The quote "All Therapists Are Jerks" from Marsha Linehan, creator of Dialectical Behavior Therapy (DBT), refers to the fallibility agreement within consult groups. The mission of the podcast is to help educate on the use of DBT skills and philosophy and to make them more accessible to the average listener and in particular those with loved ones who struggle with emotion regulation difficulties.
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Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc.
2023 ISIT DBT Conference Part 1 (00:30:04)
Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc.
Is DBT all about emotions? (00:23:31)
Ulland and Jo discuss how DBT is all about emotional processing while building capacity to live effectively regardless of emotional reactivity.
Apologies vs. Accountability (00:27:45)
Ulland and Jo discuss why apologies are often not helpful enough with conflict in relationships. They review what they mean by accountability and how it is different. Examples are given. Accountability has to do with looking for how we may contribute to how we may be perceived by important people in our life.
What do we mean by Fragilizing? (00:29:47)
Ulland and Jo review the concept of fragilization. They review how walking on eggshells with family members is generally not helpful, especially when both parties are walking on eggshells around each other. Individuals in active passivity are more capable than we realize and need space to activate for themselves and build confidence.
Is it my fault my child suffers? (00:24:44)
Ulland and Jo review how parents can feel defensive in family work as though they are being blamed. They review how DBT is a no blame model and how family dynamics must be addressed. The biosocial theory suggests we learned from environments of origin and behaviors are maintained within current environments. The idea of individual perception of past events may be more meaningful to relationships than focusing on the correct version "reality." Individuals may see things differently. It is our individual perception of events, not necessarily the events themselves, that lead to our understanding of relationships and our lived history.
"DBT is too soft." (00:20:08)
Ulland and Jo address judgments towards DBT they have heard more than once regarding being "too easy" with clients. They discuss how those unfamiliar with acceptance strategies are more likely to misunderstand how acceptance is used to meet clients where they are so that meaningful change can happen. They review some of the assumptions within DBT that make this possible. Please review the previous episode that reviews specific assumptions for further details. Ulland and Jo realized they had not previously covered ALL the assumptions.
Assumptions for Therapists and Treatment (00:29:26)
Ulland and Jo finally review the therapist and client assumptions within DBT. These assumptions help clinicians adhere to the principles of DBT. Knowing these leads to understanding interventions and the philosophy of treatment. They also discuss how there are some asymmetries that are protective of the client, as well as the therapist.
Can Minorities Benefit From DBT? (00:23:57)
Ulland and Jo review common themes in demographics found within many DBT studies. They discuss that DBT studies often include many individuals who are not heterosexual or white for example. This would be consistent when considering the biosocial model and systemic invalidation as a common experience for many clients who benefit from DBT. These studies were reviewed and shared at the 2022 ISITDBT conference in NYC. Can minorities benefit from DBT? — All Therapists are Jerks (squarespace.com)
Ye Ol' Existential Crisis (00:46:02)
Ulland brings up ideas he sometimes presents in his group on the unit, albeit at a more reasonable pace than here. Jo discusses what meaning is to her and how to find it. It can be overwhelming to be young and believe that one has to have already contributed to a society before completing high school. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Yes and… (00:28:40)
Ulland and Jo review ideas that came up after a Parent University this past week regarding dialects and parenting. They discuss how dialects are often seen as more contradictory rather than as acceptance and curiosity in communication. They provide several examples of "Yes and" thinking and also discuss some nuances. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
How do you know? (00:26:43)
Ulland and Jo wonder how can we be certain about things? Also, how is it that Tyler Durden is writing about vaccinations and can he be trusted if he posts at 1010 PM on Friday the 13th? And is it any wonder Mr. Durden supports vaccinations being dangerous? Please be aware that this episode and podcast has not been evaluated by the FDA and "is not intended to diagnose, treat, cure, or prevent any disease." Also, this episode has been in the can sooooo long it is not suitable for anyone's doomsday bunker. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Behavioral Formulation for Eating Disorders (01:02:19)
Ulland and Jo review a formulation Ulland finds helpful as a framework for understanding which interventions might work by understanding how eating disorders develop and maintain themselves. The formulation is largely influenced by the works of Garner and Garfield, and Fairburn. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Suicide Risk Assessment (00:46:37)
Shamefully, Ulland and Jo make good on a more than a year-old request. A fellow traveler posted a comment to discuss suicide, and to approach from the perspective of an educator. The Linehan Risk Assessment and Management Protocol (LRAMP) for suicide is reviewed as a framework to understand suicidal risk in an organized way. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Difficult Problems as the Origins for DBT (00:56:45)
Ulland and Jo review several common problems that Marsha Linehan. PhD had to solve after deciding to work with suicidal patients, ranging from a need to validate suffering while knowing that life was unbearable as it was being lived.
