DBT Skills: Understanding the States of Mind in Dialectical Behavior Therapy
Have you ever felt overwhelmed by your emotions or anxiety? Not feeling effective in your relationships? Feel you are lacking coping skills? Dialectical behavior therapy (DBT) is a structured for of psychotherapy that can help you.. This powerful therapy approach combines Cognitive Behavioral Therapy and mindfulness practices to help you navigate and tolerate life's challenges. DBT is designed to help you manage intense emotions, improve your relationships, and increase your problemsolving abilities.
Unlike traditional therapies focusing solely on thoughts and behaviors, DBT recognizes the powerful impact of emotions and bodily sensations on our lives. It equips you with practical copingskills to manage emotions, improve relationships, and build your life worth living.
Understanding Your States of Mind Through DBT
Emotion Mind
Emotion Mind is when your feelings take the wheel, driving your thoughts and actions. It's like being on an emotional rollercoaster—you're along for the ride but not in control. In this state, you might react impulsively or make decisions based purely on your feelings. While emotions are necessary, they can sometimes cloud your judgment.
Reasonable Mind
Your Reasonable mind is your rational, analytical side. It's the part of you that thinks things through logically and makes decisions based on facts. When you are in Reason Mind, you approach situations in a calm and methodical way, relying on evidence and practicality to guide your actions. This helps you stay grounded and make level-headed choices, and not feel hot or reactive..
Wise Mind
Wise Mind is the integration of Emotion Mind and Reasonable Mind. When in Wise Mind, your inner compass for decisions that are good for you. It's where your emotional and rational sides meet, helping you navigate life's challenges with clarity and a sense of self-worth. You'll find a sweet spot between gut feelings and plain facts when you tap into your Wise Mind. This DBT skill empowers you to make choices that align with your values and goals, even when things get tough. Practice tuning into your Wise Mind daily—it's like a superpower for emotional intelligence and self-protection.
The 4 Key Modules of DBT Skills Training
DBT skills training focuses on four core modules that help you navigate life's challenges more effectively. These modules are:
Mindfulness
Mindfulness is the cornerstone of DBT. It involves being fully present in the moment and observing thoughts and feelings without judgment. You can better understand your internal experiences and responses to external stimuli by cultivating mindfulness. This heightened awareness empowers you to make more conscious choices and reduce reactivity.
Distress Tolerance
Distress tolerance skills equip you with strategies to manage and endure difficult situations without resorting to harmful coping mechanisms. This involves accepting reality rather than wishing things were different. It also includes developing skills to distract, self-soothe, and improve the moment.
Emotion Regulation
Emotion regulation focuses on understanding and managing emotional responses. By identifying and labeling emotions, you can develop healthier coping mechanisms. This skill set helps reduce emotional vulnerability and increase emotional resilience.
Interpersonal Effectiveness
Interpersonal effectiveness skills enhance communication and relationship building. This module teaches you how to assert your needs, set boundaries, and resolve conflicts effectively. By developing these skills, you can create more fulfilling and supportive relationships.
Applying Core DBT Skills to Everyday Life
Mastering DBT skills can transform your daily life. Practice mindfulness to stay grounded in the present moment, whether stuck in traffic or facing a work deadline. Use emotion regulation techniques to navigate difficult conversations with loved ones. When conflicts arise, tap into interpersonal effectiveness skills to communicate assertively yet respectfully. And don't forget distress tolerance—it's your secret weapon for handling life's unexpected curveballs with grace and resilience.
Ready to embark on your journey towards emotional well-being? The licensed therapists at Resilience DBT & Eating Recovery can guide you in developing and implementing DBT skills. Experiencing depression or anxiety? Contact us today to schedule a consultation and discover the transformative power of dialectical behavior therapy. www.ResilienceTherapy.com
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What to Know About DBT Group Therapy
Maybe you have heard about Dialectical Behavior Therapy, or DBT. Or maybe you or a loved one has been referred to DBT... Whether you’ve attended therapy before or are newly exploring your options, DBT is a cutting-edge modality to know about. It works!
Comprehensive DBT, the kind that has the most research to back up positive outcomes, uses both Individual DBT Therapy sessions as well as DBT Skills group sessions.
If you’re wondering whether DBT may be something that can help you manage your emotions, continue reading. Let’s explore what DBT is and what you should know about how DBT Skills group sessions impact your learning and emotional growth.
Understanding DBT
DBT is a "Third Wave" of Cognitive Behavioral Therapy, or CBT. While CBT is about change, DBT also incorporates acceptance. This focus on Acceptance and Change is what makes DBT a unique and effective treatment. DBT is known as talk therapy that is particularly useful with individuals who feel emotions deeply and intensely. Initially, the goal of DBT was developed for those those suffering from Borderline Personality Disorder. Over recent years, it has been adapted for use with many other mental health conditions, and is DBT is now a Prevention Model to develop Coping Skills in childhood or adolescence.
DBT is effective with:
- The Anxiety Disorders
- Bipolar Disorder
- Depression/Mood
- Eating disorders
- OCD
- PTSD
- ADHD
- Substance abuse
DBT combines the idea of accepting your current reality and then making changes for the better. While working with DBT, you’ll reflect on behavior trends and thought patterns, change any dysfunctional patterns, and learn how to cope with your emotions in a healthy and productive way.
Overall, DBT can be a great tool for those who struggle with mood swings and managing their emotions due to the intensity.
DBT Skills - Not Your Typical Group Therapy
DBT has been the subject of research and has evidence-based material to back up its use. As it evolves and is applied to more diverse mental health conditions, the settings you may see DBT in are also evolving.
When you think of group therapy, you probably picture a circle of people who take turns sharing their personal stories. The goal is to find similar understanding and collective support for battling the issue at hand.
DBT group sessions, however, are not your average group therapy. The group won’t spend time working through any one individual’s feelings and emotions. This type of work is done in the individual sessions. The group sessions will instead focus on learning new skills and putting them to use.
