Mindfullness basics in DBT

     Doing one thing at a time,  in the present moment, 

       with your full attention and without judgement.  

              ( Jon Kabat Zinn )

The following is how it is used in Dialectical Behavior Therapy ( Crisis & Trauma Resource Institute ( w. ctrinstitute.com )

Mindfulness Skills:

    Wise Mind: The Wise Mind is the balance between 

Emotion Mind and  Logic /  Reasonable Mind

    Observe: Notice without getting caught in the experience.  

Experience without reacting to the experience.

    Describe: When a feeling or thought arises, or you act, acknowledge it with a description of the thought or action or sensation, etc. 

Describe to yourself what is happening and label your feelings.

    Participate: Enter into your experiences, act intuitively, be completely immersed in the experience, in the present.

    Non-Judgmental: See, but don’t evaluate.  Focus on the “what” happened, not on what “should” or “should not” have happened.

    One-Mindful: Focus on the moment–do one thing at a time and completely focus on what you are doing or whom you are with.  Let go of distractions.

    Effective:  Do just what is necessary in a situation to achieve your goals.  Focus on what works, and direct your efforts there.  Act skillfully, because the more you practice acting skillfully, the more Effective you will become at attaining your goals.

Distress Tolerance Skills:

    STOP:  Stop, Take a step back, Observe, Proceed Mindfully

    TIP: Temperature, Intense Exercise, Paced Breathing/Paired Muscle Relaxation/Progressive 

Muscle Relaxation (used to change your level of distress quickly)

    Distract using Wise Mind ACCEPTS: Distract yourself with Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, Sensations

    Self-Soothe: Use the senses (vision, hearing, taste, smell, touch) to soothe your physical self in order to make your emotions less painful.

    IMPROVE the Moment: Improve the moment with Imagery, Meaning, Prayer, Relaxation, One thing in the moment, Vacations, Encouragement

    Pros and Cons: Examine the short term and long term pros and cons of acting and not acting on your urges/impulses using a chart.

    Radical Acceptance/Reality Acknowledgement: Acknowledge what is, let go of fighting or denying reality.  Use TURNING THE MIND to commit to acknowledgement over and over again.

Interpersonal Effectiveness Skills:

    Clarified Priorities: What is most important to you in this interpersonal interaction 1) Obtaining your objective,

 2) Maintaining the relationship, or

 3) Maintaining your self-esteem/sense of self-worth

    DEAR MAN: Describe, Express, Assert, Reinforce, stay Mindful, Appear confident, Negotiate (used for saying “no” or asking for something; obtaining your objective)

    GIVE: Be Gentle, act/be Interested, Validate, use an Easy manner (used for maintaining a relationship)

    FAST: Be Fair, no Apologies, Stick to values, be Truthful (used to maintain your self-esteem/sense of self-worth)

Emotion Regulation Skills:

    PLEASE: For reducing vulnerability, treat PhysicaL illness, balance Eating, avoid mood-Alerting drugs (as in street drugs or non-prescription drugs), balance Sleep, get Exercise

    ABC: Accumulate Positive Emotions/Experiences: For reducing vulnerabilities in the Short Term: Do pleasant things that are possible now.  For reducing vulnerabilities in the Long Term: Make changes in your life so that positive events will occur more often.  This helps “build a life worth living for you.”

    ABC: Build Mastery: Engage in activities that make you feel competent and in control.

   ABC: Cope Ahead: Cope ahead of time with emotional situations.  Rehearse a plan ahead of time so that you are prepared to cope skillfully with emotional situations.

   Opposite Action: Change emotions by acting opposite to current emotions/urges. Used for when emotions don’t fit the facts of a situation.

    Check the Facts: Check out whether your reactions (emotional or behavioural) fit the facts of the situation.  Changing beliefs and assumptions to fit the facts can help you change your emotional reactions to situations.

    Problem Solve: When the facts themselves are the problem, solving emotional problems consistently and effectively will reduce the frequency of negative emotions and increase your sense of competency in regards to dealing with these emotions/urges.

-Pandora  ( ww. ctrinstitute.com - where you can sign up for much learning )

    © Ken Christie 2023