Westside DBT – Building Lives Worth Living!

 

Sasha Ginsburg, LCSW

~ the executive director and founder of WestsideDBT  talks about dialectical behavioral therapy, its applications and the programs offered by WestsideDBT.com. Learn more about these powerful tools to enhance emotional, interpersonal and behavioral regulation...

 

 

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How it started

The Westside DBT center was founded by friends and colleagues License Clinical Social Workers  Sasha Ginsberg and Erin Lotz.  Their doors opened almost 6 years ago.  They were initially a small clinic set up to treat those people suffering from interpersonal and behavioral dysregulation as well as people with chronic and persistent suicidal thoughts or behaviors.  They have grown in size expanding their practice to 2 locations and now treat all people ages 13 and up in need of emotional support, skills training to manage their emotions and cognitive support to help retrain the persons self-perception.  Sasha says they help people "build lives worth living". 

What is Dialectical Behavioral Therapy (DBT)?

DBT is a therapeutic approach designed in the mid-1980's by psychologist Marsh Linehan.  It was initially designed to treat people with Borderline Personality Disorder.  Borderline Personality Disorder is marked by a sabotaging pattern of behaviors often stemming from an extreme or unrealistic fear of abandonment, born out of an "attachment break" early in one's emotional life.  The DBT skills training approach allows these people to learn to manage the extremes of their emotions and implements mindfulness and self-soothing techniques in order to allow them to live lives with more emotional stability and emotionally healthier interpersonal relationships. For as much as DBT is still the "go-to" method for helping people with Borderline Personality Disorder, it has been demonstrated to be helpful to people with less clinically significant symptoms, allowing more people to access the method to reap the benefits of the skills training to help manage life's problems and relationship discord.

Dialectical Behavioral Therapy originated in Cognitive Behavioral therapy (CBT). It helps alleviate problems with regulating emotions, thinking patterns, and behaviors that cause misery and distress.  DBT combines both cognitive-behavioral therapy (Western principles and practices) and mindfulness approaches (Eastern principles and practices) to help people understand ,accept and change, patterns of living that are causing them suffering.  In understanding this approach one can see how many people can benefit from these skills.

Who Benefits from DBT?

(From the Westside DBT website)

DBT may help if you are experiencing the following symptoms:

Emotions

  • Heightened emotional sensitivity
  • Quick and intense emotional reactions
  • Slow return to normal mood
  • Chronic problems with depression, anxiety, anger or anger expression

Behavior

  • Repeated suicide threats or attempts
  • Self-harm behavior such as cutting and burning
  • Relationship difficulties including hypersensitivity to criticism, disapproval, intimacy or fear abandonment
  • Impulsive and potentially self-destructive behavior in areas such as binge eating and purging, alcohol or drug abuse, sexual promiscuity, and gambling or spending sprees

Thinking

  • Extreme (black or white) thinking
  • Difficulty with problem-solving and decision making
  • Unstable self-image or sense of self
  • “Detached” thinking, ranging from mild problems with inattention to episodes of complete dissociation

4 Modules of Dialectical Behavioral Therapy

DBT is designed to teach

1. Mindfulness Skills

2. Interpersonal Effectiveness

3. Distress Tolerance

4. Emotion Regulation

 

How is the therapy implemented?

Dialectical Behavioral Therapy is implemented through a combination of group and individual sessions over a set number of weeks.  A person can extend their treatment if necessary, but it is best effective when a person initially participates for the designated weeks of both individual and group sessions.

How to connect with the Westside DBT Team

Email: info@westsidedbt.com

Call: (310) 772-8118

website: westsidedbt.com

Is that a Lab in your Pocket ?

James Crowson & Kibby McMahon

~ creators of PocketLab, introduce us to their app, which allows psychologists and quantifiable-self aficionados to catalog mindfulness. You can use PocketLab App to track your personal state of mind, to conduct complex data gathering on a study population or to monitor and enhance the mindfulness of patients, right from their smart phone ... Would you like to know more ?

