Dialectical Behavior Therapy (DBT) In the Treatment

Dialectical Behavior Therapy (DBT) In the Treatment

Introduction

DBT is a sort of psychoanalysis that aims to find and uphold symmetry sandwiched between acceptances and change. Laura, a 47-year-old woman living her law partner of fifteen years with no children, is detected with a primary miserable disorder, which impacts her on her daily basis, basing to dissatisfaction with her personal life and work. Through DBT, Laura and other social workers were facilitated to work together in moments of change, and appreciation abilities such as sentiment conventions, interactive knowledge, and mindfulness amidst themselves. DR. Marsha Linehan discovered DBT with an aim to alteration behavior and deal with different practices through equilibrium and amalgamation of change and acceptance (Dowling & O’connel, 2014). At the early establishment of DBT, its enactment was based on individuals with a marginal personality disorder, cluster B, and bulimia. A victim or a client is aided by social workers who are required to authenticate the current location of a victim and his/her anticipated character, educate the client on developing new skills to relief their client to change. Additionally, Chapman also confirmed that DBT is crucial in handling mental disorders, morbid ideation, and controlling traits patterns such as drug abuse and self-harm (Chapman, 2006). Also, DBT was used in the 1980s to treat individuals with personality disorder and unceasingly suicides and has barred fruits in treating.

Key Features of the Intervention

The equilibrium of acceptance and alteration is one of the original critical features of DBT, which is its primary purpose to clients. In case social workers focus enormously on change, it might result in invalidating environs, which might affect the victim negatively by enabling him/her to be not in control over the emotions and feeling recognized (Herbert, 2011). Therefore, social workers need to focus more on acceptance hence running for a chance of being perceived with a failure of not taking the victim’s condition seriously. One feature of the theory is interactive effectiveness and mindfulness, that is essential in treating process to clients. The therapist is going to use the Wise Mind practice to exercise the brain of Laura through several methods like attending to the breath coming in and out and ensuring her attention is placed to the center. Imagining of being like a flake of stone on the lake, or walking down the inner spiral stairs, then dropping into the pauses between inhaling and exhaling out. After practicing the Wise Mind, Laura can describe the feeling and the situation if it was effective or never worked out as she had expected. At the end of the week, Laura could practice it until she felt some change in her mind, and then write the wise things that were done throughout the week.

Another crucial thing that Laura needs to do would be to change skills for surviving and solve daily problems in her life, making it worth it. Using the “stop” model, stopping, taking a step backward, observing, and proceeding with caution to tackle the situation. Mindfulness is significant in educating a victim or a client to agree to their reality and move on with their lives. Laura is helped to have fundamental abilities to activist and adjust her working surroundings since she said that she feels insufficient at work; hence, she needs support in endorsing her relations effectiveness.

Acceptance abilities are also primary feature in DTB since it helps the victims to control their emotions and tolerate anxiety. Laura requires to accept the realities because by rejecting it, she will never the way it is. The first step is admitting that pain cannot be avoided because it is a natural way of knowing something is not right. After accepting a situation, an individual might feel sad, but eventually, calmness comes. Denying the reality will cause her to live stuck in sadness, emotions, shame, and pain. By regulating her emotions, Laura is training to distinguish and comprehend the sentiments, techniques to respond in different conflicts, and how to fare in grim feelings. According to research, victims should be dealt with according to their weaknesses; hence, for cases like Laura, it would be obliging to rheostat her emotions and anguish in her work environment since she felt depressed and never go at personal conversation level with her colleagues. Laura’s wretchedness and fear of reaching menopause make it hard for her to control her emotions. Laura could look at her behavior chain analysis and alter the chemistry of her body by using several alternatives. She could tip the temperatures of her face using cold water, or doing an intensive exercise to calm down the body when revved up by emotions. Alternatively, Laura could pace her breath by slowing down and could do a paired muscle relaxation to calm down through breathing out.

Theory Intervention Tools

Intervention tools are essential in aiding change and accept the reality and move on with daily lives to a client or a victim. The devices are not limited to astute mind and character chain scrutiny, although intelligent minds are overlain into two opposing sides. The sorts of minds include reasonable minds which emphases on rational and tasks related to thoughts and judgmental traits while emotional brains emphasis on moods in ideas, hot and mood-dependent. Wise minds involve binary minds progresses overlain and meet to assist him/her in making a decision and take a middle path for the two thoughts. An example of Laura is set where she expresses her feeling on her relationship with her workmates where she argues that they do not talk to her, therefore, a social worker with wise minds, would help her to view the incident positively by accepting the facts since it will help her to change to better rather than having daily fears and worries about her colleagues.

