Counseling Skills Workshop Mindfulness and Effective Coping Jane

Brief Treatment? Bob Newhart & Mo Collins Skills Training Manual for Borderline Personality Disorder.

Major Causes of Relapse Escape from negative emotional states (35%) n Social pressure (20%)

Skills for Coping: “DBT Lite” Where am I right now? (Mindfulness) n What are

Mindfulness n Present-moment awareness: five senses n What: n How: n Observe, Describe, Participate

Interpersonal Effectiveness Challenge myths (“I must be inadequate if I can’t fix this myself”

Emotion Regulation Most people think the sequence goes: Event Emotion Action Instead, we teach:

Distress Tolerance …. how to get through difficult situations when you can’t solve the

Change takes time…. And setbacks occur. Be patient, flexible, and accepting. Refer to a

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Counseling Skills Workshop Mindfulness and Effective Coping Jane B. Finch, LCSW Changes By Choice Durham, NC

Brief Treatment? Bob Newhart & Mo Collins Skills Training Manual for Borderline Personality Disorder. Marsha Linehan, 1993. SMART Recovery Handbook, 2 nd Edition. Henry Steinberger, Ph. D, Editor, 2004. www. smartrecovery. org

Major Causes of Relapse Escape from negative emotional states (35%) n Social pressure (20%) n n Direct or indirect Interpersonal conflict (16%) n Desire for positive emotional states (12%) n Escape from negative physical states (12%) n Testing personal control (5%) n

Step 1: Agency

Skills for Coping: “DBT Lite” Where am I right now? (Mindfulness) n What are my options? n Change the situation (Interpersonal effectiveness) 2. Change my reaction to the situation (Emotion regulation) 3. Accept the situation and my reaction as they are (Distress Tolerance) Or …. 4. Stay miserable 1.

Mindfulness n Present-moment awareness: five senses n What: n How: n Observe, Describe, Participate Non-judgmentally, One-mindfully, Effectively Simple watching-the-breath exercise

Interpersonal Effectiveness Challenge myths (“I must be inadequate if I can’t fix this myself” “I should be willing to sacrifice my own needs for others”) n Describe, Express, Assert, Reinforce n Practice saying no… especially to drink/drug offers n

Emotion Regulation Most people think the sequence goes: Event Emotion Action Instead, we teach: Event Self-Talk Body Response Emotion Action And encourage patients to have sober FUN regularly to offset events they can’t control.

Distress Tolerance …. how to get through difficult situations when you can’t solve the problem (right away, or at all) without making things worse (using). n Distractions n Prayer, meaning n Self-soothing n (Radical) Acceptance

Change takes time…. And setbacks occur. Be patient, flexible, and accepting. Refer to a specialist for deeper trauma. And remember what YOU can and can’t change!