DBT/CBT Groups

Oh I have an old flip phone, by choice. So I can't do the app diary thing.

Do you think someone may not be ready for DBT? Is there a place where you need to be in your head for this to work?

No, mindfulness, distress tolerance , emotional regulation and interpersonal effectiveness are the four modules.

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I know in my case I found the first two classes irritating: the facilities, the facilitators, the other students. I know in my case I could do not emdr because I had too much neglect for it to work. It's possible DBT may not work for you. Perhaps you will have better luck with emdr.

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Just seems there may be some cases where the T's need to evaluate the client before putting them through these classes or treatments. Maybe if I had not had the EMDR so soon after Dad's suicide maybe this other stuff would not be such a problem right now. Those one or two EMDR treatments seemed to pull up past issues that had been dealt with to make them feel like they had not been dealt with.

I couldn't do EMDR because of childhood neglect. If DBT is not right for you right now you could ask your t about EFT or medication.

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EFT? She has mentioned anything about EFT, not sure they offer anything like that. Already taking Wellbutrin ,Lexapro, Trazadone

Emotional freedom technique, aka tapping .

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Is that something you do with a T or on your own?

Either. You can look up Brad Yates on YouTube for an intro.

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Sorry, I forgot to check back in to this thread.

I was suggesting to keep an eye on the dissociation because it's a measure of how triggering themail group is for you. If you are dissociating more than normal, it would be something to bring up to the group t, as it may be a sign that whatever you guys are covering is overwhelming...

Thanks for responding back. You mean the DBT group? It's all women. But I did talk to the T about it at our bi monthly session (smh) She said that if the group is that stressing for me that maybe I should not continue on with the next module. But that if I didn't maybe I needed to transfer over to a full time counselor, there at the VA., so maybe I could be seen more often than once every 2-3 months. All this kind of knocked the wind out of me. First I had no idea there were more modules, she said she didn't mention that at the beginning because she felt I wouldn't come...and she was right. And the thought of going to another counselor....makes me want to vomit.
Anyway, glad to hear that you don't feel that dissociating is anything serious, just a cue that something is overwhelming.....

Wow... yeah, doesn't sound like she was too upfront about the dbt,and also like she's not really holding true to the original model. "They've" cut down on what's considered "essential" to dbt,though they forget that it was designed to be used comprehensively.

I'm sorry t suggested finding someone else if you choose not to return to dbt.that's kinda a ****** position to be put into. Maybe though, it would work out better? I dunno... I personally Hate changing therapists, but i've done it quite a few times. In the end, most of the changes were beneficial in some way. Had one previous t not abandoned me while I was in crisis, I wouldn't have gotten set up with current t,who is actually really good and helping me a lot... I know it sucks, but maybe a new t could be more helpful? (Even if it just means you can see them more often)

She admitted that she didn't tell me about all the classes because she thought I would back and I would have. So in a way it was good she played it that way to get me there initially. But it's nauseating to think there are 3 more modules to this. This Monday will be the last class of this module Not sure if the next module starts right away.
<<she's not really holding true to the original model >> What's the original model?
I think she was wanting me to change to another T so I could get more therapy time in. My T is part time, the only female T there for a while now. So she was always booked solid. Plus I don't really know this T that well, we haven't really made a connection so it wouldn't be that bad. I think she was surprised that I was so quick to say sure let's get someone else. I just want to get better, ..now.

<<Had one previous t not abandoned me while I was in crisis, I wouldn't have gotten set up with current t, who is actually really good and helping me a lot... >> That truly sucks, she should be ashamed to call herself a T.
Thanks for the response back.

Last class of the emotion regulation DBT module tomorrow Not sure what module is next. I guess the good side of this is maybe it will all come together at some point and be a benefit. The last class we were given several pages of pleasurable events. Not sure what we were suppose to do with that but they are very triggering and taking some time for me to get through. As expected I didn't go fishing. Maybe later. The weather has been iffy around here so didn't really want to get too involved with something outside. I did fix the toilet so that was a plus. Had been putting that off for a while. It still worked properly just had a leak. replaced the ballcock, seal and cleaned out the back of the tank of mineral deposits, all is good now

Been looking over the sheet with pleasurable activities and they were very triggering. Couldn't get through the 3 pages of them but will work on it before class in the morning.

Finished the class today, now on to the next module INTERPERSONAL EFFECTIVENESS, I hope it's more interesting to me than this last module. Had a hard time understanding how it applied to me. Must be hard for some others too, there were a couple in there taking this module for the 2nd and 3rd time.

Starting new class tomorrow, yipppp eeeeee

Didn't make it to class today.....sigh....too stressed out about doing the EKG later and that caused my muscles to tense and my shoulder and neck pain were keeping me from sleeping. Also I was having withdrawal type symptoms for some reason. Hope tonight will be better.

I did go by and pick up the paperwork for the first day. Not sure I should do this module though. A lot going on right now.

DBT was originally designed as an intensive program to be "taught" daily, with the therapist being on-call for support and reinforcement of skills 24/7.

I know that it's practiacally not a feasable thing, but the original thinking behind it was to not only help build skills, but also to build a trusting, stable relationship that could withstand the ups & downs of such intensive work.

The closest I've come to experiencing the original model was through a local psych hospital's iop version. They offered groups 3 times a week, one-on-one contact with the therapist once a week, and a therapist-manned crisis line avaiable 24/7. It wasn't as consistent as the original model of dbt, but more consistant than most others I've tried.

Wow, that's so much different than what we have. We meet once a week for 45 minutes, then I see my counselor once every 2-3 mos., that's the quickest they can see a person. I don't think you can get into much intensive stuff in 45 minutes with a group of 17. I just hope I can stop dissociating in the class and actually get something out of it. Thanks for responding back on this.

Well my first class in the INTERPERSONAL EFFECTIVENESS was odd. It was their second day but my first. New group of people......so like starting over. There were a couple of people who were talking and started crying, made me a little uncomfortable. The conversations of domestic abuse and issues with mothers really caused me to have flash backs. I felt myself pulling inward tight. I don't know what the assignment was and I'm not calling to ask again. Not sure if this is the right thing for me.

In my Dbt class we met once a week for two hours and had to be in individual therapy simultaneously. I took my classes through an agency. Do you have any available?

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No, just the 45-50 minute class once a week, I did get an apt with her quicker this time, only a month away this time usually 2-3 months apart. It would make sense to do it at least two hours. By the time people tell all their stories, and some LOVE to talk , the class is over and seems like we never really had a class. I guess I have a hard time with it because I thought it was "A Class" not group therapy.