Category Archives: 1 – The DBT-CBT Workbook

Working Through Verbal and Emotional Abuse: Challenging the Lies We’ve Come to Believe Using DBT-CBT Therapy Techniques

The following is an amended excerpt from the DBT-CBT Workbook. It is from Chapter 8, “Challenging Extreme Judgments,” which focuses on the negative things we say to ourselves (and believe) and the negative things others have said of us that we come to believe as truths about us.

When we’re mad or hurt, we sometimes say very hurtful things to ourselves and others. This is Emotion-Driven Behavior. Our hurtful words are based on how we’re thinking and feeling in the Heat-of-the-Moment! They’re ANGRY WORDS. We’re not in Rational Mind and we’re not speaking truth. We’re expressing HOW WE FEEL about people and things WHEN WE’RE MAD OR HURT! Words driven by a heated Emotional Mind SHOULD NOT BE TRUSTED!

The purpose of this chapter is to recognize that these statements are borne from Emotional Mind…an angry, depressed, or discouraged state of mind. They are Emotion-Driven Lies…not Rational Mind truths. The worksheet for this chapter, “The Challenging Negative Judgments of Me Worksheet” leads us through the process of challenging these lies through Rational Mind. We identify a particularly hurtful statement that has negatively impacted our self-esteem and self-concept and we identify characteristics of ourselves that prove that we are not that way. Then, we are challenged to answer the question…”What is rational to believe…that statement that came out of the mouth of someone who was upset and irrational in the emotional moment…or all these facts about ourselves that prove otherwise and the hundreds of people that agree we really are this kind of person?”

THESE TRUTHS SHOW HOW MUCH OF A LIE the negative judgment is…and has been. The judgment was NOT based on truth. It was an EMOTION-DRIVEN LIE MADE UP about us…and WE HAVE LIVED SO MUCH OF OUR LIFE BASED ON THIS LIE. We have believed the lie. We have NOTICED EVERYTHING that supported the lie, and discounted, overlooked, and IGNORED ALL THE THINGS that challenged the lie…all the things that prove we’re NOT stupid, worthless, or undesirable. LET THAT SINK IN. What was said about you is A BOLD-FACED LIE. IT IS NOT TRUTH. We know that now because THE FACTS PROVE IT! Anytime those old feelings come up, be ever so Mindful of the facts and the TRUTH. TAKE A STAND and RATIONALLY CHALLENGE THE LIE…right then and there. Don’t EVER let yourself get away with believing that lie again. RATIONALLY CONFRONT IT and DEFEND YOURSELF!

The following is the text that follows this worksheet and discussion directly about it.

APPLICATION: The Origin of the Judgmental Lies

Most of the negative judgments made about us…were first said to us when we were young. They were NOT based on anything about us…not a character trait or a personality feature.

When someone tells a 3 or 4 year old child that they’re worthless, stupid, or will never amount to anything…or they’re too much of this or too little of that…or no one will ever love them…IT’S AN EMOTION-DRIVEN LIE. How in the world can someone know something like that about a very young child? This type of meanness, ugliness, and hurtfulness SPEAKS VOLUMES about the person making the statements…AND SAYS NOTHING ABOUT THE CHARACTER OF THE CHILD.

We know that when WE make ugly and insulting comments to others, we’re being verbally abusive. Oftentimes, we’re mad and we say these things in anger. Likewise, THE PERSON saying ugly things to us is UPSET, too. Often, THEY FEEL stupid, irresponsible, or worthless and THEY TAKE IT OUT ON US. Most of them were emotionally abused…and are just MINDLESSLY PASSING IT ON to the next generation. Also, they may suffer the moodiness and impulsivity that goes with drugs and alcohol, Bipolar Disorder, Borderline Personality Disorder, etc. For whatever reason, they’re BIG-TIME IN EMOTIONAL MIND and they’re being verbally and emotionally ABUSIVE to us. When we’re YOUNG or VULNERABLE, (22) WE TRUST THEIR OPINIONS and come to BELIEVE what they’re saying. However, WE’RE BELIEVING AN EMOTION-DRIVEN LIE.