A Group Therapy that is also a Class-Like Experience
DBT Skills Group will work on specific skill sets with multiple individuals present in the group. These DBT skills curriculum includes these areas: Core Mindfulness, Emotional Regulation, Distress Tolerance, and Interpersonal Effectiveness, Validation of Self & Others, and Middle Path. The group setting will allow you to practice your newly learned skills within a safe space with supportive others, before taking generalizing your skills into the real world.
Based on the curriculum and methodology of DBT Skills group program, the DBT Skills group can be easily compared to a class to learn about coping skills and social interactions in addition to processing ones feelings. Half Classroom, half group therapy. There are different stages involved in the DBT process, and each week of the group sessions moves along the same guideline.
Stages of DBT Treatment
DBT can be broken down into four stages of treatment. Stage 1 focuses on the behaviors that are deemed the most serious or self-destructive. Stage 2 addresses any factors that may impact your quality of life. In stage 3, the focus shifts to any issues related to self-esteem and personal relationships. Finally, stage 4 helps improve quality of life. It focuses on experiencing happiness, setting and achieving goals, and strengthening relationships, living your "Life Worth Living".
Time Considerations for DBT - The Minimum "Dose"
Unlike some other therapy methods, DBT has distinct markers of time to show positive results The minimum "dose" of DBT is six months, or 24 Weeks. The DBT Curriculum for Adolescent and Adult Groups are 24 weeks. DBT skills it take time to learn. It is valuable for many clients to do a 2nd round of DBT Skills to truly integrate them and learn them. At Resilience, while we often see much improvement at the 6th month mark, we often see the greatest change at the 12th month mark
DBT is a commitment, but with are great benefits and results. DBT puts in real coping skills, real stepping stones for lasting and permanent change.
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Would you like to learn more about DBT? Schedule a session with us at www.ResilienceDBT.com to speak with us about how DBT can change your life!
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A Beginner’s Guide to DBT: What to Expect
Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment approach designed to help you manage intense emotions and improve relationships. It blends cognitive-behavioral techniques with mindfulness practices derived from Eastern meditation, for a wonderful combination of Acceptance & Change
The Dialectical Approach
DBT teaches you to accept yourself and your experiences while working towards positive life changes. This approach helps you navigate the complexities of human emotions and relationships more effectively.
DBT Treatment teaches coping skills for your life:
- Core Mindfulness
- Emotion Regulation
- Interpersonal Effectiveness
- Distress Tolerance
A Close Look at the 4 Key Components of DBT
Core Mindfulness
Core Mindfulness is the foundational skill in DBT, focused on being present and fully engaged in the current moment. It helps you develop an awareness of your thoughts, feelings, and bodily sensations without judgment.
This means:
- Noticing what’s happening internally and externally without getting caught up in it.
- Putting words to what you observe and experience.
- Fully engaging in the present activity with awareness.
Emotion Regulation
Emotion regulation is designed to help you understand, manage, and change intense emotions that are causing problems. These skills aim to reduce your emotional vulnerability and increase positive emotions.
Typically, this involves:
- Identifying and labeling emotions.
- Reducing susceptibility to emotional spirals through regular self-care.
- Building positive experiences to increase positive emotions.
- Changing emotions by acting opposite to the current emotional urge.
Interpersonal Effectiveness
Working on interpersonal effectiveness helps you navigate relationships more effectively, ensuring your needs are met while maintaining relationships and your self-respect.
These skills are crucial for balancing assertiveness with empathy:
- DEAR MAN: A strategy for asserting needs (Describe the situation, Express your thoughts and feelings, Assert your needs, Reinforce the outcome of meeting or not meeting your request, stay Mindful, present yourself as Confident, and Negotiate with the other person).
- GIVE: Skills for maintaining relationships (be Gentle in your approach, act Interested in the other person’s perspective, Validate the other person’s perspective, use an Easy and relaxed manner).
- FAST: Skills for maintaining self-respect (be Fair with yourself and others, don’t Apologize unnecessarily, Stick to your personal values, be Truthful and honest).
Distress Tolerance
Distress tolerance helps you manage and survive crises without resorting to harmful behaviors. These skills are about enduring pain in difficult situations without trying to change it immediately.
Key emotion regulation skills include:
- Self-soothing: Using the five senses to calm yourself.
- Distraction: Temporarily diverting attention from distressing thoughts or emotions.
- Radical acceptance: Accepting reality as it is, without fighting against it.
- Improving the moment: Using techniques like imagery, relaxation, and prayer to make the present moment more bearable.
What to Expect in DBT Therapy Session
Skill-Building Focus
Your therapist will guide you through practical techniques in the four key areas mentioned above to help you navigate daily challenges more effectively and improve your overall quality of life.
Balanced Approach
Your DBT therapist will strike a balance between challenge and support. They may confront unhealthy behaviors or thought patterns, encouraging you to examine and modify them.
Homework Assignments
Don’t be surprised if you’re given homework between sessions. These assignments are crucial for practicing DBT skills in real-life situations. You might be asked to keep a diary card, track your emotions and behaviors, or implement specific coping strategies when faced with stressful situations.
Collaborative Environment
Expect a collaborative atmosphere where you and your therapist work together. You’ll actively participate in setting goals, discussing progress, and problem-solving challenges.
What Effects to Expect
Increased Self-Awareness
Through DBT, you’ll develop a deeper understanding of your emotions and behaviors. You’ll learn to recognize triggers and patterns, enabling you to respond more effectively to challenging situations.
Enhanced Relationships
DBT places a strong emphasis on improving interpersonal effectiveness. You’ll acquire tools to communicate assertively, set healthy boundaries, and constructively navigate conflicts.
Reduction in Self-Destructive Behaviors
One of DBT’s primary objectives is to help you develop healthier coping mechanisms. You’ll learn distress tolerance techniques to manage intense emotions without resorting to harmful behaviors.
Would you like to learn more about dialectical behavior therapy? Book a consultation with us today at www.ResilienceDBT.com or ResilienceTherapy.com . We serve the surrounding towns to Montclair – West Orange, Livingston, Cedar Grove, Verona, Caldwell, and more.
Building Resilience: What is Distress Tolerance in DBT?
