their family through the use of DBT Skills

Regulating the Co-Occurring Young Adult and their family through the use of DBT Skills Regulating the Co-Occurring Young Adult and their family through the use of DBT Skills Erin Goodhart, LPC, CAADC, ACRPS, CCS, CSAT candidate Senior Clinical Director of Women s Continuum at Caron Treatment

More information

Family Connections Relationship Mindfulness Skills

Family Connections Relationship Mindfulness Skills Page 13 CREATING A MORE VALIDATING FAMILY ENVIRONMENT FOR YOURSELF AND YOUR LOVED ONES Definition of a Validating Family Environment What is a VALIDATING FAMILY ENVIRONMENT? Legitimizes family members

More information

Interventions of Substance Use Disorders. Danica Love Brown, MSW, CACIII, PhD

Interventions of Substance Use Disorders. Danica Love Brown, MSW, CACIII, PhD Interventions of Substance Use Disorders Danica Love Brown, MSW, CACIII, PhD What is Treatment? treatment is defined as the treatment, diagnosis, testing, assessment, or counseling in a professional relationship

More information

What is Dialectical Behavior Therapy?

What is Dialectical Behavior Therapy? What is Dialectical Behavior Therapy? Brent Walden, PhD, LP Chief Psychologist Borderline Personality Disorder Emotion Dysregulation Mood swings Problematic anger Interpersonal Dysregulation Unstable relationships

More information

How DBT Skills Training Enhances Individual Counseling. Susan Marcus LCSW

How DBT Skills Training Enhances Individual Counseling. Susan Marcus LCSW How DBT Skills Training Enhances Individual Counseling Susan Marcus LCSW susanrosemarcus@gmail.com 980-475-1441 I Was in Hell I honestly didn t realize at the time that I was dealing with myself, Marsha

More information

DBT. With Adolescents and Their Families. Presented by: Marvin W. Clifford, Ph.D, LCSW, LMFT, LPC Ext

DBT. With Adolescents and Their Families. Presented by: Marvin W. Clifford, Ph.D, LCSW, LMFT, LPC Ext DBT With Adolescents and Their Families Presented by: Marvin W. Clifford, Ph.D, LCSW, LMFT, LPC mclifford@ochsner.org Ext. 64324 LCA Conference 8 AM to 9:30 AM September 26, 2016 THE 5 SKILL SETS FOR DBT

More information

Using ACT and DBT in Response to Self-Injury and Other Target Behaviors

Using ACT and DBT in Response to Self-Injury and Other Target Behaviors Using ACT and DBT in Response to Self-Injury and Other Target Behaviors Stephanie Bonier, LCPC, CADC Danielle Kiehler, PsyD Clinical Therapists in the Discoveries Program 2 Objectives Identify self-injury

More information

Intensive Outpatient Program (IOP) Emily Sullivan, LMFT Clinical Program Manager

Intensive Outpatient Program (IOP) Emily Sullivan, LMFT Clinical Program Manager Top-rated education and mental health services for children, teens and young adults for over 65 years Intensive Outpatient Program (IOP) Emily Sullivan, LMFT Clinical Program Manager Children s Health

More information

MANAGING DISTRESS TOLERANCE - HOW CAN I IMPROVE MY PATIENT'S DISTRESS TOLERANCE?

MANAGING DISTRESS TOLERANCE - HOW CAN I IMPROVE MY PATIENT'S DISTRESS TOLERANCE? Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences MANAGING DISTRESS TOLERANCE - HOW CAN I IMPROVE MY PATIENT'S DISTRESS TOLERANCE? KARI A. STEPHENS, PHD UNIVERSITY

More information

CREATING A MORE VALIDATING FAMILY ENVIRONMENT

CREATING A MORE VALIDATING FAMILY ENVIRONMENT Page 13 CREATING A MORE VALIDATING FAMILY ENVIRONMENT FOR YOURSELF AND YOUR LOVED ONES Definition of a Validating Family Environment What is a VALIDATING FAMILY ENVIRONMENT? IT: Legitimizes family members

More information

PROVIDING DIALECTICAL BEHAVIORAL THERAPY TO PEOPLE WITH GAMBLING DISORDERS

PROVIDING DIALECTICAL BEHAVIORAL THERAPY TO PEOPLE WITH GAMBLING DISORDERS PROVIDING DIALECTICAL BEHAVIORAL THERAPY TO PEOPLE WITH GAMBLING DISORDERS Michael Goldman, MA, LPC, PCGC, CRADC, CEAP 847-832-9500 michaelbgoldman118@gmail.com WHAT WE LL COVER v I. History v II. Description

