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    The DF is solely dedicated to eliminating the stigma that surrounds depression and mood disorders through information, education and advocacy.
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  1. Dialectical Behavior Therapy (DBT) @ Good Therapy.com Dialectical behavior therapy (DBT) is a comprehensive cognitive behavioral treatment. It aims to treat people who see little or no improvement with other therapy models. This treatment focuses on problem solving and acceptance-based strategies. It operates within a framework of dialectical methods. The term dialectical refers to the processes that bring opposite concepts together such as change and acceptance. Certified practitioners of DBT offer acceptance and support to people in therapy. Many of the people they work with have conditions described as "difficult to treat." They work to develop techniques for achieving goals, improving well-being, and effecting lasting positive change. WHAT IS DIALECTICAL BEHAVIOR THERAPY? Currently, DBT is used to treat people with chronic or severe mental health issues. Issues DBT treats include self-harm, eating and food issues, addiction, and posttraumatic stress, as well as borderline personality. DBT was originally designed to treat people who had chronic suicidal thoughts as a symptom of borderline personality. DBT can be used in a variety of mental health settings. It incorporates the following five components: Capability enhancement. DBT provides opportunities for the development of existing skills. In treatment, four basic skill sets are taught. These are emotion regulation, mindfulness, interpersonal effectiveness, and distress tolerance. Generalization. DBT therapists use various techniques to encourage the transfer of learned skills across all settings. People in therapy may learn to apply what they have learned at home, at school, at work, and in the community. For example, a therapist might ask the person in treatment to talk with a partner about a conflict. The person may use emotion regulation skills before and after the discussion. Motivational enhancement. DBT uses individualized behavioral treatment plans to reduce problematic behaviors that might negatively affect quality of life. For example, therapists might use self-monitoring tracking sheets so sessions can be adapted to address the most severe issues first. Capability and motivational enhancement of therapists. Because DBT is often provided to people who experience chronic, severe, and intense mental health issues, therapists receive a great deal of supervision and support to prevent things like vicarious traumatization or burnout. For example, treatment-team meetings are held frequently to give therapists a space to provide and receive support, training, and clinical guidance. Structuring of the environment. A goal of therapy is often to ensure positive, adaptive behaviors are reinforced across all environmental settings. For example, if someone participates in multiple treatment programs within one agency, the therapist might make sure each program was set up to reinforce all the positive skills and behaviors learned. The standard form of DBT consists of individual therapy, skills training group, phone coaching, and a therapist consultation team. Those in standard DBT attend therapy and a skills training group weekly. The groups are designed to help those in treatment develop behavioral skills through group work and homework assignments. These assignments allow people to practice learned skills in day-to-day life. Phone coaching is also an important part of DBT. It helps people in treatment reach out to their therapist for support when a challenging situation comes up between sessions. The issues faced by many who participate in DBT can be complex and severe. Due to this, a consultation team is considered essential for DBT providers. The team is made up of group leaders and individual therapists. It can offer support, motivation, and therapy to the therapists working with difficult issues. DEVELOPMENT AND HISTORY DBT was developed by Marsha Linehan in the 1970s. She developed DBT through her work with two mental health populations: people with chronic thoughts of suicide and people diagnosed with borderline personality disorder. Linehan was intrigued by the building reputation of cognitive behavioral therapy (CBT). She decided to utilize standard CBT in her practice. Linehan and her colleagues experienced difficulties after conducting research relative to the effectiveness of CBT in her chosen population. They discovered three major problems with the application of standard CBT: Participants experienced the change-focused interventions as invalidating. These feelings often resulted in withdrawal from therapy, aggression toward therapists, or a fluctuation of both extremes. Participants and therapists recreated a pattern of reinforcement in which good work was stalled and avoidance and redirection was encouraged. When therapists pushed for change, participants reacted in anger. When therapists allowed a subject change, participants reacted with warmth and positive feedback. This loop seemed to trick both therapist and participant into thinking they were on the right track, when in retrospect, they were not. Due to the intensity of crisis-related situations, therapists spent a good deal of time addressing safety concerns, such as suicidal thoughts or gestures, hostility and threats toward the therapist, or self-injurious behavior. Often, little time was left to teach coping skills or address behavioral functioning. After analyzing these problems, Linehan devised several adaptations to CBT. These directly addressed the needs of the population. Acceptance-based techniques were included to ensure participants felt supported and validated before they were asked to focus on change. In addition, dialectics were incorporated to allow therapists and participants in treatment to focus on the synthesis of polar opposites, such as acceptance and change. This helped them to avoid becoming trapped in patterns of extreme position-taking. These and other adaptations were added to the practice of CBT. In 1993, Linehan published the first official treatment manual, Cognitive Behavioral Treatment of Borderline Personality Disorder. Since then, the practice of DBT has grown in popularity. Over the last several decades, a great deal of research has supported the efficacy of