When we did “The Challenging Negative Judgments About Me Worksheet,” we CHALLENGED the EMOTION-DRIVEN LIE by looking at the Big Picture of Our Life THROUGH THE EYES AND TRUTH OF RATIONAL MIND. When we review this worksheet and consider all the things about us that support we’re capable people with worth and value, we’re functioning in Rational Mind. When we make a DECISION that WE’LL NO LONGER JUDGE OURSELVES in a FALSE and HURTFUL manner, we’re functioning in WISE MIND. When we’re DETERMINED that ANY TIME those old thoughts or labels COME TO MIND, we’ll CHALLENGE THEM and REMIND OURSELVES of all the things about us that PROVE otherwise, then, we’ll be USING WISE MIND TO MINDFULLY PROTECT OUR PEACE AND STABILITY.

ANY TIME, ANY ONE of those NASTY JUDGMENTS comes into our thoughts and begins to hurt us, WE NEED TO CHALLENGE THEM…right then n’ there. (23) We need to STOMP THEM OUT and REFUSE to allow them to CONTROL US any longer. They are lies. WE HAVE BEEN LIVING A LIE. We have perceived ourselves based on a lie. DO NOT ALLOW THESE LIES TO CONTROL YOUR LIFE ANY LONGER! DO NOT ALLOW THEM TO TAKE AWAY your peace and stability! They’re things Coming At Us that have NO PLACE in our Inner Circle.  TAKE A STAND against these lies…and FIGHT FOR YOUR RECOVERY!

APPLICATION: Stupid Is as Stupid Does?

At this point, some folks say, “When they said that, I had done something stupid or irresponsible.” Remember, we’re human. We’re not perfect. Things WILL happen.  That’s our humanity! One stupid behavior or 10 or 12 of them means we did one stupid behavior or 10 or 12 of them. Those things describe our behavior in-the-moment or the month. They DO NOT define WHO WE ARE as a person or WHAT WE’RE CAPABLE OF. They DO NOT define our character or our make-up. THEY DEFINE AN event, action, or a behavior…NOT our WHOLE person. Just because the 8th grade educated shift team leader made a mistake, that doesn’t mean he’s stupid. That means HE MADE A MISTAKE…THAT DAY. That mistake and an 8th grade education DOESN’T describe what he’s capable of. Those things DO NOT define his character or describe everything he has ever accomplished in life. HE IS NOT STUPID. He simply made AN ERROR.(24) Stupid ISN’T as stupid does!

There may be times in our life when we make many errors…even when we totally mess things up for a year or two by making one bad decision after another. DOES THAT MEAN WE’RE STUPID? NOOOOOO. It means we’re DYSREGULATED (25) and LIVING Big-Time in Emotional Mind. It means we’re making a lot of Emotion-Driven decisions which ARE STUPID. That DOESN’T MEAN WE ARE STUPID…you know why?    Explain. _________________________________________________________________________
_________________________________________________________________________

We’re NOT stupid or clueless. In our gut, we usually know our behavior is going to cause problems BEFORE we do it! We have Wise Mind going on, but we’re NOT PAYING ATTENTION TO IT. We’re NOT Following Through With What We Know is in our best interests…because WE’RE BIG-TIME in Emotional Mind! WE’RE  DYSREGULATED… we’re LIVING IN-THE-MOMENT. We’re uncomfortable…we hurt…we’re not worrying about tomorrow. We’re living for TODAY…and if it feels good…we’re going to do it!

Are we STUPID because we do it?  Explain. ___________________________________
____________________________________________________________________

No, we’re NOT STUPID. We’re ACTING in poor judgment. We KNOW better.  We know right from wrong…and good from bad. We DO stupid things because EMOTIONAL MIND IS DRIVING. That’s why we SPIN-OUT and LOSE CONTROL.  That’s why we wreck-out and our life becomes a total wreck.

So, does that mean we have poor judgment?  Explain. __________________________________

____________________________________________________________________________

NO…because WE HAVE GOOD JUDGMENT! We KNEW it was stupid or of poor judgment…but we did it anyway! We KNEW it was going to end poorly, but we DIDN’T CARE AT THE TIME. We just did what we WANTED to do…
and no one or nothing was going to stop us. We were being VERY WILLFUL.

What we did was EMOTION-DRIVEN Behavior. We do all types of MINDLESS and IMPULSIVE things when we’re acting on Emotional Mind…ESPECIALLY WHEN WE’RE IN A DESPERATE STATE, like desperate for relief, desperate for comfort, or desperate to be held and loved on. It’s NOT STUPIDITY. It’s DESPERATION. You’ve heard the saying, “Desperate times call for desperate measures.” Well, desperate measures often involve risky things that are likely to have a bad outcome. So, BECAUSE WE’VE DONE SOMETHING STUPID or two years or ten years worth, that DOESN’T MEAN WE ARE STUPID. That’s because WE KNOW BETTER.

