WEEK 7 THE THIRD WAVE

first wave, second wave, and third wave

• first wave - behavior therapy

• second wave - cognitve therapy and cbt

  • (maldaptive tinking)

• third wave - mindfulness , act, dbt

  • thoughts and emotions

  • meta cognition - awareness and active management of ur own thought process

focus on the third wave

• strategies derived from buddhist tradition

  • mindfulness attention to the present moment in a non judgemental way

  • experiental avoidance - attempts to avoids thoughts, feelings, memories

mindfulness

• meditation and using other treatments

mindfulness based stress reduction

• 8 week evidence based treatment

• includes both formal and informal practice

• combination of mindfulness meditation, body scanning, simple yoga postures

• reduce stress depression, anxiety, and pain and improves quality of life

acceptance and commitment therapy

• emphasize that all humans experience pain

• experiential avoidance creates suffering

• learn to accept internal psychological experience and commit living in ways consistent with your values

cognitive defusion techniques

• strategies to promote acceptance

  • the mind train - observing thoughts and letting go

  • labelling / buying thoughts : im having the thought that …

  • mental appreciation - thank your mind

how does MBSR work

• increased mindfulness

• disengagement with repetitive negative thinking

• self compassion

• reduced cognitive and emotional reactivity

• psychological flexibility

what are values

• Values are what we find meaningful and important in life

  • not goals, because goals can be achieved

  • values are directions where we want to head in

DBT dialectical behavior therapy

• treatment by Marsha Linehan

• treatment for borderline personality disorder

  • highly structured, evidence-based psychotherapy designed for people who experience emotions intensely

  • biologically based emotion of irregular interacttions with not welcoming symptoms of bpd

what is the gold standard for dbt

• weekly individual therapy sessions

• weekly group skills

• consultation team meeting

core dbt practice

• validation

  • communicate that the patient’s feelings are important and a sensible reaction to their situation

• problem solving

  • being right vs being effective

• dialetics - balancing opposites

  • need to balance change oriented and acceptance strategies

  • (examines opposing interconnected force such as reasoning, philosophical, or world views)

DEARMAN

• (D) - describe - talk in person , describe the situation, stick to the facts

• (E) - express feelings about the situation

• (A) assert saying no clearly

• (R) Reinforce - explain the positive effects of getting what you want. explain the negative affects of u not getting it

• (M)- keep focus on ur objective, maintain ur position

• (A) appear confident

• (N) - negotiate (be willing to give to get, remain calm)