布兰达，一个三十多岁的女人，严重焦虑通过过去的疗法没有更好。她会有惊恐发作188平台首页on the train that sometimes prevented her from getting to her appointments. She would isolate, not reaching out to friends because she was afraid they might not want to hear from her. Brenda also found that her relationships tended to be rocky. She would分手有一天的男朋友，然后给他发短信不停下一个，乞求他回到一起。
辩证行为治疗最初是由心理学家开发的，心理学家博士在努力在尝试自杀或严重的自我伤害后住院的女性工作。作为一个健康专业人士，博士博士博士最初练习Cognitive Behavioral Therapy (CBT), a type of treatment that promotes changing thoughts, feelings, and behaviors in order to manage and reduce anxiety.
CBT is typically considered a gold standard in anxiety treatments. However, Dr. Linehan found that standard CBT wasn't working with her clients. CBT's emphasis on changing thoughts and behaviors did not do enough to support her clients in accepting where they are right now. The CBT techniques alone were too invalidating to people, who often found concepts such as cognitive distortions to imply that their thoughts and feelings were wrong. Dr. Linehan found that something different was needed - a method that acknowledges and supports the truth upon which clients' experiences are based.
This is where DBT comes in: Dialectical Behavior Therapy is a type of Cognitive Behavioral Therapy, but what makes it unique is its emphasis on mindfulness and dialectical thinking. Rather than only treating symptoms as problems to be solved, DBT places an equally important emphasis on acceptance of experiences as they are in this moment. It is one of severalacceptance-based behavior therapies(ABBTs).
How Dialectical Thinking Plays a Role in Therapy
How Does DBT Help with Anxiety?
Emotions serve important functions in our lives. Primary emotions linked to anxiety, such as fear, can at times make perfect sense - when there is a threat to our life, health, or well-being, fear can motivate us to act and protect ourselves. At times, however, emotions like fear arise when they are not helpful or productive. These emotions can be difficult to cope with and manage, leading to anxiety and distress.
Through the DBT skills training group, clients learn skills such as mindfulness and distress tolerance techniques that aid in being able to accept the present moment with willingness, rather than fighting reality. These techniques could include breathing exercises, counting to ten, or holding an ice cube in order to bring awareness and acceptance to the present. Exercises like this encourage us to choose to accept what is happening in the moment.
DBT's emotion regulation skills include observing and describing emotions, along with a systematic toolkit for altering emotions you want to change. These tools include checking the facts of a situation, acting opposite to the action urge of the emotion, and problem solving to change the event prompting a particular emotional reaction.
Changing and influencing emotions is a central goal of DBT, but before you can get to this step it is critical to understand and know where these emotions are coming from and why they arise. The "understanding and acknowledging" step of DBT is one of the main facets that separates it from regular CBT: this approach supports the mindful and non-judgmental observation and description of emotional experiences. The addition of this aspect makes DBT effective across a range of mental health problems, including anxiety disorders, because the skills you learn help you differentiate emotions from facts, allowing you to work with and manage emotions effectively.
Best of all, what you learn from DBT can be useful for anyone, even when you're doing well. DBT offers and teaches healthy life skills that will remain with us for years and that we can all infuse into our lives.
Date of original publication:2015年6月24日
Updated: February 02, 2017