I like to try new things, which means I’m often susceptible to well-meaning suggestions or new health fads. Last month someone told me if I drank a teaspoon of organic apple cider vinegar in eight ounces of water each morning, my acne would clear up. I held my nose and dutifully chugged the concoction every day for a week without seeing any results. It tasted worse than Kombucha, even after adding a teaspoon of honey to the mixture.
I see the dermatologist this Wednesday…
Then there were the magical chia seeds that supposedly helped one lose weight by making them feel fuller, thus requiring one to eat less. Just a handful of seeds spread over one’s meal, put in yogurt, or added to water, should work instantly. The seeds could be found in higher end grocery/health food stores in the bulk section, but beware – they’re expensive at $18.99 a pound (I didn’t realize this and dumped a full scoop into a bag). It turns out they don’t taste like anything. I love the texture they add to water; they remind me of little tapioca balls. Unfortunately, I never felt any fuller after trying them.
I now have a new gym membership and a workout partner. We meet on Mondays and Wednesdays…
Oh yes, and then there were the skin care remedies. If someone told you that coconut oil, bought in the cooking section of the grocery store would moisturizer your skin and make you smell like an Almond Joy, would you try it? What if the person was your best friend? If the same best friend suggested you try exfoliation with a green and yellow pot scrubber, would you give that a go, too?
Maybe I got the wrong type of oil, but I didn’t smell like any dang Almond Joy. And I felt slippery. Ick. I’m sticking with coco butter, but the pot scrubber works, if you soak in the tub first and lightly rub your skin…
In the spirit of trying new things, I signed up for a yearlong DBT therapy program to learn life skills that would help me avoid future manic and depressive episodes. The program consists of group therapy, which lasts for three hours each week, one hour of individual therapy also weekly, and daily journaling, tracking exercises, and homework.
According to the handouts from my treatment program facility, Healing Connections, Dialectical Behavior Therapy, or DBT, is a type of behavioral therapy. Developed in the early 1990’s by Dr. Marsha Linehan, the goal of therapy is to reduce all types of dysregulation, from emotional to behavioral to relationship. Dr. Linehan first created the program for patients dealing with borderline symptoms and traits, but many therapists found the skills helpful for everyone.
The difference between the Prairie Care program I participated in earlier this year and DBT, is that DBT therapy is that it is behavioral orientated, as opposed to cognitive. This means therapists teach patients a variety of skills to employ in life without the focus on connecting distressing/unhealthy behaviors with their thoughts and feelings. So, it’s behavior based as opposed to thought.
On my first day, my new therapist gave me a huge five-section binder with Life Skills Daily Tracker sheets that had over 61 different life skills to mark. My therapist and I created an individualized plan to track additional behaviors like hours spent writing, working out, and sleeping that were not listed on the worksheets.
The first hour and a half of group session requires everyone to check-in, that is, summarize his or her week. During this time, other members of the group share which skills they heard being used by the patient. The following hour and a half consists of therapist-guided education. A time in which therapists discuss and teach the skills listed in the tracker.
Over the past five weeks, my group focused on the Distress Tolerance section. These skills help one, “tolerate and survive crises and accept life as it is.” So far I’ve tried chair yoga, blew bubbles, went for a walk, stared at a star light on the ceiling, practiced deep inhales and exhales, and stood outside for ten minutes to engage my four senses (touch, sight, smell, & hear – they didn’t want us eating in the parking lot). These exercises were part of the education portion of the program.
I can’t really imagine blowing bubbles in time of a crisis, but I could imagine taking deep breaths the next time I’m at the checkout and something rings up for an inordinate amount of money.
I couldn’t help thinking of how much Harry Potter could use the Distress Tolerance section. I mean, just think of how many crises he needs to survive and tolerate…
In spirit of the check-in, these are the skills from the Distress Tolerance section Harry used in his third year at Hogwarts (some book spoilers):
– Self-Soothe: sooth each of the five senses: Harry uses his sense of taste by eating chocolate after dementor attacks. Anything that soothes you can work. Taking a bath, for example, may appeal to the sense of touch in the water. Listening to an audio recording of the rain is another example.
– One Thing: As opposed to worrying over all of his problems at once, Harry focuses on one thing, his lessons with Lupin, to learn how to keep the dementors at bay.
– Distract: move away from misery: I would say his trip to Hogsmead was a bit of distraction from fretting over the dangerous criminal posing a threat to his life. This distraction keeps Harry from wallowing in his misery.
– Accept Reality: you don’t have to like it: Harry accepts reality each time the dementors force him to hear his mother’s last dying scream.
– Pros And Cons: problem solve: Harry solves the problem of getting to Hogsmead without a permission slip. Although, he doesn’t break his problems down on paper the way I’m taught in therapy and he doesn’t spend too much time weighing the cons of his plan.
– Vacation: brief time-out: I’d say Quidditch falls under this category. In therapy, a brief time out is exactly what it sounds like – taking a set amount of time to do something you want to do as a respite from misery or life. Other examples are watching a movie or reading a book for an hour.
Just look at all the skills Harry uses! No wonder he’s a hero.
Other skills from the distress tolerance section most people use every day without even realizing it are Breathe, Walk, Smile, Prayer, and Relaxation. I found that I used Imagery each night before bed. By visualizing a blossomed cherry tree slowing swaying in a breeze, I’m able to fall asleep faster and let each of my problems float away like the petals that drift off in the wind.
Although I’ve been known to laugh awkwardly when something goes horribly wrong, I still can’t imagine Smiling when, say, my dog dies. I can, however, take Imagery to an even higher level. Instead of only using the skill at night, I use it during the day to visualize locking up problems in a box or a filing cabinet and setting them aside for a time when I can deal with each of them without being overwhelmed.
So what’s the verdict for DBT therapy? It’s a better idea than trying celery-flavored soda, that’s for sure.