Symptoms are abnormal changes you have felt.
The two core treatment aspects of DBT are the skills group and one-on-one therapy. At Sydney DBT we offer both skills groups and individual therapy, along with phone coaching, consult group, and programmes for families, friends and carers.
The DBT skills group is aimed at helping people learn the core DBT coping skills that will allow them to manage their emotions, actions and thoughts effectively.
People who attend the skills group participate in an active process that helps them acquire new skills. In DBT group we work on what is happening how, and how to develop ways of responding differently and effectively.
Over the twenty weeks participants learn four different sets of skills, these are Distress Tolerance, Emotional Regulation, Mindfulness, and Interpersonal Effectiveness.
Distress tolerance skills help people to withstand and overcome strong emotions and Carer exploration.
They are central to managing problems such as drug and alcohol use, self-harm, suicidal urges and so on. Emotional regulation skills help the person develop a more effective and liveable emotional world. The skills build emotional awareness and resilience, and help reduce vulnerability to problematic emotions.
Mindfulness is a common component of mots psychological therapies now days. However, it has been a part of DBT for many years. Mindfulness helps people to be more aware of, and engage more effectively with, their inner world.
Through mindfulness people learn to step back and not get so caught up in unhelpful thoughts and feelings. For Family and Friends People struggling with emotional difficulties need the help of their family, friends, partners, spouses, etc.
Sometimes this just involves just a little understanding and support while the person works through their problems. You may just need to give them time to talk or space to work on things.
However, when things are more complex support needs get more complex. Family, friends, work, school, all play crucial roles in complex emotional problems.
In our experience people with the kind of emotional problems that DBT is designed for can come from a range of different family backgrounds from very loving, supportive and caring families, as well as families that are rejecting, harsh or where there is high levels of conflict.
One common discussion is about whether to tell parents about self-harm or other problem behaviours. You find lots of advice from people to not tell parents or loved ones. The person fears that telling someone will be an invalidating experience.
As such, learning how to validate is crucial. Support and carers people can also experience emotional difficulties themselves. This makes complete sense of course, and yet support people and carers often do not get help themselves.
They may not feel they have the time; they may feel that they should be focusing on the person they are trying to help; they may feel guilty about focusing on their needs or think they are not as important. However, it is very important to understand that you will be more effective if you get help and support, and in the end being effective in providing help and support is what really matters.
There are many, many ways you can help, but from a DBT perspective there are perhaps four.A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people.
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