Dialectical Behavioral Therapy, or DBT, helps people with various mental health conditions, especially when it comes to emotional regulation, impulsivity, and interpersonal difficulties. Along with mindfulness and acceptance, a full DBT Skills program offers a module in Distress Tolerance to support these areas that people may struggle with.
Distress tolerance is a crucial component of DBT that focuses on helping you manage intense emotions and challenging situations. This DBT skill set aims to enhance your ability to cope with distress without resorting to harmful behaviors or exacerbating the situation.
With distress tolerance, you'll learn to accept reality as it is rather than fighting against it. You'll also learn to endure difficult emotions and circumstances without trying to change them immediately. In all, it will help you navigate through crises more effectively, reducing the likelihood of impulsive actions that may worsen your situation.
Key DBT Strategies in achieving Distress Tolerance
- Radical acceptance: Embracing reality without judgment.
- Distraction techniques: Temporarily shifting focus from distressing situations.
- Self-soothing: Engaging in activities that calm and comfort you.
- Improving the moment: Finding ways to make the current situation more bearable.
By mastering these strategies, you'll develop a toolkit for managing overwhelming emotions and stressful events, allowing you to face life's challenges more calmly.
Benefits of Distress Tolerance
Developing distress tolerance can lead to significant improvements in your overall well-being. You'll likely experience reduced anxiety, better emotional regulation, and an increased ability to handle stress. These skills also contribute to more stable relationships and enhanced problem-solving capabilities, as you'll be better equipped to approach difficulties with a clear mind.
Distress Tolerance Skills to Build Resilience
Key DBT Skills - Distress Tolerance Techniques
The TIPP Skills
TIPP skills are designed to help you quickly change your body chemistry to reduce emotional intensity:
- Temperature: Use cold water or ice to stimulate the diving reflex.
- Intense exercise: Engage in brief, vigorous physical activity.
- Paced breathing: Practice slow, deep breaths to calm your nervous system.
- Progressive muscle relaxation: Tense and relax muscle groups systematically.
Radical Acceptance
Radical acceptance involves fully acknowledging reality without judgment. By accepting difficult situations as they are, you can reduce suffering and focus on productive problem-solving. This skill requires practice and patience, but can significantly improve your emotional resilience.
Self-Soothing Strategies
Develop a toolkit of self-soothing techniques that engage your five senses. These include listening to calming music, using aromatherapy, or wrapping yourself in a soft blanket, or taking a walk. Personalize these strategies to what works best for you in moments of distress.
Using Distress Tolerance to Respond Instead of React
Recognizing Emotional Triggers
When faced with distressing situations, your initial reaction may be to act impulsively or avoid the problem altogether. Distress tolerance skills, however, can help you pause and respond thoughtfully.
Begin by identifying your emotional triggers. These could be specific events, people, or environments that tend to provoke intense feelings. By recognizing these triggers, you'll be better prepared to implement coping strategies when needed.
Implementing DBT Coping Strategies
Once you've identified your triggers, practice implementing various coping techniques. These may include:
- Deep breathing exercises
- Mindfulness meditation
- Progressive muscle relaxation
- Engaging in a favorite hobby or activity
By regularly practicing these techniques, you'll develop a toolkit of responses to draw upon when distress arises.
Cultivating a Growth Mindset through DBT Skills
A growth mindset is important when using distress tolerance skills effectively. Instead of viewing challenging situations as obstacles, try to see them as opportunities for growth and learning. This shift in perspective can help you approach challenges with curiosity and resilience rather than fear or avoidance.
Remember, responding instead of reacting is a skill that takes time and practice to develop. Be patient with yourself as you work on building your distress tolerance abilities.
Learn more about dialectical behavior therapy, on our website - www.ResilienceDBT.com. At Resilience DBT & Eating Recovery, we offer Comprehensive DBT programs for Adolescents, Young Adults and College Students, and Adults. Comprehensive DBT programs includes Individual DBT, DBT Skills Groups, Mindfulness Based Stress Reduction, Phone Coaching, and Parent Coaching. Book a consultation with us today!
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When “Healthy” Eating Turns Harmful: Early Detection of Eating Disorders in Teens
As parents and caregivers, it may feel natural to feel proud when our teens take an interest in healthy eating and exercise, especially in the world of competitive sports. You may even be envious of their willpower, especially if you have struggled with your own relationship to food and body image. However, this pride can quickly turn to concern when the new “healthy” habits become extreme, and the thinking becomes obsessive. It may even take you a while to wrap your mind around these perplexing changes in your teen. You may even experience some confusion about whether this is part of normal adolescence… or it is not…
Adolescents, especially teen athletes in weight-related sports, are particularly susceptible to eating disorders. The stakes are high to get into college, academics are stressful, and social media is relentless and insidious. For teen athletes, The pressure to perform, combined with societal and social media unrealistic and Eurocentric ideals around body image, plus any genetic predispositions, can create a perfect storm for these serious conditions to develop.
Early Warning Signs to Watch Out For
Paying attention to the early warning signs of eating disorders can lead to earlier intervention and better outcomes. Here are some red flags to watch for in your child:
20 Early Warning Signs of Eating Disorders in Teens:
- Eating, once carefree, becomes overly cautious
- Skipping meals, especially lunch at school
- Thinness without vibrancy
- Overconcern about nutritional content of foods
- Cutting our food groups deemed not to be “healthy”
- Rejection of the foods of one’s cultural heritage
- New reluctance to eat with family, friends, and in public
- Increasing preoccupation around body image, thinness, and a flat tummy.
- Connecting self-worth to body shape/size; unable to see one’s own beauty.
- Constantly comparing, fears about being teased, distorted negative body image.
- Delayed puberty or regression in puberty, such as amenorrhea
- Rapid plunge or increase in weight, regardless of starting body size or BMI.
- Adult-like mindset to “dieting”, disconnected from the need for a child or teen to grow and mature.
- Obsessive ritualistic behaviors around food, sneaking food, micro biting, etc.
- Falling off one’s own growth curves; failure to reach Expected Weight/Height
- Excessive exercise with the intent to alter one’s natural body shape.
- “Picky”, selective eating that does not resolve.
- Bulimic symptoms – purging or using laxatives.
