Dialectical Behavior Therapy (DBT) PDF

Dialectical Behavior Therapy Matt Missar | Powered Up | Module 10  01. Complete overview of model 02. Un...

Dialectical Behavior Therapy Matt Missar | Powered Up | Module 10  01. Complete overview of model 02. Understand key Objective components of model as they relate to Internet Use s Disorder and Gaming Disorder 03. Examine research of model 04. Apply model to clinical setting 05. Complete knowledge check quiz Matt Missar | Powered Up | Module 10 Overview  DBT Overview Foundation: DBT is a type of cognitive behavioral therapy originally developed to treat borderline personality disorder. It has since been adapted for various mental health conditions, including addiction and impulse control disorders. Core Principles: Dialectics: Focuses on finding a balance between acceptance and change. It emphasizes the coexistence of opposing ideas (e.g., accepting current struggles while working towards change). Mindfulness: Cultivating present-moment awareness of thoughts, feelings, and sensations without judgment. Distress Tolerance: Developing skills to cope with and manage difficult emotions and situations. Emotion Regulation: Learning to identify, understand, and regulate emotions effectively. Interpersonal Effectiveness: Improving communication and relationship skills. Matt Missar | Powered Up | Module 10 Key Components  Key Components of DBT Mindfulness: Increasing awareness of triggers for excessive internet/gaming use. Noticing urges and cravings without immediately acting on them. Engaging in alternative activities mindfully. Distress Tolerance: Developing coping mechanisms for managing cravings and urges to engage in excessive internet/gaming use. Tolerating the discomfort of reducing or abstaining from internet/gaming activities. Finding healthy ways to distract and self-soothe. Matt Missar | Powered Up | Module 10  Key Components of DBT Emotion Regulation: Identifying and understanding the emotions that contribute to excessive internet/gaming use (e.g., boredom, loneliness, anxiety). Developing skills to manage these emotions in a healthy way. Interpersonal Effectiveness: Improving communication skills to build healthier relationships. Setting boundaries with online interactions and in-person relationships. Developing assertiveness skills to resist peer pressure related to internet/gaming use. Matt Missar | Powered Up | Module 10 Research  Siste, K., Hanafi, E., Adrian, Sen, L. T., Alison, P., & Beatrice, E. (2022). Online dialectical behavioral therapy for adults What with internet addiction: A quasi- experimental trial during the COVID-19 research is pandemic. Psychiatry research, 315, 114698. out there? https://doi.org/10.1016/j.psychres.2022.11 4698 Matt Missar | Powered Up | Module 10  Online dialectical behavioral therapy for adults with internet addiction (2022) This study investigated the effectiveness of online Dialectical Behavior Therapy (DBT) for treating internet addiction in adults during the COVID-19 pandemic. It compared DBT to traditional Cognitive Behavioral Therapy (CBT). 40 participants were divided into two groups: one receiving online DBT and the other receiving online CBT. The study found that both online DBT and CBT were effective in reducing internet addiction symptoms and increasing readiness for change. There were no significant differences in outcomes between the online DBT and CBT groups, suggesting that DBT is a viable alternative treatment for internet addiction, especially in situations where traditional in-person therapy is not accessible. The study highlights the potential of online DBT as a flexible and cost-effective treatment option for internet addiction, particularly in situations like the COVID-19 pandemic where physical distancing and limited access to healthcare services pose challenges to traditional therapy delivery. Matt Missar | Powered Up | Module 10 Clinical Application  Clinical Application Individual Therapy: A therapist trained in DBT works one-on-one with the individual to address specific challenges and develop personalized skills. Group Skills Training: Participants learn and practice DBT skills in a group setting, providing support and encouragement from peers. Integration with Other Therapies: DBT can be combined with other therapies, such as Cognitive Behavioral Therapy (CBT) or Motivational Interviewing, to create a comprehensive treatment plan. Self-Help Resources: Workbooks, online programs, and apps can provide individuals with tools and techniques to practice DBT skills Matt Missar | Powered Up | Module 10 independently.  Client Profile: Name: Alex Age: 17 Gender: Male Presenting Problem: Video Game Disorder Referral Source: School Counselor Background: Alex is a high school junior who has been referred to therapy by his school counselor after expressing frustration with his Case inability to stop gaming. Over the past year, Alex’s gaming time has steadily increased to around 8–10 hours per day, affecting his school attendance, grades, relationships with Example family members, and friendships outside the gaming community. His parents are worried about his increased irritability, isolation, and lack of interest in other activities he once enjoyed, such as playing sports. When Alex tried to reduce his gaming hours on his own, he reported feeling intense urges to return to his console, along with physical symptoms of anxiety like restlessness and sweating. He has also begun to feel ashamed of his lack of control, which has led to him hiding his gaming habits from his family and lying about his screen time. Matt Missar | Powered Up | Module 10  Clinical Application to Case Study Initial Assessment: Alex meets criteria for Video Game Disorder as outlined in the ICD-11, with symptoms of impaired control, prioritization of gaming over other interests and daily activities, and continued gaming despite negative consequences. Alex reports that his gaming provides a way to avoid stressful situations at school and helps him “zone out” when he feels overwhelmed. However, he is increasingly aware of the negative impact his gaming is having on his life. Alex also experiences intense mood swings, often triggered by frustration within the games themselves or when he is asked to stop gaming. His mood dysregulation, difficulty handling urges to game, and frequent withdrawal from social interactions suggest that DBT could be beneficial. Matt Missar | Powered Up | Module 10  Clinical Application to Case Study DBT Treatment Plan: 1. Mindfulness Skills – Alex will learn mindfulness techniques to increase awareness of his gaming urges and understand the emotional triggers that lead him to game excessively. By observing his thoughts and urges without immediate reaction, he can start to gain control over impulsive gaming behaviors. 2. Distress Tolerance Skills – Alex will develop healthy ways to cope with distress without resorting to gaming. Skills like “TIPP” (temperature, intense exercise, paced breathing, and progressive relaxation) will be introduced for managing his urges and physical anxiety symptoms. He’ll also work on alternative activities that provide a similar sense of relief or accomplishment. 3. Emotion Regulation – DBT’s emotion regulation skills will help Alex identify and label his emotions, understand how gaming impacts his mood, and build healthier emotional responses. This will include working on his frustration tolerance and learning how to calm himself without retreating to his gaming console. 4. Interpersonal Effectiveness – Alex will practice assertive communication and re-engagement with family and friends. By developing skills for positive social interactions, he can start to rebuild relationships strained by his gaming habits. Matt Missar | Powered Up | Module 10 Up Next…Knowledge Check QUESTIONS OR COMMENTS? Get in touch! Phone number Email Website Link