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Re: do you think of therapy as having a goal?

Posted by baseball55 on August 7, 2013, at 19:35:43

In reply to Re: do you think of therapy as having a goal? baseball55, posted by SLS on August 7, 2013, at 6:10:54

> What are the most important differences between CBT and DBT?
> Thanks.
> - Scott

CBT is all about distorted thinking - nobody likes me, I f*ck*d up at work, my husband looked at me funny -- and therefore I am depressed or anxious or whatever. DBT is all about emotional regulation. There is very little focus on exacerbating thoughts (and I didn't have any of those thoughts. I was pretty realistic about my life and relationships.) The focus is on regulating emotions. If you feel depressed, how can you use mindfulness techniques to prevent a downward spiral. How can you learn to recognize emotions as they occur and just sit with them. DBT is very steeped in mindfulness practice and meditation. It was developed for people with out-of-control suicidality and self-harm. I had out-of-control suicidality.

At first I didn't take it seriously enough. But after a month in a hospital, my p-doc and DBT therapist met together with me and basically said, you do this and work hard at this or you are not going to make it. Over the last two years, I have worked extra hard at this. I meditate every day. I sit with painful emotions and watch them ebb and flow. If they don't ebb, I call my therapist and she suggests things I might do to distract myself and get control. She's the best.

I have to say though that I called nearly 50 people before I found her. People who specialize in DBT are rare.




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poster:baseball55 thread:1048199