Trauma Informed Treatment and Education DBT Distress Tolerance

Trauma Informed Treatment and Education: DBT Distress Tolerance Skills PRESENTED BY, KEITH MADER, LCSW DIRECTOR THERAPY SERVICES C-V RANCH WILSON, WYOMING

Nuts and Bolts The Presentation will be an Hour in length, from 4: 00 to 5: 00 pm Questions and Comments are Welcome by typing and sending them in during the presentation or by speaking. Handouts Including a Copy of this Power Point should have been Emailed to you.

Goals of Presentation Be introduced to a brief overview of Dialectical Behavior Therapy (DBT). Learn the rationale and purpose for Distress Tolerance Skills. Learn a number of Distress Tolerance Skills that can be utilized with students. Be provided with some further resources on Distress Tolerance.

What is DBT?

Bio Social Theory: DBT Theory that the Problem Behaviors of Emotionally Dysregulated Individuals Stem from a Combination of Biological and Environmental Factors. Specifically, these Factors are a Biological Vulnerability to Emotional Dysregulation and an Invalidating Social Environment (an Environment where Coaching in Emotion Regulation is Inadequate and Dysfunctional Learning Takes Place) (Linehan, 1993)

Dialectics: DBT ACCEPTANCE…. . Vs. …. . CHANGE STUDENTS ARE DOING THE BEST THEY CAN…. AND…. THEY NEED TO DO BETTER

Non-Judgmental View of Behavior “Effective” Behavior: Does Not Make Problems Worse. Causes No Harm to Self, Others, Property. Keeps Us on Track Toward Achieving Life Goals. Versus…. . Ineffective Behavior…. That Served a Purpose in Face of True Threat of Traumatic Situation and has outlived it’s usefulness.

Basic Assumptions of DBT People are Doing the Best They Can. People Want to Improve. People Must Learn New Behaviors both in Therapy and in the Context of Their Day to Day Lives. People Cannot Fail in DBT. People May Not Have Caused All of Their Problems, but They Have to Solve Them Anyway. People Need to do Better, Try Harder and be More Motivated to Change The Lives of Dysregulated People are Unbearable.

DBT Skill Modules: Mindfulness

Dialectical Behavior Therapy: Distress Tolerance Skills

Distress Tolerance These are Crisis Survival Skills Designed to Tolerate Intense Emotions Because…. . Pain is Part of Life and Can’t Always be Avoided If You Can’t Deal with Your Pain, You May Act Impulsively When You Act Impulsively, You May End Up Hurting Yourself, Hurting Someone Else, or Not Getting What You Want.