LIVING WATERS WELLNESS RESOURCES
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  • Living Waters Wellness Articles : Environmental Toxic Substances
  • Cognitive Distortions
  • Ways To Help Yourself When You’re Feeling Suicidal
  • Cheerleading Statements
  • Keep It Simple : Dealing with Confusion, Anxiety and Racing Thoughts
  • Stop, Breathe, Think !
  • Characteristics of Healthy Relationships
  • Personal Effectiveness I : How Change Happens
  • Personal Effectiveness ll : Priorities
  • Personal Effectiveness III : Solve Problems Like An RN !
  • Thirty Ways to Waste Less Time
  • Fact Sheet : Understanding, Preventing and Healing Trauma
  • Trauma Informed Care
  • Recovery Oriented Models for Mental Health
  • Recovery and Resiliency Models for Mental Health
  • Resiliency and the Recovery Model of Mental Health
  • Dialectical Behavoral Therapy
  • DBT FAQ's
  • Interpersonal Effectiveness Skills
  • Collaborative Problem Solving
  • Collaborative Problem Solving - "Treating Explosive Kids"
  • "The Healing Earth"
  • The Healing Earth
  • 25 Manners Every Kid Should Have By Age 9
  • 25 Rules for Moms for Raising a Son
  • The Liver : Crucial Organ of Health
  • Cosmic Nutrition : A Cornerstone of Health
  • Cosmic Nutrition and Children
  • Enhancing Cosmic Nutrition in Everyday Life
  • The Age of the Dinosaurs and the Age of the Mammals
  • A Cat Among Raccoons
  • A Sleep of Prisoners
  • Rain From Heaven
  • Otterly Lovely !
  • As it is in Heaven
  • Held
  • Letter of St Paul to the Philippians
  • Sistine Madonna
  • Bruckner Motet : Locus Iste
  • Bruckner Symphony #7
  • Skating Away .......
  • Morning Protein Snacks
  • Afternoon or Evening Carbohydrate Snacks
  • Taste Tips in Support of a Healthy-Liver Diet
  • Morning Snacks and Evening Snacks
  • Benefits of Drinking Water
  • Correct Timing to Drink Water
  • Ten Health Benefits of Cold Showers !
  • Snowbanks North of the House
  • "The Book Thief" by Markus Zusak
  • Seaside Hotel
  • Calling All Angels
  • Children
  • Destiny !
  • Biography Work
  • Social and Antisocial Forces - Introduction
  • Social and Anti-Social Forces in the Human Being
  • The Drama of a Child's Developing Constitution
  • Good and Evil : Individual Karmic Questions
  • No Place to Hide in a Toxic World
  • How Much Harm Do Environmental Toxins Really Cause Our Society ?
  • Environmental Toxic Substances : What Every Parent Should Know
  • Interview - Rik Deitsch
  • Environmental Toxic Substances : Take Social and Political Action
  • Environmental Toxins : Protect Yourself and Your Loved Ones !
  • Liquid Zeolite : Nature's Best Detoxifier
  • How Safe are Your Skin and Body Care Products ?
  • Liquid Zeolite : Product Review by Dr Gabriel Cousens
  • Links Between Environmental Toxins and Chronic Illness
  • The Autoimmune Epidemic - Interview with Donna Jackson Nakagawa
  • The Surge in Autoimmune Illnesses Linked to Environmental Toxins
  • Book Review : The Autoimmune Epidemic
  • The Fullness of Life
  • Introducing Threefold
  • The Threefold Social Idea
  • Rights Life Today : An Introduction
  • False Paths in Rights Life : Political Parties
  • False Paths in Rights Life : Problems of MINDSET
  • Leadership in the Realm of Rights Life
  • Rethinking Philanthropy
  • Rethinking Philanthropy : Ways, Means and Measures
  • Living Waters Wellness Resources : Rudolf Steiner's Threefold Social Idea
  • Planting the Seeds of Threefolding
  • The Threefold Social Order
  • Book Review : A Way Forward : From Social Illness to Social Health
  • Think It Right !
  • Working with a Verse
  • Verses for Individuals, Children and Groups
  • Overcoming Nervousness
  • Reincarnation and Karma
  • "Spiritual Science"
  • Facing Karma
  • Liquid Zeolite : Product Review by Dr Gabriel Cousens
  • Behavior Abnormalities Associated with Heavy Metals
  • Socipathy : further readings
  • The "I Am" Words of Christ"
  • Michaelmas
  • The Business Oath
  • Death from Birth Defects
  • The Conditions of Esoteric Training
  • The Many Benefits of Hydrogen Peroxide
  • The Six Subsidiary Exercises
  • Newborn Might and Strength Everlasting
  • Greatness in leadership : looking to examples from the past
  • Keeping Our Own Side of the Street Clean
  • Meditation for Courage
  • Education for Adolescents
  • George Washington's Prayer
  • Allergic Sensitivity : The Immune Response as a Learning Process
  • Prevention and Immunization
  • Preventing Illness and Promoting Health
  • Mobile Communications and Electromagnetic Pollution
  • The Meaning and Purpose of Illness
  • Permaculture !
  • Fever and its Treatment
  • To Romance Your World
  • Beauty - Images from Ruta Hallam
  • Support Living Waters Wellness !
  • Building Your Personal Wellness Program
  • A Hard Rain's Gonna Fall
  • Christianity
  • Beauty - Images from Ruta Hallam
  • Trauma-Informed Care : What ​ It Is, and Why It’s Important
  • Take This Tough Challenge - Or Don't Vote !
  • Culture, Law and Economics
  • About Novalis
  • The InPower Movement
  • Eros and Fable : Novalis
  • Psalm 139
  • Prayer
  • Goodness, Beauty and Truth
  • Blog
  • ​What to DO about the FLU
  • Practical Training in Thought
  • The Education of the Child
  • John the Baptist
  • The Path of Higher Knowledge
  • SBAR
  • New Page
  • The Prologue of the Gospel of St John
  • Three Verses for Hard Times
  • The Creed of Rudolf Steiner
  • LWW Arts and Letters
                 About Living Waters Wellness
                             Dialectical Behavioral Therapy