More information

BORDERLINE PERSONALITY DISORDER: A LITTLE COMPASSION CAN GO A LONG WAY

BORDERLINE PERSONALITY DISORDER: A LITTLE COMPASSION CAN GO A LONG WAY BORDERLINE PERSONALITY DISORDER: A LITTLE COMPASSION CAN GO A LONG WAY Jean Clore, PhD, LCP Associate Program Director & Assistant Professor Department of Psychiatry & Behavioral Medicine University of

More information

Hack Your Brain: Emotional Intelligence at Work and Beyond

Hack Your Brain: Emotional Intelligence at Work and Beyond Hack Your Brain: Emotional Intelligence at Work and Beyond Tuesday, October 16 1-1:50 p.m. Dr. Lindsay Bira, LLC, Clinical Health Psychologist 73rd Annual Texas Association of County Auditors Fall Conference

More information

Advanced Topics in DBT: The Art of Moving from Conceptualization to Exposure for Emotional Avoidance

Advanced Topics in DBT: The Art of Moving from Conceptualization to Exposure for Emotional Avoidance Conceptualization to Exposure for Emotional Avoidance This 4-day course will include one day of advanced training on DBT case conceptualization and three days of training on exposure in DBT Stage 1 and

More information

Teaching DEAR MAN. Welcome. Learning Objectives. Rogers Behavioral Health 1. Karin Beal, M.Ed., MSW, LCSW

Teaching DEAR MAN. Welcome. Learning Objectives. Rogers Behavioral Health 1. Karin Beal, M.Ed., MSW, LCSW Welcome rogersbh.org Teaching DEAR MAN, M.Ed., MSW, LCSW American Council for School Social Work Mental Health in Schools Institute Monday, October 1, 2018 rogersbh.org Learning Objectives At the end of

More information

MEDICAL POLICY EFFECTIVE DATE: 04/28/11 REVISED DATE: 04/26/12, 04/25/13, 04/24/14, 06/25/15, 06/22/16, 06/22/17

MEDICAL POLICY EFFECTIVE DATE: 04/28/11 REVISED DATE: 04/26/12, 04/25/13, 04/24/14, 06/25/15, 06/22/16, 06/22/17 MEDICAL POLICY SUBJECT: STANDARD DIALECTICAL BEHAVIOR A nonprofit independent licensee of the BlueCross BlueShield Association PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered,

More information

Targeting Emotion Dysregulation in the Treatment of Self-injury: An Acceptancebased Emotion Regulation Group Therapy

Targeting Emotion Dysregulation in the Treatment of Self-injury: An Acceptancebased Emotion Regulation Group Therapy Targeting Emotion Dysregulation in the Treatment of Self-injury: An Acceptancebased Emotion Regulation Group Therapy Kim L. Gratz, PhD Professor and Chair, Department of Psychology University of Toledo

More information

The Cutting Edge: Understanding & Managing Self Harm Behaviors. Karli Meredith, Ph.D Utah Center for Evidence Based Treatment

The Cutting Edge: Understanding & Managing Self Harm Behaviors. Karli Meredith, Ph.D Utah Center for Evidence Based Treatment The Cutting Edge: Understanding & Managing Self Harm Behaviors Karli Meredith, Ph.D Utah Center for Evidence Based Treatment About Me Child and Adolescent Psychologist PhD in School Psychology from Columbia

More information

Karen L. Morgan, LADAC II Jessica Cole, DPC LPC-S NCC. Elements Behavioral Health May 2018

Karen L. Morgan, LADAC II Jessica Cole, DPC LPC-S NCC. Elements Behavioral Health May 2018 Karen L. Morgan, LADAC II Jessica Cole, DPC LPC-S NCC Elements Behavioral Health May 2018 Be mindful of. Distract Create a new emotion Evolved to help therapist in clients exactly like these circumstances.

More information

REDUCE YOUR STRESS! This month is all about being happy. Find things that make you happy and do them. It s that simple.

