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DBT-Help? - May 10th 2012, 09:35 PM

Hi everyone, so I am with CAMHS (child and adolescent mental health services) at the moment and I have been there for a while now. I have currently been doing cognitive behaviour therapy for those who know about it. Now after being assessed by a psychiatrist last week I have refused any medication for my depression self harm and suicide intentions as I believe I don't need it. I have been working with my therapist for a while now and we have a very very good relationship and I believe that this is a good thing as I feel very comfortable with her. But now the psych has suggested that I move to DBT (dialectical behaviour therapy) and this would mean a new therapist. I'm really not sure about DBT and what to do and I'd appreciate any advice that can be given about DBT, good or bad, and about leaving my therapist which is really worrying me! I don't want to start again and I honestly don't feel safe within my own mind anymore
Thank you
Alex


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Re: DBT-Help? - May 11th 2012, 04:31 AM

Hi there,

I think that its great you've got the support you do have. Do you feel the cbt has helped you. I used to be in camhs and i went to a dbt group every week for twelve. We need things like mindfulness and distress tolerence. It was actually quite helpful. I least some good things and maybe you can do.

I can understand you're worried about having to leave your current worker but you need to think about what you feel is going to be more beneficial for you.

I hope this helps and i hope things go okay. Look after yourself.

Jessie


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Re: DBT-Help? - May 11th 2012, 12:35 PM

DBT is predominantly a therapy for those suffering with BPD (Borderline Personality Disorder) as you might know. It's an intensive therapy, and focuses on managing painful emotions and thoughts, and how to deal with those. It usually lasts for a year, sometimes 2 years, and can be highly useful in also treating impulsive and self-harming behaviours.

I understand your worry about changing therapists, but in the end it's about what's more beneficial for you. Is there any way you can still do DBT but keep engaging or at least stay in touch with your current therapist?

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Re: DBT-Help? - May 11th 2012, 02:09 PM

Dbt consists of individual therapy, group therapy and telephone skills coaching. There are 4 modules - emotion regulation, distress tolerance, mindfulness and interpersonal effectiveness. It's a lot of hard work and takes up a lot of time (the group sessions are 2 1/2 hours, individual 1 hour and then homework as well). It ususally lasts for 1 year. If you're prepared to put in a lot of effort, you will most likely see results. A lot of the stuff they teach you can be quite complicated and difficult to understand, but it is definately worth it.
   
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