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E-grāmata: DBT For Dummies

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(Harvard Medical School), (Harvard Medical School)
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  • Izdošanas datums: 13-Apr-2021
  • Izdevniecība: For Dummies
  • Valoda: eng
  • ISBN-13: 9781119730163
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  • Formāts: EPUB+DRM
  • Izdošanas datums: 13-Apr-2021
  • Izdevniecība: For Dummies
  • Valoda: eng
  • ISBN-13: 9781119730163
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Keep calm, be skillful—and take control!

Dialectical Behavior Therapy (DBT) is one of the most popular—and most effective—treatments for mental health conditions that result from out-of-control emotions. Combining elements of Cognitive Behavior Therapy with Eastern mindfulness practice, DBT was initially used as a powerful treatment to address the suffering associated with borderline personality disorder. It has since proven to have positive effects on many other mental health conditions and is frequently found in non-clinical settings, such as schools. Whether you struggle with depression, anger, phobias, disordered eating, or want to have a better understanding of emotions and how to focus and calm your mind, DBT practice serves the needs of those facing anything from regular life challenges to severe psychological distress.

Written in a no-jargon, friendly style by two of Harvard Medical School's finest, DBT For Dummies shows how DBT can teach new ways not just to reverse, but to actively take control of self-destructive behaviors and negative thought patterns, allowing you to transform a life of struggle into one full of promise and meaning. Used properly and persistently, the skills and strategies in this book will change your life: when you can better regulate emotions, interact effectively with people, deal with stressful situations, and use mindfulness on a daily basis, it's easier to appreciate what's good in yourself and the world, and then act accordingly. In reading this book, you will:

  • Understand DBT theory
  • Learn more adaptive ways to control your emotions
  • Improve the quality of your relationships
  • Deal better with uncertainty

Many of life's problems are not insurmountable even if they appear to be. Life can get better, if you are willing to live it differently. Get DBT For Dummies and discover the proven methods that will let you take back control—and build a brighter, more capable, and promising future!

