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What is Dialectical Behavior Coaching and how does it work?
Dialectical Behavior Therapy (DBT) was originally founded in the late 1970s by Marsha Linehan who was a suicide researcher at the time. DBT skills coaching is especially effective for people who have difficulty managing and regulating their emotions. DBT skills coaching has demonstrated to be effective for managing a wide range of behavioral health symptoms/behaviors, including: Borderline personality. Self-harm. Suicidal behavior. hyper arousal; Substance use. Maladaptive eating behaviors, sadness, lost of interest, pessimism, ruminating thoughts, punishment feelings, internalizing behaviors, self-dislike, guilty feelings, self-criticalness, lost of pleasure, worthlessness, irritability, indecisiveness, loss of concentration, feeling tensed or keyed up, changes in sleeping pattern, loss of energy, loss of interest in sex, .
The main goal of coaches who use DBT skills coaching is to strike a balance between validation (acceptance) of who you are and your challenges and the benefits of change. Your therapist will help you learn new skills to improve emotion regulation.
The structure of dialectical behavior therapy can vary some from therapist to therapist, but, in general, DBT involves these four types of sessions:
It’s important to note that the reason DBT skills coaching has demonstrated to be effective for mitigating these conditions is that each of these conditions is thought to be associated with issues that result from unhealthy or problematic efforts to control intense, negative emotions. Rather than depending on efforts that cause problems for the person, DBT helps people learn healthier ways to cope.
DBT peer-reviewed articles:
DBT in a nutshell:
https://www.ebrightcollaborative.com/uploads/2/3/3/9/23399186/dbtinanutshell.pdf
DBT skills training for BPD:
DBT in a mental health community setting: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191933/
What is Brief Solution-Focused Coaching?
Brief Solution-Focused Coaching places focus on a person's present and future circumstances and goals rather than past experiences.
How does it work?
BSF coaching aims to help people experiencing difficulty find tools they can use immediately to manage symptoms and cope with challenges, is grounded in the belief that although individuals may already have the skills to create change in their lives, they often need help identifying and developing those skills. Similarly, BSF coaching recognizes that people already know, on some level, what change is needed in their lives, and BSF coaches work to help the people clarify their goals.
A BSF coach encourage individuals to imagine the future they desire and then work to collaboratively develop a series of steps that will help them achieve those goals. In particular, coach can help clients identify a time in life when a current issue was either less detrimental or more manageable and evaluate what factors were different or what solutions may have been present in the past. This form of coaching involves first developing a vision of one’s future and then determining how internal abilities can be enhanced in order to attain the desired outcome. Coaches who practice BSF training attempt to guide people through the process of recognizing what is working for them, help them explore how best to continue practicing those strategies, and encourage them to acknowledge and celebrate success. In addition, coaches support clients as they experiment with new problem-solving approaches.
Brief Solution-focused peer-reviewed articles:
Alternative forms - physical therapy
Meditation (body scans)
Grounding
Resourcing and Visualization
Self-regulation
Yoga
Pilates
Judo
Education
Kundalini
Mindfulness - ex. Hakomi Method
Sensorimotor Therapy
Somatic Experiencing
Somatic therapy is a form of body-centered therapy that looks at the connection of mind and body and uses both psychotherapy and physical therapies for holistic healing. Practitioners believe mind and body are intimately connected, though not always in apparent ways. Thought, emotions, and sensations are all believed to be interconnected and influence one another. Somatic Therapy, Psychology Today, 6.2.2022
The Importance of the P.L.E.A.S.E. skill.
Water is important for maintaining daily heatlth. According to the World Journal of Psychiatry, drinking water decreases the risk of symptoms related to depression and anxiety.
Drinking water helps with regulating our tempature; aiding digestion; boosting our immune system; preventing constipation; normalizing blood pressure; flushing bacteria from our bladder; protecting organs and tissues; cushioning joints; and carrying nutrients and oxygen to our cells.
Drinking water also helps with increasing clarity and concentration; and is the key to living a happy.
Exercise improves mental health by reducing anxiety, depression, and negative mood and by improving self-esteem and cognitive function. Exercise has also been found to alleviate symptoms such as low self-esteem and social withdrawal.
You don’t need to devote hours out of your busy day to train at the gym, sweat buckets, or run mile after monotonous mile to reap all the physical and mental health benefits of exercise. Just 30-minutes of moderate exercise five times a week is enough. And even that can be broken down into two 15-minute or even three 10-minute exercise sessions if that’s easier.
Mindfulness is the practice of purposely focusing your attention on the present moment—and accepting it without judgment. The cultivation of mindfulness has roots in Buddhism, but most religions include some type of prayer or meditation technique that helps shift your thoughts away from your usual preoccupations toward an appreciation of the moment and a larger perspective on life.
Mindfulness improves physical health.
If greater well-being isn’t enough of an incentive, scientists have discovered that mindfulness techniques help improve physical health in a number of ways. Mindfulness can: help relieve stress, treat heart disease, lower blood pressure, reduce chronic pain, , improve sleep, and alleviate gastrointestinal difficulties.
Mindfulness improves mental health.
In recent years, psychotherapists have turned to mindfulness meditation as an important element in the treatment of a number of problems, including: depression, substance abuse, eating disorders, couples’ conflicts, anxiety disorders, and obsessive-compulsive disorder.
There is more than one way to practice mindfulness, but the goal of any mindfulness technique is to achieve a state of alert, focused relaxation by deliberately paying attention to thoughts and sensations without judgment. This allows the mind to refocus on the present moment. All mindfulness techniques are a form of meditation.
Basic mindfulness meditation – Sit quietly and focus on your natural breathing or on a word or “mantra” that you repeat silently. Allow thoughts to come and go without judgment and return to your focus on breath or mantra.
Body sensations – Notice subtle body sensations such as an itch or tingling without judgment and let them pass. Notice each part of your body in succession from head to toe.
Sensory – Notice sights, sounds, smells, tastes, and touches. Name them “sight,” “sound,” “smell,” “taste,” or “touch” without judgment and let them go.
Emotions – Allow emotions to be present without judgment. Practice a steady and relaxed naming of emotions: “joy,” “anger,” “frustration.” Accept the presence of the emotions without judgment and let them go.
Urge surfing – Cope with cravings (for addictive substances or behaviors) and allow them to pass. Notice how your body feels as the craving enters. Replace the wish for the craving to go away with the certain knowledge that it will subside.
What is mindfulness?
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