- Increase in anxiety, depression, even suicidal ideation
- Medical symptoms such as dizziness, fainting, low heart rate, low body temperature, weakness, gastric, and bowel discomforts
Eating Disorders remain one of the most lethal of the psychiatric illnesses. The medium onset of anorexia has dropped from 14 years of age to 12 years of age. Children as young as 6 years old are concerned about being “fat”. Boys and children from all ethnic/cultural backgrounds experience negative body image concerns. Bullying around body size and shape is now becoming the most common form of bullying in middle school.
Regardless of body size, Anorexia Nervosa and Bulimia Nervosa have serious medical and mental health consequences. Restrictive Eating Disorders will have medical complications that are the direct result of starvation and weight loss. Children and Adolescents who are diagnosed with Atypical Anorexia, are children who begin in larger bodies or higher weight bodies. These children can suffer the same if not more, from a severe and rapid plunge with weight loss. The heart and all organs are compromised with starvation, regardless of body size. The brain is one of the primary organs impacted by starvation, which impacts mood, anxiety, and mental health in general.
What are the dangers of dieting and restricting of intake in children and teens.
10 Reasons why Children should not Diet... Ever!
- Children and Adolescents follow a predictable pattern of growth that determines the growth and health of all organs, brain matter, and their entire skeletal system.
- Dieting and weight loss in children can have potential irreversible impact on both physical and emotional growth
- 40-60-% of peak bone mass is accrued during adolescents
- Compromised Bone Health can lead to a lifetime of increased fracture risk.
- Starving is damaging to the heart and causes bradycardia.
- Brain is under development until age 25. Emotional maturity can be stunted, as can growth
- During Puberty, nutritional and hormonal factors play a major development in Bone Development
- The oestrogens, Estrogen and Testosterone, are thought to play a key role in increasing and maintaining bone mass in adolescent males and females
- Anorexia and Bulimia can come with an increased risk of suicidal ideation
- Without proper intervention, an acute eating disorder turns into a chronic eating disorder
An Eating Disorder in Teens is characterized by a lot of ‘excuses’. “I am not hungry”. “I already ate”. I “This is not healthy” “I need to take a shower right after dinner. “No one eats lunch! it is not cool!” And food groups begin to drop off their list of acceptable foods…
Early Intervention is the Key – If you see an eating disorder specialist, especially one trained in FBT, they will help you intervene early in this process. The goal is to prevent acute symptoms from becoming chronic.
Around the Globe, Family Based Treatment is considered First-Line-of-Treatment
Family-Based Treatment (FBT)
Family-Based Treatment (FBT) has emerged, internationally, as one of the most effective methods for treating eating disorders in young people. This approach involves the family directly in the recovery process, empowering parents to guide their child back to health. Turning the ship around, back in the direction it came from, when eating was more carefree.
FBT is a protocol in 3 phases:
Phase 1 – Weight Restoration: The family takes control of the teen’s restrictive eating habits, by supervising and supporting fuller nutrition and intake to stop the downward weight loss spiral and begin to “weight restore”. Parents temporarily stop calorie –burning exercise and intervene with eating disorder symptoms, such as throwing food away, pushing food around the plate, or purging.
Parents lend their child their “Wise Mind” when their child’s thinking is so impaired and irrational.
Phase 2 – Begin to return control and choices to the adolescent:
After a teen has made a lot of progress returning to their own growth curve and is eating well, the control of their eating is gradually returned back to the teen ,with ongoing family support. Flexibility and exposure work is encouraged here. Reintroducing foods and eating in new places is encouraged. Full nutrition with all food groups represented here, is key .
Phase 3 – Establishing Healthy Independence: In phase 3, the focus shifts to establishing normal adolescent development and healthy, independent eating habits. Full mental and physical weight restoration occurs here. For a child or a teen, these numbers are a moving target. We are looking here for “State not Weight”, meaning full mental health recovery may need more than the minimum acceptable medical weight.
Families don’t cause eating disorders, they are the best allies of recovery
FBT, around the globe, is considered the Gold Standard for pediatric and adolescent eating disorders. A good eating disorder specialist will help you decide whether outpatient care is best for your child right now, or if you need a higher level of care, if this is assessed to be the best step for your child now. Either way, Eating Disorder Treatment, when done right, and done early, can lead to lasting and positive outcomes for your child.
Families don’t cause eating disorders, they are the best source of support. Don’t let an early acute course of an eating disorder become a chronic course. Your involvement can change this course.
Resilience Golden Rule for Early Intervention: Intervene!
For every pound your child loses, they move toward medical danger. For every pound your child's weight restores, they move away from medical danger.
Eating Disorders progress fast. Early Detection and Early Intervention is key. Do not delay – Seek Professional Evaluation today
Seeking Professional Evaluation:
If you suspect your child might be struggling with an eating disorder, it’s crucial to seek professional help immediately. Early intervention can make a significant difference in recovery and ensure a positive prognosis.
For more information or support, contact us at Resilience DBT & Eating Recovery (973) 783-2292 and visit our website at www.ResilienceTherapy.com. Our offices are at 33 Plymouth Street, Suite 105, Montclair, NJ 07042, Tel: (973) 783-2292. We offer telehealth treatment in states listed on our website. We offer resources, support, and guidance for families seeking intervention and support around their teens relationship to food and body image
Having an Eating Disorder is not a Choice…. But Recovery is!
Eating Disorder Awareness Week, 2024 Information is in Partnership with 2024 National Eating Disorders Awareness Week .This post is part of our commitment to raising awareness about eating disorders and urge early diagnosis and intervention, share this message, and let’s work together to keep our children safe and healthy.
Copyright © Resilience DBT & Eating Recovery, 2024
The Perfect Union: Integrating FBT & DBT Skills Training for a Comprehensive Approach to Anorexia/Eating Disorder Treatment
As a parent, navigating your child’s eating disorder recovery can be an overwhelming and emotional journey. Parents come to us, already have been given so many opinions on methods and level of care for their child. At Resilience DBT & Eating Recovery, we understand the importance of finding the right therapeutic approach and support for your family, and intervening as early as possible. Resilience Therapy offers only Evidenced Based Treatment means treatment backed by science and research. Integrating adherent Family-Based Treatment (FBT) with Dialectical Behavior Therapy (DBT) Skills Training can offer a comprehensive and powerful wrap-around treatment plan tailored to your child’s unique recovery needs, especially when extra support for co-occurring mental health symptoms are indicated.