REDUCE YOUR STRESS! This month is all about being happy. Find things that make you happy and do them. It s that simple. REDUCE YOUR STRESS! MONTHLY WELLNESS CHALLENGE This month is all about being happy. Find things that make you happy and do them. It s that simple. One in 10 people will deal with depression at some time

More information

Sanctuary Psychiatric Centers

Sanctuary Psychiatric Centers Sanctuary Psychiatric Centers of Santa Barbara THE CENTER FOR DBT offers a number of DBT services including: Basic DBT psychosocial skills training groups Individual DBT coaching sessions Family and Caring

More information

Self-Injurious Behavior in Adolescents Christa Copeland, M.Ed., M.A. Jenna Strawhun, Ph.D. Boone County Schools Mental Health Coalition

Self-Injurious Behavior in Adolescents Christa Copeland, M.Ed., M.A. Jenna Strawhun, Ph.D. Boone County Schools Mental Health Coalition Self-Injurious Behavior in Adolescents Christa Copeland, M.Ed., M.A. Jenna Strawhun, Ph.D. Boone County Schools Mental Health Coalition Overview Define self-injurious behavior Identify common misconceptions

More information

Family Environment Skills TEACHING NOTES

Family Environment Skills TEACHING NOTES Page 38 T Using what we know: In this module we will be building on the Relationship Mindfulness Skills and looking closely at attitudes that provide the underpinnings for the development of a different

More information

Dialectical Behaviour Therapy (DBT) Information Leaflet

Dialectical Behaviour Therapy (DBT) Information Leaflet Dialectical Behaviour Therapy (DBT) Information Leaflet 2 What does Dialectical mean? Dialectical means: Arriving at a truth by exchanging different ideas, opinions and points of view. What is Dialectical

More information

NAMI Illinois State Conference October 16, Freda B Friedman PhD, LCSW, RN, CS

NAMI Illinois State Conference October 16, Freda B Friedman PhD, LCSW, RN, CS NAMI Illinois State Conference October 16, 2009 Freda B Friedman PhD, LCSW, RN, CS o Components of DBT Developing the ability to think dialectically Mindfulness Skills training individually and in groups

More information

10/11/2018. Mindfulness Based Cognitive Therapy. Intentions for Training

10/11/2018. Mindfulness Based Cognitive Therapy. Intentions for Training Mindfulness Based Cognitive Therapy TIM BAUTCH, MA,LPC, CSAC, ICS JOE DARCY, AAS, SAC IT, RECOVERY COACH CONNECTIONS COUNSELING, LLC MADISON, WI Tim Bautch, Therapist Tim is an Licensed Professional Counselor

More information

EMOTION REGULATION AND ITS BEHAVIORS ROLE IN SELF-INJURIOUS. Amanda Gutierrez, Psy. D Licensed Clinical Psychologist PSY23873

EMOTION REGULATION AND ITS BEHAVIORS ROLE IN SELF-INJURIOUS. Amanda Gutierrez, Psy. D Licensed Clinical Psychologist PSY23873 EMOTION REGULATION AND ITS ROLE IN SELF-INJURIOUS BEHAVIORS Amanda Gutierrez, Psy. D Licensed Clinical Psychologist PSY23873 LECTURE OBJECTIVES 1- Discuss Emotions and their function. 2- Discuss the cycle

More information

Best Practices for Anxious Children and Teens. Christina Kirsch, MS Sharon Shorak, LSW

Best Practices for Anxious Children and Teens. Christina Kirsch, MS Sharon Shorak, LSW Best Practices for Anxious Children and Teens Christina Kirsch, MS Sharon Shorak, LSW The Anxious Child What we see Behavioral changes Emotional dysregulation Changes in academic performance Peer and social

More information

The Wellbeing Course. Resource: Mental Skills. The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear

The Wellbeing Course. Resource: Mental Skills. The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear The Wellbeing Course Resource: Mental Skills The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear About Mental Skills This resource introduces three mental skills which people find

More information

Mindfulness The unexpected path to success and wellbeing at work

Mindfulness The unexpected path to success and wellbeing at work Mindfulness The unexpected path to success and wellbeing at work Torsten Simon SAP Global Mindfulness Practice 2017 SAP SE or SAP affiliate company. All rights reserved. ǀ 13-Jan-2018 1 Arrive In Pairs:

More information

ACCPH Mindfulness Therapy

ACCPH Mindfulness Therapy ACCPH Mindfulness Therapy Mindfulness Mindfulness originated from Buddhist meditation that helps people focus on the present to gain greater awareness of their emotions and improve general well-being.