Behavior chain analysis occurs when a victim or a client and social worker research and discuss the events that resulted in unfruitful deeds. The intervention tool aids to upsurge a victim to verdict an elucidation or in alteration of characters as well as finding solutions to any peripheral factors of the delinquent traits (Stanley, 2013).For instance, let’s argue Laura is late to work, and her character is chronic; a social worker should start by clarifying the behavior chain before requesting Laura to discuss the instigation occasions of her unpunctuality. The happenings would follow one another through the guidelines of a social worker who would be asking open-minded questions to gain more information, especially on susceptible areas such as causes and sources of a client’s misery and frustration. Art therapy customs creativity to rally the bodily, psychological, and sentimental health of a client or a victim during DBT treatment processes.  DBT art therapy coordination can help to implement skills achieved within approaches and bond sections of therapy for victims hence establishing more articulate treatment practice (Bergland, Heckwolf & Mouratidis, 2014). When linking these approaches, aligns the central notion of DBT that each part is consistent and relates in various ways. Art therapy tools have portrayed to reduce grief when used in thoughtfulness events by facilitating a victim to be well acknowledged of their sensations and sustaining a therapeutic liaison grounded in pellucidity and reliance, especially between the therapist and client or a victim.

How to Apply the Model

In the process of the DBT treatment process, a social worker or a therapist must discuss the intervention tool to help a client understand more about what is happening in the section. At the start of every part, mindfulness activity should take at least five minutes, which might include deep breathing exercises to help a client to concentrate and relax hence making a patient comfortable. Laura might have faced something sentimental or distressing before arriving in the therapy room. Therefore, these acts would help her calm hence motivating her to share her occasions later. Thus, mindfulness activities would transform Laura’s life, especially in agony.

Additionally, art therapy would be reinforced in Laura’s case if she is initially besieged with intensive breathing, thus helping her to concentrate on her breathing rates, especially drawing circles repeatedly when inhalation. Although the art therapy method was not anticipated, it is vital to footnote that not all cases are similar; therefore, a therapist is required to go the extra mile to get information from other research sources.  Also, a therapist might decide to use an art therapy tool to a victim for Laura to utilize it at home, but the facts remain that, no matter which devices are being used but the patient is improving in her mindfulness abilities to facilitate change in both acceptance and emotions. To develop practical, interactive skills, a therapist might train a patient on how to solve conflicts either internally or externally or make an appeal that would assist the faring of the linkages. Through the use of assert, negotiate, describe or express, reinforce, and mindful skills, a patience Laura included will be helped to control her sentiments, reduce distress by reducing surprises or frustrations one receives in processing an individual’s feelings towards his/her partners in different environments.

Most Helpful Aspects of a Model

Dialectical behavior Therapy is critical psychoanalysis to reinforce when a client or a patient is fighting with equilibrium effectiveness acceptance and alteration of characters. Also, DBT therapy can assist a patient like Laura to improve interactive skills, control sentiments, and to focus within. Therapists’ standards fits with central of DBT hence labor to endorse a patient’s gratitude and skills to activist for themselves DBT also facilitates excellent performance for therapists especially by guiding them to carry out essential roles to a patient which includes support, guide and direct a patient hence resulting from changing of behaviors and accepting themselves through massive collection of information concerning a patient through mindfulness activities.

Conclusion

According to research on DBT and other related pieces of studies, it will clear that proper intervention tools and approaches will be more efficient in treating a victim. A social worker or a therapist is also encouraged to find more information on various intervention tools in treating a client since cases like for Laura are not the same for all clients. Therefore, a social worker needs to research and learn more in different cases. The aim of a social worker should always be to guide a client towards good health in interpersonal skills, acceptance, and reduce distress and improve emotion skills either through thoughtfulness and other crucial decision-making skills.

References

Bergland, C, Heckwolf, & Mouratadis. (2014). Arts in Psychotherapy. In Coordinating Principles of art therapy & DBT. (pp. 329-335).

Chapman, A. L., & Rosenthal, M. Z. (2006). Core dialectical behavior therapy principles applied to therapy-interfering behavior. Managing therapy-interfering behavior: Strategies from dialectical behavior therapy, 19-30. doi:10.1037/14752-002

Herbert, J. D., & Forman, E. M. (2011). Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying the New Therapies. Hoboken, NJ: John Wiley & Sons.

O’Connell, B., & Dowling, M. (2013). Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder. Journal of Psychiatric and Mental Health Nursing, 21(6), 518-525. doi:10.1111/jpm.12116

Stanley, B., & Brown, G. K. (2013). The Safety Planning Intervention. The Dialectical Behavior Therapy Primer, 185-192. doi:10.1002/9781118556603.ch14