WE JUST DO IT ANYWAY! Gladly, this workbook is about GETTING CONTROL of our BEHAVIOR and our LIFE! And, we do that by Turning On RATIONAL MIND and WISE MIND to REGULATE and CONTROL our dysregulated and Out-of-Control emotions and Emotion-Driven Behavior.

Footnotes:

22- If we’re older when these lies were spoken, they usually came from an abusive spouse or romantic partner.  Over time, we’ll realize these people were angry, mean, harsh, moody, and unfair.  We KNOW their words were Emotion-Driven.  We KNOW they’re abusive, mean, and critical people, but for some reason, we believe their ugly opinions.  We believe they’re right and other people are wrong.  Go figure.  The truth, we were vulnerable and they took advantage of it.  Often, they were mean to “keep us in our place”…in a “downed position” with low self-esteem.  They wanted us to believe we ARE stupid, unworthy, and not capable…so we would never have the strength to leave them.

23- Whenever a negative judgment begins to bother you, either complete “The Challenging Negative Judgments of Me Worksheet” in your mind or on paper.  Use this RECOVERY TOOL to challenge those lies!

24- I’m pretty smart with a Ph.D…that just gives me a license to be  Piled Higher and Deeper in errors!  Lord knows if it’s 10AM and I haven’t made an error yet, I must still be asleep!

25- Dysregulated – (dis-reg-you-lated) – not in control of ourselves… we’re not able to regulate or control our behavior.

Extra margin text below:

No matter how smart we are or how much psychological stuff we know, we can get side-swiped and wrecked-out by a hurtful comment.

When we believe these lies and base our sense of self and identity on these lies, we’re viewing ourselves through Emotional Mind.  We’re not dealing with the facts and the truth.  We’re overlooking, ignoring, and denying all the things which tell us we aren’t that way…and we’re focusing on ALL the things which suggest we may be that way.  We’re ignoring what Rational Mind is telling us and we’re viewing ourselves through the distorted lenses of Emotional Mind.

We have thought poorly of ourselves and have treated ourselves poorly because of a lie.

We ARE going to do some stupid and thoughtless things now and then, but that doesn’t mean we’re a stupid and thoughtless person.  It means we DID SOMETHING that was stupid or thoughtless.

We ACTED in poor judgment.  We went against our good judgment.

“Then how do we describe this stupid, poor judgment behavior?!”   We describe it as DESPERATE behavior.  It’s not an issue of smarts.  It’s an issue of being desperate and dysregulated!  It’s an issue of being OUT-OF-CONTROL! We know better, but we do desperate, self-defeating things anyway.

This text was adapted from the DBT-CBT Therapy Workbook – “Out-of-Control:  A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior”  by Melanie Gordon Sheets, Ph.D.  – copyright 2009 – Recovery Works Publications

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Using Rational Mind to Challenge the Emotional Mind Lies We Tell Ourselves That Sabotage Our Self-Confidence and Recovery: A View of Addiction Recovery from a DBT-CBT Therapy Perspective

Here’s an “adapted” excerpt from the DBT-CBT “Out-of-Control” therapy workbook.  It’s from Chapter 7, the Rational Mind chapter.  This chapter discusses Rational Mind in detail and offers many Rational Mind challenges for the Emotional Driven Lies we tell ourselves AND WE BELIEVE…ones that often sabotage our self-esteem and our recovery.

The Self-Fulfilling Prophecy of Failure:
“I expect to fail so I don’t try very hard …so, I fail.”

SKILL BUILDER: Failing to Succeed…or Successful Failures

Consider the lies we tell ourselves about success and failure, like,

“I’ll NEVER be  able to do it.”

“Everything I try gets screwed-up somehow.”

What do you say about your failures?  ____________________________
________________________________________________________

The truth…we MAY HAVE failed at MANY tasks.  If so, we need to rationally understand why.  Quite often, we fail because we DON’T TRY to succeed.  We “KNOW” we can’t do it…so we DON’T TRY, or we DON’T TRY VERY HARD.

