Sɔntɛnde, yu kin fil se ivin di smɔl smɔl tin dɛn kin mek yu fil bad, vɛks, ɔ vɛks? Yu nɔ ebul fɔ kɔntrol dɛn filin dɛn de ɛn fil se yu nɔ ebul fɔ du natin? Fɔ liv wit dɛn kayn bad bad filin ya rili at. Tide, wi go tɔk bɔt wan spɛshal tritmɛnt we rili sakrifays we dɛn mek fɔ ɛp pipul dɛn lɛk dat. Dɛn kɔl dis DBT, we tinap fɔ Dayalɛktik Biɛvhɔ Tɛrapi.
Fɔ tɔk am simpul wan, wetin na DBT?
DBT na wan kayn we fɔ tɔk tritmɛnt. I de bays pan di CBT, we wi ɔl dɔn yɛri bɔt, we na Cognitive Behavioral Therapy . Bɔt dɛn mek DBT spɛshal wan fɔ ɛp pipul dɛn we kin gɛt rili bad ɛn siriɔs filin.
Fɔ tɔk am simpul wan, CBT tritmɛnt de ɛp wi fɔ ɔndastand aw di we aw wi de tink kin afɛkt di we aw wi de fil ɛn aw wi de biev. DBT go fa smɔl pas dat.
Di wɔd "dialektik" min "fɔ briŋ tu aydia dɛn we de agens dɛnsɛf togɛda." Dis na wetin kin apin na DBT tɛrapi. Dat na:
1. Akseptans: "Yes, a de fil dis we rait nau, a get dis problem, na di trut." I de ɛp yu fɔ gri wit wetin de apin to yu.
2. Na di sem tɛm, wok fɔ mek yu chenj fayn fayn wan (Chenj) : Afta yu dɔn aksept di tin we de apin, wi go ɛp yu fɔ win am, chenj di bad we aw yu de biev, ɛn mek yu layf bɛtɛ.
Imajin, "A rili sɔri rayt naw, na tru. Bɔt di sem tɛm, a go fɛn we fɔ kɔmɔt pan dis sɔri-at." DBT tɛrapi de tich yu fɔ kip dis balans.
Dis tritmɛnt we ya na wan Amɛrikin sayɛnsman we nem Masha Linehan bin mek am insay di 1970 dɛm.
Udat DBT tɛrapi de ɛp?
DBT na wan tritmɛnt wae rili fayn fɔ pipul dɛm wae gɛt prɔblɛm fɔ kɔntrol ɛn rigul dɛn filin. Risach dɔn sho se i de gi bɔku rilif, mɔ fɔ di wan dɛn we gɛt dɛn maynd wɛlbɔdi prɔblɛm ya:
| Mental wɛlbɔdi stetmɛnt | Wetin dis min? |
|---|---|
| Bɔdalayn Pɔsin Disɔda (BPD) . | Di filin, padi biznɛs, ɛn di we aw pɔsin de fil bɔt insɛf nɔ kin chenj ɔltɛm ɛn i kin chenj. DBT bin ɔrizinali divɛlɔp fɔ dis kɔndishɔn. |
| Fɔ du bad to yusɛf | We yu fil pen na yu maynd we yu nɔ go ebul fɔ bia, yu kin wund yu yon bɔdi fɔ pul am. |
| Di tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf ɛn di we aw i de biev | Fɔ tink bɔt ɔ tray fɔ dɔn yu layf. |
| Pɔst-Traumatik Strɛs Disɔda (PTSD) . | Stret wae kin kam fɔ lɔng tɛm afta yu dɔn gɛt sɔm kayn bad bad tin. |
| Disɔda fɔ yuz sɔbstans | Drug ɔ rɔm adikshɔn. |
| Di prɔblɛm dɛn we pɔsin kin gɛt we i de it | Ɛspɛshali kɔndishɔn dɛn lɛk fɔ it pasmak ɛn bulimia. |
| Pwɛl at | Bɔrku sɔri-at fɔ lɔng tɛm ɛn nɔr kin gɛt intres. |
| Wɔri | Fɔ fred ɛn wɔri pasmak. |
Di impɔtant tin na dat ɔl dɛn tin ya gɛt wan tin we fiba. Dat min se, dɛn kin yuz we dɛn we nɔ fayn ɛn we nɔ fayn fɔ kɔntrol di bad bad we aw dɛn de fil. DBT tritmɛnt de tich dɛn aw fɔ dil wit dɛn filin dɛn di kayn we we go mek dɛn gɛt wɛlbɔdi instead fɔ yuz we dɛn we nɔ fayn.
Aw DBT tɛrapi de wok?
Di men gol fɔ wan DBT thɛrapist na fɔ mek di balans bitwin akseptɛns ɛn chenj we wi bin dɔn tɔk bɔt. Di pɔsin we de mɛn yu kin ɛp yu fɔ lan nyu tin dɛn fɔ mek yu ebul fɔ kɔntrol aw yu de fil fayn fayn wan.
