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    DBT Part 4: Emotional Regulation

    en-usDecember 26, 2022

    Podcast Summary

    • Missing loved ones during the holiday seasonDoctor Nigro emphasized the importance of family, gratitude, and emotional regulation during the holiday season. He highlighted the differences between CBT and DBT and encouraged everyone to cherish time with loved ones.

      The holiday season, particularly Christmas, can bring up a mix of emotions, including gratitude, sadness, and reflection. Doctor Nigro shared his personal experience of missing his late father during the holiday season and feeling the ebb and flow of grief. He emphasized the importance of family and being grateful for the loved ones we have. He also highlighted the difference between cognitive behavioral therapy (CBT) and Dialectical Behavior Therapy (DBT) in terms of their perspectives on emotions. While DBT focuses on emotional regulation, CBT reorients individuals back to cognitions and thoughts. The holiday season provides an opportunity for reflection and appreciation, and Doctor Nigro encouraged everyone to enjoy the time with their loved ones.

    • Being present during joyful momentsUnderstand the importance of noticing and experiencing the present, even during joyful moments. Stay connected to gratitude and recognize the role of adversity in understanding joy.

      Even during joyful moments in life, it's essential to be fully present and engaged. The speaker shared her experience of missing out on moments due to distractions and the importance of noticing and experiencing the present. She also emphasized the role of adversity in understanding joy and the significance of staying connected to gratitude. The speaker admired Thich Nhat Hanh, a Buddhist writer, for his insights on emotions, particularly anger, and emphasized the importance of understanding people's internal feelings when they hurt us. She also introduced the concept of sending love in the presence of hate and fear as a powerful tool for emotional regulation. The documentary "Phil Stultz" featuring Jonah Hill was recommended for further exploration on this topic.

    • Exploring Emotional Regulation through DBT in 'Cruel Stream'Understanding emotional patterns leads to greater self-awareness and resilience, essential for mental health.

      The documentary "Cruel Stream" produced by Jonah Hill aims to raise awareness about mental health, specifically through the lens of the therapist who helped him, Dr. Phil Stutz. The documentary showcases Dr. Stutz's unique therapy style, and while it's not a formal introduction to Dialectical Behavior Therapy (DBT), it's a powerful exploration of emotional regulation. Emotional regulation in DBT is about understanding and identifying emotions, including the ones that come naturally to us and the ones that are more challenging. By recognizing our emotional patterns, we can learn to manage them better. The process involves observing and describing emotions, understanding how they serve us, and reducing emotional vulnerability. This approach can help us navigate life more effectively and improve our overall well-being. So, in essence, the takeaway is that emotional awareness and regulation are essential components of mental health, and understanding our emotional patterns can lead to greater self-awareness and resilience. The documentary "Cruel Stream" offers a compelling look into this process, and DBT provides a structured framework for practicing emotional regulation.

    • Understanding and managing emotionsIdentify emotional vulnerabilities, make conscious choices, focus on positive emotions, and consider spirituality for emotional balance.

      Emotions can be overwhelming and lead to irrational actions and responses. They can be difficult to manage, especially for those who have a hard time regulating them. Anxiety and other negative emotions can consume us and throw us into a tailspin, even when we're experiencing multiple emotions at once. It's important to identify our emotional vulnerabilities and make conscious choices about how we respond in emotionally charged situations. This may involve decreasing negative vulnerability and focusing on positive emotions, such as happiness, joy, and calm. Spirituality can also play a role in promoting peace and inner compass. Remember, it's not always easy to manage our emotions, but with awareness and intentionality, we can work towards feeling good and finding balance.

    • Recognizing and validating painful emotionsAcknowledging emotions without judgment and practicing mindfulness can help decrease emotional suffering. Communication and certain techniques can also regulate the nervous system and calm the body.