More information

Benefits of Mindfulness

Benefits of Mindfulness Benefits of Mindfulness Practices for Improving Emotional and Physical Well-Being It s a busy world. You fold the laundry while keeping one eye on the kids and another on the television. You plan your

More information

DBT & Personality Disordered Youth

DBT & Personality Disordered Youth DBT & Personality Disordered Youth Michelle C. Jacobo, Ph.D. Chief Psychologist, Blake 11 Director, Dialectical Behavior Therapy Assistant Professor, Harvard Medical School Personality Defined Healthy

More information

THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER

THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER THE USE OF DIALECTICAL BEHAVIOR THERAPY WITH FORENSIC CLIENTS WITH AUTISM SPECTRUM DISORDER DR JOSEPH ALLAN SAKDALAN AND SABINE VISSER CLINICAL FORENSIC AND NEUROPSYCHOLOGIST (NZ) APRIL 2018 OUTLINE OF

More information

PRACTICE FOR REDUCING PANIC Panic Attacks, Panic Disorder & Agoraphobia

PRACTICE FOR REDUCING PANIC Panic Attacks, Panic Disorder & Agoraphobia PRACTICE FOR REDUCING PANIC Panic Attacks, Panic Disorder & Agoraphobia Panic disorder is an anxiety disorder where individuals experience repeated panic attacks. The normal physical sensations of anxiety

More information

October 8, 2013 Teens and Stress Presented by: Susan Sakamoto, MSW, MHP, EMMHS, CMH

October 8, 2013 Teens and Stress Presented by: Susan Sakamoto, MSW, MHP, EMMHS, CMH October 8, 2013 Teens and Stress Presented by: Susan Sakamoto, MSW, MHP, EMMHS, CMH susans@youtheastsideservices.org A lifeline for kids and families AGENDA Who Is YES? Let s Talk Stress o What is it?

More information

How do I handle difficult situations with my friends, family, community, and school work?

How do I handle difficult situations with my friends, family, community, and school work? How do I handle difficult situations with my friends, family, community, and school work? Let s Assess YOUR Stress *Go to www.mindtools.com/pages/article/newtcs_82.htm *Complete the Social Readjustment

More information

Family Environment Skills TEACHING NOTES

Family Environment Skills TEACHING NOTES Page 38 T Using what we know: In this module we will be building on the Relationship Mindfulness Skills and looking closely at attitudes that provide the underpinnings for the development of a different

More information

Building Emotional Self-Awareness

Building Emotional Self-Awareness Building Emotional Self-Awareness Definition Notes Emotional Self-Awareness is the ability to recognize and accurately label your own feelings. Emotions express themselves through three channels physically,

More information

Talking to Teens About Anxiety. A Supplement to the 2018 Children s Mental Health Report

Talking to Teens About Anxiety. A Supplement to the 2018 Children s Mental Health Report Talking to Teens About Anxiety A Supplement to the 2018 Children s Mental Health Report Everyone talks about how stressed they are, but getting teens to open up about serious anxiety isn t easy. Sometimes

More information

Dialectical Behavior Therapy - DBT

Dialectical Behavior Therapy - DBT Dialectical Behavior Therapy - DBT Marsha Linehan,Ph.D.- University of Washington. www.behavioraltech.org (lots of resources, videos, etc.) Comprehensive treatment for Borderline Personality disorder,

More information

ENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION

ENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION ENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION Luciana Payne, Ph.D. McLean Hospital Silvia Giliotti, Ph.D. NYS OMH Suicide Prevention Office Perry Hoffman, Ph.D. National Education Alliance for

More information

TAKING CARE OF YOUR FEELINGS

TAKING CARE OF YOUR FEELINGS TAKING CARE OF YOUR FEELINGS A burn injury causes changes in your life. Even though the event or accident that caused the burn may be over, you may still experience strong emotional or physical reactions.

More information

Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press.

Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press. Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press. TURNING TOWARD THE DIFFICULT In Session 5 we extended our formal practice to begin deliberately to turn toward and approach

More information

Functional Analytic Group Therapy: In-Vivo Healing in Community Context (18)

Functional Analytic Group Therapy: In-Vivo Healing in Community Context (18) Functional Analytic Group Therapy: In-Vivo Healing in Community Context (18) Disclosure (no support): Luc Vandenberghe and Renee Hoekstra: We have not received and will not receive any commercial support

More information

Family Connections Family Environment Skills

Family Connections Family Environment Skills Page 19 Individual and family well being What is the relationship between individual functioning and family functioning? Individual and Family Well Being are INTERTWINED Psychological disorders (for example,

More information

A Parent s Guide to Evidence-Based Treatment. Rebecca Hardin PsyD Joanna Marino PhD

A Parent s Guide to Evidence-Based Treatment. Rebecca Hardin PsyD Joanna Marino PhD A Parent s Guide to Evidence-Based Treatment Rebecca Hardin PsyD Joanna Marino PhD What is Evidence-Based Treatment? EBT consists of three components: It is practice guided by the best available research

More information

Approximately 14-24% of youth or young adults have engaged in self-injury at least once. About a quarter of those have done it many times.