Despite USUALLY giving things ONLY A HALF-HEARTED EFFORT, we may recall some times WHEN WE REALLY TRIED, but failed anyway.  BUT, DON’T THINK we’re off the hook because of some FULL EFFORT failures.

WE DON’T GET TO STOP TRYING just because when we’ve REALLY TRIED, we’ve still failed!  Rational Mind would inform us that MOST PEOPLE WHO SUCCEED HAVE FAILED MANY TIMES.  There are many TRUE stories to support this TRUTH.

Which stories have you heard…about people who FINALLY SUCCEED AFTER A LONG STRING OF FAILURES? _____________________________
_____________________________________________________

Abraham Lincoln ran for MANY political positions and lost MANY TIMES before he ever WON an election.  The ONE he won was THE BIG ONE…the PRESIDENTIAL election!  There are MANY stories about business leaders who had MANY failed businesses before they hit it big!  Henry Ford went bankrupt 5-6 times because of failed businesses before he gained success in the automotive industry.  The Heinz company had the same kind of start.  Have you read that Oprah was fired from a reporter’s job because she wasn’t right for TV?  Somebody certainly misjudged her!

Some of our greatest leaders and wealthiest people failed many times
before they achieved great success.

When we fail, we need to SEEK AN UNDERSTANDING of WHY we failed.  We need to LEARN FROM IT and CORRECT WHAT WE’RE DOING.  We need to change or adjust our plan to deal with what went wrong.  Successful “failures” start with PLAN A and go to PLAN B, C, D, E…and so on until things work out!  Despite their failures, THEY KEEP ON KEEPING ON!

It’s also important to be Mindful of our successes and accomplishments and to note WE’VE ALL HAD SOME!  We also need to realize that WHEN WE’VE TRIED…when we’ve REALLY STUCK WITH IT, we’ve overcome challenges…and WE HAVE BEEN SUCCESSFUL. Consider the 8-18 attempts at recovery that it takes people ON AVERAGE to become clean n’ sober.  Through our recovery attempts, we learn about our triggers and relapse patterns.  We learn we REALLY HAVE TO change the things in our life that we DON’T WANT TO CHANGE…things that we’ve refused to change, like friendships, activities, and abusive or conflict-filled relationships.  Because of our repeated failures at recovery, we FINALLY SUCCEED!  That’s because we’ve revised our Recovery Plan SO MANY TIMES that we FINALLY GET ENOUGH OF THE NECESSARY CHANGES made!  We’re hard-headed and we’ve got to learn from OUR experiences…and in the world of recovery…these experiences ARE OFTEN RELAPSES.

Does this information change the way you think about your “failures”?  If so, explain.  ______________________________________________
___________________________________________________

Changing our LIFESTYLE and our LIFE IS VERY DIFFICULT.
We need to ACCEPT OUR FAILURES

and UNDERSTAND they’re a NATURAL part
of the LEARNING PROCESS…
IF we learn from them.

It’s clear that Emotion-Driven Thoughts like, “I can’t do it. Why try?” are lies we tell ourselves. What’s the truth? _______________________________
______________________________________________________

The truth is, WHEN WE KEEP TRYING, things FINALLY work out.  Sometimes, we don’t succeed because we aren’t going about it the right way.  Therefore, we need to get a NEW PLAN.  Sometimes, we try to do more than is do-able at one time.  We plunge head first when we’d be better off wading in and taking smaller steps!  There are many reasons why we haven’t reached our goals.  Fortunately, most of these problems can be overcome with PERSISTENCE and a REVISED GAME PLAN!

Footnote: This footnote is “margin text” from the workbook alike the dark red inserts in the text above…however, these weren’t so easily woven in!  This first one relates to the 8-18 tries at recovery it takes on average to recover from substance abuse.

“Some say, ‘Been there, done 14, I’ve got to be real close to making it!’ Folks who are new to recovery are discouraged, ‘I don’t want to do this that many times.’ Be Mindful that 8-18 is an average. Some make it on the 1st try (they need to write the book!), others on the 25th. Some make it in 3 tries, others in 20. Bear in mind though…these numbers don’t mean it’s okay to relapse 17 times and then work real hard on the 18th try!”

These are “sayings” in the margin that go along with the text:

“If we don’t put forth a FULL effort,
we’ll never REALLY KNOW if we can succeed.”

“We never fail until we quit trying.
Success comes to those who are determined
to overcome obstacles in their path.”

