Immediate Social Care

About

I provide the following therapeutic support:
Dynamic Interpersonal Therapy
Post Natal Depression
Gambling Therapy
Adolescent Counselling
Depression Counselling
Counselling
Cognitive Behaviour Therapy
Life Coaching
Therapist
trauma therapist

Dialectical behaviour therapy.

However, the central focus of my work is around dialectical behaviour therapy and trauma. Traum is as “an inescapably stressful event that overwhelms people’s existing coping mechanisms” (van der Kolk & Fisler, 1995. Its the result of extraordinarily stressful events that shatter your sense of security, leading to you feeling helpless, powerless and vulnerable in your life. Traumatic experiences often involve a threat to life or safety, but any situation that leaves the person feeling overwhelmed and alone can be traumatic. When the mind is overwhelmed by trauma, it finds it difficult to recognise the event or events as over.

Trauma treatment and healing involve:
Development of trauma-related memories and feelings
Releasing pent-up “fight-or-flight” energy
Learning how to control physically powerful emotions
Constructing or re-constructing the ability to trust other people.

There are three stages of trauma treatment:
I. The first stage: teaches the client about trauma therapy.
In this stage, he/she will create more effective strategies to manage the effects of the trauma on his/her life.

2. The second stage or middle stage of trauma therapy involves looking at past experiences of trauma, explores how it has affected the client in the past and how it continues to influence him/her.

EMDR (Eye Movement Desensitization and Reprocessing) and Somatic experience are one of the treatment tools used in the treatment process. This treatment encompasses the fundamentals of cognitive-behavioural therapy with eye movements or other forms of rhythmic, left-right stimulation. EMDR session concentrates on traumatic memories and related negative emotions and beliefs by “unfreezing” traumatic memories, permitting the client to work towards removing them. Somatic experiencing: Utilises the body’s exclusive ability to heal on its own — the core of is on bodily sensations, rather than thoughts and memories about the event. The client gradually gets in touch with trauma-related energy and tension, by concentrating on what’s happening in the body. From there, the natural survival instincts take over, safely releasing this pent-up energy through shaking, crying, and other forms of physical discharge.

3. The third stage: The third and last stage of trauma therapy involves addressing any remaining difficulties in the client’s life, as well as working on ways to connect fully in his/her relationships with others. The final stage is about dealing with the issues of daily life for survivors who are doing well, but who are still struggling with specific topics.

DBT, on the other hand, derived from CBT (link) techniques.
What is DBT?
It is the process of thought by which apparent contradictions are seen to be part of a higher truth.” “The process or art of reasoning through discussion of conflicting ideas.” The word “dialectical” describes the notion that two opposing ideas can be accurate at the same time.

What is dialectical behaviour therapy used to treat?
Dialectical behaviour therapy (DBT) is a specific type of cognitive-behavioural psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been- used for the treatment of other kinds of mental health disorders.

What are the DBT skills?
DBT teaches clients four sets of behavioural skills: mindfulness; distress tolerance; interpersonal effectiveness; and emotion regulation.
What is a behavioural therapist?
Behaviour therapy is an umbrella term for types of therapy that treat mental health disorders. This form of therapy seeks to identify and help change potentially self-destructive or unhealthy behaviours. ... The focus of treatment is often on current problems and how to change them.
What is mindfulness in DBT?
It is a series of skills in four modules: mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance. The first of these modules are core mindfulness and, as the name implies, it is the foundation of DBT

What does distress tolerance mean?
Distress Tolerance skills are used to help us cope and survive during a crisis, and helps us tolerate short term or long term pain (physical or emotional). Tolerating distress includes mindfulness of breath and mindful awareness of situations and ourselves.

What is the meaning of interpersonal effectiveness?
In DBT, Interpersonal Effectiveness refers to the skills which help us to, attend to relationships — balance priorities versus demands. Balance the 'wants' and 'should' build a sense of mastery and self-understanding.

What is emotional regulation?
Emotional self-regulation or regulation of emotion is the ability to respond to the ongoing demands of experience with the range of emotions in a manner that is socially tolerable and sufficiently flexible to permit spontaneous reactions as well as the ability to delay automatic responses as needed.

Why would someone use it?
DBT was developed to meet the specific needs of individuals with Borderline Personality Disorder and has been found more effective than CBT techniques for this client group. It has been found effective in treating issues such as self-harm and suicidal thoughts, which are also common amongst individuals with BPD.

DBT is a short-term treatment and is focused on the achievement of specific goals, as defined and agreed between the therapist and client.
While the CBT elements offer a more directive approach than some other therapies, such as person-centred therapy, or psychodynamic psychotherapy, Dialectical Behaviour Therapy also provides a less directive space for clients to explore and eventually accept intense feelings or emotions.
Limitations:
DBT treats specific symptoms in the short-term, and while intense emotions can look at, additional, more in-depth therapeutic work may be needed to address the underlying feelings adequately.

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