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DBT (Dialectic Behavioral Therapy) or Behavioral Dialectic Therapy is a specialized treatment to treat emotional dysregulation.
Created by Dr. Marsha M. Linehan for patients with borderline personality disorder (BPD) or DRE, the DBT combines some of its techniques with principles of reality acceptance derived from Zen and dialectic philosophy. In our team we work with the five components: Individual therapy, group skills training, telephone support, pharmacological auxiliary treatments and a consultation group for therapists. Currently, DBT is the treatment of choice for BPD and emotional dysregulation.
During the 1980s, Dr. Linehan observed the imperative need for a treatment of patients with suicidal behaviors, who mostly met the criteria for the diagnosis of borderline personality disorder (BPD). DBT is a good example of the evolution of behavior therapy and incorporates a constant balance between validation and acceptance on the one hand and change on the other.
From DBT we understand that suffering is the result of a specific lack of skills, we evaluate and train people to acquire and generalize these skills.
In addition, we remain in continuous peer supervision and with supervisors certified by Behavioral Tech.
Since its development, the DBT has been adapted to different age ranges, diagnostic categories and assistive devices, as it offers a multi-component, integrative and flexible treatment approach. There is empirical evidence for the effectiveness of DBT in the treatment of other disorders related to emotional regulation difficulties as well as specific symptoms such as self-harm, suicidal ideation, suicide attempts, bulimia symptoms, depression, substance abuse. DBT also shows efficacy in the treatment of adolescents with suicidal ideas (Pistorello, Fruzzetti, MacLane, Gallop & Iverson, 2012). The ultimate goal of treatment is not that problem behaviors disappear, that is necessary but not sufficient. The ultimate goal is to develop a life that deserves to be lived.
Emotionally deregulating means that an emotion gains such intensity that it directs our actions and that these are not consistent with our long-term values and goals. The deregulation creates discomfort in our life because we are kidnapped by states (they can be lived as pleasant or unpleasant) and when leaving these we have a list of negative consequences: Impaired relationships, shame, fear …
When we are deregulated we act very impulsively, fast and fast, so it is difficult to measure the consequences.
Specialized professionals believe that emotional deregulation (DRE) is the basis of many disorders that we treat as:
• Personality disorders (including but not only the DRE Personalized Limit disorder)
• Eating disorders: Bulimia, binge eating disorder.
• Attention deficit hyperactivity disorder
• Suicidal behavior
• Affective disorders: Depression and bipolar disorder.
• Problems with anger
• Behavioral disorders
• Relationship problems: fights, jealousy, instability
• Compulsive expenses
• Substance Use Disorder
First things first, a session where we welcome you and evaluate the behavior problems you present. Later we will indicate if DBT is the indicated treatment or if there is another better alternative for you if the basis of your suffering is not emotional deregulation.
In the case that it is, we will have some introductory sessions where we can get to know each other better, establish goals and goals of the therapy, hierarchizing by gravity the behaviors that we are going to deal with. What do I mean? For example, if you are thinking about killing yourself that will be more important to treat than if you have problems at work, since we need you alive for the therapy to work.
Once we are committed and convinced to perform this treatment you will have:
We group them into 4 modules that you will study progressively:
We learn here to notice our emotions, thoughts and feelings. Perceiving them, describing them and taking perspective on them is essential so that they do not direct our lives and diminish our battle against them.
What do we do? Observe, Describe, Participate.
How do we do it? Without judging, focusing and being effective.
Development of basic concepts about emotions.
We learn and practice a skill we call opposite action.
We explore and practice experiencing emotion like a wave, we observe how it rises and falls.
We learn skills to increase positive emotions.
We learn assertiveness.
We clarify our priorities for interpersonal effectiveness.
We practice the skills to say no and to ask.
We rehearse interpersonal conflict situations to practice the skills.
We learn to handle crisis and to radically accept reality, among others.
Because we have the best team of experts in contextual therapies that aim to train and train people in skills to distinguish what can be changed and be effective in generating changes.
Because we are the first DBT team certified by Behavioral Tech in the Canary Islands and in Spain.
Passion for the most current research as well as for ancestral wisdom.
Our team has treated hundreds of people with a high degree of effectiveness.
With the best centers in the world and we receive supervision from dr. Pablo Gagliesi, the first Spanish-speaking coach of Behavioral Tech.
Because we do not work with numbers or symptoms, but with people for whom we develop a deep respect and affection, whose special gifts we teach them to drive.
Our work has been recognized in different areas, coming to appear regularly in the media.
Because there is nothing better than reading the impressions of those who have found their way and have overcome their problems thanks to our work.
5 years ago, when I started having psychological problems, I had a false perception of reality. I had never stopped to think about my life, around me, I just spent days apart from my emotions, I didn't feel, I just did. Obviously it was not a conscious thing, I understood that later. There was but a defense mechanism that my mind had adopted to protect me from any situation, it wasn't always bad. Unfortunately, to understand this it took me almost 4 years. I was admitted to various private centers which were theoretically the best tackling TCA, TLP ... but in my case it was not so, all I got was to see myself even more alone and desperate than I was in the beginning. Therefore, I decided to return to my house, here in Tenerife. Thanks to my last psychologist from Barcelona, ??we contacted Acerina. I have to admit, that when I went through so many psychologists I was tired, I was afraid that it was the same as all the previous ones, who had thrown in the towel with me. When I met her I had a big surprise, she was welcoming, listened attentively and was, because of her attitude, easier to trust. When you have been through so many specialists and you all introduce the same story comes a time that despairs. In my case, I have been doing DBT treatment for almost a year, and it has been the best thing that could have happened to me. Obviously life is not a path of roses and nothing is "ideal", but I think that depends on how you look at it. I take no reason that there are sad and desperate moments, but all this is part of the ideal. Ideal is to feel, live, breathe, notice how you touch your feet on the floor, how you move your hands and have the ability to feel physical contact. I have grown mentally, I have resumed my studies, and I live a normal life, I go out with my friends, I have regained the good relationship with my family, and most importantly, trust in me.
I want to thank you for your effort, commitment and love. You have contributed to my personal growth and to being a HAPPY person. I personally waited to find the right therapist to face my problems and I am certainly more than satisfied. A professional with human quality, tools and versatility to help and guide the client. A model to inspire us for those of us who love psychology. You have my love, respect and admiration.
I hope that if someone looks for references and help on this page, I can contribute with my humble opinion to trust you for it.
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We build a life that deserves to be lived. I combine heart and science to help you live your best version. If we were injured in relationship we will be healed in the relationship with another person.
We support you to build a life that deserves to be lived. Combining heart and science to help you live the best version of yourself. If we have been hurt in relationship, we can also be healed through relationship. Accompanying you to fulfil your dreams.
Todas mis terapias y soluciones pueden realizarse de manera online, no esperes más a cambiar tu vida.
Todas mis terapias y soluciones pueden realizarse de manera online, no esperes más a cambiar tu vida.