When we understand that our failures are part of the learning process,
then we can constructively accept our failures and learn from them.

We’re so willful and hard-headed about recovery…
we won’t take someone’s advice or learn from THEIR experiences.
We have to learn from OUR personal experiences…
which is often OUR failures!

A mistake is only a mistake
if we fail to learn from it!
When we learn from our experiences,
our failures become a stepping stone toward success!
Therefore, a recovery goal is to Turn On Rational Mind to challenge our “failure” lies…
and to Turn On Wise Mind to make some adjustments to our Game Plan!
That’s because WE haven’t failed, our plan has!

Hope you enjoyed this blog entry and that it helps to challenge destructive “failure” thoughts.  It took half of forever to format this…the format of the workbook doesn’t cut n’ paste very well…or at least I haven’t learned yet how to do it more efficiently!  Life is one big learning curve and I guess sometimes we’ve just got to hold on…persevere…and enjoy the ride!

The DBT-CBT Workbook: Worksheets, Activities, Charts, Questions, Skill Builders, Tracking Sheets, and other Special Features

The Special Features of the DBT-CBT Out-of-Control Workbook

“Statements of Support and Encouragement” –  the first two pages have space for our support people to write statements of support and encouragement for our journey through the pathways of recovery.

“Table of Contents” – a detailed 7-page table of contents not only lists the chapter titles, but also the major topics or sections in each chapter.

“Introduction” – the book opens with a general introduction to the program.

“FAQs and More” – an opening section that answers several “frequently asked questions” about the program and workbook.

“An Overview of the Three Mind States” – a two-page chart describes Emotional Mind, Rational Mind, and Wise Mind so folks have a general idea of what these are before they begin reading the book.  In addition, various emotions are listed with examples of the types of emotional thoughts that go with them. Then, examples of how Rational Mind and Wise Mind might respond to these emotions and thoughts are listed.

“An Overview of the DBT-CBT Process and the Pathways of Recovery and Relapse” – a flowchart shows how we use Emotional Mind, Rational Mind, and Wise Mind to deal with difficult life events and emotions in a healthy, recovery-based way.  The chart also shows what happens when we act on our emotions without using Rational Mind or Wise Mind. A written description of this process is also provided. This also serves as a very good overview of the DBT-CBT program.

“How Bad Do I Really Want Recovery?” – an introductory worksheet to help us gauge our readiness for recovery…before we get started with the workbook.

There are 14 chapters in this workbook:

The Nature of the Problem

The Big Picture of My Life

The Pathways of Recovery

Mindfully Protecting My Peace and Stability

Mindfulness Is a Skill

Emotional Mind

Rational Mind

Challenging Negative Judgments of Me

Wise Mind

The Wise Mind Worksheet

Distress Tolerance

Acceptance

Life-Enhancing Coping Skills

The Game Plan

“Rest Stops” – the 14 chapters are divided into three sections.  After each section is a “Rest Stop” which provides a summary of each chapter in the section, “Where We’ve Been…What Ground We’ve Covered.” The Rest Stops also tell us “Where Do We Go from Here” or what we are getting ready to cover in the next section or sections.

“Applications” – the “general knowledge” information presented in the workbook is applied to situations that are familiar to us. The information is applied to Real Life…and often it’s our life that it’s applied to or the lives of people we know.

“Skill Builders” – these are activities and worksheets that help us to practice and apply the skills and concepts we’re learning.  Several are highly therapeutic and will lead us to major insight, self-understanding, and change.

Workbook Questions – the pages of the workbook are FILLED with “workbook” type questions. These help us to process the material and apply it to our life. “Answers” or comments can be found in the text following most questions.

“Chapter Reviews” – each chapter ends with a set of questions about the material and space for writing responses to these questions.

“For Reflection” – at the end of each chapter is a lined space to “journal” or write.  We’re encouraged to write about whatever comes to mind or heart.  Some ideas for what to write are listed in the margin…such as how the material relates to our life, how it affects us, motivates us, what we have learned, major insights, etc.

“The Concepts and Skills Tracking Sheets” – worksheets at the end of each chapter which list the major concepts, principles, understandings, and skills presented in the chapter. They are a tool to help us learn, practice, and apply the skills and information in each chapter. They help us to remember what we’ve read and they offer a way to TRACK our practice and Real Life use of the recovery skills and understandings.