I'm a registered nurse and I work in inpatient Child/Adolescent Psychiatry. Our "house therapy", the mode our hospital works with on all our units, is Dialectical Behavioral Therapy (DBT). I've worked in psychiatry most of the time since 1979, and DBT is among the best and most effective therapies I've seen.

DBT was developed by Marsha Linehan Ph.D. in response to difficulties in treating certain clients - particularly clients who :

- Had experienced significant physical, emotional, verbal, mental or sexual abuse, or serious neglect and abandonment, and as a result of these or other experiences

- Suffered symptoms of Post Traumatic Stress Disorder (PTSD) and/or Borderline Personality Disorder, including depression, nightmares and flashbacks, cognitive distortions, high anxiety and other extremes of emotion

- Had persistent self harming or self destructive behaviors such as suicidal thoughts and attempts, self mutilation, drug or alcohol abuse and eating disorders

- Had intense difficulty forming and sustaining relationships in all areas of life - including psychotherapy

  Validation

A special difficulty noted in these clients was their strong reaction to the demands in psychotherapy for progress ; for the learning of new life or coping skills, and the leaving of old maladaptive skills behind. In response to this, DBT places strong emphasis on validation. Validation includes empathy - the accurate perception of a client's responses and behavior, and acceptance of a client as she is ; but also an active effort to discover healthy aspects of the response, even where it is in part dysfnctional. The further crucial step in validation is to communicate this to the client, in terms relevant to her.

For therapists, validation is a differentiated and exact tool, learned through training and experience ;  at a same time an art and a science. It assumes clients are at all times doing the best they can, and that there are kernels of truth are to be found even in dysfunctional behavior. While care is taken not to validate harmful or dysfunctional behavior, the effort of the therapist is to discover what is relevant, true or effective in the client's responses, and to affirm this directly.

For clients who have experienced consistently, even crushingly invalidating environments in their lives, this can be game changing. It provides a reflection to them of what remains healthy in them despite all hardship. Ongoing experiences of a "Wise Mind" capacity in themselves encourages clients to exercise it more - to know it's possible and strive to access it further. Validation is employed in all phases of therapy, and helps build trust and commitment to this work.

