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    Dialectical Behaviour Therapy (DBT) at Redburn: Shining A Light On The Future

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    Dialectical Behaviour Therapy (DBT) at Redburn: Shining A Light On The Future

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    ian griffin
    107 views6 pages
    timetable

    Original Title

    DBT Redburn A4

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    107 views6 pages

    Dialectical Behaviour Therapy (DBT) at Redburn: Shining A Light On The Future

    Uploaded by

    ian griffin
    timetable

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    © All Rights Reserved
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    of 6

    Dialectical

    Behaviour Therapy
    (DBT) at Redburn
    Patient Information Leaflet

    Shining a light on the future


    What is Dialectical Behaviour Therapy (DBT)?
    DBT stands for Dialectical Behaviour Therapy.

    DBT is a form of psychological therapy that is used to help people who are experiencing
    difficult emotions and stresses. It involves accepting that you have these thoughts and
    putting in place strategies to cope with them.

    Experiencing strong emotions and feeling like you cant cope at times is very common and
    occasionally these emotions become too much. DBT has been developed to help people
    by teaching them what to do if they start feeling overwhelmed.

    We know that it can sometimes be hard to talk about some things with other people. You
    may also find it difficult to talk in a group. But this treatment has been shown to be very
    successful in helping people who are admitted to the ward.

    We understand that it may be distressing starting therapy, and may cause some
    uncomfortable emotions and thoughts. However, you can be sure that we would only move
    at a pace that suits you, and we would be developing skills to help you cope with anything
    you find difficult.

    We cannot force you to attend, it is your decision, but we strongly encourage you to so we
    can help you how we can.

    DBT has been shown to help people who are experiencing feelings such as:
    Thoughts of suicide
    Self-harming
    Anxiety
    Depression
    Low self confidence or self-esteem
    Poor concentration
    Intense and unstable relationships
    Impulsiveness

    Some people are more prone to experiencing intense emotions,


    which can be distressing. DBT helps by teaching skills for coping
    with these feelings. It does this by focusing on behaviour change,
    whilst acknowledging and encouraging the skills you already have.

    Each week the DBT therapists will meet and discuss who
    meets the criteria for DBT. They will then ask you to join
    the groups, this may already have happened for you.
    Your therapist may discuss your case in consult with
    other therapists to make sure you receive the best care.

    Although you may be having a difficult time, it is


    important to know that the skills you learn in these
    groups, and with your therapist, have been shown
    to help thousands of people who have had a
    difficult time like you. It may seem hard or
    strange at first but in the long-term it can really
    help you feel better.

    2
    What does it involve?
    DBT involves two forms of therapy:

    Individual therapy: You will be assigned an individual therapist who you will meet once a
    week at a time that is convenient for both of you. Here you can talk about the things that
    are getting in the way of you reaching your goals. They may ask you to record the times
    that you have practised your skills. They may also work with you to work out when you find
    things more difficult, and what, if anything, triggers these feelings.

    Group Therapy: The DBT group on Redburn takes place every week and you can find the
    time and date on your structured day timetable. Here you will be with your peers from the
    ward and you will be shown the skills that work for some people like you. You may find that
    some of them do not work so well for you, this is ok! However you may take some of the
    ideas and make them your own. As long as it helps you to cope with any times of distress
    then that is all that matters.

    What will I learn?


    DBT is taught in four modules. Depending on when you have been admitted you may not
    do all four modules, but each one has information and guidance that will be useful for you
    so dont worry about not completing all four.

    Here are the modules and a description of them:

    Mindfulness: Teaches skills on how to focus the


    mind, directing attention and improving concentration.
    It will also help you understand how you feel.

    Emotional Regulation: This module helps you


    understand cope with and manage difficult emotions
    by decreasing emotional vulnerability and emotional
    suffering.

    Distress Tolerance: This module involves learning


    to accept and tolerate distress, survive crises and
    accept life as it is in this moment.

    Interpersonal Effectiveness:
    Helps you improve relationships,
    decide on goals and learning to
    communicate your needs effectively.

    If you would like to know more


    you can ask one of our staff or
    read some of our DBT books
    in the library in Pod 4. But
    dont worry about learning it
    all at once. It is important you
    are able to practice your
    skills a bit at a time.

    3
    The Dialectical View
    Acceptance Between black and white are
    shades of grey

    Within every truth, there is


    its opposite Conflict and opposition are part
    of the process

    Understanding
    Wholeness
    Person and environment
    are connected

    Modules - DBT is taught in 4 blocks, on Redburn they run in a cycle like this:

    Distress
    Tolerance
    (6 weeks)

    Mindfulness Mindfulness
    (1 week) (1 week)

    Interpersonal Emotional
    Effectiveness Regulation
    (6 weeks) (6 weeks)

    Mindfulness
    (1 week)
    :

    The Distress Tolerance, Emotional Regulation and Interpersonal Effectiveness modules


    each last for 6 weeks. Between each module is a week of Mindfulness skills practice.

    4
    Questionnaires
    During your time using DBT on Redburn you will be asked to fill out some questionnaires
    for us.

    Why?
    We like to know how well you feel you are doing in the group and where you may need a
    little extra help. We do this by asking you to fill out questionnaires for us which allows us to
    measure how you progress.

    We know this can be really boring! However it is really helpful, as it makes things more
    focused on you, so by filling these out we can make our therapy tailored to what you need.

    When?
    There are two times you will be asked to fill them out.

    1. Before you start DBT you will be asked to fill out an entry pack. This gives us a
    baseline to see how well you are doing.
    2. At the end of each module you will be asked to fill out another set of questionnaires.
    You may find that you have already filled the same forms out. This is so we can
    compare the scores and see what we can do to help you best.

    Who will see them?


    These questionnaires are scored by the team and a short summary is given to your
    individual therapist. They can then use these results to talk to you about specific things
    you find difficult. Most importantly, YOU can see them! It is important that you say which
    bits you agree with or that may not be accurate.

    What happens after I am discharged?


    It depends! DBT is also run in the community, so if it works for you and we think you
    would benefit from continuing with DBT, you may be given the option of attending DBT
    groups and having a community based therapist.

    5
    Resources
    You can also access a number of resources online and apps for your phone which are
    related to DBT.

    stem4 targets commonly occurring mental health issues in


    teenagers. They have a lot of helpful information on their website,
    and also have an app that you can download for free for your smart
    phone. www.stem4.org.uk/

    You can also access loads of resources through the MIND charity. They
    can give you information and support as well counselling and crisis helplines.
    www.mind.org.uk

    References
    DBT Skills Training Manual 2nd Edition Marsha M Linehan

    Further information about the content, reference sources or production of this leaflet can be
    obtained from the Patient Information Centre.
    This information can be made available in a range of formats on request (eg Braille, audio,
    larger print, easy read, BSL or other languages). Please contact the Patient Information
    Centre Tel: 0191 223 2545

    Published by the Patient Information Centre


    2016 Copyright, Northumberland, Tyne and Wear NHS Foundation Trust
    Ref, PIC/767/0316 March 2016 V1
    www.ntw.nhs.uk/pic Tel: 0191 223 2545
    Review date 2019

    Follow us www.facebook.com/NTWNHS
    @ntwnhs

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