Family Based Treatment is considered to be The Gold Standard Treatment for Pediatric and Adolescent Eating Disorders
Understanding FBT
Family-Based Treatment (FBT), or the Maudsley Approach is an evidence-based approach that is considered First-Line-of-Treatment. Around the globe, It is considered to be the Gold Standard for the Early Intervention of Pediatric and Adolescent Eating Disorders. FBT empowers parents to take an active role in their child’s refeeding providing them with the tools and support they need to help their child overcome their eating disorder and keep their child in the least restrictive environment – your home!
For an early intervention of an eating disorder, FBT is designed to be a complete and final treatment. FBT is a protocol of approximately 20 sessions that take place over 6-12 months, beginning weekly. The practice of Family Based Treatment is an advanced eating disorder certification, and the FBT provider an already seasoned individual and family Eating Disorder therapist. The FBT protocol promotes efficient progress, and is tailored and customized for every child and each family system. The treatment from start to finish occurs in 3 phases:
Phase 1 – Refeeding/Weight Restoration. Parents take charge and plate all meals and snacks and temporarily halt calorie burning exercise and eating disorder behaviors
Phase 2 – Gradually Transition Control of eating back to the Child/Teen
Phase 3 – Treatment Termination and focus on Age-Appropriate Adolescent Issues Establishment upon full weight and mental health recovery.
“There is no witch as mean as my eating disorder voices”
FBT can be an excruciating process, in the beginning The child or teen with a starved anorexic brain will fight against being fed. They have internal voices telling them “ Don’t eat this, it will make you fat” . “You are not worthy” , etc. As an empathic parent, you may want to listen to these statements and accommodate. Your child is in pain and you want to be sensitive. However, these words may come out of your child’s mouth, but they are not really your child but the words of an illness that is trying to take over your child.
During intake, we often ask a child or teen to give their eating disorder voice an image or a character, like an animal, or a type of weather or a Disney Character. When asked, for a metaphor, one little girl told therapist and her family, “There is no witch who is as mean as my eating disorder voices” . Her mother who spoke very little English, understood this, and burst into tears.
In early refeeding, every bite can be excruciating. The child needing to weight restore needs 3 meals and 3 snacks per day, and the parents take on a similar role as an inpatient or PHP staff, and have to be firm about meal and snack completion. Temporarily, refeeding is an all consuming process and can be an exhausting process for parents. But FBT research shows, renourishment is most successful when conducted by the people who love the child the most… his or her parents.
How does DBT Skill Training help the FBT Treatment?
FBT is designed to be a complete treatment for anorexia, but when there are co-occurring or unsafe mental health symptoms, such as suicidal ideation or self-harm urges, Dialectical Behavior Therapy (DBT) is another evidence-based therapy that offers safety and support to the treatment. DBT combines cognitive-behavioral techniques with mindfulness practices. DBT is a comprehensive system of coping skills and DBT focuses on four key skill areas: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. These skills help individuals better understand and manage their thoughts, feelings, and actions, promoting healthier choices and improved relationships.
DBT is The Most Comprehensive Curriculum of Coping Skills we have today
The Compatibility of FBT & DBT: A Powerful Combination
FBT and DBT complement each other well, providing a comprehensive approach to eating disorders and mental health treatment. Here’s how these two therapies work together:
FBT focuses on renourishment to restore brain function and logical thinking, while empowering the parents to take charge. FBT is a cutting edge approach. Waiting for the starving person to want recovery or be insightful is an approach over the years that has led to a deepening of the eating disorder.
DBT offers coping skills training at the same time that FBT supports the eating disorder recovery process. By combining both approaches, treatment can address both the process of renourishment and provide coping skills for both teen and for parents to surf through the 3 stages of FBT, safely. DBT skills can enhance the effectiveness of FBT by helping parents and children better manage emotions, communicate more effectively, and cope with distressing refeeding moments
Both FBT and DBT have much in common. They are both transparent methods that allow family members to work effectively together. By helping to prioritize collaboration and validation, a supportive therapeutic environment is created that fosters trust and open communication, and moves the treatment forward to completion.
FBT and DBT can be tailored to meet the unique needs of each family, allowing for flexibility and customization of the treatment.
Resilience DBT & Eating Recovery: Your Partner in FBT & DBT Treatment
At Resilience DBT & Eating Recovery, our skilled therapists specialize in both FBT and DBT, providing a comprehensive and evidence-based treatment approach for your family. We understand the unique challenges faced by parents and children navigating eating disorder recovery, and we’re committed to supporting you every step of the way.
By combining the strengths of FBT and DBT, your family can benefit from a comprehensive treatment plan that addresses both the emotional and behavioral aspects of eating disorders. This powerful union can help your child achieve lasting recovery while fostering healthier family dynamics and communication.
The compatibility of FBT and DBT offers an innovative and comprehensive approach to eating disorder treatment. By combining these evidence-based therapies, Resilience DBT & Eating Recovery, we can support your family in overcoming the challenges of eating disorder recovery and promoting lasting healing. Reach out to Resilience today to learn more about our comprehensive approach and how we can help your child and family on the path to recovery.
EXPERIENCE HOPE!
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Discovering the Path to Recovery: Resilience DBT and Eating Recovery - Montclair, New Jersey’s Premier Eating Disorder & DBT Therapy Provider
In the vibrant and diverse town of Montclair, New Jersey, a beacon of hope and healing shines brightly for individuals grappling with eating disorders and emotional distress. Resilience DBT and Eating Recovery stands out as an established practice for compassionate evidenced based care in the mental health community. This dedicated facility has garnered a reputation for being a premiere provider of Evidenced-Based Treatment for Eating Disorders and Dialectical Behavior Therapy (DBT). Resilience offers a guiding light to children, adolescents, and adults, seeking a path to eating recovery and mental health resilience.
