DBT and danger cues

Oooh, are you talking about RO-DBT?

yes, I didn't know that was a thing!
last report we read more than 90% of DID patients meet the criteria for avoidant personality disorder,
just in the way we relate to others and this thing of not allowing ourselves to make mistakes ever...

I want to see if that is actually working out for people. because here they have started to spread DBT-PTSD with the classic DBT foundations and the first long-term screening/study shows that the results are pretty bad for complex trauma and horrible for DID. because the relational tools of classic DBT simply suck for trauma people... then add working with aversive stimulation all the time... and how are people supposed to feel safe there?

birdsong87 wrote:the over-controlled patients get a different programm that is aiming for interpersonal relationships, expressing themselves and feeling connected.

I haven't chimed in because I know nothing about DBT, but "over-controlled" is a pretty good description of me , and that sounds like an approach that would help. I can't even relate to the other things you've been mentioning--most of it sounds like more trauma to me.

I am going down that rabbit hole for today... and put the rest of the reading list.

RO-DBT is aimed at people with over-control disorders, they name avoidant or obsessive-compulsive PD, anorexia and persistant depression.
it is marked by
- inhibited emotional expression, like the still face masks some survivors have
- hypervigilant or over-cautious behaviors, like HELL YES
- rigid/ rule-governed bahvior, like planning every detail ahead, including avoidance of ever making a mistake
- aloof/distant relationships, including difficulties to be ourselves around others or sharing what is on our mind or how we really feel
- envy&bitterness as in compulsively needing to be better, being cynical and pushing beyond our capacity and be proud of that

it sets relational repair over correcting tricky behavior. so not the punishment system of DBT.
it doesn't work with the concept of radical acceptant and zen buddhism but with the concept of radical openness and a buddhist philosophy that questions our perception of reality.
I find this very helpful because sometimes we only see reality thru our trauma lens and then we radically accept THAT and don't even question it anymore. when so much of DID therapy means questioning things we always considered normal.

it is not the perfect solution. sometimes we are under-controlled when it comes to emotional hijacking. that is still real. but if we could get a combination of some of the original DBT with quite a lot of RO-DBT that would be a treatment we would actually try.

L&Asti

birdsong87 wrote:RO-DBT is aimed at people with over-control disorders, they name avoidant or obsessive-compulsive PD, anorexia and persistant depression.
it is marked by
- inhibited emotional expression, like the still face masks some survivors have
- hypervigilant or over-cautious behaviors, like HELL YES
- rigid/ rule-governed bahvior, like planning every detail ahead, including avoidance of ever making a mistake
- aloof/distant relationships, including difficulties to be ourselves around others or sharing what is on our mind or how we really feel
- envy&bitterness as in compulsively needing to be better, being cynical and pushing beyond our capacity and be proud of that

This. Yeah. We can definitely relate. It'd be worth it for us to read up on this.

MDs