DBT tritmɛnt kin gɛt 4 pat dɛn:
1. DBT Pri-asɛsmɛnt
2. Wan wan tritmɛnt
3. Skil trenin na grup
4. Telefon kraysis kɔch
Naw lɛ wi luk ɛni wan pan dɛn pat ya wan bay wan.
1. DBT Pri-asɛsmɛnt
Bifo yu bigin fɔ trit yu, yu thɛrapist go tɔk to yu fɔ si if dis tritmɛnt fayn fɔ yu. Dɛn go aks yu kwɛstyɔn ɛn ɛksplen aw DBT de wok. If yu intres pan dis tritmɛnt, dɛn go aks yu fɔ kɔmit to am fɔ sɔm tɛm.
2. Individyual Tɛrapi
Insay dis, yu kin mit wit yu thɛrapist wan tɛm insay di wik. Ɛni sɛshɔn kin tek lɛk 40-60 minit. Dɛn wan wan mitin dɛn ya gɛt bɔku men gol dɛn:
- If yu gɛt maynd fɔ kil yusɛf ɔr de du bad tin to yusɛf, ɛp fɔ ridyus dɛn ɛn kip yu sef .
- Fɔ stɔp di bihayvya we de ambɔg di tritmɛnt.
- Fɔ ɛp yu fɔ rich di tin dɛn we yu dɔn plan fɔ du na yu layf ɛn fɔ mek yu layf bɛtɛ.
- Tich yu nyu skil dɛm we yu kin yuz fɔ tek ples fɔ yu bad bad tin dɛm.
Bɔrku tɛm, yu thɛrapist go aks yu fɔ rayt ɛvride jɔnal fɔ aw yu de fil ɛn aw yu de du. Dɛn kɔl dis "dayari kad." I tan lɛk smɔl dayari usay yu kin rayt aw yu de fil ɛn wetin yu de du fɔ di de. Yu fɔ briŋ dis to ɛni sɛshɔn. Dɔn, yu ɛn yu tritmɛnt pɔsin kin disayd wetin impɔtant pas ɔl fɔ tɔk bɔt da de de.
3. Skil Trenin insay Grup dɛn
Dis na tin we difrɛn smɔl. Insai dis, de thεrapist de tich yu nyu skil dεm wit wan grup כf כda pipul dεm. Bɔt dis nɔto "grup tɛrapi." Dat min se, nɔto ples usay yu de tɔk bɔt yu yon prɔblɛm wit ɔlman. I tan lɛk se yu de tich na klasrum, ples usay yu de lan nyu tin dɛn.
Fo men skil dεm de we dεn de tich pan DBT tεrapi. Dɛn tin ya rili yusful na yu ɛvride layf.
| Skil | Wetin kin apin wit dis? |
|---|---|
| Fɔ tink gud wan | Fɔ praktis fɔ ful-ɔp fɔ pe atɛnshɔn ɛn fɔ tink bɔt wetin de apin na di tɛm we wi de naw, ɛn nɔ wɔri bɔt di tin dɛn we dɔn pas ɔ fɔ fred di tumara bambay. |
| Distress Tolerance we pɔsin kin gɛt | Lan fɔ de de di tɛm wit dɛn filin dɛm, wae nɔr de du ɛnitin wae de ambɔg yusɛf ɔr ɔda pipul dɛm wae gɛt imejensi, tranga, ɔr strɛs. |
| Intapɔsɔnal Ɛfɛktiv | Lan fɔ aks ɔda pipul dɛn wetin dɛn want ɛn nid, fɔ sɛt dɛn yon bɔda, ɛn fɔ kɔntinyu fɔ gɛt padi biznɛs wit rɛspɛkt fɔ ɔda pipul dɛn. |
| Rigyuleshɔn fɔ di Imɔshɔn | Fɔ ɔndastand ɛn no bɔt aw yu de fil (e.g., vɛks, sɔri, frayd), ɛn lan fɔ kɔntrol dɛn as yu si se i fayn. |
4. Tɛlifon Krays Kɔch
Dis na ɔda impɔtant tin we DBT de du. E min se yu kin kɔl yu thɛrapist fɔ ɛp yu pan imejensi, bitwin yu tritmɛnt seshɔn dɛm.
Fɔ ɛgzampul:
- If yu fil lɛk fɔ du bad to yusɛf wantɛm wantɛm.
- If yu fil se yu dɔn stɔp fɔ tray fɔ yuz wan skil we yu dɔn lan na yu layf ɛvride, gɛt advays bɔt wetin fɔ du da tɛm de.
Bɔt di dɔktɔ we de mɛn yu go sɛt klia limit fɔ ustɛm ɛn ɔnda us lɔ dɛn yu go ebul fɔ tɔk to. Bɔku tɛm, dɛn fon kɔl dɛn ya kin shɔt, ɛn dɛn nɔ kin tek ples fɔ wan wan ɔ grup.
Aw a go fɛn gud DBT thɛrapist?
Sɔntɛnde, fɔ fɛn gud dɔktɔ kin tek bɔku tɛm ɛn i nɔ kin izi fɔ du. Bɔt nɔ wɔri bɔt am. Di bɛst tin we yu go du na fɔ aks yu famili dɔktɔ , we yu trɔst, bɔt dis. I go ebul fɔ rifer yu to pɔsin we fit yu.