Approximately 14-24% of youth or young adults have engaged in self-injury at least once. About a quarter of those have done it many times. A GENERAL GUIDE What you ll find here: What is non-suicidal self-injury? Common Misconceptions How common is self-injury? Who is at risk for self-injury? Why do people engage in NSSI? Is self-injury contagious?

More information

Addressing Emotion Dysregulation for More Effective Learning

Addressing Emotion Dysregulation for More Effective Learning Addressing Emotion Dysregulation for More Effective Learning Natalie Smith, LCSW & Chris McCaffrey Awake & Aware, LLC Rising Up! Taking Charters to New Heights 2017 Annual Conference New lenses, New ideas

More information

A Guide to Understanding Self-Injury

A Guide to Understanding Self-Injury A Guide to Understanding Self-Injury for Those Who Self-Injure What is Non-Suicidal Self-Injury? Non-Suicidal Self-Injury (NSSI), also referred to as self-injury or self-harm, is the deliberate and direct

More information

Adapting Dialectical Behavior. Therapy for Special Populations

Adapting Dialectical Behavior. Therapy for Special Populations Adapting Dialectical Behavior Therapy for Special Populations Margaret Charlton, PhD, ABPP Aurora Mental Health Center Intercept Center 16905 E. 2nd Avenue Aurora, CO 80011 303-326-3748 MargaretCharlton@aumhc.org

More information

Introduction to Mindfulness

Introduction to Mindfulness Introduction to Mindfulness Time to Wake Up Stephen White, M.A., C. Psych. Associate Hands TheFamilyHelpNetwork.ca Wendy L. Patrick, BA, BSW, RSW Community Living Algoma Karen L. Nixon, BSW, RSW Community

More information

BREATHE DEEP EXERCISE 1: PAUSE AFTER READING EACH PHRASE ALOUD

BREATHE DEEP EXERCISE 1: PAUSE AFTER READING EACH PHRASE ALOUD What is it? Focus 5 is a set of exercises that provides you with skills to minimize distraction and develop greater focus for learning. Each exercise can be done in under five minutes. Why do Focus 5 exercises?

More information

Session 15 Leader Guide: Mindful Eating, Mindful Movement

Session 15 Leader Guide: Mindful Eating, Mindful Movement Session 15 Leader Guide: Mindful Eating, Mindful Movement Objectives In this session, the participants will: Analyze and describe current eating and activity behaviors. Define mindful eating and mindful

More information

Trigger Worksheet. Behaviors: unable to control impulsive response leads to poor choices, later regrets and relational difficulties

Trigger Worksheet. Behaviors: unable to control impulsive response leads to poor choices, later regrets and relational difficulties Trigger Worksheet A GUIDE FOR WORKING THROUGH DESTRUCTIVE BEHAVIOR PATTERNS Trigger an unresolved wound that ignites an inappropriate (and often childlike) response due to overwhelming feelings of anger,

More information

The Co-Occurring Disorders Treatment Program

The Co-Occurring Disorders Treatment Program G R O U P D E S C R I P T I O N S The Co-Occurring Disorders Treatment Program is designed to provide a continuum of services to the substance abusing and dually diagnosed populations. These services include

More information

Wise Mind. Welcome. Karin Beal. Wise Mind - Teaching Kids How to Regulate Emotions. What we re covering in this session. Rogers Behavioral Health 1

Wise Mind. Welcome. Karin Beal. Wise Mind - Teaching Kids How to Regulate Emotions. What we re covering in this session. Rogers Behavioral Health 1 Welcome rogersbh.org Wise Teaching Kids How to Regulate, M.Ed., MSW, LCSW American Council for School Social Work Mental Health in Schools Institute Monday, October 1, 2018 rogersbh.org What we re covering

More information

Look to see if they can focus on compassionate attention, compassionate thinking and compassionate behaviour. This is how the person brings their

Look to see if they can focus on compassionate attention, compassionate thinking and compassionate behaviour. This is how the person brings their Compassionate Letter Writing Therapist Notes The idea behind compassionate mind letter writing is to help people engage with their problems with a focus on understanding and warmth. We want to try to bring

