DBT effective in treating Eating Disorders?

Dialectical behavioral therapy (DBT) is an effective recovery tool that helps women realize their potential to create a meaningful life for themselves, regardless of challenges they have experienced in the past. They are supported in this pursuit through education and practice of recovery skills when confronted with:

  • difficult, overwhelming emotions

  • invalidating environments

  • problematic thinking patterns

  • old, destructive ways of living

Dialectical behavioral therapy is a form of integrated treatment combining behavioral, cognitive, and supportive therapies. Developed to address complex mood and personality disorders, DBT is especially effective in treating persons who have suffered repeated relapses of self mutilation, eating disorders, co-occurring psychiatric illnesses, or addiction.

By focusing on both the behaviors and the feelings with specific skills provided change can occur. Read this article to find out more.

https://www.eatingdisorderhope.com/treatment-for-eating-disorders/types-of-treatments/dialectical-behavioral-therapy-dbt/vs-cbt

How Meditation Can Help Anxiety

Meditation helps with racing thoughts by quieting the overactive mind. The process of slowing down your mind allows you to silence thoughts that have you buying into your fearful racing thoughts. By meditating you can start identifying what silence can exists between every mental action/thought. This practice is just that, a practice, through time you will be able to practice mediation without the urge to run from the silence. In addition with regular practice, you experience that you’re not simply your thoughts and feelings. You can detach yourself from these to rest in your own being, in your own body. Many people are detached from their body, and mediations allows you to return to your body, and keep you centered rather than pulled outside by a thought or trigger.

 Anxious people often shy away from meditation for various reasons. “I can’t meditate” is code for feeling too restless to sit still or having too many thoughts while trying to meditate. However, anyone can learn to meditate. With being patient and having a guide, these objections and one like them can be overcome.

Numerous scientific studies have found meditation to be effective for treating anxiety.  One study, published in the Psychological Bulletin, combined the findings of 163 different studies. The overall conclusion was that practicing mindfulness or meditation produced beneficial results, with a substantial improvement in areas like negative personality traits, anxiety, and stress. 

All mental activity has a physical correlation in the brain, which has been studied in relation to anxiety. Chronic worriers often display increased reactivity in the amygdala, the area of the brain associated with regulating emotions, including fear, flight/fight/freeze. Neuroscientists at Stanford University found that people who practiced mindfulness meditation for eight weeks were more able to turn down the reactivity of this area. Other researchers from Harvard found that mindfulness can physically reduce the number of neurons in this fear-triggering part of the brain.

Mindfulness practices can be the first step to learning to meditate.

If interested in learning more about mindfulness practices continue to follow the blog as there will be follow-up post talking specifically about that. 

Talking to Your Child/Teen About Therapy

Here are some practical steps when talking to your child about attending therapy as well as when they start attending regularly.

 

1) Wait for the right moment

 

Ask your child/teen about the idea of attending therapy when they are calm and level headed. Raising this idea when your child has been experiencing negative emotions and behaviors can be a struggle as a parent, so if you ask in a moment of calm, it will help you child see it as actual help and less of a punishment or you telling them that there is something "wrong" with them, since that is not a positive message to receive as a child or really at any age. 

 

2) Identify the problem

 

Tell your child/teen what has you worried. Try, “Honey, I have witnessed you being sad and isolating recently,” or “Seems like you’ve been having a lot of nightmares lately.” This way they hear you in a way that demonstrates you've noticed a change in their behavior that is of concern to you.

3. Offer compassion

 

Tell your child/teen you sense that he/she has been struggling and you want to help. For example, say “Is it upsetting to you when you feel overwhelmed and want to hide?,” or “Nightmares can be really scary. No one likes to be scared.”

 

4) Explain therapy

 

Once you’ve identified the problem and offered compassion, tell your child you’ve found someone who can help. You might offer “Sometimes when children feel scared a lot of the time, it helps to go to a person whose job it is to help kids/teens understand their feelings and worries by talking about them and learning skills to help. We think if you met with her a few times it might help you understand why you’ve been having those nightmares. Then you won’t have to feel scared anymore.”