A Journey Towards Resilience
When it comes to navigating the complexities of eating disorders and mental health vulnerabilities, the journey toward recovery moves well through stages with proper treatment and the right trusting therapeutic relationships. Effective treatment is a transformative experience that accesses and captures ones inner resilience. At Resilience DBT and Eating Recovery, the core belief is that everyone has the innate strength to overcome their struggles. With a team of highly skilled therapists, this practice has established both a comprehensive Eating Disorder Recovery Program and Comprehensive DBT program for Mental Health Resilience. Eating Disorder Recovery Program utilizes FBT and CBT-E that addresses not only the symptoms but also the maintaining factors that contribute to eating disorders. The Comprehensive DBT Skills Program addresses the coping skills needed for mental health recovery.
The Cornerstone of Eating Recovery
Resilience is not just a name. It is the cornerstone of the practice’s treatment philosophy and their clinical outcomes. Full recovery is possible. Every new client participates in an expert eating disorder evaluation to develop their individualized recovery care plan. .These care plans are meticulously crafted to empower clients, helping them disconnect from the power the eating disorder has held on them, to live a life free from an eating disorder. This freedom from an eating disorder involves a newfound strength and self-compassion. The targeted evidenced-based approaches of FBT, CBT-E, and DBT ensures that each person’s unique journey through eating disorder recovery, is met with an equally customized but proven effective treatment strategy. Recovery from anorexia, bulimia, binge eating disorder, body dysmorphia deserves the best.
Expertise in Dialectical Behavior Therapy
Why is Resilience DBT and Eating Recovery considered the best for DBT therapy? The answer lies in their unwavering commitment to evidence-based practices and the continuous professional development of their staff. Resilience DBT Therapists have advanced post-graduate training in Dialectical Behavior Therapy, from Behavioral Tech, the training institute of Marcia Linehan. This training possess a deep understanding of the delicate interplay between emotional regulation and optimal coping. Recovery from anxiety, depression, trauma, grief, loss, deserve the very best. Both individuals and families have found lasting recovery from Resilience’s Comprehensive DBT Program, for adolescents, young adults, and adults. The expertise at Resilience Therapy helps to lay a foundation in assisting individuals to develop healthy coping mechanisms, improve interpersonal effectiveness, and nurture a positive self-image.
Evidenced-Based Treatment
The Resilience team are trained in cutting edge methods for both eating disorders and mental health. Evidenced Based means treatment and protocols backed by science and research, not leaving your mental health to chance. The cutting edge treatments are focused, targeted, and time limited. Family Based Treatment is considered the Gold Standard for children, adolescents, and young adults seeking recovery from an Eating Disorder. Around the globe, FBT is considered First-Line-of-Treatment for Pediatric and Adolescent Eating Disorders. Our clinicians are trained in CBT-E, from the U.K. a time-limited eating disorder treatment for older adolescents and adults. Dialectical Behavior Therapy, DBT, is comprehensive method for both co-occurring mental health problems.
The Power of the Family
At Resilience Therapy , the family is not seen as the problem, but as integral part of the solution. Recognizing the power and resilience of each family system, children and Parents learn body positivity as a family. When families learn the DBT coping skills together in our Multi-Family DBT Skills groups, family members, learn to validate each other, thus improve family communication and closeness. A parent who feels effective, has the bandwidth to support their child in a way that no one else can.
A Supportive Community in Montclair
Resilience DBT and Eating Recovery extends its impact beyond individual therapy by fostering a supportive community right in the heart of Montclair, New Jersey. This sense of community is crucial, as recovery from eating disorders is not a solitary endeavor. The facility offers group therapy sessions, workshops, and support groups, all designed to create a network of support that clients can rely on throughout their recovery journey. Resilience supports many community organizations that support the health of the families in our state - the Traumatic Coalition of New Jersey, Good Grief, Garden State Concerns of Police Survivors, Breaking the Chain thru Education, Jazz House Kids, to name a few.
Holistic , Mind-Body Approach to Healing
Understanding that eating disorders and mental health effect both mind and body, Resilience DBT and Eating Recovery adopts a holistic approach to healing. Clients are encouraged to engage in practices in their daily lives that enhance their overall well-being, such as mindfulness, yoga, and other stress-reduction techniques. By integrating these practices into the treatment plan, clients are given the tools to achieve balance and maintain their progress long after they leave the therapy room. The self-care skills that are established, are built to last.
Successful Outcomes
The success stories emanating from Resilience DBT and Eating Recovery serve as a testament to the facility's effectiveness. Clients consistently report not only lasting improvements in their relationship to food and body image, a reduction in eating disorder pre-occupations around food and body image, but truly increasing their quality of life and enjoyment in what really matters. The Resilience practice is now in their 3rd decade of seeing individuals to full and complete recovery from an eating disorder and mental health symptoms. Individuals stepping down from Higher Levels of Care, find a new home at Resilience, and through relapse prevention, move forward with their lives, rather than return to a hospital or PHP.
An Invitation to Resilience Therapy
For anyone struggling with an eating disorder, the journey to recovery can start today. Resilience DBT and Eating Recovery in Montclair, New Jersey, stands ready to help you embark on this transformative journey. With their expertise, compassion, and commitment to your well-being, they are not just the best choice for Eating Disorder Treatment and DBT therapy—they are your partners in resilience and recovery.
Embrace the Journey with Resilience DBT and Eating Recovery
If you or a loved one is in need of support for eating disorder or mental health symptoms. do not hesitate to reach out to Resilience DBT and Eating Recovery. Schedule that intake today. In the heart of Montclair, a brighter future free from the grips of eating disorders and mental health symptoms awaits. It begins with resilience and the right therapeutic plan. Don’t delay. Your life matters.
In Montclair, New Jersey, the path to recovery is illuminated by the dedication and expertise of Resilience DBT and Eating Recovery. Embrace the journey, and take the first step towards a resilient life today.