Apat frɔm dat, if yu gɛt pɔsin we de mɛn pipul dɛn we yu lɛk, i go fayn fɔ aks dɛn sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Wetin na yu trenin fo DBT?"
- "Yu de du di ful DBT tritmɛnt? Ɔ na modifyed vɛshɔn fɔ am?"
- "Yu na memba fo DBT kaunseling grup?"
- "Wetin bi yu polisi fo fon kol o email fo wikend?"
- "Aw moch taim yu de expekt mi fo dediket to dis entire tritment proses?"
Wetin na di bɛnifit ɛn chalenj dɛm fɔ DBT tritmɛnt?
Risach dɔn sho se DBT tritmɛnt kin ɛp mɔ fɔ pipul dɛm wae gɛt BPD. Di bɛnifit dɛn we dɛn kin gɛt na:
- Di we aw pɔsin kin biev we i de du bad to insɛf ɛn we i kin vɛks.
- Ridyus pan di nɔmba fɔ di de dɛn we dɛn kin spɛn na ɔspitul.
- I nɔ de yuz drɔgs ɛn rɔm igen.
- Di sayn dɛm wae de mek pɔrsin gɛt pwɛl hat kin shɔt.
Bɔt, DBT nɔto fɔ ɔlman, ɛn i nɔ izi.
DBT nɔto majik. Fɔ mek yu gɛt di bɛst pan am, i nid fɔ mek yu gɛt bɔku kɔmitmɛnt.
DBT kin rili saksesful fɔ yu if yu rɛdi fɔ dɛn tin ya:
- If yu rili want fɔ mek gud chenj .
- Yu fɔ ful-ɔp wit tritmɛnt ɛn rɛdi fɔ du yu homwok .
- If yu rɛdi fɔ pe atɛnshɔn pan di tin dɛn we de apin naw ɛn di tumara bambay , bifo yu tink bɔt di tin dɛn we dɔn pas.
- If i pɔsibul, tek pat pan grup sɛshɔn wit ɔda pipul dɛn.
Aw lɔng dis tritmɛnt kin tek?
DBT tritmɛnt kin tek at le 6 mɔnt to wan ia . Bɔt ɔlman difrɛn. Di tin dɛn we gɛt fɔ du wit mental wɛlbɔdi biznɛs kin kɔmpleks. So nɔ tink se ɔl yu prɔblɛm dɛn go dɔn insay wan ia. Kɔndishɔn lɛk BPD, mɔ kin tek sɔm ia fɔ trit.
Nɔ wɔri bɔt tɛm. Di tin we impɔtant pas ɔl na fɔ fɛn ɛp. Ivin smɔl impɔtant tin na big impɔtant tin.
Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?
I rili impɔtant fɔ atɛnd yu tritmɛnt sɛshɔn dɛn ɔltɛm.
If yu gɛt imejensi, lɛk fɔ tink bɔt fɔ kil yusɛf, tɔk to yu tritmɛnt pɔsin if yu ebul.
If yu nɔ ebul fɔ rich to yu thɛrapist, nɔ panik. Kɔl di NIMH Mental Ɛlth Ɛplayn na 1926 wantɛm wantɛm. Dɛn de fɔ ɛp yu 24 awa ɛvride. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
DBT na wan tritmɛnt wae rili fayn fɔ pipul dɛm wae de sɔfa wit tranga, bad bad filin dɛm. Fɔ fɛn tritmɛnt wae fayn fɔ yu kin tranga ɛn kin tek yu tɛm. Bɔt nɔ giv ɔp. Di kwik we yu bigin fɔ gɛt tritmɛnt ɛn kɔmit to am, na di mɔ yu go bigin fɔ liv bɛtɛ layf kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- DBT na tritmɛnt we dɛn mek spɛshal fɔ ɛp pipul dɛn we de fil dɛn filin dɛn di we we go mek dɛn fil bad ɛn we de mek dɛn fil bad.
- Dis kin ɛp yu fɔ chenj yu nɔr fayn bihayvya wae yu de aksept yusɛf lɛk aw yu de.
- Dis kin bi fɔ tritmɛnt fɔ ɛnibɔdi, fɔ tren pipul dɛn fɔ lan bɔt aw fɔ du tin na grup, ɛn fɔ advays pɔsin na fon.
- Dɛn de tich 4 men tin dɛn ya: fɔ tink gud wan, fɔ bia wit strɛs, fɔ ebul fɔ tɔk to ɔda pipul dɛn fayn fayn wan, ɛn fɔ kɔntrol aw pɔsin de fil.
- Fɔ mek dis tritmɛnt go bifo, yu nid fɔ de gi yu layf to yu bɔku bɔku wan ɛn intres.
- E fayn fɔ fɛn tritmɛnt wae fayn fɔ yu, ɛn nɔr frayd fɔ aks kwɛstyɔn bifo yu bigin fɔ trit yu.
- Dis na wan joyn. Nɔ ɛkspɛkt chenj wan nɛt. Ivin smɔl smɔl tin dɛn we dɛn kin du fɔ mek tin bɛtɛ na big win.
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