More information

Cindi Crew, LISW-S Rhonda Craig, MPA Anne Tapia, BA

Cindi Crew, LISW-S Rhonda Craig, MPA Anne Tapia, BA Cindi Crew, LISW-S Rhonda Craig, MPA Anne Tapia, BA Why Care About Trauma? Definition of Trauma An experience that produces psychological injury or pain. (www.dictionary.com) Trauma impacts a majority

More information

Dialectical-Behavioral Therapy (DBT) 2 CE Hours

Dialectical-Behavioral Therapy (DBT) 2 CE Hours Dialectical-Behavioral Therapy (DBT) 2 CE Hours All materials copyright Dr. Richard K. Nongard. All rights reserved. No portion of this course may be reproduced without specific written consent of the

More information

USING DIALECTICAL BEHAVIOR THERAPY TO TREAT A VARIETY

USING DIALECTICAL BEHAVIOR THERAPY TO TREAT A VARIETY USING DIALECTICAL BEHAVIOR THERAPY TO TREAT A VARIETY OF DISORDERS DeLinda Spain, LCSW, CGP, CEDS Austin, Texas LEARNING OBJECTIVES Diagnostic criteria for Eating Disorders Diagnosis History of Dialectical

More information

Working with Clients with Personality Disorders. Core Issues of All Personality Disorders. High Conflict Personality Disorders

Working with Clients with Personality Disorders. Core Issues of All Personality Disorders. High Conflict Personality Disorders Working with Clients with Personality Disorders AFCC Webinar July 18, 2018 Bill Eddy, LCSW, Esq. Copyright 2018 High Conflict Institute www.highconflictinstitute.com Core Issues of All Personality Disorders

More information

COGNITIVE BEHAVIOR THERAPY (CBT) & DIALECTICAL BEHAVIOR THERAPY (DBT)

COGNITIVE BEHAVIOR THERAPY (CBT) & DIALECTICAL BEHAVIOR THERAPY (DBT) COGNITIVE BEHAVIOR THERAPY (CBT) & DIALECTICAL BEHAVIOR THERAPY (DBT) Kim Bullock, MD Clinical Associate Professor, Director of Neurobehavioral Clinic Director of Virtual Reality Therapy Lab Department

More information

Dialectical Behavior Therapy Cutting, Substance Abuse, and Suicidal Ideation Ontario Psychological Association Annual Conference October 22, 2016

Dialectical Behavior Therapy Cutting, Substance Abuse, and Suicidal Ideation Ontario Psychological Association Annual Conference October 22, 2016 Dialectical Behavior Therapy Cutting, Substance Abuse, and Suicidal Ideation Ontario Psychological Association Annual Conference October 22, 2016 Amanda A. Uliaszek, Ph.D., C.Psych Departments of Psychology

More information

CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE

CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE PATRICK J. RAUE,

More information

Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care

Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care Dr. Vivienne Hopkins Dr. Elizabeth Guinan Clinical Psychologists, North & South Community

More information

Depression: what you should know

Depression: what you should know Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and

More information

Mindfulness. Mandakini Sadhir, MD Assistant Professor Division of Adolescent Medicine Department of Pediatrics UK HealthCare

Mindfulness. Mandakini Sadhir, MD Assistant Professor Division of Adolescent Medicine Department of Pediatrics UK HealthCare Mindfulness Calligraphy by Thich Nhat Hanh Mandakini Sadhir, MD Assistant Professor Division of Adolescent Medicine Department of Pediatrics UK HealthCare Adolescence Marked by pubertal growth, psychosocial

More information

Trauma and Children s Ability to Learn and Develop. Dr. Katrina A. Korb. Department of Educational Foundations, University of Jos

Trauma and Children s Ability to Learn and Develop. Dr. Katrina A. Korb. Department of Educational Foundations, University of Jos Trauma and Children s Ability to Learn and Develop Dr. Katrina A. Korb Department of Educational Foundations, University of Jos katrina.korb@gmail.com Paper presented at the Capacity Building Workshop

More information

What is Non-Suicidal Self-Injury (NSSI)?