Resilience DBT and Eating Recovery provides clinical services for families in our wonderful towns in New Jersey
Montclair, Verona, Caldwell, North Caldwell, Cedar Grove, West Orange, Livingston, Glen Ridge, Maplewood, South Orange, Chatham, Millburn, Wayne, Parsippany, Princeton, Summit, Florham Park, Montvale, Hackensack, Passaic, Mountain Lakes
Gender Inclusive * Culturally Compassionate
Unmasking the Silent Battle: Kerry Washington's Brave Revelation and the Universality of Eating Disorders
Unmasking the Silent Battle: Kerry Washington’s Brave Revelation and the Universality of Eating Disorders
Eating disorders don’t discriminate. Eating Disorders affect individuals regardless of race/ethnicity, gender, age, and body size. Recently celebrity Kerry Washington bravely shared in recent interview, her personal battle with an eating disorder and perfectionism, that escalated when she was a college student. Her story highlights the darkness and scariness of an eating disorder, that can culminate in suicidality.
We thank Ms. Washington for giving up her personal privacy to remind us that eating disorders left untreated and unrecognized, can progress at an alarming and frightening pace. Let’s support each other in our journeys towards body positivity, good self-esteem, and mental well-being.
If you or someone you know is dealing with an eating disorder, consider exploring the expert clinical services offered by Resilience DBT & Eating Recovery – licensed in NJ, NY, MD and FL. Visit ResilienceTherapy.com Together, we can promote Eating Disorder Recovery and Mental Health Resilience.
Source: https://people.com/kerry-washington-contemplated-suicide-eating-disorder-7972621
Mastering Parenthood: How DBT Skills Can Transform Your Parenting & Support Your Child's Recovery
What is one of the first things you are told after you board an airplane?
“Take the air mask and place it over your own mouth before helping a child” This is one of the fundamental principles DBT teaches parents. Your own self-care is crucial. You cannot pour from an empty cup. When you have mastered and modeled your own emotion regulation and stress management skills, your child will do better.
As a mother or a father, you’re always looking for the best ways to support and nurture your child. When your child is struggling with anxiety, depression, trauma, or an eating disorder, the challenge becomes even more significant. Resilience DBT & Eating Recovery, a leading provider of Comprehensive Dialectical Behavior Therapy is here to help you understand the benefits of DBT and how it can both support you as a parent, and have a positive and lasting impact on your child’s recovery journey.
What is DBT?
DBT is the Most Comprehensive Curriculum of Coping Skills we have today!
Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy approach developed by Dr. Marsha Linehan. It combines Cognitive-Behavioral Therapy techniques with mindfulness practices and has been proven to be effective in treating a variety of mental health conditions – anxiety, depression, trauma, and eating disorders. Dialectical Behavior Therapy was developed by Dr. Linehan for individuals with serious mental health symptoms. It is now widely used to promote coping skills with individuals with mental health and medical health concerns. DBT has now been developed as a Prevention Model for children, be sure to read DBT in Schools by Dr. James Mazza and Dr. Elizabeth Mazza.
We are doing the best we can…. AND we have to try harder….
DBT promotes self-compassion in parents – to understand that they are doing the best they can AND always want to find new ways to improve. DBT gives parents the tools to master parenthood in novel ways. Each day and each stage of childhood brings new challenges for a parent. You may still be looking for that manual that you felt you should have been given when you had your newborn. DBT skills training can give you a way to increase your coping skills and your interpersonal effectiveness, and those in your child.
While we are on the topic of compassion, let’s bear in mind that your parents did not receive a parenting manual upon your birth, either. Your parents did the best they could, at the time, with what they knew, and with what they were given. It takes some folks, a lifetime to accept that. If your goal is to do even better than the generation before you did, Dialectical Behavior Therapy can teach you coping skills you may never have been taught.
What are the 5 DBT Coping Skills? How can they help me be a better parent?
DBT focuses on five key Coping Skill areas: Core Mindfulness, Emotion Regulation, Distress Tolerance, Interpersonal Effectiveness, and Middle Path. These skills help both parents and children, better understand their emotions, thoughts, feelings, and actions, allowing both you and your child to cope better and become more resilient, make better choices, and have effective communication skills.
Core Mindfulness: This skill helps you stay in the moment. Today’s pressures push parents and teens to be multi-taskers more than ever, and lose sight of true quality time with our children. Quality time can happen anywhere. I bet your child has caught you being distracted and not listening. What does that feel like? Being present and focused is another important skill for parents to model. Understanding the concepts of Emotion Mind, Reasonable Mind and Wise Mind, is a great strategy to helping a parent to not overreact and to not engage a teenager in a powerful struggle.
Emotion Regulation: DBT teaches an individual how to identify when one is experiencing intense emotions that can be difficult to manage. DBT skills teaches one to identify when they are in Emotion Mind. What happens when you overreact? How does that impact your child? Make things better or worse? Air mask on first! When you have a handle on your raw emotions, your child will do better.
Distress Tolerance: DBT helps your child develop skills to tolerate and cope with distressing situations without resorting to self harm or eating disorder disorder behaviors. When you, as the parent, are able to calm your own emotions, and develop your own distress tolerance skills, your child will have you as a role model. Everyone in the family can find new and improved ways to cope with distress and discomfort.
Interpersonal Effectiveness: DBT focuses on improving communication and assertiveness skills, which can help your child express their needs and set boundaries in relationships. Assertiveness Training is the DEAR MAN Skill. The GIVE and FAST skills are the Validation Skills. Your own training in DBT Validation Skills, has been described as a Game-Changer by many of the parents we have worked with. What happens to adolescent power struggle when you calmly validate your child’s feelings and don’t overreact?
Middle Path – DBT is founded on the concept of Dialectics. Dialectics is where two ideas or views seem opposite, but both can be true. The truth is in the middle. There is always more than one way to see a situation and more than one way to solve a problem. Finding the middle path truth is a great strategy in developing positive peer and family relationships, for you and for your child.
Resilience DBT & Eating Recovery: Your Partner in DBT for Mental Health Resiliency and Eating Disorder Recovery
At Resilience , our compassionate and skilled therapists have dual specialty the Treatment of Eating Disorders and in DBT for mental health conditions, the anxiety disorder, mood disorders, trauma, grief/loss.. We understand the unique challenges faced by mothers and fathers in supporting a child in recovery. Our Comprehensive DBT program ensures that you and your child receive the guidance and support needed to develop essential coping skills and promote lasting recovery.
