Podcast appearances and mentions of marsha linehan

American psychologist

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Best podcasts about marsha linehan

Latest podcast episodes about marsha linehan

Been There Got Out Podcast
"Am I Going to Lose My Child to Alienation?" A Psychologist Answers

Been There Got Out Podcast

Play Episode Listen Later Jun 15, 2026 20:40


If you've ever found yourself paralyzed by the fear that your ex is slowly turning your children against you and there's nothing you can do about it, this conversation is for you.In this episode of Been There Got Out, Lisa Johnson sits down with Dr. Alicia del Prado, a licensed counseling psychologist based in the San Francisco Bay Area, to talk about one of the most painful experiences a parent can go through: parental alienation. But rather than focusing only on what's happening, Dr. del Prado brings her clinical expertise to what you can actually do — specific, grounded strategies to prevent alienation from taking hold, minimize its impact when it has already started, and stay psychologically intact through all of it.One of the most important things she says: fear is a filter. When we're operating from that deep, primal terror of losing our kids, we make decisions that can actually make things worse — not because we're bad parents, but because our nervous system is in survival mode. Understanding that is the first step toward changing it.WHAT YOU'LL LEARN IN THIS EPISODE:✅ What parental alienation actually is — and why it affects an estimated 22 million divorced and separated parents in the US and Canada alone✅ Why feeling hopeless about parental alienation is understandable — and what to focus on instead✅ How fear acts as a "filter" that distorts your decisions and what to do about it without suppressing your emotions✅ The most common misconceptions people have about alienation — both from inside the situation and from the outside✅ How to support a friend or family member going through parental alienation without saying the wrong thing✅ How to use your child's love language to stay connected even when they're pushing you away✅ What to do when your child screams at you, ignores you, or says they hate you✅ The micro goals framework: how to keep showing up consistently even when you see no results✅ Why children in these situations usually do come back — and what gives them the courage toTIMESTAMPS:00:00 — Introduction: Why we're revisiting this conversation (audio issues from previous recording)01:10 — What parental alienation actually is: a definition from a clinical psychologist02:30 — The 22 million statistic: how widespread parental alienation really is03:15 — Dr. del Prado's personal background and why this topic is close to her heart04:30 — "I feel like it's destined" — addressing the hopelessness alienated parents feel06:00 — Fear is a filter: how trauma responses hijack parenting decisions in high-conflict situations08:15 — Misconceptions about parental alienation from the inside: why catastrophizing makes it worse10:00 — Misconceptions from the outside: what friends and family get wrong and how to ask for support12:30 — The Constructive Conversations model (with Dr. Anastasia Kim) for difficult dialogue14:15 — Using love languages with alienated children: quality time, words of affirmation, gift giving, touch17:00 — When your child doesn't respond to your love language efforts: the power of repetition18:30 — Reliability and consistency: why attachment is built over time, not in a single reunion20:00 — When children are openly hostile: what to do in the moment when your child screams at you22:45 — Self-regulation tools for targeted parents (including Marsha Linehan's distress tolerance skills)24:30 — Setting limits with your child during a hostile encounter without escalating26:00 — Micro goals: why big reunion fantasies set you up to fail — and what works instead28:30 — Making micro goals about your behavior, not your child's response30:15 — Do alienated children come back? What the statistics actually show31:30 — How to find Dr. del Prado and her practiceABOUT DR. ALICIA DEL PRADO:Dr. Alicia del Prado is a licensed counseling psychologist and the founder of a group practice in the San Francisco Bay Area. Her clinical work spans children, adults, families, and couples navigating relationship challenges, depression, anxiety, and trauma. Dr. del Prado brings both professional expertise and personal perspective to the topic of parental alienation — as a child of divorced parents herself, she understands both the systemic challenges families face and the emotional complexity children carry through these transitions. She is co-developer (with Dr. Anastasia Kim) of the Constructive Conversations model, a step-by-step approach to having difficult but necessary dialogues with people we care about.CONNECT WITH DR. DEL PRADO on Instagram: @DoctorDelPrado & @DelPradoCounseling

The Virtual Couch
The Validation Paradox: Why Reassurance Can Feel Lonely

The Virtual Couch

Play Episode Listen Later May 15, 2026 56:29 Transcription Available


Your partner said all the right things. So why do you feel MORE alone than before you opened up? Welcome to positive invalidation. That strange ache—being reassured into invisibility—has a name. It's what happens when "you're so good at your job, don't even worry about it" lands like a door quietly closing on what you actually feel. In this episode, Tony Overbay unpacks the science of validation, the paradox underneath it, and why the partner who soothes you fastest may be regulating their own nervous system, not seeing yours. Through the story of Archie and Veronica, this episode explores: Why positive invalidation stings more than the obvious kind—and how to spot it inside your own well-meaning reassurances Dr. Marsha Linehan's "kernel of truth" definition of validation, plus Tony's four pillars of a connected conversation David Schnarch's distinction between other-validated and self-validated intimacy—and why needing validation is the real trap The co-regulation research (including the famous fMRI hand-holding study) that explains why your partner's bad day becomes your emergency The four stages of competence, from "unconscious incompetence" to actually living it—and why stage two is where most people quit therapy HALT, upstream versus downstream work, and a surprising tangent into energy landscapes and Buddhist non-self As a licensed marriage and family therapist who's spent decades guiding couples back toward each other, Tony weaves together DBT, ACT, and Schnarch's differentiation work to answer one question: can you give validation as a gift without needing it back? If something here resonates, share it with someone who needs to hear that they're not broken—they're human. Please follow Tony on Instagram @virtual.couch on Tiktok @virtualcouch on Facebook https://www.facebook.com/tonyoverbaylmft and on Substack https://thevirtualcouch.substack.com/ You can reach out to Tony through his website tonyoverbay.com or by emailing contact @ tonyoverbay.com 00:00 Welcome and Disclaimer 02:28 Meet Archie and Veronica 03:07 A Compliment That Hurts 05:08 Positive Invalidation Explained 06:35 Where Invalidation Comes From 09:10 Science of Validation and DBT 09:49 Four Pillars of Connection 12:31 Validation Research and Polarization 14:52 Schnarch and Differentiation 18:05 Self-Validated Intimacy 19:08 Non-Self and Interdependence 22:58 Co-Regulation and Fusion 26:08 When Comfort Is for You 28:11 Co-Regulation as Hope 28:57 When Growth Triggers Chaos 30:03 Energy Landscapes Explained 32:01 Biology of Pushback 35:02 Validation Paradox 38:12 Self-Validated Intimacy 41:12 Building Self-Validation 46:20 Veronica and Archie Revisited 47:09 Upstream vs Downstream 51:37 Four Stages of Change 55:00 Key Takeaways and Wrap

The Anxiety Coaches Podcast
1241: Classic ACP Managing Anxiety, Difficult Emotions And Situations With Radical Acceptance

The Anxiety Coaches Podcast

Play Episode Listen Later Apr 29, 2026 18:34


In today's episode, Gina discusses radical acceptance and how we can use this practice to reduce the severity and adverse consequences of anxiety. Radical acceptance is about accepting reality as it is without judgement or resistance. A number of practical steps are shared to help you implement radical acceptance in your life and in turn reduce your anxiety.Tara Brach's book: Radical Acceptance: Embracing Your Life With the Heart of a Buddha https://amzn.to/41W3gAdStillpoint Fridays is my once-a-week Friday note — a slower, more personal reflection that's different from what I share on the podcast. If you'd like a quiet place to land as the week winds down, you can join here: http://eepurl.com/bR2F9P or on our website anxietycoachespodcast.com and sign up for the newsletter. Please visit our Sponsor Page to find all the links and codes for our awesome sponsors! https://www.theanxietycoachespodcast.com/sponsors/ Website https://www.theanxietycoachespodcast.comJoin our community Group Coaching Join our Group Coaching Full or Mini Membership Program1:1 Coaching Learn more about our One-on-One CoachingIf you prefer to listen AD-FREE, try our Supercast premium access membership: Learn more about anxiety What is anxiety? Free Guided Meditation for Calming Your Anxious Mind 10-Minute Body-Scan Meditation for AnxietyQuote:Clearly recognizing what is happening inside us, and regarding what we see with an open, kind and loving heart, is what I call Radical Acceptance.-Tara BrachChapters0:26 Introduction to Radical Acceptance3:09 The Power of Acceptance6:15 Steps to Practice Radical Acceptance8:21 Mindfulness and Self-Compassion10:23 Visualization Techniques11:07 Daily Practices for Acceptance14:29 Ongoing Process of Acceptance15:39 Embracing the Serenity Prayer16:54 Sharing the Podcast17:51 Closing Thoughts and QuoteSummaryIn this episode of the Anxiety Coaches Podcast, I delve into the transformative concept of radical acceptance and how it can help manage anxiety, difficult emotions, and challenging situations. Drawing inspiration from Tara Brach's insightful work, I explore the idea that we often spend too much of our energy defending our lives instead of living them fully. By acknowledging our feelings and experiences without judgment, we can begin to cultivate a more peaceful existence.I discuss the principles I've learned from Marsha Linehan's dialectical behavioral therapy (DBT), highlighting the importance of embracing both acceptance and change in our lives. I emphasize that anxiety often prevents us from seeing the possibility of these dual approaches, leading us to resist the present moment. Radical acceptance empowers us to understand that every moment is part of a larger continuum, allowing us to move away from judgment and toward acceptance.The episode clarifies that practicing radical acceptance does not equate to resignation. Instead, it is about recognizing reality and finding effective ways to cope with it. By learning to accept our circumstances—like getting stuck in traffic or facing unexpected challenges—we can reduce our stress and shift our perspective toward more constructive actions, such as listening to uplifting content or practicing mindfulness. I share practical strategies to help listeners integrate radical acceptance into their daily lives, starting with acknowledging our resistance to reality, which often leads to self-imposed suffering.#RadicalAcceptance #AnxietyManagement #TaraBrach #DBT #Mindfulness #SelfCompassion #MentalHealthMatters #Resilience #InnerPeace #StressRelief #AnxietyCoachesPodcast #GinaRyan #MarshaLinehan #EmotionalIntelligence #PresentMoment #NonJudgment #MentalWellness #SelfCare #CopingMechanisms #OvercomingAnxiety #MindfulLiving #Psychology #PersonalDevelopment #SerenityPrayer #HolisticHealing #EmotionalRegulation #GrowthMindset #AnxietyRelief #BePresent #SelfLove #MentalHealthAwareness #CalmAndCollected #Neuroplasticity #AcceptanceAndCommitment #WellnessJourney #PeaceOfMind #MindfulnessPractice #Reframing #StayCalm #InnerStrength #LifeSkills #HealingJourney #ACPSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Psychobabble
#66. How Borderline Traits Develop and Why They're Increasing Now

Psychobabble

Play Episode Listen Later Apr 29, 2026 17:22


Borderline Personality Disorder is usually framed as the result of trauma: a broken attachment system, a damaged patient reacting to early wounds. This is inclomplete. Borderline traits persist not because they are purely pathological, but because, in many contexts, they are functionally effective. This epsiode goes into the problem of the "invalidation environment" theory of Marsha Linehan, and the more plausible interpretaion of what makes this personality pathology. For ad-free episodes of the Psychobabble Podcast, subscribe on Substack:  https://hannahspier.substack.com/p/66-how-borderline-traits-develop

Bold Beautiful Borderline
DBT Skills and Advice Feat. Kate and Michelle of DBT and Me

Bold Beautiful Borderline

Play Episode Listen Later Apr 12, 2026 31:36


Today is Part 2 of a 2 part series featuring Kate & Michelle of the DBT and Me podcast. Today they talk DBT skills and advice for using DBT. Thanks Kate and Michelle for joining us on the podcast! Here's an overview of their podcast: Dialectical Behavior Therapy (DBT) was created by a woman named Marsha Linehan in the 1980s. The skills she created are now taught all over the world. DBT can improve depression, anxiety, borderline personality disorder, and other mental health struggles. We are Kate and Michelle, two mental health therapists in Seattle, WA. We have been teaching DBT groups as a team for years. Whether you've never heard of DBT before or are experienced with DBT skills, this podcast is here to help you use DBT skills in your daily life.The DBT and Me podcast can be found on: IG @dbtandmepodcastFacebookYoutubeEtsySend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...

