Reply to DBT increases anxiety, depression and family conflict

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Wow I’m glad someone posted this although I disagree with OP’s spin - DBT is the evidence based treatment for suicidalality/self harm. This study shows however that a partial DBT program delivered to mentally healthy kids can cause iatrogenic harm. Curious what mechanism people think is happening?[/quote]

It’s causing the kids to focus on negative emotions that they were previously letting go. In people who are suicidal/self-harming, they are already focused on negative emotions, and DBT teaches them to manage that. The first step is always to recognize and acknowledge your negative emotion. If people don’t have a negative focus to start out with, DBT teaches them to have a negative focus. We all have lots of fleeting negative emotions that come and go throughout our day. If you don’t have a focus on them, teaching someone to focus on them is going to exacerbate the emotions that would have otherwise just passed. [/quote]

Yes. If you are overwhelmed with negative emotion and need to validated it might be useful to understand your emotions more, but for a person who already knows how to cope in a way that works for them it can be too much,

Also, [b]there is too much emphasis on relationships as a way to get what you want and not enough on just enjoying other people and accepting them as they are. [/b]With certain personality disorders relationships can be seen as transactional and they become frustrated when they can't manipulate people into meeting their needs. It might be helpful for someone with a personality disorder to learn methods which aren't abusive, but they also need to stop looking at relationships as all about getting what they want. They need a different kind of therapy to learn to get along and stop assuming every around them should be validating them/doing favors/giving in to requests. Yes, we all should expect respect, but there is way too much emphasis on how to make requests of others. Good for a boss who needs better interpersonal skills, but for equals, you shouldn't spend your friendship making constant requests of others beyond "hey do you want to see that movie?" or "I'm sorry your spouse is sick. Can I bring over dinner?"[/quote]

I disagree with that if your'e talking about DBT generally. The major problem with BPD is that sufferers tend to manipulate others to get what they want without regard to others' feelings. There is a lot of instruction in DBT about how you need to ask nicely, accept a no, and be willing to do things and change for others. [/quote]

Both posts are correct. DBT is best used by a population that is already struggling. The techniques help them stabilize. But the buy-in is important for longterm success-- defined often as reducing suicidal ideation and self-harm. [b]Otherwise, some of the interpersonal techniques sound like they came from a business leadership text, making it about managing others rather managing yourself.[/b][/quote]

This!!!!! Thank you for articulating that. [/quote]

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