Margin Text – the left side of each page has a 1-1/2 inch margin that provides the following information and features:

Definitions – easy to understand definitions of words used in the text.

“Phonetic” or “Sound-Out” Spellings – spellings of less common or hard to pronounce words.

“Footnote Style Numbering” – the margin items listed above are numbered and the section in the text that they go with are numbered (footnote style).  This is so we know how the margin information connects to the text…to know when it should be read.

Quotes and Sayings – the margins are also used for quotes and sayings that relate to the text.

“A List of Negative Emotions” – a fairly long list of unpleasant, upsetting emotions.  Similar types of emotions are grouped together.  This helps us to be aware of the emotions we experience and it gives us words to describe our feelings.

“Turning Point Worksheets” – listed below are SOME of the worksheets that have had the greatest impact on Group Members.

“The Cycle of Suffering in My Life Worksheet” – helps us to understand how the problems we’re having in life are greatly worsened by how we are trying to cope with them. It shows that the things we’re doing to try to feel better in-the-moment end up causing us long-term pain and suffering.

“The Big Picture of My Life Worksheet” – helps us to recognize the many things that bring meaning and satisfaction to life…and what happens to these things when we respond to life in self-destructive Emotion-Driven ways.  It helps us to understand the consequences of Emotion-Driven Behavior.  The worksheet provides many insights that help our Rational Mind to rationally challenge many Emotional Mind “desires.”

“The Mindfully Protecting My Peace and Stability Worksheet” – helps us to understand the number of stressors, pressures, demands, and difficult things “Coming Our Way” and the importance of being mindful of these things, maintaining boundaries, prioritizing, and coming up with a Game Plan for managing what’s “Coming at Us.” The purpose is to protect our peace and stability and the quality of our life…to minimize Emotional Mind flare-ups and crises and relapse into self-destructive coping behavior.

“The Challenging Negative Judgments of Me Worksheet” – provides us a structured way to rationally challenge the abusive, hurtful, destructive statements made about us. Members are often shocked at the results of this worksheet because it shows or “proves” how much of a lie those statements were…and how irritational we are to continue to believe.

“The Well Analogy Worksheet” – helps us to talk our way through an Emotional Mind crisis or situation…to go from impulsive coping responses to a Wise Mind response.

“The Wise Mind Worksheet” – walks us through the use of the three mind states so we can come up with a Wise Mind plan for dealing with a major issue or problem.

“The Game Plan” – this worksheet is for the development of a personalized recovery plan. The principles, concepts, skills, and understandings gained throughout this workbook are used to develop this recovery plan. The use of Rational Mind and Wise Mind are built into the plan as is a respect for our Emotional Mind issues and dynamics and who we are and how we are as a person.

“Step-by-Step Instructions” – detailed instructions are provided for the completion of the worksheets and tracking sheets.

“Samples of Completed Worksheets” – one or more completed samples are provided for each worksheet. These aid in understanding how to complete the worksheets. Oftentimes, seeing how a worksheet is done helps to better understand how to complete it!  Many of the completed samples are used for discussion in the workbook, too.

“Real Life Stories” – four stories that describe the life events and situations common to a recovery population are shared. Many Group Members feel as if these stories were written about them…sparing some details.

“Out-of-Control:  A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior” by Melanie Gordon Sheets, Ph.D.  –  Copyright 2009  Recovery Works Publications



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The DBT-CBT Recovery Workbook Focuses On Self-Destructive Behaviors

DBT-CBT is a life-changing recovery program that inspires people
to make the life changes that will change their lives.
This program has turned many defeated hearts into empowered spirits
that are psychologically prepared to take on the challenges of
GETTING ON  and STAYING ON the Recovery Path.

Come join us in our journey.

This is a workbook for recovery from a variety of Self-Destructive Coping Behaviors. The philosophy of DBT-CBT is that “Many of our “abnormal” behaviors are normal given our experiences. They once served as survival skills.  However, their period of usefulness is long over.  We’ve overused these coping behaviors…and now, they’re causing us great pain and they’re destroying our lives.”

This workbook explains why we do the things we do…and why we keep doing these things even though they cause us more pain and problems.  It’s about what we do in the heat-of-the-moment…the emotional moment.  It’s about what happens when EMOTIONAL MIND drives and RATIONAL MIND takes a backseat…and WISE MIND is left on the side of the road.

