One-on-One DBT Skills Coaching

one-on-one-dbt-skills-coaching-innerCompass offers one-on-one skills coaching (at no out-of-pocket costs to families) for Compass kids with one of our trained DBT Skills Coaches. Individual skills coaching is Compass’ “drive time” where your child will behaviorally rehearse a core skill 1-2x a week to develop mastery and to assist with greater skills generalization. Coaching sessions focus on working through each of the DBT Skills Modules systematically to develop greater understanding of skills, and to provide in session skills practice with a focus on strengthening skills. Coaching calls and texts are utilized to assist teens to use skills effectively when and where they need them, improving skills generalization and quality of life.

MINDFULNESS SKILLS

  • Being aware of emotion
  • Tolerating destructive urges
  • Lowering emotional intensity
  • Increasing the ability to focus and concentrate
  • Increasing the ability to bring attention back when distracted
  • Experiencing a sense of calm

Skills Deficit addressed:

  • Confusion about self
  • Destructive or out-of-control thoughts
  • Problems experiencing or identifying one's self
  • A pervasive sense of emptiness
  • Problems in maintaining one's own feelings, opinions, decisions when around others
  • Cognitive disturbances like depersonalization, dissociation
  • Racing thoughts and tendency to become emotionally hijacked

DISTRESS TOLERANCE

Skills Taught:

  • Getting through difficult situations without damaging self, goals, or relationships
  • Increasing the ability to soothe or distract effectively to manage difficult situations
  • Accepting the reality of situations to minimize suffering and solve problems when possible

Skills Deficit addressed:

  • Impulsiveness: problems with alcohol, drugs, eating, spending, shoplifting, sex, fast driving, self-harm and suicidal behaviors
  • Becoming emotionally hijacked - the tendency to grow or practice feelings that lead to crisis

EMOTION REGULATION

Skills Taught:

  • Understanding the importance of emotions
  • Being aware of vulnerabilities and triggers
  • Recognizing and using alternative responses to emotional urges
  • Enhancing control over emotions
  • Developing a lifestyle that increases positive emotions

Skills Deficit addressed:

  • Labile affect - extreme emotional sensitivity, ups and downs, moodiness
  • Intense emotional reactions
  • Chronic depression
  • Problems with anger
  • Problems with anxiety

INTERPERSONAL EFFECTIVENESS

Skills Taught:

  • Skillfully asking for what one wants
  • Learning how to skillfully deal with conflict situations
  • How to say no to unwanted requests and demands
  • How to maintain healthy relationships
  • How to maintain self-respect
  • The use of effective social skills

Skills Deficits addressed:

  • Interpersonal chaos
  • Intense, unstable relationships
  • Trouble maintaining relationships
  • Panic, anxiety, and dread over relationships ending
  • Frantic attempts to avoid abandonment
  • Enmeshment: making one person the center of your universe

MIDDLE PATH (DIALECTICS)

Skills Taught:

  • Balanced actions, emotions, thinking
  • Accepting alternative possibilities
  • Synthesizing contradictory information or emotions (dialectical thinking)
  • Acknowledging the impact of life experiences on self and others
  • Reinforcing skillful behaviors and not reinforcing unskillful behaviors

Skills Deficit addressed:

  • All or nothing thinking/ or black or white thinking
  • Rigid and inflexible thinking
  • The tendency to self-invalidate
  • The tendency to self-sabotage and get stuck
  • The tendency to have polarized thoughts (all good or all bad; right and wrong; blame)