DBT. This form of therapy is now practiced in dozens of countries around the world. It is also listed in SAMHSA's Registry of Evidence-Based Programs and Practices. This page contains at least one affiliate link for the Amazon Services LLC Associates Program, which means GoodTherapy.org receives financial compensation if you make a purchase using an Amazon link. DBT THEORY Three major theoretical frameworks combine to form the basis for DBT. These are a behavioral science biosocial model of the development of chronic mental health issues, the mindfulness practice of Zen Buddhism, and the philosophy of dialectics. The biosocial theory attempts to explain how issues related to borderline personality develop. The theory posits that some people are born with a predisposition toward emotional vulnerability. Environments that lack solid structure and stability can intensify a person's negative emotional responses. They can also influence patterns of interaction that become destructive. These patterns can harm relationships and functioning across all settings. They may often result in suicidal behavior and/or a diagnosis of borderline personality. DBT draws mindfulness techniques from Zen Buddhism to use here-and-now presence of mind. This may help people in therapy objectively and calmly assess situations. Mindfulness training allows people to take stock of their current experience, evaluate the facts, and focus on one thing at a time. Dialectics are used to support both the therapist and person in treatment. They pull from both extremes of an issue. Therapists use dialectics to help people accept the parts of themselves they do not like. They also use dialectics to provide motivation and encouragement to address the change of those parts. Synthesizing polar opposites can reduce tension and help keep therapy moving forward. STAGES AND GOALS IN DBT This form of therapy is designed to systematically and comprehensively treat issues in order of severity. Because DBT was initially intended for people with suicidal tendencies and extreme emotional issues, treatment happens in stages. This ensures all concerns are eventually addressed. DBT involves the following four stages: Findings from multiple studies reflect the efficacy of DBT, especially for the treatment of borderline personality issues, posttraumatic stress, self-harm, and suicidality. Stage 1. The focus of this stage is stabilization. People in therapy may be dealing with things like suicidal thoughts, self-harm, or addiction. They often report feeling like they are at an all-time low point in their lives. Therapy is centered on safety and crisis intervention. The goal of this stage is to help people achieve some control over problematic behaviors. Stage 2. In this stage, behaviors are more stable, but mental health issues may still be present. Emotional pain is typically brought to the surface. Traumatic experiences are safely explored. The goal of this stage is for people in treatment to experience their emotional pain instead of silencing or burying it. Stage 3. This stage focuses on enhancing quality of life through maintenance of progress and reasonable goal-setting. The goal of this stage is to promote happiness and stability. Stage 4. During this stage, therapists support people in advancing their lives to the next level. In therapy, people may improve upon learned skills or work toward spiritual fulfillment. The goal of this stage is to help people achieve and maintain an ongoing capacity for happiness and success. Copyright © 2007 - 2022 GoodTherapy, LLC
  2. Halloween Halloween is a holiday celebrated each year on October 31, and Halloween 2022 will occur on Monday, October 31. The tradition originated with the ancient Celtic festival of Samhain, when people would light bonfires and wear costumes to ward off ghosts. In the eighth century, Pope Gregory III designated November 1 as a time to honor all saints. Soon, All Saints Day incorporated some of the traditions of Samhain. The evening before was known as All Hallows Eve, and later Halloween. Over time, Halloween evolved into a day of activities like trick-or-treating, carving jack-o-lanterns, festive gatherings, donning costumes and eating treats. Ancient Origins of Halloween Halloween’s origins date back to the ancient Celtic festival of Samhain (pronounced sow-in). The Celts, who lived 2,000 years ago, mostly in the area that is now Ireland, the United Kingdom and northern France, celebrated their new year on November 1. This day marked the end of summer and the harvest and the beginning of the dark, cold winter, a time of year that was often associated with human death. Celts believed that on the night before the new year, the boundary between the worlds of the living and the dead became blurred. On the night of October 31 they celebrated Samhain, when it was believed that the ghosts of the dead returned to earth. History of Trick-or-Treating Borrowing from European traditions, Americans began to dress up in costumes and go house to house asking for food or money, a practice that eventually became today’s “trick-or-treat” tradition. Young women believed that on Halloween they could divine the name or appearance of their future husband by doing tricks with yarn, apple parings or mirrors. Halloween Parties By the 1920s and 1930s, Halloween had become a secular but community-centered holiday, with parades and town-wide Halloween parties as the featured entertainment. Despite the best efforts of many schools and communities, vandalism began to plague some celebrations in many communities during this time. By the 1950s, town leaders had successfully limited vandalism and Halloween had evolved into a holiday directed mainly at the young. Due to the high numbers of young children during the fifties baby boom, parties moved from town civic centers into the classroom or home, where they could be more easily accommodated. Between 1920 and 1950, the centuries-old practice of trick-or-treating was also revived. Trick-or-treating was a relatively inexpensive way for an entire community to share the Halloween celebration. In theory, families could also prevent tricks being played on them by providing the neighborhood children with small treats. Thus, a new American tradition was born, and it has continued to grow. Today, Americans spend an estimated $6 billion annually on Halloween, making it the country’s second largest commercial holiday after Christmas.
  3. Forum Admin

