Yay to Justme family windfall!
What is DBT, Carolla or Justme?
Cooler temperatures here now . . . -13 right now - only the start of a long cold winter.
DBT is dialetical behaviour therapy. It is a form of CBT (Cognitive Behaviour Therapy) but in my opinion much more effective because it deals with much more than just how to change your thoughts.
DBT was "invented' by a woman named Dr. Marsha Linehan who had what is now (unfortunately) called Borderline Personality Disorder (although most medical professionals would like to see it renamed emotional dysregulation). I do not have BPD but have intense emotions, I was lucky in that the Canadian Mental Health Association (CMHA) looked the other way and let me into their program. Most DBT "courses" have two parts - a skills based group and an individual coaching session - the individual coaching session is what sealed the deal for me - my worker is amazing - I only have two more sessions with her. She is a social worker but in some places OTs do it.
A concise explanation can be found on wikipedia
http://en.wikipedia.org/wiki/Dialectical_behavior_therapy. It's not exactly the way I would describe it but I think it depends on what you get from the program or how you approach it. There is a great book called "Depressed and Anxious" and the subtitle is something about DBT. I can't remember the author and it seems to have walked away from its home right now but if anyone is interested I can look it up.
Essentially the program is divided into fours but the overall goal is to help the participant create a life worth living.
So first you have to stop making things "worse" so that's where Distress Tolerance comes in. So you learn effective coping mechanisms for dealing with the intense emotions. The problem with people who have intense emotions is that they are, well, super duper intense - like concentrated orange juice vs orange juice that already has the water added to it which often makes people feel that they have to act on these emotions. DBT teaches you how to dial down the emotions so that you can get through the time and then move on to something more "interesting" or to addressing the problem that upset you. It makes such a difference - I used it this morning after having a panic attack in my sleep and it allowed me to get some stuff done this morning and then when I couldn't cope this afternoon (anxiety hangover) I used other skills to get my energy back and now I'm doing laundry and other stuff. I think this is an incredible tool kit for anyone with anxiety to learn - it was so very powerful. The trick is that the person kinda has to buy in that it will work and has to think to use the skill (the thinking to use the skill is a big one for me). Often our DBT leader (a psychiatrist) would say "are you willing to get more willing" and then if we were she would help us come up with solutions to not using the skills.
Emotional Regulation - teaches you how to better regulate your emotions (not control). One important aspect here for me was acceptance. I used to get so mad at myself for having X emotion or not being able to do Y or for Z being so difficult. I now kind of acknowledge that Z is difficult for me and give myself an imaginary hug and tell myself that it is going to be ok because I have skills to cope. This does not mean that you have to LIKE the fact that you have X, but you accept that you do so that you can live the best life you can given the circumstances. There's also skills for reducing emotional volatility.
Interpersonal Effectiveness Skills. These skills are about how to better interact with people and especially the difficult people in your life. It was very interesting to learn - I don't really have a lot of problems interpersonally speaking, but learning the skills has made me way, way more effective and I think I am a better listener to and definitely a bit more fair to myself.
Core Mindfulness - it's basically mindfulness with practical applications. One thing from here that really, really help me is STOP (stop, take a breathe; observe (like a reporter looking at the scene) and pause.
Sorry this was so long and I guess I've hijacked the thread a bit. It's like healing touch - I want the world to know my story!