本期节目聚焦辩证行为治疗（DBT），一种原用于治疗边缘型人格障碍，现已扩展至抑郁症和其他心理健康状况的技能基础技术。Shireen Rizvi教授深入探讨了DBT的起源、应用及其与认知行为治疗（CBT）的区别，并分享了DBT如何帮助人们在情感调节、人际关系、正念、忍受痛苦等方面实现积极变化。

🧠 DBT的起源与创新：Shireen Rizvi教授讲述了DBT的创始人Marsha Linehan博士如何在治疗自杀行为患者时发现CBT的局限性，从而发展出DBT。

🌟 技能教学：DBT教授五大技能领域，包括情感调节、人际效能、正念、忍受痛苦和危机应对，以促进个人自我接纳与改变。

💡 “智慧心”与“彻底接纳”：教授如何通过DBT技能，如“DEAR MAN”技巧和“相反行动”情感调节技巧，来访问“智慧心”和实现“彻底接纳”。

👥 适用人群：DBT不仅适用于边缘型人格障碍患者，也为那些在情感调节和自毁行为上有困难的人提供了帮助。

🚧 挑战与前景：讨论了情感调节的挑战性，以及正念技巧在DBT中的重要性，同时为想要深入了解DBT的人提供了资源和建议。

View the Show Notes Page for This Episode

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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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