    Thanksgiving

    Thanksgiving
  4. NAMI is working to reimagine the way mental health crises are handled in the United States. Learn about 988, the nationwide 3-digit number for mental health & suicide crises, and what services need to be available in every community to help anyone in crisis and reduce law enforcement involvement. Visit nami.org/988 to learn more and get involved. If you or a loved one is seeking mental health treatment or additional information on mental health, visit our website at NAMI.org. Call our HelpLine at 1-800-950-NAMI (6264) - open Mon-Fri from 10 a.m. to 10 p.m. ET Text “NAMI” to 741-741 - Available 24/7 Visit us online at nami.org. Find your local NAMI at nami.org/findsupport NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.
  5. Forum Admin

    Labor Day

  6. Forum Admin

    Juneteenth

    Juneteenth Juneteenth is a federal holiday in the United States commemorating the emancipation of enslaved African-Americans. It is also often observed for celebrating African-American culture. Originating in Galveston, Texas, it has been celebrated annually on June 19 in various parts of the United States since 1865.
  7. Happy July 4th Independence Day! housands of Americans will crowd onto the Benjamin Franklin Parkway to watch fireworks explode over the Philadelphia sky in honor of the Fourth of July. Similar festivities will play out across the country. The tradition is almost as old the United States itself. And it began in Philadelphia. The first Independence Day celebration took place on July 4, 1777 — one year after the Declaration of Independence was adopted by the Continental Congress. RELATED STORIES Rare signers' copy of Declaration of Independence fetches $4.42 million at auction Journeys across America helped secure Liberty Bell's iconic status First Lady Jill Biden to attend Wawa Welcome America event on July 4 Thousands of Americans will crowd onto the Benjamin Franklin Parkway to watch fireworks explode over the Philadelphia sky in honor of the Fourth of July. Similar festivities will play out across the country. The tradition is almost as old the United States itself. And it began in Philadelphia. The first Independence Day celebration took place on July 4, 1777 — one year after the Declaration of Independence was adopted by the Continental Congress. On the eve of the historic document's adoption, John Adams wrote a letter to his wife, Abigail, that suggested future anniversaries of the nation's birth would be celebrated with fireworks. Adams wrote: On the eve of the historic document's adoption, John Adams wrote a letter to his wife, Abigail, that suggested future anniversaries of the nation's birth would be celebrated with fireworks. Adams wrote: "I am apt to believe that it will be celebrated, by succeeding Generations, as the great anniversary Festival. It ought to be commemorated, as the Day of Deliverance by solemn Acts of Devotion to God Almighty. It ought to be solemnized with Pomp and Parade, with Shews, Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more." Adams actually thought July 2 would serve as the nation's "most memorable Epocha." That's the date that delegates from 12 colonies voted in favor of independence. The future president missed on that prediction, but he nailed every aspect of the fanfare. One year later, Philadelphia celebrated with "joy and festivity," according to the Pennsylvania Evening Post, which was the first newspaper to print the Declaration of Independence. The festivities began at noon, when armed ships in the Delaware River lined up before the city, "dressed in the gayest manner, with the colours of the United States and streamers displayed." At 1 p.m., they began a 13-gun salute to honor the 13 colonies. The afternoon included a dinner for Congress and other dignitaries. A Hessian band played music. A group of British deserters fired a feux de joie. And numerous toasts were made to independence and those who had died fighting for it. The celebrations were capped, naturally, with fireworks. According to the Evening Post: In the years that followed, towns across the country began marking Independence Day with parades, speeches, picnics, games and military demonstrations, according to PBS. The observations particularly became common at the end of the War of 1812, when a patriotic spirit gripped the nation. The fireworks at the first Fourth of July celebration would not have been the elaborate, aerial displays people observe today. Though there were some rockets, they were crude. The centerpieces were raised platforms covered with fireworks depicting patriotic images. Italians first developed colorful fireworks in the 1830s by combining metals with explosives, according to National Geographic. Family businesses participated in competitions in which they each blasted a single firework into the sky. The blasts were judged on their design, sound, size and color. Aerial fireworks eventually made their way to the United States in the late 1800s. Two of the family businesses — Fireworks by Grucci and Zambelli Fireworks — are among the oldest and largest firework companies in the U.S.
  8. Welcome, Ms. Dryemptywell to our Depressionforums family We are here for you, albeit you must be a tad more in talking about what is troubling you in different forums? We have many to forums choose from and I am certain that you have many questions which our members are very happy to answer for you You do not have to be so specific in describing your problems, but members need to know what your problems are like in order to help. We want to help in your road to recovery aid and make you feel more comfortable talking to people. Please do not hesitate to get back to us with questions Hugs, Lindsay, Forum Administrator
  9. Forum Admin