Bold Beautiful Borderline
Meet Your Favorite DBT Therapists (Feat. Kate & Michelle of DBT and Me podcast)

Bold Beautiful Borderline

Play Episode Listen Later Apr 5, 2026 49:02


Today is Part 1 of a 2 part series featuring Kate & Michelle of the DBT and Me podcast. Today they talk about their lived experience with mental health and next week they talk specifically DBT skills!Here's an overview of their podcast: Dialectical Behavior Therapy (DBT) was created by a woman named Marsha Linehan in the 1980s. The skills she created are now taught all over the world. DBT can improve depression, anxiety, borderline personality disorder, and other mental health struggles. We are Kate and Michelle, two mental health therapists in Seattle, WA. We have been teaching DBT groups as a team for years. Whether you've never heard of DBT before or are experienced with DBT skills, this podcast is here to help you use DBT skills in your daily life.The DBT and Me podcast can be found on: IG @dbtandmepodcastFacebookYoutubeEtsySend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...

Therapy on the Cutting Edge
From Emotionally Sensitive to Overcontrolled Emotions, Using Dialectical Behavioral Therapy and Radically Open Dialectical Behavioral Therapy to Find Balance

Therapy on the Cutting Edge

Play Episode Listen Later Feb 23, 2026 54:53


In this episode, Alicia discusses her work with Dialectical Behavior Therapy and Radically Open DBT. She explains that she was first exposed to DBT in her predoctoral internship at Marin General Hospital, where part of the rotation was to run a DBT group and fell in love with its practicality and giving people real tools they could take away. She explained that it was great to see clients using the tools and finding success, so she got went and got trained with Marsha Linehan, Ph.D. and Behavioral Tech and made DBT her focus. She explained that DBT is especially helpful for clients who describe themselves as emotionally sensitive or struggle to “ride the wave” of emotions that feel overwhelming. Alicia discusses the five modules of DBT that she works from, including mindfulness, distress tolerance, affect regulation, interpersonal skills, and “walking the middle path,” (which is related to validation and reinforcement in family emotional dynamics). Alicia goes on to explain the use of the modules in working towards emotional awareness, getting through emotional crises, and radical acceptance of emotions. We also discuss coping skills and exposure therapy and how there are tools to expand one's window of tolerance as well as self-soothing skills utilized to sit with one's emotions. We speak on what dialectics in DBT refer to: holding two truths at a time, as opposed to relying on rigid, black-and-white thinking, which can exacerbate feelings of distress and overwhelm. Alicia discusses Radical DBT, or Radically Open DBT, and how it is different from regular DBT as it expands radical openness, self-inquiry, and accepting imperfection in oneself in treating emotional OC (overcontrol) disorders such as Anorexia Nervosa, OCPD, and chronic depression. We discuss how RO DBT benefits clients who experience rigidity in their overcontrol as well as shame, anxiety, and hypervigilance in their daily life. Alicia discusses her website, Therahive, which provides DBT skills online for clients as well as training for therapists to make DBT accessible throughout the world. We discuss how important having a supportive community is for clinicians who are providing DBT and how DBT's model includes a therapist consultation group. Lastly, we discuss phone coaching with clients and how it is utilized with clients who are struggling with self-harm and other behaviors and how therapists navigate personal boundaries around time with family and time off, while also being available for clients in need. Alicia Smart, PsyD is a licensed clinical psychologist in California with over 20 years of clinical experience providing evidence-based mental health care to children, adolescents, adults, and families. She began seeing clients during graduate training and has worked across community mental health, medical, and private practice settings throughout her career. Alicia earned her B.A. in Psychology and Chemistry from New York University and her Doctorate in Clinical Psychology (PsyD) from the California Institute of Integral Studies. She is a DBT-Linehan Certified Clinician and has extensive experience treating mood and personality disorders, trauma, anxiety, grief, ADHD, autism-spectrum presentations, and chronic emotion dysregulation. Her work frequently integrates DBT into suicide risk management, neurodivergent-affirming care, and complex relational systems. She is the Founder and Clinical Director of Guidepost DBT in Corte Madera, California, where she oversees a team of therapists providing comprehensive Dialectical Behavior Therapy (DBT) and evidence-based care. In addition to clinical leadership, Alicia provides training, supervision, and consultation to clinicians seeking advanced education in DBT and related approaches. Alicia is also a co-founder of TheraHive, an innovative online DBT skills and learning platform designed to make high-quality DBT education more accessible to individuals and clinicians worldwide.

Zen Community of Oregon Dharma Talks
Appreciate Your Life - Jomon Martin, Zen Teacher

Zen Community of Oregon Dharma Talks

Play Episode Listen Later Jan 24, 2026 43:52 Transcription Available


Drawing on the teaching “Appreciate Your Life” from Taizan Maezumi Roshi, Jomon weaves together the Zen story of Gensha with the lives and insights of Carl Rogers, Jon Kabat-Zinn, and Marsha Linehan, showing how trust in direct experience, mindful presence, and compassion reveal the same truth across traditions. Through breath, awareness, and the courage to meet life as it is, she points to a lived understanding that this very life is the life of Buddha, that each moment is complete, and that learning to rest in “this is it” allows gratitude, healing, and confidence in our own true nature to naturally arise. This talk was given at the Plum Blossom Zendo in Vancouver, WA. ★ Support this podcast ★

The Carlat Psychiatry Podcast
Wounded Healers: Linehan and DBT Part 2

The Carlat Psychiatry Podcast

Play Episode Listen Later Jan 12, 2026 21:11


Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital where her journey started.CME: Take the CME Post-Test for this EpisodePublished On: 01/12/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Dr. Jesse Finkelstein - A DBT Guide to Navigating Stress, Emotions, and Relationships

Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy

Play Episode Listen Later Jan 6, 2026 57:20


Comments or feedback? Send us a text! In this episode, we are joined by Dr. Jesse Finkelstein to discuss Real Skills for Real Life, co-authored with Dr. Shireen Rizvi. The book offers a practical, accessible introduction to Dialectical Behavior Therapy (DBT), translating a well-established clinical framework into skills that can be applied in everyday life.Rather than focusing on diagnoses, Real Skills for Real Life centers on universal human experiences—stress, emotional overwhelm, relationship challenges, and loss—and presents DBT as a compassionate, skills-based approach to navigating them. The conversation broadly explores how DBT balances acceptance and change, why a skills-focused lens can reduce shame, and how evidence-based psychological tools can be used outside the therapy room.This episode is relevant for clinicians, students, and general listeners interested in grounded, practical approaches to emotion regulation, relationships, and resilience in an increasingly complex world.Jesse Finkelstein, PsyDDr. Jesse Finkelstein is a licensed clinical psychologist and DBT trainer based in New York City. He earned his PsyD from Rutgers University, where he received extensive training in DBT under the mentorship of Dr. Rizvi. He has since built a clinical practice specializing in emotion regulation, anxiety, and interpersonal effectiveness.Dr. Finkelstein is known for his engaging teaching style and his ability to translate complex psychological concepts into clear, practical guidance for both clinicians and the general public. In addition to his clinical work, he provides DBT training and consultation and is committed to making evidence-based skills approachable, flexible, and relevant to everyday life.Shireen L. Rizvi, PhD, ABPPDr. Shireen Rizvi is a licensed clinical psychologist, Professor of Clinical Psychology at Rutgers University, and an internationally recognized expert in Dialectical Behavior Therapy. She trained under Dr. Marsha Linehan at the University of Washington and later founded the Rutgers DBT Clinic, where she has played a central role in training clinicians and advancing the dissemination of evidence-based care.Dr. Rizvi's research and clinical work focus on emotion regulation, trauma, and the application of DBT across diverse clinical and real-world contexts. She is board certified in Behavioral and Cognitive Psychology and is the author of numerous peer-reviewed publications and books, including Chain Analysis in Dialectical Behavior Therapy. She is widely respected for bridging rigorous clinical science with compassionate, accessible teaching.Website: https://www.shireenrizvi.comRutgers University Profile / Rutgers DBT Clinic: https://psych.rutgers.edu/academics/clinical-psychology/clinical-faculty/shireen-l-rizviTwitter (X): https://twitter.com/ShireenRizviLinkedIn: https://www.linkedin.com/in/shireen-rizvi-phd/Jesse Finkelstein, PsyDWebsite: https://www.drfinkelstein.comInstagram: https://www.instagram.com/drjessefinkelstein/LinkedIn: https://www.linkedin.com/in/jessefinkelstein/

The Carlat Psychiatry Podcast
Wounded Healers: Linehan and DBT Part 1

The Carlat Psychiatry Podcast

Play Episode Listen Later Jan 5, 2026 16:51


Marsha Linehan makes it out of a long-term psychiatric hospital and vows to develop a better approach to suicidality, reinventing therapy for borderline personality disorder. CME: Take the CME Post-Test for this EpisodePublished On: 01/05/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

The Peaceful Parenting Podcast
How DBT Skills Can Help Your Family with Big Feelings with Shireen Rizvi and Jesse Finkelstein: Episode 214

