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The skills. In the classroom . Skills can be woven into lesson plans Teachers and school counselors can focus on teaching skills Repetition Helpful to orient family members to the skills Finding examples in lessons –
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In the classroom • Skills can be woven into lesson plans • Teachers and school counselors can focus on teaching skills • Repetition • Helpful to orient family members to the skills • Finding examples in lessons – • Crisis survival network when Alexander Graham Bell called out for his assistant while inventing the telephone • “The Old Man and The Sea” contains several skills (Feeling Not Acting, Keeping It in Perspective, and Half-Smile) • Charlie & the Chocolate Factory – character analysis
Anger & emotional dysregulation • Being in the moment can empower you to notice and intervene when you start to gear up emotionally • These skills teach you to manage and tolerate strong emotions and crises without having to act on them • By maintaining awareness of your emotional state, and pausing for a moment you can focus on using a skill instead of acting on impulse • These skills can help you avoid harming others emotionally or physically.
anxiety • Stay grounded in the current moment without getting caught up in the past or the future • Reduce catastrophizing. Be willing to accept anxiety. Using skills to reduce frustration and pain • Use skills to help reduce the intensity of emotions • Continue to have healthy relationships even with anxiety
BIpolar • Staying in the present empowers you to move beyond previous mood swings and destructive behaviors associated with them • These skills help you manage crises and negative moods • You are able to track your emotions, engage in balanced self-care, and stay connected to your psychiatric prescriber • Maintaining healthy relationships contributes to stability with this diagnosis
Conduct/oppositional defiant disorder • These skills can get you our of your head about what you think is going on and stay closer to your actual experiences • These skills may be essential for self-regulation to help you stop destructive and harmful behavior • You can benefit greatly from effectively getting to know and learning to manage your emotions • With these difficulties you may struggle in relationships especially with authority figures. You can increase your confidence and competency.
depression • Being in the here and now reduces rumination about how it has always been this way and will always be this way • These skills can help manage hopelessness and suicidal feelings • The self-care embedded in these skills can be invaluable • These skills can combat the low self-esteem associated with mood disorders so that you can be effective in your relationships
eating • It is essential to stay present with the ritual of eating while being non-judgmental • These are essential skills for managing the internal distress that may not be observable to others • These skills can assist you in managing your emotions more effectively • These skills can help you and your support system to establish healthy communication
Impulse control problems • Staying in the moment helps you learn to be with your impulses without necessarily acting on them • These skills give you something to do besides acting on an impulse. They can provide a replacement or distraction • Managing emotions effectively can reduce or eliminate impulsiveness. Using the moment-to-pause skill helps you have more control • These skills can provide motivation to improve management of impulses
Substance abuse • Staying in the moment can help you focus on the tasks at hand and reduce avoidance behaviors • Effectively managing difficult situations can reduce the need for substances • These skills can increase stability and life satisfaction • By being more functional in your relationships you may find less need for substances
Substance dependence • If you are struggling with addiction, you may spend very little time in the here and now. Mindfulness can be quite empowering and essential to establishing recovery • These skills can be extremely useful to you because you may have very little tolerance for frustration and pain • The intensity of your emotions can be overpowering and trigger relapse. You may have a strong tendency to engage in impulsive behavior.
trauma • This can help you stop reliving the traumatic event. It also helps to acknowledge that the event is not occurring in the present moment. • These skills can help to reduce hypervigilance as well as to manage crises you experience. • These skills can be used to manage the emotional intensity associated with this diagnosis. • These skills can help you have appropriate assertiveness, self-respect, and investment in relationships
Review all the skills • Mindfulness • Distress Tolerance • Emotional Regulation • Interpersonal Effectiveness
SELF-SOOTHE first aid kit • Marci’s example
PRACTICE VIGNETTE • Rachel is a 13 yo female who has been in a foster home after being removed from her family due to abuse. She has had some problems in school with aggressive and intimidating behavior. This is disruptive to her classmates and takes away from her learning. • Pick one skill from each of the four skill set areas that may help her and explain why?
DBT: What it is What it is not • This is not a de-escalation technique • This is a set of skills to teach your students how to control their own emotions rather than letting their emotions control them • This is a way to connect to these students • This is a way to make a permanent difference in the lives of your students • This is a way to model healthy behavior • This is not a cure for a student that needs therapy
Role play • Using a current student as a case study example, role play an intervention and how you could teach this student one of the skills? • Please use a dyad group to role play your situation? • Be ready to present your role play to the group in approximately 20 minutes.
What Now? • You may want to create a DBT group through you guidance department. • You need to continue and/or start collaborating with treating therapists in cases where DBT is the method of treatment • Involve Parents whenever possible or appropriate…sometimes the parents need the skills too!