      Recognizing and validating our painful emotions is the first step to decreasing emotional suffering. This involves acknowledging the emotion without judgment and understanding that everyone experiences pain and difficult emotions. Emotions are hardwired into our bodies and communicate faster than words. When we feel stuck on powerful emotions, practicing mindfulness and introducing rational thinking can help us regain control. Communication of emotions to others is important, and certain techniques like splashing cold water on the face during an anxiety attack can help regulate the central nervous system and calm the body. Remember, it's okay to experience pain and difficult emotions, and taking care of ourselves during these moments can lead to growth and resilience.

    • Sensitivity to others' emotions and fear of abandonment in borderline personality disorderMaintain emotional boundaries, take control of feelings, and learn emotional regulation skills through DBT to prevent codependent relationships and intense emotional reactions due to borderline personality disorder.

      Individuals with borderline personality disorder are highly sensitive to the emotions and behaviors of others, which can trigger intense emotional reactions due to a fear of abandonment. This sensitivity can lead to codependent relationships, where one's emotions become intertwined with those of others. Wayne Dyer's quote, "You cannot feel bad enough in yourself to make someone else feel better," emphasizes the importance of maintaining emotional boundaries and taking control of one's own feelings. DBT (Dialectical Behavior Therapy), designed for treating borderline personality disorder, aims to help individuals develop emotional regulation skills and establish healthy emotional boundaries.

    • Effectively managing emotionsSlow down, recognize emotions, practice skills like mindfulness, distress tolerance, and emotion regulation, engage in positive activities, and remember emotions are not permanent.

      Managing emotions effectively involves recognizing their power and taking action to regulate them using various techniques. DBT (Dialectical Behavior Therapy) focuses on managing emotions first, and suggests renaming and managing them through skill sets like mindfulness, distress tolerance, and emotion regulation. When feeling emotionally charged, it's important to try and slow down the process, separate oneself from the situation, and engage in activities that promote positive emotions. This could be as simple as going for a nature walk, doing an activity that uses your hands and brain, or listening to upbeat music. It's important to remember that emotions are not permanent and should not define us. Instead, we should try to switch up our emotional flow by engaging in activities that counteract the negative emotions. Therapy is not just limited to the sessions with a therapist, but also requires practicing these skills in between sessions through homework and self-care activities.

    • Managing Negative Emotions: Prioritize Self-Care and Build MasteryPrioritize self-care through eating well, exercising, and consistent sleep. Build mastery in a healthy activity to reduce negative emotions. If CBT doesn't work, consider DBT. Use Psychology Today to find DBT therapists. Remember, feelings aren't facts and take action if someone is in danger.

      Managing negative emotions involves engaging in physical activities and understanding that feelings aren't always facts. It's crucial to prioritize self-care by eating well, exercising, and ensuring consistent sleep. Building mastery in a healthy and positive activity can also help reduce vulnerability to negative emotions. If CBT doesn't work, DBT might be an alternative. For those seeking DBT therapists, Psychology Today is a good resource. Remember, don't give up, as it works for some individuals. Over the past four episodes, Julie has broken down an entire model of psychotherapy, providing a comprehensive yet simplified understanding. Remember, feelings aren't facts, and taking care of yourself physically and emotionally is vital. If someone is a danger to themselves or others, immediate action, such as calling 911, is necessary.

    • Understanding Different Emotional Approaches in TherapyIn CBT, emotions are seen as a choice, while in psychoanalysis, they're a product of unconscious processes. CBT helps individuals understand and change emotional patterns, while self-awareness and choice are key in managing emotions.

      Learning from this podcast discussion is that in various therapeutic approaches, emotions are viewed differently. While in psychoanalysis, emotions are seen as a product of unconscious processes, in cognitive behavioral therapy (CBT), emotions are considered a choice. CBT focuses on helping individuals understand why they allow certain situations to evoke specific emotions and how to challenge and change those patterns. The speaker expressed gratitude for the listeners' support throughout this educational journey and hinted at potential future live sessions. The underlying message is that we all have control over our emotions, and understanding this can lead to personal growth and improved mental health. The speaker also emphasized the interconnectedness of all beings, as suggested by Carl Jung's concept of the collective unconscious. Overall, this podcast episode highlights the importance of self-awareness and the power of choice in managing emotions.

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