DBT For Dummies. Gillian Galen

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there situations that repeatedly cause you distress (hearing the word no, receiving a compliment, receiving feedback at work or from a friend, saying no to someone)?

       Are there certain emotions that are harder to manage and that frequently cause you distress?

      Thinking about these experiences will help you narrow down specific areas that you can focus your skills on so that you don’t keep finding yourself in similar painful situations over and over again.

      Figuring out coping solutions

      

In Part 3 of this book, we introduce the DBT skills that, with practice, you can use as coping solutions. Remember, sometimes the solutions are simply tolerating and accepting the reality in front of you, while other skills will help you solve problems, turn up or down the intensity of your emotions, or be more effective in your relationships or interactions with others. Being able to understand and identify your emotions is the first and very critical step in coping. Often, people skip over this step, and when that happens, they rarely choose the most effective skill to meet their goal.

      Understanding Your Behaviors

      IN THIS CHAPTER

      

Connecting what you feel to how you act

      

Recognizing and dealing with triggers

      

Linking specific behaviors to specific reactions

      Many of us in the mental health field find human behavior to be fascinating. Observing patterns of behavior and trying to predict what a person is going to do next can be useful in establishing what is helpful and what is not, and what interventions to use if behavior is to be changed. And yet in many instances, behavior is very predictable, because it’s patterned through repetition. Take a behavior like walking. Because of repetition, it’s predictable that a person will walk when getting from point A to point B. And yet walking is a relatively simple behavior. Behaviors that emanate from strong emotions can be very complex and much harder to predict.

      People who are emotionally sensitive generally experience life with more intensity than those who are less sensitive. Typically, with more sensitivity comes a greater degree of behavioral variability.

      In this chapter, we review the connections between feelings and actions, recognize the triggers that set off behaviors, and look at how we can link specific behaviors to specific reactions as a way to begin to change unhelpful behaviors.

      When you’re engaging in mood-dependent behavior, you’re acting on the urges caused by your underlying emotional state. An example of this is when, for instance, you have a low mood and have the urge not to get out of bed or see anyone. Staying in bed and not seeing your friends would be mood-dependent behavior. If you are feeling angry and lash out at your co-worker for a seemingly trivial transgression, that is mood-dependent behavior.

      For people who are prone to such behavior, when the mood has passed, they can often feel guilty or shameful about their behavior. In the moment, however, the person acting on their emotions without thinking frequently feels justified and right for having done so. The alternative of stopping and reflecting on what to do, or even tolerating the discomfort of the emotion, can feel unbearable. Mood-dependent behavior can bring instant relief and feels great in the short run, only to cause greater harm in the long run.

      

For any individual, every emotion has an action urge, and it’s a core part of DBT for the person to know their typical behavior when they are feeling strong emotions. If you struggle in this way, being mindful is key to developing the awareness of how your emotional state in the present moment leads to these behaviors. Mindfulness is also key to then having a more deliberate response. This means that when a strong emotion arises, you should take the time to pause and ask yourself the following:

       “Is what I am about to do consistent with my long-term goals and values?”

       “Will this behavior actually get me what I want?”

       “How likely is my behavior going to lead to regret, guilt, and shame?”

      Everyone’s brain creates powerful associations between things that hurt them and the people associated with that hurt. For example, once you’ve been attacked in a dark alley, even walking by an alley can lead to a physical reaction. Interestingly, it’s easier to recognize and forgive our own behavior and misbehavior because we understand the connection between our response and whatever is triggering that response. However, it’s also true that other people have reasons for the reactions that they have. Just because we don’t understand why they are doing what they are doing doesn’t mean that they don’t have their own triggers.

      Particularly when someone has experienced trauma, abuse, and invalidation, this can lead to unexamined and unprocessed emotions that can be triggered by anything that leads to recollection of the events. The triggered person typically has a fair grasp on reality, but their emotional response fails to reflect the current situation; they may feel suspicious of the intentions of those around them or anxious around friends, or become very angry for a seemingly trivial slight.

      

The point is that whereas you might understand your own reactions to triggers, it’s important to realize that the reason a person is acting the way they are could be because they are triggered as well.

      The most important reason to identify triggers is to either limit their disruption in your life or minimize the power they have in controlling your actions. The following sections provide more insight into identifying triggers.

      Limiting

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