sandetiger replied to your post:littleredridingcat replied to your post: Hello….
I feel really dumb for asking, but what’s DBT/MBT? I tried googling but didn’t find anything that made sense given the context.
DBT (Dialectical Behavior Therapy) is a comprehensive treatment or BPD with five key goals, often referred to as the five “functions” of DBT.
Help clients become more motivated to work toward a life worth living, and to stop engaging in life-threatening behaviors such as self-harm and suicide attempts.
Help clients learn important new skills needed to reach their goals.
Create a treatment environment that promotes progress and improvement, and help the client structure their environment in a way that promotes progress.
Help therapists stay motivated and skillful in helping their clients.
Help clients transfer what they learn in therapy to their real lives outside of treatment.
In order to help clients accomplish these goals, DBT involves four primary components:
Group skills training
Therapist consultation team
Individual therapy normally happens once a week for about an hour and mostly focuses on helping the client address problems in their life. Telephone consultation is also an important part of individual therapy. The therapist usually provides other means of communication between visits, and may call to check on the client in the middle of the week to see how they are doing. They also provide hotlines and other forms of communication in case of emergencies. Skills training is a very important part of DBT. These are skills taught to client to help them improve their life and reach their goals. Skills learned include mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills.
Some mindfulness skills include:
Paying attention to the present moment without judging it.
Noticing sensations (sights, sounds, smells, tactile sensations) which are happening here and now.
Describing “just the facts” of what is happening in the present.
Throwing yourself fully into whatever you are doing right now, in the present.
Focusing on one thing at a time, and doing what works.
Interpersonal effectiveness skills include:
Keeping your goals for your relationships in mind.
Effectively asking others to do things or saying no to others, without being too passive or too aggressive.
Validating other people’s feelings, and being honest, truthful, and fair with others.
Emotional regulation skills include:
Managing emotions effectively.
Observing or accepting your emotions.
Changing (increasing or decreasing) your emotional experience.
Making yourself less vulnerable to emotions by increasing pleasant events in your life, taking care of yourself, and meeting your physical/emotional needs.
Distress tolerance skills include:
Getting through difficult situations and feelings without making things worse.
Surviving crises by distracting yourself from painful experiences or making the current moment better or more enjoyable.
Accepting reality for what it is.
The therapist consultation team is another important part of DBT. In this part of the treatment, therapists usually meet to discuss the issues (good or bad) in treating their clients with BPD. In developing DBT, it was noticed that it can be stressful for therapists to treat clients who are attempting suicide or engaging in other self-destructive behaviors. While I personally think this is bullshit because, hey, THEY SHOULD TRY BEING ON THE OTHER END OF THE CHAOS, I have to remember that you can’t exactly fix shit with a broken wrench, and I understand how difficult it can be to see people suffer in the way people with BPD suffer. So yes, borderline patients are so fucked up that their therapists need therapy afterwards.
BORDERLINE PATIENTS ARE SO FUCKED UP THAT THEIR THERAPISTS NEED THERAPY AFTERWARDS. That is actually a legit part of the program in treating BPD. Real talk.
MBT (Mentalization-Based Treatment) is a psychoanalytic treatment, not a cognitive behavioral treatment. What this means is that MBT is more of a “talk therapy” than DBT. In MBT, most of the client’s time is spent talking with their therapist and learning about themselves and their relationships with others, rather than learning new skills and doing lots of homework assignments. Although, you do learn a lot of the skills learned in DBT anyway, just in a more indirect way, since DBT is primarily focused on learning those new skills.
The second thing that makes MBT different from DBT is the focus of treatment, or the treatment goals. The most important goal in MBT is to increase mentalization. Mentalization is the ability to understand that our own behaviors, and the behaviors of people around us, arise from internal mental states such as thoughts, feelings, and desires. (Which is why I want to try MBT. While I have no problem understanding the actions of others, I do have a lot of trouble understanding myself. I literally have no clue why I do the shit I do like nine times out of ten, and a treatment program to help me understand myself seems very ideal to me right now.)
The theory behind MBT is basically that mentalization is something children develop at a very young age, but if they are not in a good environment, those skills are never learned. If a parent does not mirror their child’s reactions and emotions in a healthy way and listen to their concerns (perhaps instead of sympathizing with a crying child, mocking them for “being a baby”), the child will never learn to distinguish the connection between mental/emotional influences and the effect they have on actions.
The steps for MBT are similar to DBT, in that there is individual therapy and telephone consultation. Group therapy may be introduced later in treatment when the team feels the client is ready. And, of course, a lot of the same skills are taught in more indirect ways, so see above for more details on skills taught in MBT.
…That turned out longer than expected, but there you go.
Dialectical Behavior Therapy (DBT) is a common form of therapy used on patients with borderline personality disorder. It is a cognitive-behavioral approach which emphasizes on the psychosocial aspects of treatment. The treatment works on symptoms which lead people to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, especially those found in romantic, family and friend relationships. DBT theory suggests that some people’s emotional sensitivity in such situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to a calmer state.
Characteristics of DBT
Support-oriented: It helps a person identify their strengths and builds on them so that the person can feel better about themselves and their life.
Cognitive-based: DBT helps identify thoughts, beliefs, and assumptions which make life harder: “I have to be perfect at everything.” “If I get angry, I’m a terrible person” & helps people to learn different ways of thinking which will make life more bearable: “I don’t need to be perfect at things for people to care about me”, “Everyone gets angry, it’s a normal emotion.
Collaborative: It requires constant attention to relationships between clients and staff. In DBT, people are encouraged to work out problems in their relationships with their therapist, and the therapists to do the same with them. DBT asks people to complete homework assignments, to role-play new ways of interacting with others, and to practice skills such as soothing yourself when upset. These skills, a crucial part of DBT, are taught in weekly lectures, reviewed in weekly homework groups, and referred to in nearly every group. The individual therapist helps the person to learn, apply, and master the DBT skills.
Generally, DBT works both in group sessions and one-on-one sessions with a therapist.
Focuses on identifying, recognizing, and changing unhealthy and unhelpful thought patterns, and thereby changing behaviors which are associated with the negative thought patterns.
DBT - Dialectical Behavior Therapy
Focuses on treating those with suicidal thoughts and actions, a type a therapy which validates current thought patterns while coaching the patient to change unhealthy behaviors. This type of therapy uses mindfulness and working to accept your problems while at the same time taking steps to address the problems.
ACT - Acceptance and Commitment Therapy
Focuses on a mindfulness approach, a type of therapy which works to accept thoughts and emotions, without judgement, and to distance who you are from what you think, such as changing, “I am an anxious person,” to “I am feeling anxious because of my current situation.”