Polyvagal Theory And The Nervous System Theory

DBT is designed to treat clients at all levels of severity and complexity of disorders. A growing body of empirical studies has examined DBT. DBT has been the subject of the most study and is the most widely used (Carson-Wong, Rizvi, & Steffel, 2013).

These can typically last from one year to a year and half that includes individual or group therapy. It mainly concentrates on the maladaptive thoughts. Behavioral techniques are incorporated into therapy, such as homework assignments and role playing. Sabine Keller et al mentions that DBT has five components that are essential for it to be effective: individual therapy, skills training group therapy, therapists’ consultation, phone consultation between each session, and the structure of the client’s environment (Keller, et al., 2017). DBT is a complicated therapeutic treatment since it combines four modes (individual therapy, group skills training, constant phone support and consultation meetings) as well as four modules (conscientiousness, distress tolerance, social relationship influence and regulation of emotions). As stated by Thomas A. Field, the reasoning for the modality is to allow the clients to discover how to develop coping skills to manage emotional distress (Field, 2016).

The aspect of BPD that drew me towards it was the notion that it is a more widespread mental illness than people think, often tied down to difficulties in diagnosing it due to crossovers with other illnesses such as depression which uses similar diagnosis criterion from the DSM V. In fact BPD affects 50% more people than Alzheimer’s disease and nearly as many as schizophrenia and bipolar combined (2.25%). There are a number of treatments available including new advances in epigenetics meaning a potential for more effective medication, as well as ' talking therapy ' treatments such as schema based therapy, metallization therapy and dialectal behaviour therapy which I am going to evaluate in order to decide according to scientific evidence and application what the most effective treatment for BPD is at present. The most effective treatment will be decided upon a

The Polyvagal theory developed by Stephen Porges and introduced in 1994 provides new insight into the functioning of the autonomic nervous system. The theory provides a clear understanding of the nervous system which plays a huge role for dancers as it can influence mental and physical performance, as well as keeping pain-free.

DBT utilizes a behavioral technique in which the client learns to tolerate painful emotions without enacting self-destructive behaviors known as:

The groups consist of therapy, educational and Dialectical Behavior Therapy (DBT) groups. During these groups, we teach skills such as mindfulness, distress tolerance, interpersonal effectiveness skills and positive coping

While using Dialectical Behavior Therapy, it has a couple special theories. The biosocial theory deals with whenever the client is most likely born with a predisposition toward emotional vulnerability. The theory itself deals with how issues from borderline personality develops. When the client lives in an unstable environment, the structure of the home living can affect their mental minds. The client's mind can cause them to become very destructive and affect their relationships with others and most likely diagnose them with personality disorder. (Dialectical Therapy) “DBT draws mindfulness techniques from Zen Buddhism in order to use here-and-now presence of mind to help people in therapy objectively and calmly assess situations” (Dialectical

Those with DBT have been found to have greater reductions in drug use, suicidal and self harming behavior. This could suggest that DBT allows for greater emotional health and sobriety for those diagnosed with borderline personality disorder.

DBT is designed to treat clients at all levels of severity and complexity of disorders. A growing body of empirical studies has examined DBT. DBT has been the subject of the most study and is the most widely used (Carson-Wong, Rizvi, & Steffel, 2013).

According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and

Though several personality disorders are highly complex and a challenge to treat, there are effective treatments available (“Treating Borderline” 1). The various treatments are broken down by method, the first of which being cognitive behavioral therapy, which attempts to alter the conscious thoughts and behavioral patterns of patients (Daniel); (“Treating Borderline” 2). Cognitive behavior therapy itself is broken down into two therapies, dialectical behavioral therapy and schema-focused therapy (“Treating Borderline” 2). Dialectical behavioral therapy, developed by Dr. Linehan, is centered on the basis that personality disorders are formed when hypersensitive patients are in situations which lack the emotional support they require, therefore leading to their “inability to regulate emotions” (“Treating Borderline” 2). Thus, the treatment serves to help the patient gain control over their emotion and behavior (“Treating Borderline” 2). The treatment itself consists of group and individual sessions and typically lasts approximately one year (“Treating Borderline” 2). During the group sessions, patients learn to become more aware of their behaviors and emotions through sessions pertaining to “problem solving, mindfulness meditation, and breath training“(“Treating Borderline” 2). In personal sessions, referred to as psychotherapy, the psychiatrist explains to the patient how the lessons from the group therapy sessions are applicable

CBT is defined as a form of mental health based counseling, focusing on errors of cognition and perception. It usually involves a limited number of individual outpatient sessions (Park et al., 2013). This form of therapy, “helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way,” (“Cognitive behavioral therapy”, 2014, para. 1).

With BPD there are often extremes in beliefs and views, such as all good or all bad. People with BPD are can be uncertain about whom they truly are as a person. With no self sense, interests and values may conflict as well as change rapidly. Their views of others may also change quickly. One day a certain person may be admired. The next day that same person may be despised or hated. Suddenly shifting feelings often foster relationships that are unstable and intense. There are numerous other identifiable traits someone with BPD may display. Some of these symptoms may include fear abandonment, feelings of emptiness and boredom, frequent displays of inappropriate anger, destructive impulsiveness, intolerance of being alone, as well as repeated self crises (i.e. self injury).

The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).

Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the psychosocial aspects of treatment. The theory behind the approach is that some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people’s arousal levels in such situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels. (Staff, 2013) People who are sometimes diagnosed with borderline personality disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions — most of all their own family and a childhood that emphasized invalidation — they don’t have any methods for coping with these sudden, intense