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Re: DBT for OCD

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Hey Judy, if you use the search function in our group and just put in DBT, posts

turn up. I briefly read, looks like others have had it used, maybe along with

other supports too. Let me know if you have problems with the search.

>

> Has anyone tried DBT for OCD?  My daughter is in the hospital now, the CBT she

> was going through made her overly anxious and she began to have some pretty

> serious problems related to anxiety.  She's 13.  We are looking at a

residential

> treatment program to help her with her anxiety, her OCD, and other

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We did not find DBT to be as helpful for OCD as CBT. My son has had tons of DBT

therapy and did not find it very helpful.

He was put into an anxiety treatment center and they used the CBT and he found

it to be much better!

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I know here in North Carolina, DBT is also the " new craze " as said. I

would guess that most mental health staff are looking at it, if not using it

yet.

>

> DBT is the newest craze in the therapy world. It is a subset of CBT. Many

therapists are ebony trained in it. Where ate you guys located? I have gone to

some trainings on it and have seen it in action and it is amazing!! I do think a

child needs to be ready for

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I googled DBT and found a few groups in our area.

DBT was developed for people suffering from boarderline

personality disorder. People that are very emotional

dysregulated from early in life and then often raised in

invalidating environments .

The first step in DBT is to see the truth from the suffers

perspective and validate their feelings. And in doing so

to de-esclate emotions rather than inflame them:

" I see that you are so upset that I touched your

bed with my hands, I didn't mean to upset you,

I just wanted to help you make your bed "

rather than say " don't get so upset I just made your bed "

Another part of DBT is to teach emotional awareness:

" I am thinking you may be getting mad, do you feel upset that

I touched your things? " Rather than say " you get so mad

when I touch your things " which may get the response no

I don't get mad, it is your fault for moving my stuff etc etc.

Another part of DBT is cheerleading and encouragement

Another part of DBT is skills based techniques, teaching

relaxation and distraction as a way to cope with

overwhelming emotions.

Another part of DBT is to make sure that the parent's

are not only responding to the patient when the patient

is in extreme distress and threatening self harm.

There is an education part in DBT to help family

members understand how distressed the child/patient is

and to be more validating. This is because many

borderline patients do self harm, or theaten to kill

themselves as a way to cope with overwhelming emotions and

to get help. The strategy is to validate the suffering

of the patient without them having to resort to

self harm to get attention.

In DBT there is a 1:1 counseling part and then there is

weekly skill based group program.

The therapists in DBT are advised to work as a team because

borderline patients require great patience and take a

long time to get better often. There is the potential

for therapist burn out in working with borderline patients

because they may blame and attack the therapist.

Parents with kids with emotional regulation issues often

are dysregulated too, which escalates the problem to the

point noone can cope.

DBT is a specific kind of CBT with a focus on emotional

regulation skills.

Patients with OCD use rituals to regulate themselves, to reduce

rituals (compulsions) the patient is taught other methods

to regulate themselves.

Pam

>

> >

> >

> >

> >

> > If your daughter blames others for her OCD, if she

> > is not aware of how she feels and what triggers

> > anxiety/OCD DBT will help with that. DBT does

> > something called backward chaining where the therapist

> > helps the patient figure out what triggers obsessive or

> > other highly emotional behaviors.

> >

> > If your daughter is aware that she has OCD, and if

> > she participates in ERP and OCD, if she is not blaming

> > others, if she is not having outbursts ...I don't

> > think DBT would benefit her. DBT is about gaining

> > emotional control.

> >

> > Does she need her medication adjusted? Is she on a max

> > dose of anti-depressant. Has anything else been

> > added in to help stabizer her?

> >

> > Pam

> >

> >

> >

>

>

>

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  • 1 month later...
Guest guest

Judy, thanks for sharing, and also letting us know how DBT can help. I can only

imagine how difficult that ER night was! Where is the residential program she's

in, is it nearby?

Happy to hear she's found a program that is helping!!!

>

> Dear Steph, and others,

>

> I hopped into this group as a desperate and lonely mother a couple of months

ago

> after my daughter and I were in a phych ER with armed guards standing outside

> our door because my daughter had intentionally cut her face with a razor

blade.

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