Anger 1.2 (00:43:40)
Ulland and Jo continue a discussion regarding anger. Ulland reviews the ruminative anger cycle and Jo provides more discussion of how to use skills to avoid ineffective angry responses.
Anger 1.0 (00:53:11)
Ulland and Jo review anger at the request of a listener. Ulland goes on a tangent in culture and expression of anger. Culture and expectation can lead to angry reactions. Suggestions for skills use are provided.
Psych 101.6 The End of the Series (00:21:27)
Ulland and Jo realize how long this has taken, unfortunately, but it is the end of the series. Are emotionally reactive people empaths, or are empaths emotionally reactive? Ulland and Jo end with more concerning questions, regarding adolescents who may have difficulties who are trying to help peers with similar issues/ behaviors. They remind listeners of active passivity and that there are difficult behavioral patterns such as the secondary targets which can lead to confusion in the relationship and burnout in loved ones.
Psych 101.5 Biology vs. Environmental? (00:54:11)
Ulland and Jo review what they believe to be some of the biggest misconceptions about seeking therapy. Ulland challenges the duality of "biological" versus "environmental" depression. They also review a question wondering about in which instances Dialectical Behavior Therapy might out-perform Cognitive Behavioral Therapy for patients. They end with reviewing the importance of the philosophical outlook within DBT that can be powerful to prevent relapse and continue to work towards building a life well-lived.
Psych 101.4 How might DBT work for a male program? (00:58:57)
Ulland answers a question regarding medications for emotional reactivity and discusses how he often prescribes for clients he assesses. Ulland reviews some differences between how ADHD may present in males vs. females. Ulland and Jo discuss how each of them would consider building a residential program for males, compared to how their female unit operates. Ulland is likely to take population differences into account for gender traits, aware that populations don't represent any specific individual in the program.
Psych 101.3. What's the hardest part of the job? (00:52:57)
The series continues with "frequently asked questions" from a high school psychology class. The questions they are tasked to answer are: What's the hardest case or behaviors they have worked on? Have they had more cooperative or uncooperative parents? What is the hardest or most stressful part about their job?
Psych 101.2. Why your program and way of doing things? (00:45:08)
The crew continues with explaining the origins of the program. Ulland describes reasons of need and efficiency, while Jo discusses the prevention of suffering for the future, including, hopefully next generation effects. They briefly describe some differences between CBT and DBT.
Psych 101.1. How and why did you come to do this? (00:52:04)
Psych 101.1. How and why did you come to do this? Ulland and Jo answer questions written by local high school students after presenting for a couple psychology classes. This episode reviews why each of them decided to work in mental health in their different roles. Ulland had to get a haircut and get a real job.
Burning Bridges and Building New Ones (00:46:56)
Burning Bridges and Building New Ones. Ulland and Jo reviews these concepts while giving examples that these skills are not only applied to relationships but may be applied to behaviors that are ineffective or behaviors needed to replace maladaptive behaviors. Because, let's face it, "Just Say No!" failed miserably. Jo brings up the idea of exposure and tolerance of suffering. Ulland responds by bringing up hypothermia and appendectomies. Somehow it should fit, and maybe it doesn't. Supposedly everything's connected.
100th Uploaded Episode (00:28:15)
100th uploaded episode. Ulland and Jo discuss the origins and some of the difficulties with keeping the dream alive. They offer thanks to listeners, with some posts from around the world that have been shared. Ulland gives a breakdown of the top countries following the podcast.