   Dialectics

Dialectics address an aspect of reality often difficult, even unnerving for traumatized persons to grasp ; namely that seemingly opposite facts or experiences can sometimes both be true, at one and the same time.

DBT itself contains a quite fundamental dialectic, in its co-emphasis on validation and progress. A therapist seeks on the one hand to identify what is true, valid and relevant in a client's responses to her experiences, and actively affirm this ; while at the same time addressing dysfunctional aspects of behaviors, and affirming the need for change.

Traumatized persons may find it hard to live with uncertainty, and be inclined to impulsive action, hasty judgements, vehement reaction or withdrawal. Dialectics help such persons recognize and tolerate paradox, and deal with it more effectively. Examples of insights that might arise from this might include : 

- "I'm angry with a him/her right now - but I also love this person, and can still see the better qualities in them" 

- "I'm having a very hard day today - but I also know I've been making really good progress lately"

- "I'm upset right now, and I feel like doing something extreme. But I know there'll be consequences, and that I'll feel really bad about myself afterwards"

- " I like him / her and really like to spend time with them - but they use drugs and alcohol, and when I'm with them, I do too"

   Therapy

Progress occurs in DBT though both individual therapy, and participation in groups. DBT may begin with an encounter through an inpatient hospitalization, but as problems and issues most often did not arise from a single traumatic episode, healing also takes time. Most DBT is done in outpatient group and individual therapy, where progress can occur in key skill areas of 

      - Mindfulness
      - Distress Tolerance
      - Emotional Regulation and 
      - Interpersonal Effectiveness Skills

For more on DBT, visit our page DBT : Frequently Asked Questions  or the DBT website www.behavioraltech.org
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Like Adam in the Bible, we earn our bread here by the sweat of our brow ; like Eve, we bring forth these true "children" of our lives, the insights and realizations we share here, in our own pain and tears. What we do here is indeed work, and strenuous creation - work and "labor" we accept. But in order to continue our work, we need your help. 

