本期播客深入探讨了辩证行为疗法（DBT），一种源于治疗边缘型人格障碍的技能导向疗法，现已广泛应用于抑郁症及其他情绪调节困难的治疗。Shireen Rizvi教授详细介绍了DBT的起源、核心理念，以及其创始人Marsha Linehan博士的创作背景。节目中，Rizvi教授解释了DBT如何在接纳与改变之间找到平衡，从而改善情绪调节、人际交往、正念和痛苦耐受力。此外，节目还提供了DBT的具体应用案例，如“明智思维”、“彻底接纳”、“DEAR MAN技巧”和“反向行动”等，并强调了DBT对所有人的益处。

🧠 DBT的起源与发展：DBT最初是为治疗边缘型人格障碍（BPD）而设计，由Marsha Linehan博士开发，旨在解决传统认知行为疗法（CBT）在治疗有自杀倾向患者时遇到的问题。

💡 DBT的核心理念：DBT强调在接纳自我与寻求改变之间找到平衡。它通过培养情绪调节、人际交往、正念和痛苦耐受力等方面的技能，帮助个体改善心理健康。

🧘 DBT的实践技巧：DBT包含多种实用技巧，如进入“明智思维”、运用“彻底接纳”、使用“DEAR MAN技巧”进行沟通，以及运用“反向行动”进行情绪调节。这些技巧均可在日常生活中应用。

🌱 DBT的普适性：DBT的原则和技巧不仅适用于患有心理疾病的人，也对希望改善情绪调节和人际关系的人有益。它提供了一种有效的方法来应对生活中的挑战。

👨‍⚕️ 如何探索DBT：节目还提供了关于如何寻找合格的DBT治疗师的建议，为有兴趣深入了解DBT的人提供了实用指导。

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Shireen Rizvi is a Professor of Clinical Psychology and Psychiatry at Rutgers University, where she is also the Director of the Dialectical Behavior Therapy Clinic. This episode focuses specifically on dialectical behavior therapy (DBT), a skills-based technique which was originally developed to treat borderline personality disorder (BPD) and has since been adapted to treat depression and other mental health conditions, as well as to help people who have difficulty with emotional regulation and self-destructive behaviors. Shireen explains the origins of DBT and how its creator, Dr. Marsha Linehan, came to find a need for something beyond cognitive behavioral therapy (CBT) when attempting to treat patients with suicidal behavior. From there, Shireen dives into how DBT works to resolve the apparent contradiction between self-acceptance and change to bring about positive changes in emotional regulation, interpersonal effectiveness, mindfulness, distress tolerance, and more. She also provides examples for how one can apply specific skills taught with DBT such as accessing the “wise mind,” applying radical acceptance, using the “DEAR MAN” technique, and utilizing an emotion regulation skill called “opposite action.” Finally, she explains how the tenets of DBT offer benefits to anyone, and she provides insights and resources for people wanting to further explore DBT.

We discuss:

The basics of dialectical behavior therapy (DBT) and how it differs from cognitive behavioral therapy (CBT) [3:00]; Treating depression with CBT: history, effectiveness, and how it laid the groundwork for DBT [8:15]; Marsha Linehan’s inspiration for developing DBT [16:00]; Explaining borderline personality disorder (and associated conditions) through the lens of DBT [20:00]; How work with suicidal patients led to the development of DBT—a dialectic between change and acceptance [35:30]; Details of DBT: defining the term “dialectical” and how to access the “wise mind” [44:30]; Practicing mindfulness and radical acceptance in the context of DBT [51:00]; Applying “radical acceptance” to tragic scenarios [1:02:00]; The five domains of skills taught in DBT [1:07:15]; Why Marsha chose borderline personality disorder as her focus when developing DBT [1:13:30]; Is there any benefit in doing DBT for someone without a pathological condition? [1:15:45]; The DEAR MAN skill of DBT [1:20:00]; Adapting DBT skills for adolescents and families [1:31:00]; Identifying vulnerability factors, increasing distress tolerance, and the impact of physical pain [1:33:45]; The DBT chain analysis: assessing problem behaviors and identifying vulnerability factors [1:44:30]; Why the regulation of emotions can be so challenging [1:50:30]; The importance of mindfulness skills in DBT [1:53:30]; Opposite action: an emotion regulation skill [1:57:00]; Advice for those wanting to explore DBT [2:03:15]; Finding a well-trained DBT therapist [2:08:15]; More.

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