The Peaceful Parenting Podcast

Play Episode Listen Later Dec 3, 2025 42:22


You can listen wherever you get your podcasts, OR— BRAND NEW: we've included a fully edited transcript of our interview at the bottom of this post.In this episode of The Peaceful Parenting Podcast, I speak with Shireen Rizvi, PhD and Jesse Finkelstein, PsyD, about their book Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships. We discuss what Dialectical Behavior Therapy (DBT) is, how it can help both ourselves and our kids with big feelings, and get into some of the skills it teaches including distress tolerance, check the facts, and mindfulness.**If you'd like an ad-free version of the podcast, consider becoming a supporter on Substack! > > If you already ARE a supporter, the ad-free version is waiting for you in the Substack app or you can enter the private feed URL in the podcast player of your choice.Know someone who might appreciate this post? Share it with them!We talk about:* 6:00 What is DBT?* 11:00 The importance of validation* 13:00 How do parents manage their own big feelings?* 16:00 How do you support a kid with big feelings, and where is the place for problem solving?* 23:00 Managing the urge to fix things for our kids!* 26:00 What is distress tolerance?* 28:50 “Check the facts” is a foundational skill* 34:00 Mindfulness is a foundation of DBT* 36:45 How the skills taught through DBT are universalResources mentioned in this episode:* Yoto Player-Screen Free Audio Book Player* The Peaceful Parenting Membership* Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships by Shireen Rizvi and Jesse Finkelstein * Shireen Rizvi's website * Jesse Finkelstein's websites axiscbt and therahive Connect with Sarah Rosensweet:* Instagram* Facebook Group* YouTube* Website* Join us on Substack* Newsletter* Book a short consult or coaching session callxx Sarah and CoreyYour peaceful parenting team- click here for a free short consult or a coaching sessionVisit our website for free resources, podcast, coaching, membership and more!>> Please support us!!! Please consider becoming a supporter to help support our free content, including The Peaceful Parenting Podcast, our free parenting support Facebook group, and our weekly parenting emails, “Weekend Reflections” and “Weekend Support” - plus our Flourish With Your Complex Child Summit (coming back in the spring for the 3rd year!) All of this free support for you takes a lot of time and energy from me and my team. If it has been helpful or meaningful for you, your support would help us to continue to provide support for free, for you and for others.In addition to knowing you are supporting our mission to support parents and children, you get the podcast ad free and access to a monthly ‘ask me anything' session.Our sponsors:YOTO is a screen free audio book player that lets your kids listen to audiobooks, music, podcasts and more without screens, and without being connected to the internet. No one listening or watching and they can't go where you don't want them to go and they aren't watching screens. BUT they are being entertained or kept company with audio that you can buy from YOTO or create yourself on one of their blank cards. Check them out HEREPodcast transcript:Sarah: Hey everyone. Welcome back to another episode of the Peaceful Parenting Podcast. Today we have two guests who co-authored a book called Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships.And you may be wondering why we're talking about that on a parenting podcast. This was a really great conversation with Shireen Rizvi and Jesse Finkelstein, the co-authors of the book, about all of the skills of DBT, which is a modality of therapy. We talked about the skills they teach in DBT and how we can apply them to parenting.They talk about how emotional dysregulation is the cause of so much of the pain and suffering in our lives. And I think as a parent, you will recognize that either your own emotional dysregulation or your child's is often where a lot of issues and conflict come from.So what they've really provided in this book—and given us a window into in this conversation—is how we can apply some of those skills toward helping ourselves and helping our children with big feelings, a.k.a. emotional dysregulation. It was a really wonderful conversation, and their book is wonderful too. We'll put a link to it in the show notes and encourage you to check it out.There are things you can listen to in this podcast today and then walk away and use right away. One note: you'll notice that a lot of what they talk about really overlaps with the things we teach and practice inside of Peaceful Parenting.If this episode is helpful for you, please share it with a friend. Screenshot it and send it to someone who could use some more skill-building around big emotions—whether they're our own big emotions or our child's. Sharing with a friend or word of mouth is a wonderful way for us to reach more people and more families and help them learn about peaceful parenting.It is a slow process, but I really believe it is the way we change the world. Let's meet Shireen and Jesse.Hi, Jesse. Hi, Shireen. Welcome to the podcast.Jesse: Thank you so much for having us.Sarah: Yeah. I'm so excited about your book, which I understand is out now—Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships. First of all, I love the format of your book. It's super easy to read and easy to use. I already thought about tearing out the pages with the flow charts, which are such great references—really helpful for anyone who has emotions. Basically anyone who has feelings.Jesse: Oh, yes.Sarah: Yeah. I thought they were great, and I think this is going to be a helpful conversation for parents. You've written from a DBT framework. Can you explain what DBT is and maybe how it's different from CBT? A lot of people have heard more about cognitive behavior therapy than dialectical behavior therapy.Shireen: Sure. I would first say that DBT—Dialectical Behavior Therapy—is a form of cognitive behavioral therapy. So they're in the same category. Sometimes we hear therapists say, “I do DBT, but I don't do CBT,” and from my perspective, that's not really possible, because the essence of dialectical behavior therapy is CBT. CBT focuses on how our thoughts, behaviors, and emotions all go together, and how changing any one of those affects the others.That's really the core of DBT—the foundation of CBT. But what happened was the person who developed DBT, Marsha Linehan—she was actually my grad school advisor at the University of Washington—developed this treatment because she was finding that standard CBT was not working as well as she wanted it to for a particular population. The group she was working with were women, primarily, who had significant problems with emotion regulation and were chronically suicidal or self-injuring.With that group, she found they needed a lot more validation—validation that things were really rough, that it was hard to change what was going on, that they needed support and comfort. But if she leaned too much on validation, patients got frustrated that there wasn't enough change happening.So what she added to standard CBT was first a focus on validation and acceptance, and then what she refers to as the dialectical piece: balancing between change and acceptance. The idea is: You're doing the best you can—and you need to do better.Jesse: Mm-hmm.Shireen: And even though DBT was developed for that very severe group that needed a lot of treatment, one of the aspects of DBT is skills training—teaching people skills to manage their emotions, regulate distress, engage interpersonally in a more effective way.Those skills became so popular that people started using them with everyone they were treating, not just people who engaged in chronic suicidal behavior.Sarah: Very cool. And I think the population you're referring to is people who might be diagnosed with borderline personality disorder. I bring that up only because I work with parents, not kids, and parents report to me what their children are like. I've had many parents worry, “Do you think my child has borderline personality disorder?” because they've heard of it and associate it with extreme sensitivity and big feelings.A lot of that is just typical of someone who's 13 or 14, right? Or of a sensitive child—not diagnosable or something you'd necessarily find in the DSM. I've heard it so many times. I say, “No, I don't think your child has borderline personality disorder. I think they're just really sensitive and haven't learned how to manage their big feelings yet. And that's something you can help them with.”With that similar level of emotional intensity—in a preteen or early teen who's still developing the brain structures that make self-regulation possible—how can we use DBT skills? What are a couple of ideas you might recommend when you have a 13-year-old who feels like life is ruined because the jeans they wanted to wear are soaking wet in the wash? And I'm not making fun—at 13, belonging is tied to how you look, what jeans you're wearing, how your hair is. It feels very real.So how might we use the skills you write about for that kind of situation?Jesse: Well, Sarah, I actually think you just practiced one of the skills: validation. When someone feels like their day is ruined because of their jeans, often a parent will say, “Get over it. It's not a big deal.” And now, in addition to fear or anxiety, there's a layer of shame or resentment. So the emotion amplifies and becomes even harder to get out of.Validation is a skill we talk about where you recognize the kernel of truth—how this experience makes sense. “The jeans you're wearing are clearly important to you. This is about connection. I understand why you feel this way.” That simple act of communicating that someone's thoughts and feelings make sense can be very powerful.Alongside that—back to what Shireen was saying—there are two tracks. One is the skills you help your teen practice. The other is the skills you practice yourself to be effective. In that moment, your teen might be dysregulated. What is the parent's emotion? Their urge? What skills can they practice to be effective?Sarah: I love that you already went to the next question I was going to ask, which is: when that kid is screaming, “You don't understand, I can't go to school because of the jeans,” what can parents do for themselves using the skills you describe?Shireen: I often think of the oxygen-mask analogy: put on your own oxygen mask before helping others. That was certainly true for me when I had fussy infants—how do you manage that stress when you are already heightened?What do you need to do to regulate yourself so you can be effective in the moment? Sometimes that's literally taking a time-out—leaving the room for a minute. The kid comes after you about the jeans, and you say, “Hold on, I need a minute.” You sequester yourself in the bathroom. You do paced breathing—a DBT skill that helps regulate your nervous system. You do that for a minute, get centered, and then return to the situation.If you're not regulated and your child is dysregulated, you'll ping-pong off each other and it becomes messier and messier. But if you can regulate yourself and approach calmly, the whole interaction changes.Sarah: It's so interesting because people who've been listening to my podcast or know my work will think, “Oh yeah, these are the things Sarah talks about all the time.” Our first principle of peaceful parenting is parental self-regulation. It doesn't mean you never get upset, but you recognize it and have strategies to get back to calm.And I always say, if you forget everything else I teach about dealing with upset kids, just remember empathy—which is another way of saying validation. I tell parents: you don't have to agree to empathize. Especially with situations like the jeans.I love the crossover between the skills parents are practicing in my community and what you've written about. And again: those flow charts! I'm going to mark up my book with Post-its for all the exercises.One of the things you talk about in the book is problem solving. As parents, we can find ourselves in these intense situations. I'll give an example: a client's daughter, at 11 p.m., was spiraling about needing a particular pair of boots for her Halloween costume, and they wouldn't arrive in time. No matter what the mom said, the daughter spiraled.This is a two-part question: If you've validated and they're still really upset, how do you support a kid who is deep in those intense feelings? And when is the place for teaching problem solving—especially when there is a real logistical problem to solve?Jesse: I'm going to say the annoying therapist thing: it depends. If we think about how emotions impact our thinking on a scale from 0 to 10, it's very hard to engage in wise-minded problem solving when someone is at an 8, 9, or 10. At that point, the urge is to act on crisis behaviors—yell, fight, ruminate.So engaging your child in problem solving when they're at a 9 isn't effective.Often, I suggest parents model and coach distress-tolerance skills. Shireen mentioned paced breathing. Maybe distraction. Anything to lower the emotional volume.Once we're in the six-ish range? Now we can problem solve. DBT has a very prescribed step-by-step process.But it's really hard if someone is so dysregulated. That's often where parents and kids end up in conflict: parent wants to solve; kid is at a 9 and can't even see straight.Sarah: Right. So walk us through what that might look like using the boots example. Play the parent for a moment.Jesse: Of course. I'd potentially do a couple of things. I might say, “Okay, let's do a little ‘tipping the temperature' together.” I'd bring out two bowls of ice and say, “We'll bend over, hold our breath for 30 seconds…”Shireen: And put your face in the bowl of ice water. You left out that part.Jesse: Crucial part of the step.Sarah: You just look at the ice water?Jesse: No, you submerge your face. And something happens—it's magical. There's actually a profound physiological effect: lowering blood pressure, calming the sympathetic nervous system.I highlight for parents: do this with your child, not didactically. Make it collaborative.And then: validate, validate, validate. Validation is not approval. It's not saying the reaction is right. It's simply communicating that their distress makes sense. Validation is incredibly regulating.Then you check in: “Do you feel like we can access Wise Mind?” If yes: “Great. Let's bring out a problem-solving worksheet—maybe from Real Skills for Real Life or the DBT manual. Let's walk through it step by step.”Sarah: And if you have a kid screaming, “Get that ice water away from me, that has nothing to do with the boots!”