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  • Home
  • Health
  • Emotional Wellness
  • The Spirit !
  • World B Well
  • LWW Arts and Letters
  • Building Your Personal Wellness Program
  • Living Waters Wellness Articles : Nutrition
  • Living Waters Wellness Articles : Cosmic Nutrition
  • Living Waters Wellness Articles : Environmental Toxic Substances
  • Cognitive Distortions
  • Ways To Help Yourself When You’re Feeling Suicidal
  • Cheerleading Statements
  • Keep It Simple : Dealing with Confusion, Anxiety and Racing Thoughts
  • Stop, Breathe, Think !
  • Characteristics of Healthy Relationships
  • Personal Effectiveness I : How Change Happens
  • Personal Effectiveness ll : Priorities
  • Personal Effectiveness III : Solve Problems Like An RN !
  • Thirty Ways to Waste Less Time
  • Fact Sheet : Understanding, Preventing and Healing Trauma
  • Trauma Informed Care
  • Recovery Oriented Models for Mental Health
  • Recovery and Resiliency Models for Mental Health
  • Resiliency and the Recovery Model of Mental Health
  • Dialectical Behavoral Therapy
  • DBT FAQ's
  • Interpersonal Effectiveness Skills
  • Collaborative Problem Solving
  • Collaborative Problem Solving - "Treating Explosive Kids"
  • "The Healing Earth"
  • The Healing Earth
  • 25 Manners Every Kid Should Have By Age 9
  • 25 Rules for Moms for Raising a Son
  • The Liver : Crucial Organ of Health
  • Cosmic Nutrition : A Cornerstone of Health
  • Cosmic Nutrition and Children
  • Enhancing Cosmic Nutrition in Everyday Life
  • The Age of the Dinosaurs and the Age of the Mammals
  • A Cat Among Raccoons
  • A Sleep of Prisoners
  • Rain From Heaven
  • Otterly Lovely !
  • As it is in Heaven
  • Held
  • Letter of St Paul to the Philippians
  • Sistine Madonna
  • Bruckner Motet : Locus Iste
  • Bruckner Symphony #7
  • Skating Away .......
  • Morning Protein Snacks
  • Afternoon or Evening Carbohydrate Snacks
  • Taste Tips in Support of a Healthy-Liver Diet
  • Morning Snacks and Evening Snacks
  • Benefits of Drinking Water
  • Correct Timing to Drink Water
  • Ten Health Benefits of Cold Showers !
  • Snowbanks North of the House
  • "The Book Thief" by Markus Zusak
  • Seaside Hotel
  • Calling All Angels
  • Children
  • Destiny !
  • Biography Work
  • Social and Antisocial Forces - Introduction
  • Social and Anti-Social Forces in the Human Being
  • The Drama of a Child's Developing Constitution
  • Good and Evil : Individual Karmic Questions
  • No Place to Hide in a Toxic World
  • How Much Harm Do Environmental Toxins Really Cause Our Society ?
  • Environmental Toxic Substances : What Every Parent Should Know
  • Interview - Rik Deitsch
  • Environmental Toxic Substances : Take Social and Political Action
  • Environmental Toxins : Protect Yourself and Your Loved Ones !
  • Liquid Zeolite : Nature's Best Detoxifier
  • How Safe are Your Skin and Body Care Products ?
  • Liquid Zeolite : Product Review by Dr Gabriel Cousens
  • Links Between Environmental Toxins and Chronic Illness
  • The Autoimmune Epidemic - Interview with Donna Jackson Nakagawa
  • The Surge in Autoimmune Illnesses Linked to Environmental Toxins
  • Book Review : The Autoimmune Epidemic
  • The Fullness of Life
  • Introducing Threefold
  • The Threefold Social Idea
  • Rights Life Today : An Introduction
  • False Paths in Rights Life : Political Parties
  • False Paths in Rights Life : Problems of MINDSET
  • Leadership in the Realm of Rights Life
  • Rethinking Philanthropy
  • Rethinking Philanthropy : Ways, Means and Measures
  • Living Waters Wellness Resources : Rudolf Steiner's Threefold Social Idea
  • Planting the Seeds of Threefolding
  • The Threefold Social Order
  • Book Review : A Way Forward : From Social Illness to Social Health
  • Think It Right !
  • Working with a Verse
  • Verses for Individuals, Children and Groups
  • Overcoming Nervousness
  • Reincarnation and Karma
  • "Spiritual Science"
  • Facing Karma
  • Liquid Zeolite : Product Review by Dr Gabriel Cousens
  • Behavior Abnormalities Associated with Heavy Metals
  • Socipathy : further readings
  • The "I Am" Words of Christ"
  • Michaelmas
  • The Business Oath
  • Death from Birth Defects
  • The Conditions of Esoteric Training
  • The Many Benefits of Hydrogen Peroxide
  • The Six Subsidiary Exercises
  • Newborn Might and Strength Everlasting
  • Greatness in leadership : looking to examples from the past
  • Keeping Our Own Side of the Street Clean
  • Meditation for Courage
  • Education for Adolescents
  • George Washington's Prayer
  • Allergic Sensitivity : The Immune Response as a Learning Process
  • Prevention and Immunization
  • Preventing Illness and Promoting Health
  • Mobile Communications and Electromagnetic Pollution
  • The Meaning and Purpose of Illness
  • Permaculture !
  • Fever and its Treatment
  • To Romance Your World
  • Beauty - Images from Ruta Hallam
  • Support Living Waters Wellness !
  • Building Your Personal Wellness Program
  • A Hard Rain's Gonna Fall
  • Christianity
  • Beauty - Images from Ruta Hallam
  • Trauma-Informed Care : What ​ It Is, and Why It’s Important
  • Take This Tough Challenge - Or Don't Vote !
  • Culture, Law and Economics
  • About Novalis
  • The InPower Movement
  • Eros and Fable : Novalis
  • Psalm 139
  • Prayer
  • Goodness, Beauty and Truth
  • Blog
  • ​What to DO about the FLU
  • Practical Training in Thought
  • The Education of the Child
  • John the Baptist
  • The Path of Higher Knowledge
  • SBAR
  • New Page
  • The Prologue of the Gospel of St John
  • Three Verses for Hard Times
  • The Creed of Rudolf Steiner
  • LWW Arts and Letters