    Easter

    The name Easter is derived from ‘Ostara’ or ‘Eostre’, a pagan goddess of fertility, whose feast was celebrated on the Vernal Equinox. It is one of the most important days for Christians all over the world. Good Friday is observed all over India by Christians. This is the day when Lord Christ was crucified. The Christians offer special prayers in the Church, while Easter is a festival of rejuvenation of life and living. On this day, Lord Christ rose again after his death. Depressionforums.org Depressionforums.org
  10. Forum Admin

    Passover

    until
  11. Hi,

    Is there a way to get a decision on approving a blog?  I posted 2 back on January 24th.  I tried to send a couple messages or posts to Admins, who I know are doing too much.
    I just wanted to check.  Thanks!

    Both of them are from some research and writing I've been doing about mindfulness, and I'd like to add some about self compassion, ACT, and other topics I've been investing a lot of time, work, energy into with some experts, and some progress, learning, and ups and downs I would like to share here fwiw.

    The Strange Convergence of Mindfulness and Quantum Physics

     

    This Magic Moment

    1. Forum Admin

      Forum Admin

      • gandolfication, why don't you help by becoming a Administrator and helping members and DF?  I need all the I right now we can get!
      • Lindsay
  12. No pictures in topics or posts that is why we have gallery for members or Blogs to share your pictures then you can put a link to your blog or your gallery️ Best, Forum Admin
  13. Hello John, What a great post! I do hope many of our members read your story. Please talk about it more. I am in total agreement with you. It does work. Going on a keto diet does work. A Low Carbohydrate diet for life works on DEPRESSION as well as weight loss. It is a well known fact. I thank you for posting about how excess carbs can really destroy a personality and a body. Take care and keep up your low carb journey! -Lindsay
  14. If you feel lost or have suicidal Ideation and cannot find a Forum to talk to your peers: Find Your Local NAMI https://www.nami.org/findsupport There are more than 600 NAMI State Organizations and Affiliates across the country. Many NAMI affiliates offer an array of free support and education programs. Contact your NAMI Affiliate to find out what types of programs and supports they offer. To find the NAMI closest to you click on a state on the map or enter your ZIP code below. We care and we are here for you to help you find your way ~Lindsay, Administrator
  15. Welcome Luciano There are so many forums that you can post to and share your experiences about depression and how you came about overcoming! Please no links! Read our terms of service (TOS) as you may find a plethora of mental health issues you might not have not known about yourself️ take very good care of you -Lindsay, forums administrator, owner
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