—is there anything to add beyond taking a break?Shireen: I'd say this probably comes up a lot for you, Sarah. As parents—especially high-functioning, maybe perfectionistic types (I put myself in that category)—if my kid is upset, I feel so many urges to fix it right away. Sometimes that's helpful, but often it's not. They either don't want to be fixed, or they're too dysregulated, or fixing isn't actually their goal—they just want to tell you how upset they are.I have to practice acceptance: “My kid is upset right now. That's it.” I remind myself: kids being upset is part of life. It's important for them to learn they can be upset and the world doesn't fall apart.If they're willing to do skills alongside you, great. But there will be times where you say, “I accept that you're upset. I'm sorry you feel this way. It sounds terrible. Let's reconnect in an hour.” And wait for the storm to pass.Sarah: Wait for the storm to pass.Jesse: I'll say—I haven't been a therapist that long, and I've been having this conversation with my own parents. Yesterday I called my mom about something stressful, and she said, “Jesse, do you want validation or problem solving right now?”Shireen: Love it.Jesse: I thought, “You taught her well.” I was like: okay, therapy works. And even having that prompt—“What would you like right now? Problem solving? Validation? Do you want me to just sit with you?”—that's so useful.Sarah: Yeah. I have to remind myself of that with my daughter, especially when the solution seems obvious to me but she's too upset to take it in. Just sitting there is the hardest thing in the world.And you've both anticipated my next question. A big part of your book is distress tolerance—one of the four areas. Can you talk about what distress tolerance is specifically? And as you mentioned, Shireen, it is excruciating when your kid is in pain or upset.I learned from my friend Ned Johnson—his wonderful book The Self-Driven Child—that there's something called the “righting instinct.” When your child falls over, you have the instinct to right them—pick them up, dust them off, stand them up. That instinct kicks in whenever they're distressed. And I think it's important for them to learn skills so we don't do that every time.Give us some thoughts about that.Shireen: Well, again, I think distress tolerance is so important for parents and for kids. The way we define it in DBT is: distress tolerance is learning how to tolerate stressful, difficult, complicated situations without doing anything to make it worse. That's the critical part, because distress tolerance is not about solving problems. It's about getting through without making things worse.So in the context of an interaction with your kid, “not making it worse” might mean biting your tongue and not lashing out, not arguing, not rolling your eyes, or whatever it is. And then tolerating the stress of the moment.As parents, we absolutely need this probably a thousand times a day. “How do I tolerate the distress of this moment with my kid?” And then kids, as humans, need to learn distress tolerance too—how to tolerate a difficult situation without doing anything to make it worse.If we swoop in too quickly to solve the problem for them—as you said, if we move in too quickly to right them—they don't learn that they can get through it themselves. They don't learn that they can right themselves.And I think there's been a lot written about generations and how parenting has affected different generations. We want our kids to learn how to problem solve, but also how to manage stress and difficulty in effective ways.Sarah: I think you're probably referring to the “helicopter parents,” how people are always talking about helicopter parents who are trying to remove any obstacles or remove the distress, basically.I think the answer isn't that we just say, “Okay, well, you're distressed, deal with it,” but that we're there with them emotionally while they're learning. We're next to them, right? With that co-regulation piece, while they're learning that they can handle those big feelings.Shireen: Yes. Yeah. Yeah.Sarah: I thought it might be fun, before we close out, to do a deep dive on maybe one or two of the skills you have in the book. I was thinking about maybe “Check the Facts.” It would be a cool one to do a deep dive on. You have so many awesome skills and I encourage anyone to pick up your book. “Check the Facts” is one of the emotion regulation skills.Do you mind going over when you would use Check the Facts, what it is, and how to use it?Jesse: Not at all. Check the Facts is, in many ways, a foundational skill, because it's so easy for us to get lost in our interpretation of a situation. So the classic example is: you're walking down the street and you wave to a friend, and they don't wave back. And I don't know about you, but it's easy for me to go to, “Oh, they must be mad at me.”Sarah: Right, yeah.Jesse: And all of a sudden, I'm spinning out, thinking about all the things I could have done to hurt their feelings, and yada yada yada. Then I'm feeling lots of upset, and I may have the urge to apologize, etc.What we're doing with Check the Facts is returning our attention back to the facts themselves—the things we can take in with our senses. We're observing and describing, which are two foundational mindfulness skills in DBT. And then from that, we ask ourselves: “Does the emotion I'm feeling—the intensity and duration of that emotion—fit the facts as I'm experiencing them?”So in many ways, this is one of those cognitive interventions. DBT rests on all these cognitive-behavioral principles; it's part of that broader umbrella. Here we're asking: “Do the facts as I see them align with my emotional experience?”From there, we ask: if yes, then there are certain options or skills we can practice—for instance, we can change the problem. If no, that begs the question: “Should I act opposite to this emotion urge that I have?”So it's a very grounding, centering type of skill. Shireen, is there anything I'm missing?Shireen: No. I would just give a parenting example that happens for me a lot. My kid has a test the next day. He says he knows everything. He doesn't open the book or want to review the study guide. And I start to think things like, “Oh my gosh, he has no grit. He's going to fail this test. He's not going to do well in high school. He's not going to get into a good college. But most importantly, he doesn't care. And what does that say about him? And what does it say about me as a parent?”I hope people listening can relate to these sorts of thoughts and I'm not alone.Sarah: A hundred percent. I've heard people say those exact things.Shireen: And even though I practice these skills all the time, I'm also human and a mother. So where Check the Facts can be useful there is first just recognizing: “Okay, what thoughts am I having in response to this behavior?” The facts of the situation are: my kid said he doesn't need to study anymore. And then look at all these thoughts that came into my mind.First, just recognizing: here was the event, and here's what my mind did. That, in and of itself, is a useful experience. You can say, “Wow, look at what I'm doing in my mind that's creating so much of a problem.”Then I can also think: “What does this make me feel when I have all these thoughts?” I feel fear. I feel sad. I feel shame about not being a good parent. And those all cause me to have more thoughts and urges to do things that aren't super effective—like trying to bully him into studying, all of these things.Then the skill can be: “Okay, are these thoughts exaggerated? Are they based in fact? Are they useful?” I can analyze each of these thoughts.I might think, “Well, he has a history of not studying and doing fine,” is one thing. Another thought: “Me trying to push him to study is not going to be effective or helpful.” Another: “There are natural consequences. If he doesn't do well because he didn't study, that's an important lesson for him to learn.”So I can start to change my interpretations based on the facts of the actual situation as opposed to my exaggerated interpretations. And then see: what does that do to my emotions? And when I have more realistic, fact-based thoughts, does that lead me to have a better response than I would if I followed through on all my exaggerated thinking?Does that make sense?Sarah: Yeah, totally makes sense. Are there any DBT skills that are helpful in helping you recognize when you need to use a skill—if that makes sense? Because sometimes I think parents might spiral, like in the example you're talking about, but they might not even realize they're spiraling. Sometimes parents will say, “I don't even know until it's too late that I've had this big moment of emotional dysregulation.”Jesse: I think there's a very strong reason why mindfulness is the foundation of DBT—for exactly the reason you've just described. For a lot of us, we end up engaging in behaviors that are ineffective, that are not in line with our values or goals, and it feels like it's just happening to us.So having a mindfulness practice—and I want to highlight that doesn't necessarily mean a formal meditation practice—but developing the skill of noticing, of being increasingly conscious of what you're feeling, your urges, your thoughts, your behaviors. So that when you notice that you are drifting, that you're engaging in an ineffective behavior, you can then apply a skill. We can't change what we're not aware of.Sarah: I love that. It's so hard with all the distractions we have and all of the things that are pulling us this way and that, and the busyness. So just slowing down and starting to notice more what we're feeling and thinking.Shireen: There's a skill that we teach that's in the category of mindfulness called Wise Mind. I don't have to get into all the particulars of that, but Wise Mind is when you're in a place where you feel wise and centered and perhaps a little bit calmer.So one question people can ask themselves is: “Am I in a place of Wise Mind right now?” And if not, that's the cue. Usually, when we answer that we're not, it's because we're in a state of Emotion Mind, where our emotions are in control of us.First, recognizing what state of mind you're in can be really helpful. You can use that as a cue: “I'm not in Wise Mind. I need to do something more skillful here to get there,” or, “I need to give myself some time before I act.”Sarah: I love that. So helpful. Before we wrap up, was there anything you wish I'd asked you that you think would be really helpful for parents and kids?Shireen: I just want to reiterate something you said earlier, which is: yes, this treatment was developed for folks with borderline personality disorder. That is often a diagnosis people run screaming from or are very nervous about. People might hesitate to think that these skills could be useful for them if they don't identify as having borderline personality disorder.But I think what you're highlighting, Sarah—and we so appreciate you having us on and talking about these skills—is that we consider these skills universal. Really anybody can benefit.I've done training and teaching in DBT for 25 years, and I teach clinicians in many different places how to do DBT treatment with patients. But inevitably, what happens is that the clinicians themselves say, “Oh, I really need these skills in my everyday life.”So that's what we want to highlight, and why we wrote this book: to take these skills from a treatment designed for a really severe population and break it down so anybody can see, “Oh, this would be useful for me in my everyday life, and I want to learn more.”Sarah: Totally. Yeah. I love it. And I think it's a continuum, right? From feeling like emotions are overwhelming and challenging, and being really emotionally sensitive. There are lots of people who are on that more emotionally sensitive side of things, and these are really helpful skills for them.Jesse: Yeah. And to add on that, I wouldn't want anyone—and I don't think any of us here are suggesting this—it's such a stigmatized diagnosis. I have yet to meet someone who's choosing suffering. Many of us are trying to find relief from a lot of pain, and we may do so through really ineffective means.So with BPD, in my mind, sometimes it's an unfortunate name for a diagnosis. Many folks may have the opinion that it means they're intrinsically broken, or there's something wrong with their personality. Really, it's a constellation of behaviors that there are treatments for.So I want anyone listening not to feel helpless or hopeless in having this diagnosis or experience.Shireen: Mm-hmm. Mm-hmm.Sarah: Thank you so much. The question I ask all my guests—I'll ask Shireen first and then Jesse—is: if you could go back in time, if you had a time machine, if you could go back to your younger parent self, what advice would you give yourself?Shireen: Oof. I think about this a lot, actually, because I feel like I did suffer a lot when my kids were babies. They were super colicky. I didn't sleep at all. I was also trying to work. I was very stressed. I wish that at that time I could have taken in what other people were telling me, which is: “This will pass.” Right? “This too shall pass,” which is something we say to ourselves as DBT therapists a lot. Time changes. Change is inevitable. Everything changes.In those dark parenting moments, you get stuck in thoughts of, “This is never going to change. It's always going to be this way. I can't tolerate this.” Instead, shifting to recognize: “Change is going to happen whether I like it or not. Just hang in there.”Sarah: I love that. My mother-in-law told me when I had my first child: “When things are bad, don't worry, they'll get better. And also, when things are good, don't worry, they'll get worse.”Shireen: Yes, it's true. And we need both the ups and the downs so we can actually understand, “Oh, this is why I like this, and this is why I don't like this.” It's part of life.Sarah: Yeah. Thank you. And Jesse, if you do ever have children, what would you want to remember to tell yourself?Jesse: I think I would want to remember to tell myself—and I don't think I'm going to say anything really new here—that perfection is a myth. I think parents often feel like they need to be some kind of superhuman. But we all feel. And when we do feel, and when we feel strongly, the goal isn't to shame ourselves for having that experience. It's to simply understand it.That's what I would want to communicate to myself, and what I hope to communicate to the parents I work with.Sarah: Love that. Best place to go to find out more about you all and what you do? We'll put a link to your book in the show notes, but any other socials or websites you want to point people to?Shireen: My website is shireenrizvi.com, where you can find a number of resources, including a link to the book and a link to our YouTube channel, which has skills videos—animated skills videos that teach some of these skills in five minutes or less. So that's another resource for people.Sarah: Great. What about you, Jesse?Jesse: I have a website called axiscbt.com. I'm also a co-founder of a psychoeducation skills course called Farrah Hive, and we actually have a parenting course based on DBT skills—that's thefarrahhive.com. And on Instagram, @talk_is_good.Sarah: Great. Thank you so much. Really appreciate your time today.Jesse: Thank you, Sarah.Sarah: Thank you. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit sarahrosensweet.substack.com/subscribe