What is Non-Suicidal Self-Injury (NSSI)? Understand non-suicidal self-injurious behavior (NSSI) Discuss use of chain analysis to identify treatment targets Review strategies for addressing common treatment targets Tina R. Goldstein, Ph.D. Kimberly

More information

Physician Renewal and Resilience: Calming the Mind, Healing the Body and Renewing the Spirit

Physician Renewal and Resilience: Calming the Mind, Healing the Body and Renewing the Spirit Physician Renewal and Resilience: Calming the Mind, Healing the Body and Renewing the Spirit Nancy Harazduk, M.Ed., MSW Assistant Professor Director of Mind-Body Medicine Program Georgetown University

More information

Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5)

Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5) 9 3 1 9 3. p p Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5) ; «Radical Acceptance (When you cannot keep painful events and emotions from coming your way.) What Is Radical AccePTance?

More information

Athlete Mindfulness:

Athlete Mindfulness: Athlete Mindfulness: The Development and Evaluation of a Mindfulness Based Training Program for Promoting Mental Health and Wellbeing in Student Athletes NCAA Innovations in Research and Practice Grant

More information

Borderline Personality Disorder (BPD) FACTS Families and Carers Training and Support Programme

Borderline Personality Disorder (BPD) FACTS Families and Carers Training and Support Programme FACTS : Participants handouts Module 2 Mindfulness and Emotion Management Borderline Personality Disorder (BPD) FACTS Families and Carers Training and Support Programme A short course for family members

More information

Timothy W. Pedigo, Ph.D. Psychology and Counseling Governors State University

Timothy W. Pedigo, Ph.D. Psychology and Counseling Governors State University Timothy W. Pedigo, Ph.D. Psychology and Counseling Governors State University What is Mindfulness? What is Stress? And How Does Mindfulness Help with Stress? Mindfulness is a non-judgmental awareness of

More information

Mindfulness Approaches to Pain Management Danielle Ruskin, PhD, CPsych (Psychologist Hospital for Sick Children)

Mindfulness Approaches to Pain Management Danielle Ruskin, PhD, CPsych (Psychologist Hospital for Sick Children) Mindfulness Approaches to Pain Management Danielle Ruskin, PhD, CPsych (Psychologist Hospital for Sick Children) 1. What is mindfulness? 2. How can mindfulness benefit patients with chronic pain? 3. What

More information

UNDERSTANDING AND MANAGING STRESS UNDER PRESSURE

UNDERSTANDING AND MANAGING STRESS UNDER PRESSURE UNDERSTANDING AND MANAGING STRESS UNDER PRESSURE Nancy L. Heath, PhD OVERVIEW: MANAGING YOUR OWN STRESS Background Understanding Stress Strategies for Stress Concluding Comments 1 INTRODUCTION BACKGROUND

More information

Dialectical Behavior Therapy Article #3 for BHC

Dialectical Behavior Therapy Article #3 for BHC TOPIC #3: ADOLESCENT DIALECTIC BEHAVIOR THERAPY: THE MODULE OF MINDFULNESS Topics within this series have emphasized the usefulness of Dialectic Behavior Therapy (DBT) with an adolescent population. The

More information

Practicing Mindfulness in Everyday Life. Presented by: Erin Cannon, CHWC UMedTech

Practicing Mindfulness in Everyday Life. Presented by: Erin Cannon, CHWC UMedTech Practicing Mindfulness in Everyday Life Presented by: Erin Cannon, CHWC UMedTech Mindfulness is Mindfulness means paying attention in a particular way; on purpose, in the present moment and non-judgmentally.

More information

STRESS, ANXIETY, AND DEPRESSION JENNIFER HOLTON, MD & LIZ MCINERNEY, BA

STRESS, ANXIETY, AND DEPRESSION JENNIFER HOLTON, MD & LIZ MCINERNEY, BA STRESS, ANXIETY, AND DEPRESSION JENNIFER HOLTON, MD & LIZ MCINERNEY, BA http://www.rentcafe.com/blog/cities/atlanta-ga/southerners-are-some-stressed-out-folks/ WHAT IS STRESS? Powerful and extensive response

More information

Dbt distress tolerance group games

Dbt distress tolerance group games P ford residence southampton, ny Dbt distress tolerance group games Why DBT? DBT is a structured, skills based treatment, based on a biosocial theory that proposes that the complex client group: (a) lacks

More information

Appendix C Discussion Questions for Student Debriefing: Module 3

Appendix C Discussion Questions for Student Debriefing: Module 3 Appendix C Discussion Questions for Student Debriefing: Module 3 Frequently Asked Questions (And Responses!) Q: What is the role of biological factors in the development of depression? A: Clinical depression

More information

Don't Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You In Control (New Harbinger Self-Help Workbook) PDF

Don't Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You In Control (New Harbinger Self-Help Workbook) PDF Don't Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You In Control (New Harbinger Self-Help Workbook) PDF Thereâ s a wide spectrum of emotional sensitivity, and it varies from

