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。

看到那时当前的疗法没有工作,布伦达的治疗师提到了她更加密集的治疗,一个我经常成功的人。作为治疗师,符合我以前多次尝试治疗的人是常见的,有时没有成功解决他们寻求帮助的问题。我练习一种经常有效的心理治疗,其中其他治疗模式失败:辩证行为治疗(DBT)。在许多情况下,DBT为我的客户提供了巨大的成功。那么,什么是DBT,它是如何工作的,以及为什么它在其他治疗方法没有?

DBT填写常规CBT留下的空白

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

DBT专注于辩证思维:辩证法是指一个哲学姿态,其中两个想法或真理似乎彼此相对,都可以同时存在。例如,来治疗的人可能需要接受他们现在所处的位置,以及改变的动力。换句话说,他们需要认识到一切正常,并且同时知道他们必须做得更好,并努力创造积极的变化。

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.

DBT通过学习情绪和认知技能(收购)的过程,随后将这些技能应用于您的生活(泛化)。一般来说,DBT解决了困难且令人痛苦的情绪,它可以帮助您提高您的情感监管能力,即您控制您拥有的情绪的能力,以及您的体验和表达方式。

用DBT训练正面和痛苦的宽容技能

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.

使用DBT培养情感技能,缓解焦虑

全面的DBT由几个部分组成,包括具有培训的治疗师,团体技能培训,技能教练(通常可以通过电话提供)的个人治疗,以及治疗师参与咨询团队。所有这些部分都在一起工作,以确保DBT提供您可以实践的技能,让您在控制中感受到更多,负责您的感受以及您如何住在周围环境中。如果你患有焦虑症,你可能知道控制自己的感受是一个非常有价值的,验证的感觉。

在Brenda的情况下,相反行动等情感调节技能帮助她的方法,而不是避免,而不是她觉得恐惧的情况。谨慎技能帮助她接受了现在的时刻,她能够通过健康的关系为她的生活带来更多的快乐和意义。

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.

为你推荐

Marlynn Wei, M.D., J.D.
Iris Bräuninger, Ph.D.
David Yusko,Psy.d.
Deborah Flanagan
Vanessa E. Ford, LCSW, CADC

注释

Date of original publication:

Updated: February 02, 2017