Mental Health: Hope and Recovery
Dialectical Behavior Therapy -- The Journey from Pain to Purpose

Mental Health: Hope and Recovery

Play Episode Listen Later Nov 26, 2025 47:48


Mental Health: Hope and Recovery Episode Title: Dialectical Behavior Therapy – The Journey from Pain to Purpose Episode 60 | Duration 45:00 Episode Date: November 26, 2025 Hosts: Helen Sneed and Valerie Milburn EPISODE OVERVIEW Named one of the top 100 scientific inventions, Dialectical Behavior Therapy has successfully guided and supported into recovery hundreds of thousands battling mental illness.  DBT teaches an entire system of dealing with psychiatric disorders and building a life worth living. One of its most effective components is the development of scores of powerful skills to be used daily to overcome the onslaught of uncontrollable emotional dysregulation. Its methods are behavior-oriented and emphasize taking action. Helen and Valerie also share personal stories as they explore how DBT has shaped their own recovery journeys—and why its principles continue to offer hope to millions around the world. WHAT YOU'LL LEARN The history and development of DBT by Marsha Linehan The four core components of DBT, with real-life examples How DBT supports recovery from severe mental illness Ways to apply DBT skills to everyday challenges Personal stories of resilience and transformation from Helen and Valerie MEMORABLE QUOTES “DBT is not just a treatment; it's a way of life that can transform how we relate to ourselves and others.” — Helen “To get better, we must accept where we are and also strive for change. That's the essence of dialectics.” — Valerie TOOLS AND TAKEAWAYS Mindfulness: Skills for grounding and staying present Distress Tolerance: Techniques for getting through crisis moments safely Emotion Regulation: Strategies to manage overwhelming feelings Interpersonal Effectiveness: Skills for improving communication and relationships RESOURCES AND LINKS Book: Building a Life Worth Living by Marsha Linehan Website: mentalhealthhopeandrecovery.com Listen on: Apple Podcasts | Spotify | Audible | Pandora Transcript: Available at mentalhealthhopeandrecovery.com Crisis Support: Call or text 988 (U.S.) for immediate help CONNECT WITH US Website: https://mentalhealthhopeandrecovery.com Listen/Subscribe: Apple Podcasts | Spotify | Audible Join the Conversation: How has DBT impacted your life or recovery journey? Share your stories with Helen and Valerie at https://mentalhealthhopeandrecovery.com DISCLAIMER This podcast is for educational and inspirational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. The hosts are not licensed mental health professionals. They are your peers. If you are in crisis, please call or text 988 (U.S.) or contact your local emergency services. EPISODE TIMESTAMPS 00:00 — Intro / Welcome 1:20 — What Is DBT? 3:15 — Marsha Linehan and the Creation of DBT 5:00 — The Core Dialectic: Acceptance + Change 7:00 — Linehan's Public Disclosure & DBT Structure 8:50 — CBT vs DBT Comparison 10:00 — Goals of CBT vs Goals of DBT 11:30 — Introduction to DBT Skill Areas 12:15 — Overview of the Four DBT Skills Modules 15:00 — Interpersonal Effectiveness 18:50 — Distress Tolerance Overview 20:00 — Radical Acceptance & When to Use Distress Tolerance 22:10 — DBT for People Without Mental Illness 23:15 — Valerie's Two Lifelong DBT Skills 26:45 — Helen's Story: DBT Became the Lifeline 32:30 — How DBT Helped Helen Save Her Own Life 36:30 — Closing Reflections 39:00 — Mindfulness Exercise   Learn more about your ad choices. Visit megaphone.fm/adchoices

Clube Sentimental
#216 - Vida que vale a pena

Clube Sentimental

Play Episode Listen Later Nov 4, 2025 41:45


Hoje vamos mergulhar nas três lições mais importantes do livro "Construindo uma vida que vale a pena viver", de Marsha Linehan. Além das nossas reflexões, vamos trazer alguns trechos do próprio livro, para inspirar. Vamos fazer essa reflexão juntos?!

DBT & Me
Want a 15% Discount on the Revised DBT Manuals? Listen to this!

DBT & Me

Play Episode Listen Later Oct 21, 2025 28:55


In this mini-episode, Kate and Michelle discuss the revised editions of the DBT Skills Training Manual and the accompanying DBT Skills Training Handouts and Worksheets (both by Marsha Linehan). They share their 15% discount code that is good on ALL Guildford Press books and discuss two other Guilford Press titles they recommend.Check out their book recommendations here: Real Skills for Real Life - https://www.guilford.com/books/Real-Skills-for-Real-Life/Rizvi-Finkelstein/9781462555574The Mindful Self-Compassion Workbook - https://www.guilford.com/books/The-Mindful-Self-Compassion-Workbook/Neff-Germer/9781462526789Support the showWant to get 15% off of ALL Guildford Press titles? Use this link (code is DBTME at checkout): https://www.guilford.com/dbtmeIf you want to sign up for Kate's free DBT peer support group, you can sign up here: https://www.eventbrite.com/e/dbt-discussion-group-tickets-518237601617Check out our Etsy shop for DBT-inspired items and our journaling workbook (only $7.50!): https://www.etsy.com/shop/dbtandmeOur book, "DBT for Everyone" is available! Order your copy on Amazon here: https://www.amazon.com/Dbt-Everyone-Pitfalls-Possibilities-Better/dp/1839975881/Consider providing ongoing support to the podcast by becoming a patron at https://www.patreon.com/dbtandmeYou can join our facebook community here: https://www.facebook.com/groups/dbtandmepodcastCheck out our other podcast, The Couch and The Chair, on Apple Podcasts (https://podcasts.apple.com/gb/podcast/the-couch-and-the-chair/id1554159244) or on Spotify (https://open.spotify.com/show/3MZ8aZPoRKxGmLtFcR4S4O)If you need support/have questions, email us at dbtandmepodcast@gmail.com

Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well

What's a skill that can instantly improve your relationships, communication, and even your influence? In this episode, Yael talks with Caroline Fleck, a licensed psychologist and author of Validation, to unpack exactly that. Caroline explains what validation really is, how it's different from empathy or sympathy, and why it can be so powerful in both personal and professional relationships.  They walk you through how validation first gained traction in therapy, especially in dialectical behavior therapy, and Caroline shares simple techniques like attending, copying, and proposing that anyone can use. You'll get Caroline's take on the challenge of validating someone when you strongly disagree, the role of self-disclosure in connection, and how our understanding of emotions has shifted from classic microexpressions to a more nuanced view of emotional experience. If you're looking for practical ways to build better relationships and truly connect, this episode is full of insight. Listen and Learn:  What is validation? Why feeling truly seen and accepted is the key to deeper trust, love, and real connection in your life How invalidation can be toxic to your relationships and how empathy and validation actually heal them Can validation help you connect with someone even if you don't agree or relate to their situation? How accepting someone else's view first can actually boost your influence and get you heard more often The simple act of repeating exact words in conflict helps fights cool down and allows real conversations to happen Why messing up shows you're trying to truly understand, and how that keeps the connection real Why you don't have to agree with someone's whole view to validate it; just find the part that makes sense How to be open, but balanced, to create space for real connection and trust to grow Resources:  Validation: How the Skill Set That Revolutionized Psychology Will Transform Your Relationships, Increase Your Influence, and Change Your Life https://bookshop.org/a/30734/9780593541210 Visit Caroline's website: https://drcarolinefleck.com/ Connect with Caroline on social media:  https://www.linkedin.com/in/carolinefleck/ https://www.instagram.com/carolinefleckphd/ https://www.youtube.com/@Dr.CarolineFleck https://www.tiktok.com/@drcarolinefleck  Boogie Board Tablet on Amazon: https://www.amazon.com/stores/page/B551B3AA-1FD5-4BBA-AB25-58D0F67052FE?ingress=0&visitId=8be7808f-e257-437b-b72f-b8e79fd8fca9  Study on empathic effort versus accuracy How Emotions Are Made by Lisa Feldman Barrett The Autistic Brain by Temple Grandin About Caroline Fleck:  Dr. Caroline Fleck is a licensed psychologist, writer, and corporate consultant who has served as a supervisor and consultant for some of the most rigorous training programs in the country, including Dr. Marsha Linehan's program at the University of Washington, the Department of Psychiatry at Stanford Medical Center, and the VA Palo Alto. She is a respected voice in psychology and has been featured in national media outlets, including The New York Times, Good Morning America, and The Huffington Post. Her new book, which we're here to discuss, is the first of its kind to make the specialized validation skills therapists master to get through to anyone available to everyone. Related Episodes: Episode 120: Use DBT Skills to Regulate Emotions and Be More Effective in Relationships with Matthew McKay Episode 241. Emotion Coaching Skills for Families with Mindy Solomon Episode 282. Toxic Positivity with Whitney Goodman Episode 397. The Mindful Path to Intimacy with James Cordova Episode 408. Connecting like a Hostage Negotiator with Gary Noesner Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Beyond The Clinic: Living Well With Melanoma
Coping with Cancer: DBT Skills for Emotional Resilience

Beyond The Clinic: Living Well With Melanoma

Play Episode Listen Later Jun 10, 2025 32:47


In this enlightening episode, we are joined by Elizabeth Cohn Stuntz, LCSW, a cancer survivor and expert in emotional well-being, to explore the power of collective wisdom and practical strategies for those touched by cancer. Elizabeth, a psychotherapist trained in contemporary psychoanalysis and Dialectical Behavior Therapy (DBT), shares her invaluable insights on how to manage the intense emotional stresses of a cancer diagnosis. She offers concrete, effective skills for decision-making, emotional regulation, and managing the uncertainties that come with cancer.Elizabeth also discusses how to effectively communicate with family, friends, colleagues, and medical providers, helping individuals navigate the complex relational dynamics that arise during cancer treatment. Drawing from her experience and her collaboration with Marsha Linehan to create the program Coping with Cancer: DBT Skills to Manage Your Emotions and Balance Uncertainty with Hope, Elizabeth provides actionable tools to help those affected by cancer live meaningfully and with a sense of hope.About Our Guest:Elizabeth Cohn Stuntz, LCSW, is a cancer survivor, psychotherapist, and advocate for emotional well-being. With expertise in contemporary psychoanalysis and DBT, she has dedicated her career to supporting individuals and families navigating cancer. As co-author of Coping with Cancer: DBT Skills to Manage Your Emotions and Balance Uncertainty with Hope, Elizabeth combines her personal and professional experiences to offer transformative coping skills that empower cancer patients and caregivers. She is also a faculty member at the Westchester Center for Psychoanalysis and Psychotherapy.

Betreutes Fühlen
Wenn Zuhören verbindet

Betreutes Fühlen

Play Episode Listen Later Jun 9, 2025 81:47


Emotional wirklich gesehen und gehört zu werden ist extrem wichtig. In der Familie, der Partnerschaft, im Beruf - eigentlich immer und überall! Atze und Leon tauchen tief in das Thema emotionale Validation ein – was sie bedeutet, wie sie unsere zwischenmenschlichen Beziehungen stärkt und was passiert, wenn sie fehlt. Denn Validation ist kein "Nice-to-have", sondern ein zentrales Element echter Verbindung. Doch wie schafft man es, anderen das Gefühl zu geben, in ihren Emotionen ernst genommen zu werden? Atze und Leon haben wissenschaftlich fundierte Antworten und praktische Tipps. Fühlt euch gut betreut Leon & Atze Instagram: https://www.instagram.com/leonwindscheid/ https://www.instagram.com/atzeschroeder_offiziell/ Mehr zu unseren Werbepartnern findet ihr hier: https://linktr.ee/betreutesfuehlen Tickets: Atze: https://www.atzeschroeder.de/#termine Leon: https://leonwindscheid.de/tour/ VVK Münster 2025: https://betreutes-fuehlen.ticket.io/ Start ins heutige Thema: 11:00 min. Buchtipp: Und Nietzsche weinte - Irvin D. Yalom Quellen: M. Linehan: https://psych.uw.edu/people/2724 Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford press. Linehan, M. M. (1997). Validation and psychotherapy. https://www.researchgate.net/profile/Marsha-Linehan/publication/232561580_Validation_and_psychotherapy/links/54eba9c70cf2a030519476eb/Validation-and-psychotherapy.pdf Geschichte von Linehan: https://www.nytimes.com/2011/06/23/health/23lives.html Invalidation im Gesundheitswesen: Bontempo, A. C., Bontempo, J. M., & Duberstein, P. R. (2025). Ignored, dismissed, and minimized: Understanding the harmful consequences of invalidation in health care—A systematic meta-synthesis of qualitative research. Psychological Bulletin, 151(4), 399. https://psycnet.apa.org/fulltext/2026-10154-001.html Shenk, C. E., & Fruzzetti, A. E. (2011). The impact of validating and invalidating responses on emotional reactivity. Journal of Social and Clinical Psychology, 30(2), 163-183. https://www.researchgate.net/publication/266136126_The_Impact_of_Validating_and_Invalidating_Responses_on_Emotional_Reactivity Gehirnaktivität: Morelli, S. A., Torre, J. B., & Eisenberger, N. I. (2014). The neural bases of feeling understood and not understood. Social cognitive and affective neuroscience, 9(12), 1890-1896. https://academic.oup.com/scan/article/9/12/1890/1615491 Weiterlesen: https://psyche.co/guides/learn-to-validate-others-and-transform-your-relationships Fleck, C. (2025): Validation: The New Approach to Change That Will Transform How You Love, Lead, and Live . Avery, 320 p. https://www.amazon.de/-/en/Validation-Approach-Change-That-Transform/dp/0593541219 Alles zu Bertha Pappenheim und der Geschichte von Anna O. Brownstein, G. (2024). The Secret Mind of Bertha Pappenheim: The Woman Who Invented Freud's Talking Cure. Hachette UK. Validation bei Demenz: https://demenz-portal.at/aktuelles/validation-bei-demenz-die-grundsaetze/ Redaktion: Andy Hartard Produktion: Murmel Productions