More information

SESSION TOOLS LEARNING COPING SKILLS

SESSION TOOLS LEARNING COPING SKILLS SESSION 6 LEARNING COPING SKILLS SESSION TOOLS Handout 6.1: The Anxiety Thermometer Handout 6.2: Problematic Coping Responses Handout 6.3: Developing a Personal Coping Strategy Handout 6.4: Instructions

More information

What we ll talk about today. Elder Abuse. Categories of Elder Abuse. Signs of Abuse in the Elderly 5/14/2014

What we ll talk about today. Elder Abuse. Categories of Elder Abuse. Signs of Abuse in the Elderly 5/14/2014 What we ll talk about today Katherine Wainwright, BA, Cyndy Soto, BA & Jane Fisher, Ph.D. Department of Psychology Nevada Caregiver Support Center University of Nevada, Reno Sponsored by the Nevada Aging

More information

Family Connections Validation Skills

Family Connections Validation Skills Page 24 Definition of validation What Is Validation? (Fruzzetti) Identifying and communicating your understanding of what the other person is saying or feeling in a CLEAR way Communicate what you understand

More information

UNC School of Social Work s Clinical Lecture Series

UNC School of Social Work s Clinical Lecture Series UNC School of Social Work s Clinical Lecture Series University of North Carolina at Chapel Hill School of Social Work October 26, 2015 Noga Zerubavel, Ph.D. Psychiatry & Behavioral Sciences Duke University

More information

Kimberly D. Poling, L.C.S.W. Maureen Maher-Bridge, LISW-S. Western Psychiatric Institute and Clinic, University of Pittsburgh

Kimberly D. Poling, L.C.S.W. Maureen Maher-Bridge, LISW-S. Western Psychiatric Institute and Clinic, University of Pittsburgh Kimberly D. Poling, L.C.S.W. Maureen Maher-Bridge, LISW-S Western Psychiatric Institute and Clinic, University of Pittsburgh Understand non-suicidal self-injurious behavior (NSSI) Discuss use of chain

More information

Self-Injury. What is it? How do I get help? Adapted from Signs of Self-Injury Program

Self-Injury. What is it? How do I get help? Adapted from Signs of Self-Injury Program Self-Injury What is it? How do I get help? Adapted from Signs of Self-Injury Program Why are we doing this? *Prevention of self-injury-it s happening so why ignore it? *Statistics show high prevalence

More information

How to Cope with Anxiety

How to Cope with Anxiety How to Cope with Anxiety A PUBLICATION OF CBT PROFESSIONALS TABLE OF CONTENTS 1 Coping Skills for Anxiety 2 Breathing Exercise 3 Progressive Muscle Relaxation 4 Psychological Treatments for Anxiety 2 1.

More information

INSIGHT AND CHANGE THROUGH BEHAVIORAL ANALYSIS

INSIGHT AND CHANGE THROUGH BEHAVIORAL ANALYSIS INSIGHT AND CHANGE THROUGH BEHAVIORAL ANALYSIS ERIC N. GADOL, PHD TRIANGLE AREA DBT (TADBIT) UNC SCHOOL OF SOCIAL WORK CLINICAL LECTURE SERIES NOVEMBER 16, 2015 BEHAVIORAL CHAIN ANALYSIS AKA: Behavior

More information

5 Minute Strategies to Support Healthy Treatment and Recovery

5 Minute Strategies to Support Healthy Treatment and Recovery HPW-000030 TAKE FIVE 5 Minute Strategies to Support Healthy Treatment and Recovery Below you will find quick strategies, each related to one of 15 different moods commonly experienced by people coping

More information

increase effectiveness in suicide prevention reduce some of the stress related to treating atrisk individuals.

increase effectiveness in suicide prevention reduce some of the stress related to treating atrisk individuals. Working with individuals at risk for suicide is one of the most anxiety producing aspects of mental health work. Learning how to better understand and clinically manage suicidal behavior can: increase

More information

Put Your Worries Here With Teen Clients, Students, and Patients

Put Your Worries Here With Teen Clients, Students, and Patients Ten Practical Techniques for Using Put Your Worries Here With Teen Clients, Students, and Patients by Lisa M. Schab, LCSW While Put Your Worries Here is set up to be of benefit to the average teen wanting

More information

Chapter 3 Self-Esteem and Mental Health

Chapter 3 Self-Esteem and Mental Health Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.

More information