Personalized psychology for the whole family. Delivered virtually.

Raleigh | https://melanie-mccabe.clientsecure.me

Personalized psychology for the whole family. Delivered virtually.

Types of Therapy At RDU Therapy

CBT Cognitive Behavioral Therapy

DBT Dialetical Behavioral Therapy

CBT is a common form of therapy, it’s talk therapy that explores how your thoughts, behaviors, and emotions interact to support you in making meaningful changes. CBT is an evidence based approach for a number of diagnoses.

DBT Dialetical Behavioral Therapy

DBT is an evidence based approach for a variety of diagnoses with an emphasis on people’s behaviors. It is designed to quickly decrease problem behaviors in increase effective behaviors.

CBT or DBT

The differences

CBT in it’s simplest form is talk therapy that is aimed to help a person get closer to their goals by changing how they interact with their thoughts and world. Many different kinds of therapy fall under the broad category of CBT.

DBT is a very specific kind of CBT. It is protocoled, evidence based, and to be delivered in an “adherent“ way (as described in the research, and evidence based), needs to be conducted by an expert trained in DBT. True DBT includes diary cards, phone coaching, weekly sessions, as well as a skills teaching component. There are several kinds of DBT.

Children Who May Benefit From DBT: The SuperSensor Checklist

Supersensors

Below you will find a checklist. I ask all of the individuals I work with about the following items to see if they sound like they may benefit from DBT. Supersensor is not a diagnosis you’ll find in the official diagnostic books professionals use, yet it is a term that describes a cluster of behaviors and characteristics that describe a person who may benefit from DBT. The term as used by Francheska Perepletchikova (2018), the person who created DBT-C is explained in greater detail below.

Supersensors tend to share several (rarely, all) of the following characteristics.

They avoid effort as tasks can seem overwhelming (finishing touches on a project, meet new people, learn a new skill).
When faced with emotions a supersensor may be hyper-reactive (higher energy level when emotions increase).
Sameness may be comforting to a supersensor and unexpected or desired change can be difficult (new school year, changes in routine).
They seek stimulation from others ("mom, I am bored", misbehave when waiting in line, may intrude on others' turns, act out while waiting, take items from others).
Sustaining attention takes a lot of effort for un-desired tasks (homework time may be very challenging, change the topic often in serious conversations), may blurt out or use their hands rather than words to solve problems.
Some may have sensitivities to sensory input (picky eaters, tags in clothes are bothersome, aversion to temperatures, flavors, sounds).
May require a lot of physical stimulation (have energy to spare after running around at the park, whereas other children may need down time).
All or nothing thinking ("I hate you", "I am never going to do that", "you never let me").
Independent living tasks are avoided (brushing teeth, hair, wiping, putting away a dirty dish).

DBT

DBT therapies I provide

Adult DBT

Adults who may benefit from DBT engage in problematic behaviors that may or may not be risky, interfere with relationships, cause harm to self and or others. These behaviors may result in conflict, avoidance, substance use, unstable relationships, spending, and misuse of food.

Teen DBT

Teens who may benefit from DBT engage in problematic behaviors that may or may not be risky, interfere with relationships, cause harm to self and or others. These behaviors may result in conflict with family/friends/teachers, lying, avoidance of school/work/parents/friends , substance use, unstable relationships, spending, sneaking out, misuse of social media, and misuse of food.

Child DBT

Children who may benefit from DBT engage in problematic behaviors that may or may not be risky, interfere with relationships, cause harm to self and or others. These behaviors may result in temper tantrums, outbursts, conflicts with family/friends/teachers, avoidance of chores/hygiene tasks/parents/friends, excessive gaming, difficulty going to sleep alone, lying, hiding, spending, and misuse of food.