Posted by Ilene on September 15, 2004, at 18:38:42
In reply to Re: CBT or DBT?, posted by alexandra_k on September 15, 2004, at 17:45:15
> I find it interesting that DBT is an option for you without a dx of BPD. It was designed (primarily) to reduce SI, inpatient admissions and that kind of (typically) BPD (expensive) stuff. It is also typically offered as a package deal (for the first year, or the first 6 months at least) where one goes to group skills training (yeech) in conjunction with seeing a DBT therapist.
>Right. That's one of my misgivings--that I'm not the usual client. I don't SI, etc. I *do* have quite a bit of suicidal ideation, but not being an impulsive sort, I've never attempted. I always figured I'll do it once and get it over with.
I also have emotion dysregulation--have a hard time overcoming strong negative emotions, even in the face of evidence to the contrary--but that is a lot better now that I'm on a med that takes care of my anxiety. I also grew up a mother who contradicted my needs--Linehan has a term for that, but I forget what it is. If I said I was hungry, my mother would often say, "You can't be hungry, you just ate."
> That being said, in my experience DBT is about a million times better than CBT. Less judgemental etc. But then these are problems / limitations that people with a dx of BPD typically have with CBT and so others may find that CBT works for them just fine.
>The main issue I have with CBT is that it works on a rational level, and my emotions are irrational. I can see how it would work well for a person with only mild or moderate depression.
> Can you have a go, and then change your mind??
I don't know if I can change my mind. It makes sense that I could.
poster:Ilene
thread:391101
URL: http://www.dr-bob.org/babble/psycho/20040911/msgs/391212.html