Introduction 1(4)
About This Book
1(2)
Foolish Assumptions
3(1)
Icons Used in This Book
3(1)
Beyond the Book
4(1)
Where to Go from Here
4(1)
PART 1 THE NUTS AND BOLTS OF DBT
5(48)
Chapter 1 Entering the World of DBT
1(14)
Looking at the Main Pillars of DBT
8(1)
Getting an Overview of DBT's Treatment Modes and Functions
8(1)
The four modes of therapy
9(1)
The five functions of treatment
9(1)
Focusing on the DBT Theoretical Framework
10(1)
Checking Out the DBT Stages of Treatment
11(1)
Surveying DBT Skills
12(1)
Walking through the Mechanics of DBT
12(1)
Treating Specific Conditions with DBT
13(2)
Chapter 2 Understanding Dialectical Behavior Therapy
15(14)
Beginning with the Biosocial Theory
16(1)
Types of dysregulation
16(2)
The invalidating environment
18(2)
Focusing on the Functions and Goals of a Comprehensive Treatment
20(1)
Motivating the patient and the therapist
20(1)
Teaching the patient new coping mechanisms
20(1)
Incorporating new skills into the patient's daily life
21(1)
Supporting the therapist
21(1)
Structuring the patient's environment
22(1)
Checking Out Modes of Treatment
22(1)
Skills training
22(1)
Individual therapy
23(1)
Phone/skills coaching
23(1)
A therapist consultation team
24(1)
Incorporating Dialectics
24(1)
Searching for multiple truths in any situation
25(1)
Moving from contradiction to synthesis
26(3)
Chapter 3 Accepting Multiple Points of View
29(8)
Questioning Your First Reaction
30(1)
Realizing your first reaction may be exaggerated
30(1)
Matching your reaction to what is in front of you
31(1)
Holding off on taking action
32(1)
Expanding Your Perception
32(1)
Considering your therapist's point of view
33(1)
Coming to an agreement
34(1)
Moving forward with a purpose
35(1)
Looking at Yourself with Friendly Eyes
35(2)
Chapter 4 Moving from Impulsive to Spontaneous
37(16)
Distinguishing Impulsivity and Spontaneity
38(1)
Moving Beyond Your First Reaction
39(1)
Taking a breath
39(1)
Finding your emotional balance
40(2)
Opening Up
42(1)
Seeing different perspectives
42(2)
Widening your range of emotions
44(1)
Breaking free of rigid choices
45(2)
Transforming Negatives into Positives
47(1)
Setting new thinking patterns
48(1)
Switching self-destructive behaviors to healthy ones
49(1)
Increasing your trust in your responses
50(3)
PART 2 GAINING UNDERSTANDING
53(42)
Chapter 5 Understanding Your Emotions
55(10)
Recognizing How You're Feeling
56(1)
Distinguishing between primary and secondary emotions
56(2)
Paying attention to what you feel
58(2)
Confronting Disproportionate Reactions
60(1)
Realizing that your reaction may be overblown
61(1)
Getting from recognition to regulation
61(2)
Identifying and Handling Problem Areas
63(1)
Looking at what causes you distress
63(1)
Figuring out coping solutions
64(1)
Chapter 6 Understanding Your Behaviors
65(10)
Being Aware of How Your Emotions Manifest in Action
66(1)
Identifying and Handling Emotional Triggers
67(1)
Limiting their disruption
67(1)
Minimizing their power
68(2)
Tying Specific Behaviors to Specific Reactions
70(1)
Understanding physical responses and conscious feelings
71(1)
Establishing new pathways
72(3)
Chapter 7 Understanding How You Think
75(12)
Tapping into Your Self-Talk
75(2)
Practicing mindfulness of current thought
77(1)
Using cognitive reappraisal
78(1)
Checking the facts
79(2)
Looking at Your Reactions
81(1)
Recognizing what you feel about your feelings
81(2)
Assessing your assumptions
83(1)
Accounting for your self-judgments
84(3)
Chapter 8 Understanding Your Relationships
87(8)
Recognizing Relationship Dynamics
87(1)
Looking at what you bring
88(2)
Accepting another person's perspective
90(1)
Enhancing Communication
91(1)
Checking in with your own dialogue
91(1)
Opening up to honest listening
92(1)
Accepting a range of perspectives
92(1)
Making Room for More Possibilities
93(1)
Being willing and able to create a new dynamic
93(1)
Enhancing good practices and letting go of hurtful ones
94(1)
PART 3 EXPLORING DBT SKILLS
95(74)
Chapter 9 Thinking about Mindfulness
97(20)
Exploring Your Own Mind
98(1)
Discovering mindfulness at its core
99(1)
Surveying the three states of mind
99(1)
Practicing mindfulness with the WHAT skills
100(3)
Using the HOW skills in mindfulness
103(3)
Making space and setting a routine
106(1)
Understanding Types of Mindfulness
107(1)
Concentrative mindfulness
107(1)
Generative mindfulness
108(3)
Receptive mindfulness
111(1)
Reflective mindfulness
111(1)
Realizing the Benefits of Mindfulness
112(1)