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Pocket Lab

Sometimes when people get together, they may not realize the potential of what they are creating. I had a recent opportunity to meet an innovative pair who were working on creating what they believed would be an app only therapists may be interested in, but they recently found out their product may have more reach than they thought. James Crowson and Kibby McMahon are the brains behind PocketLab. Kibby is a Ph.D. student studying psychology at Duke University and her partner James is the lead designer and developer. James has spent time working as a technology consultant in London before moving to Berlin to work at a start-up. He recently graduated with a Master’s Degree from NYU and has focused on building software since then. Prior to her attendance at Duke, Kibby spent time in NY and Berlin participating in cognitive research. Together their skills have been put to good use designing PocketLab, a web tool that lets you design and conduct your own mobile studies and surveys.

What does PocketLab Do?

PocketLab lets you conduct research on your clients (or on yourself – keep reading for explanation). The research is emotion or behavior based. You design the questions you want answered, your clients respond by completing the survey at what ever time or multiple times you set, and the data is collected by the app. It’s that simple.

How does PocketLab Work?

You design your study surveys in the web interface. You write your own questions, pick the types of responses you want to give your participants, select the participant groups, and design the implementation of the survey (daily, multiple times, every other day, etc.). The app collects your data for you.

What about Data Security?

Whenever the topic of apps comes up around therapists the topic of data security and encryption is almost always the top concern. Well, James and Kibby have made this easy for you. They are using industry-standard encryption and data storage protocols. All private data is encrypted with 256-bit encryption and is transmitted using SSL technology. The data is stored in accredited, maximum-security data centers and you, the creator of the study, chooses how you identify your participants to protect their anonymity.

Who would use PocketLab?

As mentioned, PocketLab was originally designed solely as a research tool for therapists but since the app launch, James and Kibby have discovered another population of people who are interested in the app- people who love to track their own life. I know lots of people like this- tracking exercise, productivity, food and sleep. Apparently, others with those interests have collectively come together and are known as the Quantified Self Movement. Let’s look at how both populations could find PocketLab useful:

Use by Therapists

Applications in research or private practice can be pretty creative. Of course, if you’re a practicing cognitive behavioral therapist, you may already be planning how you will survey your clients (“how do you feel when….?” “What do you do after you feel…..?”), but therapists working with highly sensitive people or people with certain personality disorders who may display high levels of emotional instability may get creative in designing surveys to help their client stay more aware of the emotions at different times of the day to notice specific emotional triggers. Yet another therapeutic use may be to help a client implement anxiety-management or self-soothing techniques depending on their answers.

Use by Individual Data-Collectors (or Quantified Selfers)

One may want to check in on their own emotional well-being. Someone may want to remind themselves to practice positive thoughts or collect data on how they feel throughout a day. Since you’re designing the survey you want yourself to answer, you really can be particular in how your word your questions and how you use the data you collect on yourself. For instance, someone may notice that they stay agitated for 90-minutes after they get out of their office at the end of the work day. After 3 weeks of this pattern emerging, they may decide to implement adding yoga or other exercise routine after work to help them with stress management. They would then track the new data collected after implementing the new behavior into their routine.

  • Where can you get it?

PocketLab is available at www.pocketlabapp.com

Special Pricing for the Coaching Through Chaos Audience

Everyone gets a 10-Day Free Trial. James and Kibby have generously given the Coaching Through Chaos audience a special discount of 50% off their first month! Just enter DISCOUNT CODE 'CTC2015' when prompted. After your 10-Day Free Trial, that’s about 5 weeks of use for the price of 2! Pretty Sweet Deal!

What’s in the works at PocketLab?

  • A Pro Version is in the works
  • Logic-based responsive prompts
  • More Types of Questionnaire Items - such as sending photos and videos
  • More Types of Responses - such as voice recordings and location data
  • Android Version (yay!)

When you try out PocketLab, give James and Kibby feedback so that as they develop the Pro version, they can also know what works well and how else you’d like to use PocketLab.