Modern Therapists' Guide to Nothing
Guide to Dialectical Behavior Therapy (DBT)

Modern Therapists' Guide to Nothing

Play Episode Listen Later Apr 1, 2025 65:30


Dialectical Behavior Therapy, more commonly referred to as DBT, is a evidence-based therapy model developed by Marsha Linehan that was initially developed to treat individuals experiencing intense emotional responses and interpersonal issues, however, has been adapted over years to treat a wide variety issues and populations such as eating disorders, substance use, and working with individuals with intellectual disabilities. Join Dave and Greg as they discuss the therapeutic modality, it's structure and core elements.   Intro/Outro Music by 13th Ward Social Club https://open.spotify.com/artist/5Gvw7YedKx6d2fhiObH5Cc https://www.youtube.com/channel/UCzmdJyWuzBpwlsCtn_sVC_A

The Just A Mom Podcast
Episode 97: Diana Partington, Counselor and Author of DBT for Life

The Just A Mom Podcast

Play Episode Listen Later Feb 18, 2025 66:27


Join this informative and engaging conversation with Diana Partington, licensed professional counselor in Nashville, Tennessee, and author of DBT for Life. Diana shares the philosophy behind Dialectical Behavioral Therapy and how every person can benefit from DBT. DBT was founded in 1993 by Dr. Marsha Linehan and became popular around 2010. Diana shares how DBT is a powerful treatment for suicidal thoughts and ideation, depression, borderline personality disorder, anxiety, bipolar disorder, substance abuse, and eating disorders. Diana talks about how her own life events and battle with suicidal thoughts led her to DBT as a client and the transformative power of the tool kit she took from it. Diana wrote DBT For Life to be user-friendly; something that people could consume in bite-sized chunks and enter in the most helpful way for the reader. The book is full of illustrations and stories of applying DBT skills. Diana dives into the four tenets of DBT therapy and takes the listeners through an example. Diana also runs groups online (https://dbtforlife.com/) and hosts a podcast called Suffering Optional (https://podcasts.apple.com/us/podcast/suffering-optional/id1767018426). DBT For Life can be purchased here: https://www.amazon.com/Dbt-Life-Skills-transform-Lotus/dp/B0CW2ZKB5S

Shoeless in South Dakota
Shoeless in a Psych Ward (or How I Lost my Pants, but Found Hope)

Shoeless in South Dakota

Play Episode Listen Later Jan 11, 2025 132:31


Dave is out of rehab, so the boys get together to talk about his wild experiences over the holiday in which he haunted the streets of Omaha and Lincoln bouncing between rehabs, psych wards, Walgreens medicine aisles, and respite centers. Thankfully, at the end of the chaos, he felt a deep internal shift that many in recovery refer to as "being sick and tired of being sick and tired", and it gave him renewed energy and vigor on his long march to recovery.  Learn about, follow, or support Shoeless HERE Outro Song: "Please Please Please Let Me Get What I Want" by The Smiths Audio Clips used in this episode: - Marsha Linehan on acceptance - Meaning is a Jumper that you have to Knit Yourself

The Motivation Mindset with Risa Williams
The Motivation Mindset with Risa Williams: Emotional Regulation - Dr. Catherine Smith

The Motivation Mindset with Risa Williams

Play Episode Listen Later Dec 12, 2024 19:51


Send us a textDo you sometimes lose control of your emotions? Do you often feel overly frustrated or angry about little everyday things? Then, this episode is for you! These days, who doesn't need a little help with emotional regulation? Dr. Catherine Smith talks to Risa Williams about practical skills from DBT (Dialectical Behavior Therapy) that anyone can use to start to become more aware of how to regulate their emotions and frustration each day.They discuss:-The STOP technique for gaining awareness in the moment-Parts work - how our "inner parts" feel neglected sometimes and what we can do show ourselves more compassion when we're having big and intense feelings-How our childhoods might have affected the way we express our emotions-How learning how to radically accept our emotions can help us navigate them more easilyBooks discussed: Get Stuff Done Without the Stress by Risa Williams (new book coming out -preorder today), The Whole-Brain Child by Dan Siegel, Build a Life Worth Living by Marsha Linehan, The Polyvagal Theory by Stephen W. PorgesAlso, enter to win our new audiobook giveaway - three lucky winners will receive the audiobook version of The Ultimate Self-Esteem Toolkit! Enter on instagram (@risawilliamstherapy) by Dec. 22nd to win!Host: Risa Williams, risawilliams.com, @risawilliamstherapyGuest: Dr. Catherine Smith, drcatherinesmith.com, @catherinelistensSupport the showFor info on books, workshops, guests, and future episodes, please visit: risawilliams.com.*All tools discussed on the show are meant for educational purposes only and not as a replacement for therapy or medical advice.

Relationships Made Easy
310. Radical Acceptance: 5 Steps to Embrace Reality for Lasting Peace

Relationships Made Easy

Play Episode Listen Later Nov 12, 2024 34:03


Radical acceptance is about fully acknowledging and accepting reality as it is, especially when it's something we don't like or want to change. This approach, popularized by Dr. Marsha Linehan as part of Dialectical Behavior Therapy (DBT), encourages us to embrace what we can't control instead of resisting it. But radical acceptance isn't easy. The idea challenges our instincts, often triggering discomfort and frustration, especially if we're used to holding tightly to that illusion of being in control. Or, if you can't get past that something isn't right or fair. Today we'll explore the origins of radical acceptance, why it's so challenging, how you can incorporate this life-changing approach and, of course, my top tips for creating a life of resilience, peace, and healthier relationships.____________________________Full blog and show notes: https://abbymedcalf.com/radical-acceptance-5-steps-to-embrace-reality-for-lasting-peaceGrab my Radical Acceptance Journal Prompts: https://abbymedcalf.com/radical-acceptance-journal-promptsLearn how to create and hold healthy, loving boundaries. Buy my newest book on Amazon, Boundaries Made Easy: Your Roadmap to Connection, Ease and Joy https://abbymedcalf.com/boundariesWant to feel happier and more connected in your relationship? Buy my #1 bestselling book on Amazon, Be Happily Married: Even If Your Partner Won't Do a Thing: https://abbymedcalf.com/book____________________________ Looking for past episodes of the Relationships Made Easy Podcast? Head over to https://abbymedcalf.com/podcast and https://abbymedcalf.com/podcast-the-archives where you'll find past episodes.Subscribe today to get my love letter to you! This biweekly reminder will keep you on the path to creating connected, happy relationships (especially the one with yourself!). https://abbymedcalf.comReady to dig deeper? Take one of my online courses (some are FREE!) or grab a workbook: https://abbymedcalf.com/shopA great idea to stay motivated and keep your head in a positive direction is to buy some of my fabulous, inspirational merchandise. Get yourself a t-shirt, mug, tote bag or notebook with that daily reminder that you've got this! https://abbymedcalf.com/shopSay hello on social:Facebook: https://www.facebook.com/abbymedcalfInstagram: https://www.instagram.com/abbymedcalfthrivingLinkedIn: https://linkedin.com/in/abbymedcalfthrivingYouTube: https://abbymedcalf.com/youtube Hosted on Acast. See acast.com/privacy for more information.

Mental Illness Happy Hour
#721 All About DBT - Ethan Sapienza

Mental Illness Happy Hour

Play Episode Listen Later Nov 8, 2024 94:47


Ethan Sapienza is a clinical social worker and therapist specializing in EMDR and DBT. He discusses the benefits of these modalities and shares practical DBT coping mechanisms that everyone can find useful. More About Ethan and DBT https://www.psychologytoday.com/us/therapists/ethan-sapienza-beverly-hills-ca/879732Ethan's practice's site: https://behavioralpsychstudio.com/-Info on what DBT is: https://www.mcleanhospital.org/essential/dbt-Info on what DBT-PE is: https://dbtpe.org/-An article he wrote breaking down DBT and its trauma adaptations, DBT-PE and DBT-PTSD https://behavioralpsychstudio.com/10389-2/-A resource to find a DBT therapist (this is from one of the major training orgs for DBT called BTech, which Marsha Linehan started): https://behavioraltech.org/find-a-therapist-app/-Info on what E/RP is: https://www.mcleanhospital.org/essential/erp#:~:text=Exposure%20and%20response%20prevention%20therapy%20is%20the%20opposite%20of%20flooding,ability%20to%20handle%20their%20obsessions.This episode is sponsored by Smalls cat food. For 50% off your first order, head to Smalls.com/MENTAL and use code MENTAL.This episode is sponsored by 23andMe. For your limited time offer go to www.23andme.com/mental. Total Health membership includes services initiated and performed by third-party clinicians and lab providers through the 23andMe platform. Additional terms and conditions also apply. See 23andme.com to learn dmore. Total Health Membership not available to residents of HI, NJ, NY, RI and US territories.This episode is sponsored by Vimergy. Go to www.Vimergy.com and use offer code MENTAL for free shipping. If you're interested in seeing or buying the furniture that Paul designs and makes follow his IG for his woodworking which is transitioning from @MIHHfurniture to its new handle @ShapedFurniture WAYS TO HELP THE MIHH PODCASTSubscribe via iTunes. It costs nothing. It's extremely helpful to have your subscription set to download all episodes automatically. https://itunes.apple.com/us/podcast/mental-illness-happy-hour/id427377900?mt=2Spread the word via social media. It costs nothing.Our website is www.mentalpod.com our FB is www.Facebook.com/mentalpod and our Twitter and Instagram are both @Mentalpod Become a much-needed Patreon monthly-donor (with occasional rewards) for as little as $1/month at www.Patreon.com/mentalpod Become a one-time or monthly donor via PayPal at https://mentalpod.com/donateYou can also donate via Zelle (make payment to mentalpod@gmail.com) To donate via Venmo make payment to @Mentalpod See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Make Your Damn Bed
1273 || dealing with a thought spiral

