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DBT. Recovery. CBT/Behaviourism.

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DBT. Recovery. CBT/Behaviourism. Common Core Philosophy. Hope. Central to Recovery. ... Focus on behaviour to increase what the person can do as opposed to ... – PowerPoint PPT presentation

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Title: DBT. Recovery. CBT/Behaviourism.


1
DBT. Recovery. CBT/Behaviourism.
  • Common Core Philosophy

2
Hope.
  • Central to Recovery.
  • DBT the life worth living.
  • CBT. Cognition and behaviour can change. You can
    choose.

3
Working with strengths.All look at the whole
person, not the pathology.
  • Recovery regaining or developing valued roles.
  • DBT. Encouraging mastery.
  • CBT. Focus on behaviour to increase what the
    person can do as opposed to what they do wrong.

4
Normalisation.
  • Recovery. Building a life outside the services
    employment focus.
  • DBT. Biopsychosocial model applies to some degree
    to everyone.
  • CBT. We all have dysfunctional thinking patterns
    and challenging behaviours sometimes.

5
Common humanity, common vulnerability.
  • Recovery. Trainers devise their own WRAP plans.
    Encouragement of employment of those who have
    recovered in the services (experts by
    experience).
  • DBT. Therapists note own therapy intefering
    behaviours, dialectical dilemmas and emotion
    mind.
  • CBT. Therapists monitor the effect of
    challenging behaviour on their own arousal
    systems and thought patterns, and sidestep
    reproducing the pattern or responding from the
    raised state of arousal.

6
Collaboration.
  • Recovery service user sets the agenda.
  • DBT. Client must agree to work on reducing self
    harm as a first priority, but the life worth
    living is their own vision.
  • CBT goals of therapy are arrived at
    collaboratively.

7
Accepting reality
  • Recovery. The concept of the turning point means
    the point at which the individual recognises
    whatever limitations are imposed by their
    problems, and accepts what has happened in the
    past this makes taking ownership of their
    future possible.
  • DBT. Acceptance is a core concept.
  • CBT. Individual needs to be prepared to take
    responsibility for change.Work on changing whats
    changeable - no point challenging an
    unchallengeable thought.

8
Self Monitoring
  • Recovery PIP.Identify wellness, and then
    triggers and early warning signs for relapse.
    Relapse is a normal part of recovery.
  • DBT Diary cards.Chain analysis.
  • CBT Thought Diaries.

9
Response to Risk and challenge.
  • Recovery. PIP individual responsibility for
    maintaining wellness and specifying what should
    happen in case of breakdown.
  • DBT. Skills training, featuring mindfulness, to
    master action urges.
  • CBT. Specifying behaviours to increase and
    reinforcing them is the most efficient way to
    decrease challenging behaviours.

10
Idea of Balance and Finding a Middle Way
  • Recovery. Balance between learning to live with
    symptoms and a relapsing condition, and making
    the most of life.
  • DBT. Always looking for the dialectic, and for
    the wisdom in both poles while seeking a way
    through. There is no one right way the process
    carries on.
  • Behavioural approach to challenging behaviour
    balancing the obvious, behaviours to decrease
    with emphasis on behaviours to increase.
  • CBT you can choose the most helpful way to think
    about things.

11
Unique features
  • Recovery. Service users, not professionals, in
    charge.
  • DBT. Skills training and mindfulness.
  • CBT. Individual formulation of difficulties.
  • However the similarities are more striking and
    numerous than the differences.

12
Common Core Philosophy.
  • Hope
  • Working with strengths.
  • Normalisation.
  • Common humanity, common vulnerability.
  • Collaboration.
  • Accepting reality.
  • Idea of Balance and Finding a Middle Way.
  • Proactive, collaborative response to risk and
    challenge.

13
Implications for staff role.
  • Staff need to hold hope and vision for the
    individual even when they cannot yet see it.
  • Staff need to concentrate their efforts on
    identifying and working with the persons
    strengths and interests.
  • Staff need to see the person as they might fit
    into society to help them maximise their
    prospects. They need to listen to the person and
    take seriously what they say.
  • Staff need to be aware of and manage their own
    emotional reactions.
  • Staff need to develop their skill in working
    collaboratively.
  • Staff have a vital role in enabling the person to
    accept what has happened and its consequences,
    and take responsibility for continuing problems.
  • Staff must keep in mind the need to balance
    working with strengths with realistic support
    with problems.
  • In managing risk, staff need to seek the full
    collaboration of the service user.
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