Enjoying greater focus
112(1)
Easing into relaxation
112(1)
Creating healthy space in your psyche
113(1)
Calming your emotions
114(3)
Chapter 10 Regulating Your Emotions
117(10)
Turning the Keys of Emotion Regulation
117(1)
Decreasing emotional vulnerability with ABC PLEASE
118(3)
Practicing opposite action
121(2)
Being kind to yourself
123(1)
Being Your Own Emotional Support
124(1)
Reappraising your feelings
124(1)
Adopting healthy self-soothing practices
125(2)
Chapter 11 Building Your Distress Tolerance
127(20)
Managing Difficult Moments with Crisis Survival Skills
128(1)
Distracting yourself
129(2)
Soothing yourself
131(1)
Recognizing That Everything Has a Cause
132(1)
Checking out a real-life example
132(1)
Changing your perspective
133(1)
Curbing Impulsive Behavior
134(1)
Foregoing short-term gratification
134(1)
Improving your situation
135(2)
Using pros and cons
137(1)
Doing Your Own Crisis Management
138(1)
Acceptance of your situation
138(6)
A quick TIPP
144(1)
Alternative rebellion
145(2)
Chapter 12 Increasing Your Interpersonal Effectiveness
147(14)
Before You Begin: Being Aware of Obstacles
148(1)
Mastering the DEAR MAN Skill
149(1)
Describe
150(1)
Express
150(1)
Assert
151(1)
Reinforce
151(1)
Mindful
151(1)
Appear confident
152(1)
Negotiate
152(1)
Practicing the Art of Validation
153(1)
Discovering different validation methods
154(2)
Validating when you disagree
156(1)
Problem-solving and validation
156(1)
Communicating with GIVE Skills
157(1)
Staying True to Yourself with the FAST Skill
158(1)
Combining GIVE and FAST
159(1)
Putting It All Together
159(2)
Chapter 13 Walking the Middle Path
161(8)
Finding the Balance
161(1)
Validation
162(1)
Behaviorism
162(2)
Dialectics
164(1)
Embracing Cooperation and Compromise
165(1)
There's more than one point of view to each situation
166(1)
Change is the only constant
167(1)
Change is transactional
167(2)
PART 4 THE MECHANICS OF DBT THERAPY
169(74)
Chapter 14 Exploring Therapy Basics
171(10)
One on One: Individual Therapy
171(1)
Finding an individual therapist
172(1)
Setting a reachable goal
173(1)
Getting the most from individual sessions
174(1)
All Together: Group Therapy
175(1)
Joining a group
175(1)
Sharing strategies
176(1)
Gaining from the group
176(1)
Time to Connect: Phone Coaching
177(1)
Before you begin: Setting parameters
177(1)
Calling for help
178(1)
Asking for validation
179(1)
Repairing the relationship
179(1)
Sharing good news
180(1)
Chapter 15 Embracing Dialectics
181(10)
In the Beginning: Stumbling onto Dialectics
181(1)
Thinking Dialectically
182(2)
Looking at the Main Dialectical Dilemmas Tackled in Treatment
184(1)
Emotional vulnerability versus self-invalidation
185(1)
Active-passivity versus apparent competence
185(1)
Unrelenting crisis versus inhibited grieving
186(1)
The Dialectical Dilemmas of Parenting: Walking the Middle Path
186(1)
Making light of problem behavior versus making too much of typical behavior
186(1)
Fostering dependence versus forcing independence
187(1)
Being too strict versus being too loose
188(1)
Understanding Therapist Dialectical Interventions
189(1)
Irreverence versus reciprocity
189(1)
Environmental intervention versus consultation to the patient
189(1)
Problem-solving versus validation
190(1)
Chapter 16 Structuring the Environment
191(18)
Adding Structure to Two Different Environments
192(1)
Addressing a Problem in Five Ways
193(1)
Building a Framework
194(1)
Making commitments
194(2)
Holding true to your plan
196(1)
Structuring Individual Sessions
197(1)
Reviewing your diary card
198(1)
Paying attention to target hierarchy
198(1)
Doing a chain analysis on the highest target
199(2)
Weaving in solution analysis
201(1)
Moving down the hierarchy to discuss skills related to current life situations
202(1)
Putting Structure in Different Contexts
203(1)
Prison settings
203(1)
School settings
204(1)
Hospital settings
205(1)
Therapy for people with developmental disabilities
206(3)
Chapter 17 The Therapist Consultation Team
209(10)
Joining a Consultation Team
210(1)
Therapy for the therapists
210(3)
Consultation team agreements
213(2)
Sticking to the Agenda
215(1)
Structuring a meeting
215(1)
Understanding team roles
216(3)
Chapter 18 Tracking Your Experience
219(14)
Keeping a Daily Diary Card
219(1)
Recording your emotions
220(2)
Tracking your reactions
222(2)
Identifying the skills you use
224(2)
Analyzing Your Behavior
226(1)
Chain analysis
226(3)
Solution analysis
229(2)
Missing links analysis