Make Your Damn Bed

Play Episode Listen Later Nov 4, 2024 10:22


Today I'm sharing various techniques using neuroscience to help us escape negative thought spirals. All this is extremely subjective and not meant to be used all at once. Pick one, try it, and give it some time and repetition. Maybe it helps, maybe you move on to the next. Don't be so hard on yourself, either way!!!RESOURCES: Marsha Linehan's Technique: https://www.campuswell.com/cognitive-distortions/#1690237279413-809f9f34-cc86Lisa Daino's technique: https://www.talkspace.com/mental-health/conditions/articles/catastrophic-thinking-thought-spirals-how-to-stop/Dilshad Edibam Khurana's technique: https://mpowerminds.com/blog/Understanding-the-psychology-behind-downward-spiralAshley Fletcher's Techniques: https://www.mindful.org/halting-the-spiral-navigating-repetitive-thought-patterns/Ethan Kross's interview: https://magazine.columbia.edu/article/best-way-stop-negative-thought-spiralThe science: https://pmc.ncbi.nlm.nih.gov/articles/PMC2908186/Cognitive distortions list: https://psychcentral.com/lib/cognitive-distortions-negative-thinking#5-tips-to-stop-cognitive-distortionsDONATE:www.pcrf.netGet Involved:Operation Olive Branch: Spreadsheets + LinksGET AN OCCASIONAL PERSONAL EMAIL FROM ME: www.makeyourdamnbedpodcast.comTUNE IN ON INSTAGRAM FOR COOL CONTENT: www.instagram.com/mydbpodcastOR BE A REAL GEM + TUNE IN ON PATREON: www.patreon.com/MYDBpodcastOR WATCH ON YOUTUBE: www.youtube.com/juliemerica The opinions expressed by Julie Merica and Make Your Damn Bed Podcast are intended for entertainment purposes only. Make Your Damn Bed podcast is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Get bonus content on PatreonSupport this show http://supporter.acast.com/make-your-damn-bed. Hosted on Acast. See acast.com/privacy for more information.

acast technique cognitive get involved marsha linehan thought spiral ashley fletcher make your damn bed podcast
OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Acceptance & Willingness: Are Very Wise Ideas (Heroic +1 #1,925)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Oct 28, 2024 4:08


Hi, this is Brian, and today we've got another Heroic +1 for you featuring wisdom from Steven Hayes and Marsha Linehan.   If you're enjoying the podcast, make sure to subscribe.   And if you're really enjoying it, I think you'll love checking out all of the other ancient wisdom, modern science, and practical tools you need to activate your Heroic potential and change the world, together.   Head to heroic.us to check out all of the goodness. You can download free Philosopher's Notes, master classes, and our scientifically-proven app that was built by the same team who helped create Slack, Tinder, and Uber Eats.   It's time to forge excellence, activate your heroic potential, fulfill your destiny, and change the world with us.   YOU are the hero we've been waiting for!   Welcome to your new training platform.

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Get Out of Your Mind: And Into Your Life (Heroic +1 #1,922)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Oct 25, 2024 5:15


Hi, this is Brian, and today we've got another Heroic +1 for you featuring wisdom from Steven Hayes, Marsha Linehan, Jon Kabat-Zinn and Donald Robertson.   If you're enjoying the podcast, make sure to subscribe.   And if you're really enjoying it, I think you'll love checking out all of the other ancient wisdom, modern science, and practical tools you need to activate your Heroic potential and change the world, together.   Head to heroic.us to check out all of the goodness. You can download free Philosopher's Notes, master classes, and our scientifically-proven app that was built by the same team who helped create Slack, Tinder, and Uber Eats.   It's time to forge excellence, activate your heroic potential, fulfill your destiny, and change the world with us.   YOU are the hero we've been waiting for!   Welcome to your new training platform.

Heal NPD
Without Emotional Skin: Understanding Borderline-Level NPD

Heal NPD

Play Episode Listen Later Oct 25, 2024 40:02


In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the borderline level. Characterized by identity diffusion, blurred boundaries, and disrupted internal experience, borderline personality organization represents an "in between" level where the perceptions of the self and others float in and out of clear focus. This episode reviews the important concepts of personality style vs. organization, helping the viewer to understand what a personality disorder actually is and why all personality disorders share common features. It discusses the developmental arrests thought to underlie borderline organization and describes common defense mechanisms that characterize this level of object relations. Borderline-level NPD is then discussed using these concepts. The episode concludes with a discussion of treatment.   References: Berney, S., de Roten, Y., Beretta, V., Kramer, U., & Despland, J.-N. (2014). Identifying psychotic defenses in a clinical interview. Journal of Clinical Psychology, 70(5), 428–439. Clarkin, J. F., Cain, N. M., & Lenzenweger, M. F. (2018). Advances in transference-focused psychotherapy derived from the study of borderline personality disorder: Clinical insights with a focus mechanism. Current Opinion in Psychology, 21, 80-85. http://dx.doi.org/10.1016/j.copsyc.2017.09.008 Di Giuseppe, M., & Perry, J. C. (2021). The hierarchy of defense mechanisms: Assessing defensive functioning with the Defense Mechanisms Rating Scales Q-Sort. Frontiers in Psychology, 12:718440 https://doi.org/10.3389/fpsyg.2021.718440 Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association, 18, 51- 85. Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven: Yale University Press. Lingiardi, V., & McWilliams, N. (Eds.). (2017). Psychodynamic diagnostic manual: PDM-2 (2nd ed.). New York: Guilford Press. McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH   LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org   *A note about the title: The title is a partial quote from BPD specialist Marsha Linehan, describing borderline personality disorder. I am aware of her original intent to describe that specific patient population. I also use the quote in the video to describe the emotional vulnerabilities that necessitate splitting. Although she was describing BPD specifically, I feel the quote also works for borderline organization in general. The intense emotional vulnerabilities and exposure to unprocessed experience reflect the absence of moderating internal capacities - "skin" so to speak.

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
The Best Compassion: Is to Be Effective in Helping (Heroic +1 #1,915)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Oct 18, 2024 2:56


Today's +1 features wisdom from Marsha Linehan. Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Rilke Wisdom: The Only Way to Find the Words (Heroic +1 #1,914)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Oct 17, 2024 2:24


Today's +1 features wisdom from Kristin Neff, Rainer Maria Rilke and Marsha Linehan. Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
CBT vs. ACT: Thoughts: Changing the Content of vs. Our Relationship to Them (Heroic +1 #1,894)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 27, 2024 3:37


Today's +1 features wisdom from Marsha Linehan, Jon Kabat-Zinn, Steven Hayes and Russ Harris.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
“Behavior Wags the Tail of Feelings…”: “We Do, Then We Feel.” (Heroic +1 #1,877)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 10, 2024 2:27


Today's +1 features wisdom from Marsha Linehan, David Reynolds, and Dan Millman.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Opposite Action: It Works… Try It! (Heroic +1 #1,876)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 9, 2024 2:49


Today's +1 features wisdom from Marsha Linehan and Peter Attia.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
You Hold the Keys: Don't Forget Your Way Out of Crazy Town (Heroic +1 #1,875)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 8, 2024 2:57


Today's +1 features wisdom from Marsha Linehan, While Churchill, David Goggins and Steve Chandler.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Going Through Hell: With Marsha Linehan, Winston Churchill & David Goggins (Heroic +1 #1,874)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 7, 2024 1:19


Today's +1 features wisdom from Marsha Linehan, Winston Churchill and David Goggins.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
DBT Skills: The Four Categories (Heroic +1 #1,873)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 6, 2024 4:39


Today's +1 features wisdom from Marsha Linehan and Phil Stutz.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
What Is DBT?: Dialectical Behavior Therapy (Heroic +1 #1,872)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 5, 2024 6:10


Today's +1 features wisdom from Marsha Linehan, Thich Nhat Hanh, and Ellen Langer.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
The Heroic Vow: & The Quest to Fulfill It (Heroic +1 #1,871)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 4, 2024 6:18


Today's +1 features wisdom from Marsha Linehan, Abraham Maslow, Daisaku Ikeda, and Dr. Allen Frances.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Marsha's Heroic Quest: The Hero Returns with the Boon (Heroic +1 #1,870)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 3, 2024 5:27


Today's +1 features wisdom from Marsha Linehan, Phil Stutz, Michael Singer, and Paramahansa Yogananda.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

OPTIMIZE with Brian Johnson | More Wisdom in Less Time
Radical Acceptance: Marsha Linehan & Phil Stutz (Heroic +1 #1,869)

OPTIMIZE with Brian Johnson | More Wisdom in Less Time

Play Episode Listen Later Sep 2, 2024 3:39


Today's +1 features wisdom from Marsha Linehan, Phil Stutz, and Byron Katie.   Heroic: https://heroic.us ← "Heroic is the best self-development platform in the world." — John Mackey, co-founder & former CEO of Whole Foods Market   Want access to more wisdom in time? Get access to over 1,500 +1's (just like this!) and 650+ Philosopher's Notes (distilling life-changing big ideas from the best self-development books ever written) and a LOT more with our Heroic Premium membership. Learn more and get 30 days free at https://heroic.us

Beyond Well with Sheila Hamilton
Ep. 307/ Dr. Greg Chasson/ Dialectical Behavioral Therapy

Beyond Well with Sheila Hamilton

Play Episode Listen Later Jul 22, 2024 24:26


Dr. Greg Chasson talks about Dialectical Behavioral Therapy, or DBT. DBT is a type of talk therapy (psychotherapy). It's based on cognitive behavioral therapy (CBT), but it's specially adapted for people who experience emotions very intensely.“Dialectical” means combining opposite ideas. DBT focuses on helping people accept the reality of their lives and their behaviors, as well as helping them learn to change their lives, including their unhelpful behaviors.Dialectical behavior therapy was developed in the 1970s by Marsha Linehan, an American psychologist.

Strong Tower Mental Health with Heidi Mortenson
163. Distress Tolerance Skills – DBT Skills Series

Strong Tower Mental Health with Heidi Mortenson

Play Episode Listen Later Mar 18, 2024 25:19


Have you found yourself in crisis situations over and over? Does it feel like you can't catch a break? Sometimes we just need some quick and basic skills to help be effective when we are in a stressful situation. In this episode, you will hear some basic Distress Tolerance skills taken from DBT (Dialectical Behavioral Therapy). This is a curriculum that was developed by Marsha Linehan. Distress Tolerance skills are about not making a bad situation worse. Many people have remastered these skills and people do these groups all over the world. They are structured and to the point of teaching skills, not diving into healing trauma. Some of the skills you will hear today about improving the moment, self-soothing and distracting. Normally my podcasts talk about trauma, but this episode is simply about skills.“For God gave us a spirit not of fear but of power and love and self-control.” ~2 Timothy 1:7To sign up for the women's retreat April 2024: https://www.discovermyinsidestory.com/extraordinary-2024Find more about Heidi: www.heidimortensonlmft.comPurchase the book The Brave Encourager: https://www.amazon.com/Brave-Encourager-Power-Encouragement-Changes/dp/B09TN45H36/ref=sr_1_1?crid=3HGP5FPY2E5GD&keywords=the+brave+encourager&qid=1646608516&sprefix=the+brave+encourager%2Caps%2C223&sr=8-1Join my mailing list: https://landing.mailerlite.com/webforms/landing/t5u2y5If you are in crisis, help is available by call or text 1-800-273-8255 24/7. You can also visit https://suicidepreventionlifeline.org. You are loved!