When we’re filled with upsetting emotions, we often do things for quick relief…like drugs and alcohol; suicide attempts; cutting and other forms of self-mutilation; aggression; temper tantrums; walking off and leaving the situation; withdrawal; overeating or not eating enough; overshopping; “sleeping around”; rebound relationships; gambling; and other risky and reckless behaviors. The Nature of the Problem is…the things we do to feel better end up multiplying and intensifying our problems. Our Destructive Coping Behaviors help us to cope in the Heat-of-the-Moment…but, they have many negative consequences. They make our current problems more severe…and they CREATE many new problems for us to struggle with.   Over time, our lives spiral OUT-OF-CONTROL and into a CYCLE OF SUFFERING.

This workbook provides useful tools, attitudes, and plans for changing how we respond to life.  Our goal is to GET CONTROL of our OUT-OF-CONTROL emotions, behaviors, and thinking. We do this by PARTICIPATING EFFECTIVELY in our lives and by using LIFE-ENHANCING COPING MECHANISMS to deal with our pain and problems.  Our goal is to MINDFULLY PROTECT OUR PEACE AND STABILITY and the BIG PICTURE OF OUR LIFE.  Our goal is to STOP the CYCLE OF SUFFERING.

What Causes People to Change? When It’s Painful To Change But More Painful Not To

Pain and Suffering and the Pain of Change

Pain is a type of distress.  It’s a natural part of life.  Pain is designed to be temporary.  The purpose of pain is to PUSH US TO DO SOMETHING to end the pain…so we can return to a pain-free state.  Pain is a call to action.

Alike most things in life, we have two choices when it comes to pain.  We can either LEAN INTO the painful situation and change things or we can work hard to avoid dealing with it.

If all we do is work to avoid pain…if we don’t Lean Into it…if we don’t deal with it…if we refuse to accept it…if we refuse to do what’s needed to get through it …OUR PAIN WON’T GO AWAY.  It’ll be with us for a long time.

Running from our problems just prolongs our agony and brings us to a chronic state of suffering… a long-term condition of being overwhelmed with despair and stuck in the same place and time… and we don’t move forward.

We want things to get better in our life, but we’re NOT WILLING to do the things that will make our life better.  We want life to change, but we’re not in the mood to change.

We generally DON’T CHOOSE to make major life changes “out of the blue” or on our own.  Change usually happens when we’re FORCED to make changes.  And most often, we make changes when we have NO OTHER CHOICE but to change.  We generally let things get SO BAD that the pain of living like we’re living is MUCH GREATER than the pain of change…and that’s when we begin to change.

If we really want our life to change, we have to make changes…despite the distress of change.  Our life isn’t going to get better unless we do things that make life better.  When people make major life changes, a strong commitment is made, like, “Come hail or high water, this is going to happen.  I’m going to do what I have to do, no matter what.  I’m so tired of living this way.  I refuse to allow myself to live like this any longer.”

Excerpt from Chapter 11 “Distress Tolerance” of the DBT-CBT Therapy Workbook entitled: “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook  for Getting Control of Our Emotions and Emotion-Driven Behavior” (Melanie Gordon Sheets, Ph.D. – 2009 – Recovery Works Publications)

http://www.dbt-cbt-workbook.com

Six Major Problem Areas Addressed by the DBT-CBT Recovery Program

DBT-CBT Addresses Six Major Problem Areas

These six areas are listed below.  Examples of the types of problems
we might have in each area are also noted.

This workbook is designed to meet the needs of people who suffer
from problems in SOME or ALL of the six areas.


1. RELATIONSHIP PROBLEMS

Conflict-Filled or Stormy Relationships   •   Abusive Relationships
Relationship Disappointments or Frequent Ups and Downs
Unfulfilling Relationships   •   Short-Term Relations
Love – Hate Relationships   •   Few or No Close Relations
Fear of Rejection  /  Actual Rejection  /  People Have Pulled Away
Co-Dependency  /  Dependency   •   Attention-Seeking Behavior
Fear of Abandonment  /  Actual Abandonment   •   Mistrust
Mad at Everyone   •   Loneliness  /  Can’t Tolerate Being Alone
Shyness  /  Fear  /   Major Discomfort in Social Situations