231(2)
Chapter 19 Gaining and Keeping Motivation
233(10)
Having Motivation for Therapy
233(1)
Distinguishing motivation and ability
234(1)
Moving to acceptance
235(1)
Increasing Motivation
236(1)
Ideas from CBT
236(2)
The DBT approach
238(2)
Maintaining Motivation
240(1)
Your eyes on the prize
240(1)
When motivation fails
241(2)
PART 5 PUTTING DBT INTO ACTION FOR SPECIFIC CONDITIONS
243(72)
Chapter 20 Building Mastery for Mood and Personality Disorders
245(18)
Addressing Borderline Personality Disorder
245(1)
The nine DSM criteria for BPD
246(3)
Dr. Linehan's five areas of dysregulation
249(4)
Managing Your Moods
253(1)
Dealing with depression
253(2)
Handling mania
255(1)
Alleviating Anxiety
256(1)
Understanding anxiety's components
256(2)
Checking out anxiety's common presentations and chemistry
258(1)
Tempering excessive anxiety
259(2)
Experiencing anxiety as a helpful signal
261(2)
Chapter 21 Taming Trauma
263(8)
Understanding the Basics of DBT PE
264(1)
Breaking down types of avoidance
265(1)
Seeing how DBT PE works
265(2)
Knowing when you're ready to start
267(1)
DBT-PTSD: Exploring an Alternative Model
267(1)
Digging into the Dilemma of Dissociation
268(3)
Chapter 22 Tempering Addictions
271(26)
A Word about Dopamine
271(1)
Working through Substance Dependence
272(1)
Distinguishing substance use and substance-induced disorders
273(2)
Looking at DBT skills for substance use disorders
275(3)
Seeing how DBT for substance use disorders is different from standard DBT
278(1)
Knowing how DBT for substance use disorders is different from other therapies
279(1)
Considering DBT for SUD alone, without emotion regulation problems
280(1)
Overcoming Eating Disorders
281(1)
Binge eating disorder
281(2)
Other eating disorders
283(1)
The DBT model of treatment for eating disorders
284(3)
Gaining Ground on Body Dysmorphic Disorder
287(1)
Addressing perceived flaws
288(3)
Handling particular problems
291(1)
Getting a Grip on Behavioral Addictions
292(1)
Activities that may become addictions
293(2)
When to use DBT for behavioral addictions
295(2)
Chapter 23 Dealing with Counterproductive Behaviors
297(18)
Tackling Self-Invalidation
298(1)
Removing yourself from the cycle with self-validation
298(1)
Stepping away from shame
299(2)
Experiencing exposure
301(2)
Seeking reassurance
303(3)
Handling Self-Hatred
306(1)
Thinking of self-love as opposite action
307(1)
Looking at the elements needed to practice self-love
308(1)
Balancing Solitude and Connectedness
309(1)
Aloneness
310(1)
Loneliness
310(2)
Emptiness
312(3)
PART 6 THE PART OF TENS
315(22)
Chapter 24 Ten Mindful Practices
317(6)
Observe an Itch
317(1)
Observe the Urge to Swallow
318(1)
Observe Your Hands
318(1)
Observe Your Breath by Ladder Breathing
318(1)
Describe a Social Media Post
319(1)
Describe a Difficult or Painful Emotion
319(1)
Describe the Sounds around You
320(1)
Participate in Standing on One Foot
320(1)
Participate in Writing with Your Non-Dominant Hand
320(1)
Participate in Driving a Car
321(2)
Chapter 25 Ten Ways to Live an Antidepressant Life
323(8)
Engaging in Exercise
323(1)
Trying Meditation
324(1)
Eating a Less Refined Diet
324(1)
Being Careful with Alcohol and Various Drugs
325(1)
Getting Enough Sleep
325(2)
Maintaining Social Interaction and Connection
327(1)
Adding Recreation and Relaxation to Your Routine
327(1)
Accessing Green Space and the Environment
328(1)
Taking Care of Pets and Other Animals
328(1)
Making Time for Faith and Prayer
329(2)
Chapter 26 Ten Myths about DBT
331(6)
Myth: DBT Is Used Only with People with Borderline Personality Disorder
331(1)
Myth: DBT Therapists Teach Skills from a Manual; It's Not a Real Therapy
332(1)
Myth: DBT Takes Years Before You Feel Better
332(1)
Myth: DBT Is a Suicide Prevention Therapy
333(1)
Myth: If No Other Therapy Has Helped, DBT Won't Either
333(1)
Myth: Once You Start DBT, You Need to Continue It Forever
333(1)
Myth: You Have to Accept Buddhism to Do DBT
334(1)
Myth: DBT Is a Cult
334(1)
Myth: There Is Very Little Evidence That DBT Works
334(1)
Myth: DBT Isn't Interested in "Root Causes" of Mental Illness
335(2)
Index 337
Gillian Galen, PsyD, is an instructor of psychology at Harvard Medical School and the Program Director of the 3East Girls Residential DBT Treatment Program at McLean Hospital in Belmont, Massachusetts.

Blaise Aguirre, MD, is the Medical Director of 3East, a DBT continuum of care at McLean Hospital in Belmont Massachusetts, and a trainer in dialectical behavior therapy.