 

5) Don’t get discouraged

 

No matter how gentle you are, your child/teen may growl “There’s nothing wrong with me!” or “I don’t get nightmares anymore!” Remain calm and stay the course with an answer such as “Ok, if you and the therapist decide you’re not scared anymore Dad and I will be very happy. But we love you, and for now this is what we think is best.”

 

Once Therapy is Underway

 

6) Don’t “grill” your child after sessions

 

It’s a tall order, but resist the urge to ask for reports. Questions like “What did you and the therapist talk about today?” are likely to produce either silence or an answer designed to please you/tell you what you want to hear. Let your child’s/teens therapy be a private place, and use your meetings with the therapist to get and share information about how things are going.

 

7) Remind your child/teen that she has therapy as a resource, but don’t harp on it

 

When difficulties arise, there’s nothing wrong with gently suggesting that your child/teen talk about them in therapy. If your daughter/son is skipping class to hide you might say “You know, Honey, if you feel like talking with the therapist about what happened she might be able to help you with the problems you’re having in class.” But try not to bring therapy up too often, or your child/teen will feel you’re intruding or using her therapist as an ancillary parent/someone that can solve all of your child/teens problems. If there’s something you want the therapist to know, the best bet may be to get in touch directly. But inform your child/teen beforehand, so he/she won’t feel the adults are conspiring.

 

8) Don’t use therapy as a threat or form of discipline

 

A comment like “If you don’t start cooperating I’m going to have a talk with the therapist” is counterproductive and often threatening. Here’s a more effective approach: “Lately you seem angry whenever I ask you to follow directions, and we haven’t been able to talk about it. I don't enjoy fighting. I think it would be a good idea for us to talk to the therapist about ways we can get along better.”

 

If you need help talking to you child about therapy, you can also ask the therapist you're seeing to help facilitate the conversation as well.

Intentionally Seeking Balance

Recently I had an accident that resulted in a surgery, and weeks of pain. In the beginning of this journey I had thoughts of "why me", and "Oh my, my body is not functioning the way it always has". These among other thoughts inline with these influenced me to feel a higher level of anxiety than I typically face on a daily basis. I was scared of the pain, the surgery, of my body never being the same, I was frustrated that I had to ask for help to do simple things like getting dressed and doing my hair. 

Suddenly there was a shift in perception, and no I didn't just become grateful or happy overnight, nor did humility really find me in a way that changed my gut reaction to asking for help. What did shift was, that I started to see this incident as a message to slow down. As an over-achiever and a "worrier" I go 80 mph almost all the time, but this pain has slowed me to about 45 mph, its helped my realize that I have people that will bend over backwards to help, and slowing down is okay. In fact its more than okay its what needed in order to have a balanced life.

What is most upsetting is that, I've done this before, gone 80 mph and wiped out from it. Hopefully this time I will hopefully learn and make an intentional choice to continue to seek balance and slow down in all areas of my life  

Vulnerability Factors

In life we are constantly being presented with opportunities, whether we see them that way or not. Each of these opportunities allows us to make choices of how to behave, think and feel. Again, we may not think we have a choice in how we behave, think or feel, but we do. Our choices are effected by what are called Vulnerability Factors. If we are engaging in unhealthy behaviors, patterns of thought, or are in a toxic environment your ability to make healthy choices for yourself generally goes out the window, so those opportunities than look a whole heck of a lot like problems. Areas of vulnerability to look at are:

  • Physical illness

  • Unbalanced eating and sleeping

  • Injury

  • Use of drugs or alcohol

  • Misuse of prescription drugs

  • Intense emotions being your baseline

  • Stressful relationships

If we learn to manage and regulate these Vulnerability Factors we can have a change of perspective from being situations as "problems" and a lot more like opportunities.

Utilizing coping skills, attending support groups and receiving counseling can all be ways for you to gain more awareness and skills to mange these Vulnerability Factors.