2. MOOD SWINGS – DEPRESSION – ANXIETY – ANGER

Moodiness  /  Major Mood Swings   •   Easily Angered   •   Rage
Guilt / Shame   •   Being a “High Drama” Person
Unbearable  /  Intense Emotions   •   Anxiety  /  Panic
Depression  /  Helplessness  /  Hopelessness  /  Worthlessness
Believe Things Won’t Get Better  /  Want to Give Up
Feel Out-of-Control  /  Overwhelmed  /  Suicidal

3. UNHEALTHY THINKING

Worrying  /  Overthinking  /  “Stewing” over Things
Dwelling on the Past   •   Preoccupied with Revenge
Pessimistic Thinking  /  Negative Expectations   •   Irrational Beliefs
Catastrophizing  /  Blowing Things Out of Proportion
Black and White  /  All-or-None Thinking
Putting Ourselves Down  /  Focusing on Our Worst Qualities

4. UNHEALTHY COPING BEHAVIORS

Please see the “List of Common Self-Destructive Coping Behaviors” above.

5. OTHER IMPULSIVE BEHAVIORS – BAD CHOICES

Doing Things on a Whim  /  Making “Snap Judgments”
Not Thinking Things Through and Having Negative Consequences as a Result

6. QUALITY OF LIFE PROBLEMS

Burnt-Out  /  Life Is a Chore   •   Nothing to Live For
Emptiness  /  Meaninglessness  /  Boredom
More Problems Than I Can Bear   •   Must Start Over
Financial Problems  /  Bankruptcy
Job Loss  /  Can’t Keep a Job Loss of Career or Professional License
Demotion  /  Probation at Work
Loss of Relationships   •    Family Pulled Away   •   Can’t See Children
Loss of Trust From Others   •   Reputation Damaged
Loss of Self-Respect and Integrity   •   Loss of Self-Confidence
Problems Getting an Education  /  Not Completing Semesters
Underachievement • Loss of Housing   •   Loss of Transportation
Loss of Possessions • Loss of Pets   •   Loss of Freedom
Legal Problems  /  Probation or Imprisonment
Health Problems  /  New Medical Diagnosis

This list is an excerpt from the DBT-CBT Therapy Workbook – “Out-of-Control:  A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior”  by Melanie Gordon Sheets, Ph.D.  – 2009 – Recovery Works Publications

A List of Common Self-Destructive Coping Behaviors

“A List of Common Self-Destructive Coping Behaviors”

Avoidance Strategies

Denial  •  Oversleeping  •  Procrastination  •  Stuffing Our Emotions

Walking Off – Leaving   •   Withdrawal – Isolation

Flight into Activity (staying too busy to think about our troubles)

Eating Disorders

Anorexia   •    Bulimia    •   Overeating   •   Comfort Eating

Passive-Aggressive Behavior

“Harmless” Jokes   •   “Forgetting” (forgetting on purpose!)

“Accidents” (accidently doing something on purpose!)  •  Sarcasm

Procrastination   •    Talking Behind Someone’s Back    •     Gossiping

Physical Aggression

Towards People, Animals, and Property

Self-Harmful Behavior

Suicide Attempts – Gestures

Self-Mutilation (cutting, burning, scratching, hair pulling,

and other forms of self-inflicted body damage).

Substance Abuse / Dependence / Self-Medicating

Alcohol   •    Illegal Drugs    • Prescription Drugs

Over-the-Counter Drugs

Vengeful Acts

Taking Revenge (getting even…or ahead!)

Verbal Aggression

Saying Hurtful Things to Others   •   Hostile – Threatening Remarks

Screaming Fits – Temper Tantrums • Threats to Harm/ Kill Ourself

Telling People Off    •   Bluntness – Speaking Our Mind

Other

Gambling    •    Habitual Lying    •   Codependency – Enabling

Rebound Relationships    •    Promiscuity (sleeping around) – Affairs

Overshopping   •   Being the Drama King or Queen

Getting Involved in Other People’s Problems

Criminal Acts (stealing, property damage, setting fires, etc.)

High Risk – Reckless Behavior (driving too fast, “playing chicken,”

road rage, “taking chances for the fun of it,” etc.)

How many of these things do you do?

Most of us do MANY of these things…and we end up with a lot more problems to deal with!

This list is excerpted from the DBT-CBT “Out-of-Control” Therapy Workbook by Melanie Gordon Sheets, Ph.D.

DBT is Dialectical Behavior Therapy  and  CBT is Cognitive-Behavioral Therapy.