Adherent DBT for adolescents, offered at Resilience, is the Multi-Family Skills Group model. By mastering DBT skills along with your child, you both can gain a better mastery of emotions and access your inner resilience. As a parent, you play a crucial role in your child’s recovery journey. Resilience is here to support you every step of the way.
As a parent, supporting your child’s journey from an eating disorder or mental health condition. can be challenging and exhausting but DBT offers a powerful and evidence-based approach to help you learn, re-learn and model coping skills as you regain control by putting your air mask on first, and as you guide your child to put on their own air mask. The end result is to achieve a healthier, happier family life. Reach out to Resilience DBT & Eating Recovery today to learn more about our DBT and DBT-ED programs. We are here to support your family to enhance your unique strengths as a family.
Resilience DBT & Eating Recovery
Gender-Inclusive ∙ Culturally Compassionate
5 Steps for Successful Eating Disorder Recovery
Full Recovery is Possible
Embarking on the journey to eating disorder and body image dissatisfaction recovery can be challenging and overwhelming. At Resilience DBT & Eating Recovery, we understand the importance of having the right treatment, as early as possible, to help you get better and stay better. Here are our top 5 tips for navigating the path to successful eating disorder recovery.
1. Don’t Delay. Seek Professional Help
It is not always talked about, but eating disorders are progressive, as well as dangerous illnesses. Reach out to a treatment provider or center that specializes in eating disorders. Your treatment begins with an expert evaluation and the right diagnosis. The earlier the better. Eating disorder treatment can be categorized as early intervention or the treatment can be for an eating disorder that has become severe and enduring. Whichever, your health is important, don’t delay or avoid.
The earlier you get treatment, the better is your prognosis. Even if your primary diagnosis is Anorexia Nervosa, Bulimia, or Binge Eating Disorder, there is often a “co-occurring diagnosis”, such as one of the Anxiety Disorders, Mood Disorders, or trauma. This has to be treated in an expert manner. Symptoms such as self-starvation or restriction creates mental health symptoms such as anxiety or depression. The sooner your eating disorder treatment begins, the sooner you will feel better.
At Resilience DBT & Eating Recovery, each initial evaluation we conduct is also a “Level-of-Care Assessment”. Meaning, it is our job to make sure you are at the right level of care. The three levels of care are: Inpatient/Residential, PHP/IOP, outpatient private practice. At Resilience, we offer Comprehensive outpatient care. We are trained in evidenced-based outpatient approaches, such as FBT, CBT-E, and DBT for Eating Disorders. We can collaborate with an Adolescent Medicine Specialist, your pediatrician, or your PCP, for your outpatient medical safety.
Eating Disorders thrive on isolation
2. Build Your Support Community. Find a Group!
Your Eating Disorder wants to keep you isolated. In fact, eating disorders thrive on isolation! Having a strong support system is crucial for lasting recovery. Share your struggles and goals with trusted friends and family members who can offer encouragement and understanding
For your mental health and your recovery, find yourself a group. Find several groups! Connecting with others who share similar experiences with food and body image can help you with your own self-compassion. We offer therapy groups for eating disorder recovery including Comprehensive DBT for eating disorders. Our clients who have found full recovery often made up their own outpatient program of professional therapy groups and free support groups.
3. Develop Healthy Coping Strategies & Good Self-Care
Eating disorders often develop as a way to cope with difficult emotions or situations. Replace disordered eating behaviors with healthier coping strategies, such as practicing mindfulness, engaging in physical activity, or pursuing creative outlets like art or writing. Taking care of your physical, emotional, and mental well-being is essential for recovery. Establish a regular self-care routine that includes balanced meals, adequate sleep, stress management, social and physical activities that bring you joy and relaxation.
Don’t get off the train before your final destination
4. Stay Committed to your Recovery
Full Recovery is Possible. Don’t get off the train before your final destination. You might be tempted to get off at an earlier stop and walk around, using the metaphor of a train ride. Maybe you tell your treatment team, “I need a break! This is too hard!” If that happens, take a breath and resume your appointments and continue your treatment. Yes, this might be the hardest thing you ever do, but the rewards are greater than you can imagine right now.
At Resilience DBT & Eating Recovery, we don’t sell round trip tickets, we are here to help you continue all phases of your recovery until you put your eating disorder behind you. Our recovered clients go on to live full and productive lives.
5. Have a solid Relapse Prevention Plan
The most important thing to remember is that a “lapse” is not a relapse. In our experience, relapse is not inevitable, it is actually highly preventable. During the course of your recovery, you will be putting in building blocks to better relationship with your body and with food – using strategies such as techniques for delaying binging/purging urges, tolerating any needed weight gain, incorporating exposures for your fear foods. and food/social exposures for eating with others. Your therapist and your treatment team will help you with all these steps. Your bravery is the foundation that your recovery is built on.
So try not to let a lapse turn into a relapse. Know your signs that can indicate you could be slipping back into eating disorder thinking and behaviors. Have your support team/family/roommates learn to recognize your signs as well. Whether a lapse or a full-blown relapse, get support and get right back on the train to recovery. Through your therapy you will learn to enjoy your life again, feel good in your body, celebrate your health, and experience normalized and joyful eating. Is it possible? We know it is!
EXPERIENCE HOPE!
Resilience DBT & Eating Recovery: Your Partner in Eating Disorder Recovery
At Resilience, we’re committed to helping individuals on their path to eating disorder recovery. Our experienced therapists provide evidence-based treatment options, including FBT, CBT-E, and DBT-ED, tailored to your unique needs and challenges. We believe that with expert care, you can overcome your eating disorder and lead a healthier, more fulfilling life.
Navigating the path to eating disorder recovery can be challenging, but with the right tools, strategies, and support, you can achieve lasting healing. By following these top 5 tips and partnering with professionals like Resilience DBT & Eating Recovery, you can build a strong foundation for a healthier, happier future. Reach out to the Resilience team today to learn more about our specialized treatment options and how we can support you on your journey to recovery.
Resilience DBT & Eating Recovery
Gender-Inclusive ∙ Culturally Compassionate