NAMI National Conference: Day 1

6 Jul

Today was the reason I went to the conference.  Marsha Linehan was a speaker on DBT: Where we were, where we are and where we are going.  The talk was an hour and fifteen minutes and excellent.  She is funny and irreverent along with being extremely knowledgeable and blunt.  Here are some of the main tidbits I took away from the presentation:

  • Immediate Problems to solve: Low distress tolerance and frequent crises and high arousal made sustained work on change very difficult.  (with patients)
  • New Client targets in DBT: *Radical acceptance of one problem to work on after another, the past, the present, limitations of the future. *Distress tolerance  *Experience of connection, essential “goodness”, and validity. (Note: she mentioned how many people with BPD think they are terrible people, I didn’t know I wasn’t so alone in this)
  • Immediate Problems to solve: ever changing clinical presentation (in patients) together with frequent crises resulted in confused therapists and chaotic therapy
  • While doing research for DBT she was looking for the most high risk, multi-diagnostic problem cases
  • Another Problem: Therapist emotion dysregulation can lead to excessive fear, anger and hostility resulting in attempts to control the patient, rejection and attack or… excessive empathy and falling into the pool of despair with the client and abandoning therapy. (Note: I’ve had both happen)
  • Suicidal behavior is seen as problem solving by patients and a problem behavior my therapists.
  • Clients feel better by thinking about suicide.  But there is no evidence it is “better” because you are dead
  • DBT is essentially a team treatment

A link to the power point presentation she made.  It is under Monday July 6 Advancing Recovery: Dialectical Behavioral Therapy.

3 Responses to “NAMI National Conference: Day 1”

  1. Joyce July 7, 2015 at 4:44 AM #

    Reblogged this on MAKE BPD STIGMA-FREE!.

  2. manyofus1980 July 22, 2015 at 12:35 AM #

    She sounded like she gave a good speech. I bet you got a lot out of going to it. X

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