The Addicted Mind Podcast
TAM+ EP9: Embrace the Now: How Radically Accepting Reality Can Transform Your Life

The Addicted Mind Podcast

Play Episode Listen Later Mar 7, 2024 19:37


In this eye-opening episode of TAM+, hosts Duane and Eric Osterlind dive into the transformative concept of radical acceptance. They explore how embracing reality as it is—without avoidance or escape—can break the vicious cycle of addiction, anxiety, and depression. The discussion begins with an introduction to the concept's roots in Buddhist teachings and its development into a key component of Dialectical Behavior Therapy by Marsha Linehan. The hosts share personal anecdotes and practical advice, highlighting the difference between acceptance and approval, and offer strategies for practicing radical acceptance in daily life. This episode is a must-listen for anyone looking to navigate life's challenges with grace and resilience, proving that acceptance is not about giving up but about empowering oneself to effect meaningful change.Free Download: The Power of Radical Acceptance WorksheetKey Topics: The origins and importance of radical acceptance in overcoming negative thought patterns and behaviors. The distinction between accepting reality and approving of it. Practical tips and radical acceptance statements to integrate into daily life. The role of mindfulness and meditation in fostering acceptance. How to begin practicing radical acceptance and its benefits in mental health and well-being. Timestamps: [00:00] Introduction to Radical Acceptance and its Role in Overcoming Addiction [03:12] Exploring the Meaning and Practice of Radical Acceptance [04:53] The Origins of Radical Acceptance and its Therapeutic Impact [07:00] The Difference Between Acceptance and Approval [10:27] Emotional Barriers to Radical Acceptance and How to Overcome Them [14:32] Situations Where Radical Acceptance is Not Appropriate [17:28] The Proven Benefits of Radical Acceptance and How to Start Practicing Free Download: The Power of Radical Acceptance WorksheetFollow and Review:We'd love for you to follow us if you haven't yet. Click that purple ‘+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.Supporting Resources:If you live in California and are looking for counseling or therapy please check out Novus Mindful Life Counseling and Recovery CenterNovusMindfulLife.comWe want to hear from you. Leave us a message or ask us a question: https://www.speakpipe.com/addictedmindDisclaimer Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Addicted Mind Podcast
TAM+ EP9: Embrace the Now: How Radically Accepting Reality Can Transform Your Life

The Addicted Mind Podcast

Play Episode Listen Later Mar 7, 2024 20:52


In this eye-opening episode of TAM+, hosts Duane and Eric Osterlind dive into the transformative concept of radical acceptance. They explore how embracing reality as it is—without avoidance or escape—can break the vicious cycle of addiction, anxiety, and depression. The discussion begins with an introduction to the concept's roots in Buddhist teachings and its development into a key component of Dialectical Behavior Therapy by Marsha Linehan. The hosts share personal anecdotes and practical advice, highlighting the difference between acceptance and approval, and offer strategies for practicing radical acceptance in daily life. This episode is a must-listen for anyone looking to navigate life's challenges with grace and resilience, proving that acceptance is not about giving up but about empowering oneself to effect meaningful change. Free Download: The Power of Radical Acceptance Worksheet Key Topics: The origins and importance of radical acceptance in overcoming negative thought patterns and behaviors. The distinction between accepting reality and approving of it. Practical tips and radical acceptance statements to integrate into daily life. The role of mindfulness and meditation in fostering acceptance. How to begin practicing radical acceptance and its benefits in mental health and well-being. Timestamps: [00:00] Introduction to Radical Acceptance and its Role in Overcoming Addiction [03:12] Exploring the Meaning and Practice of Radical Acceptance [04:53] The Origins of Radical Acceptance and its Therapeutic Impact [07:00] The Difference Between Acceptance and Approval [10:27] Emotional Barriers to Radical Acceptance and How to Overcome Them [14:32] Situations Where Radical Acceptance is Not Appropriate [17:28] The Proven Benefits of Radical Acceptance and How to Start Practicing Free Download: The Power of Radical Acceptance Worksheet Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple ‘+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: If you live in California and are looking for counseling or therapy please check out Novus Mindful Life Counseling and Recovery Center NovusMindfulLife.com We want to hear from you. Leave us a message or ask us a question: https://www.speakpipe.com/addictedmind Disclaimer Learn more about your ad choices. Visit megaphone.fm/adchoices

Strong Tower Mental Health with Heidi Mortenson
161. Interpersonal Effectiveness – DBT Skills Series

Strong Tower Mental Health with Heidi Mortenson

Play Episode Listen Later Mar 4, 2024 24:38


Do you struggle in your conversations with others? Do you wish you could improve with your skills in communication? Sometimes we just need some quick and simple basic skills to help be effective with other people. In this episode, you will hear some basic Interpersonal Effectiveness skills taken from DBT (Dialectical Behavioral Therapy). This is a curriculum that was developed by Marsha Linehan. Many people have remastered these skills and people do these groups all over the world. They are structured and to the point of teaching skills, not diving into healing trauma. Normally my podcasts talk about trauma, but this episode is simply about skills. “Do not let any unwholesome talk come out of your mouths, but only what is helpful for building others up according to their needs, that it may benefit those who listen”. ~Ephesians 4:29 “May these words of my mouth and this meditation of my heart be pleasing in your sight, LORD, my Rock and my Redeemer”. ~Psalms 19:14 To sign up for the women's retreat April 2024: https://www.discovermyinsidestory.com/extraordinary-2024 Find more about Heidi: www.heidimortensonlmft.com Purchase the book The Brave Encourager: https://www.amazon.com/Brave-Encourager-Power-Encouragement-Changes/dp/B09TN45H36/ref=sr_1_1?crid=3HGP5FPY2E5GD&keywords=the+brave+encourager&qid=1646608516&sprefix=the+brave+encourager%2Caps%2C223&sr=8-1 Join my mailing list: https://landing.mailerlite.com/webforms/landing/t5u2y5 If you are in crisis, help is available by call or text 1-800-273-8255 24/7. You can also visit https://suicidepreventionlifeline.org. You are loved!

In Sanity: A piece of mind
Episode 153 - An Introduction to Dialectical Behavior Therapy

In Sanity: A piece of mind

Play Episode Listen Later Jan 1, 2024 27:31


Welcome to 2024. Thanks for being here and joining me for another season and another year. This week is an introduction to a cognitive behavior therapy called Dialectical Behavior Therapy. Dialectic means to combine opposite ideas. For example, "I am scared, but I am going to do it anyway." DBT is a skills-based talk therapy created by Marsha Linehan. --- Send in a voice message: https://podcasters.spotify.com/pod/show/stephanie431/message

Wild Heart Meditation Center
Radical Acceptance

Wild Heart Meditation Center

Play Episode Listen Later Nov 22, 2023 32:07


In this episode Rev. Mikey Noechel offers a talk on radical acceptance, the practice of honor and validating all experience. Mikey reflects on the work outlined by Marsha Linehan as well as Tara Brach. Peace & Love. Hope you enjoy! 

Relationships Made Easy
256. The Four Ways to Solve Any Problem

Relationships Made Easy

Play Episode Listen Later Sep 25, 2023 54:45


Dialectical Behavior Therapy, or DBT, is a type of cognitive-behavioral therapy created by psychologist Marsha Linehan in the early 1980s. It's an evidence-based, highly successful type of therapy used to help people regulate intense emotions and improve their relationships. What does this have to do with problem-solving? Well, in all its brilliance, DBT outlines four ways to solve any problem and I've been using this strategy with great success with all my clients. These four ways to solve any problem are easy to learn and integrate so you can start meeting challenges with clarity and calm.  ____________________________ Full blog and show notes: https://abbymedcalf.com/the-four-ways-to-solve-any-problem Grab my FREE Mindfulness Starter Kit: https://abbymedcalf.com/product/mindfulness-starter-kit/ ____________________________ Want to feel happier and more connected in your relationship? Buy my #1 bestselling book on Amazon, Be Happily Married: Even If Your Partner Won't Do a Thing: https://abbymedcalf.com/book Looking for past episodes of the Relationships Made Easy Podcast? Head over to https://abbymedcalf.com/podcast and https://abbymedcalf.com/podcast-the-archives where you'll find every single episode. Subscribe today to get my love letter to you! This biweekly reminder will keep you on the path to creating connected, happy relationships (especially the one with yourself!). https://abbymedcalf.com/ For more quick tips, subscribe to my YouTube channel: https://abbymedcalf.com/youtube Ready to dig deeper? Take one of my online courses (some are FREE!) or grab a workbook: https://abbymedcalf.com/shop/ A great idea to stay motivated and keep your head in a positive direction is to buy some of my fabulous, inspirational merchandise. Get yourself a t-shirt, mug, tote bag, or notebook with that daily reminder that you've got this! https://abbymedcalf.com/shop/ Say hello on social: Facebook: https://www.facebook.com/abbymedcalf Instagram: https://www.instagram.com/abbymedcalfthriving LinkedIn: https://linkedin.com/in/abbymedcalfthriving YouTube:  https://abbymedcalf.com/youtube

The Peter Attia Drive
#219 ‒ Dialectical behavior therapy (DBT): skills for overcoming depression , emotional dysregulation, and more | Shireen Rizvi, Ph.D., ABPP

The Peter Attia Drive

Play Episode Listen Later Aug 22, 2022 136:28


View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Shireen Rizvi is a Professor of Clinical Psychology and Psychiatry at Rutgers University, where she is also the Director of the Dialectical Behavior Therapy Clinic. This episode focuses specifically on dialectical behavior therapy (DBT), a skills-based technique which was originally developed to treat borderline personality disorder (BPD) and has since been adapted to treat depression and other mental health conditions, as well as to help people who have difficulty with emotional regulation and self-destructive behaviors. Shireen explains the origins of DBT and how its creator, Dr. Marsha Linehan, came to find a need for something beyond cognitive behavioral therapy (CBT) when attempting to treat patients with suicidal behavior. From there, Shireen dives into how DBT works to resolve the apparent contradiction between self-acceptance and change to bring about positive changes in emotional regulation, interpersonal effectiveness, mindfulness, distress tolerance, and more. She also provides examples for how one can apply specific skills taught with DBT such as accessing the “wise mind,” applying radical acceptance, using the “DEAR MAN” technique, and utilizing an emotion regulation skill called “opposite action.” Finally, she explains how the tenets of DBT offer benefits to anyone, and she provides insights and resources for people wanting to further explore DBT. We discuss: The basics of dialectical behavior therapy (DBT) and how it differs from cognitive behavioral therapy (CBT) [3:00]; Treating depression with CBT: history, effectiveness, and how it laid the groundwork for DBT [8:15]; Marsha Linehan's inspiration for developing DBT [16:00]; Explaining borderline personality disorder (and associated conditions) through the lens of DBT [20:00]; How work with suicidal patients led to the development of DBT—a dialectic between change and acceptance [35:30]; Details of DBT: defining the term “dialectical” and how to access the “wise mind” [44:30]; Practicing mindfulness and radical acceptance in the context of DBT [51:00]; Applying “radical acceptance” to tragic scenarios [1:02:00]; The five domains of skills taught in DBT [1:07:15]; Why Marsha chose borderline personality disorder as her focus when developing DBT [1:13:30]; Is there any benefit in doing DBT for someone without a pathological condition? [1:15:45]; The DEAR MAN skill of DBT [1:20:00]; Adapting DBT skills for adolescents and families [1:31:00]; Identifying vulnerability factors, increasing distress tolerance, and the impact of physical pain [1:33:45]; The DBT chain analysis: assessing problem behaviors and identifying vulnerability factors [1:44:30]; Why the regulation of emotions can be so challenging [1:50:30]; The importance of mindfulness skills in DBT [1:53:30]; Opposite action: an emotion regulation skill [1:57:00]; Advice for those wanting to explore DBT [2:03:15]; Finding a well-trained DBT therapist [2:08:15]; More. Connect With Peter on Twitter, Instagram, Facebook and YouTube