Radically Open (RO) DBT is a treatment for people who have tendencies to overly control their lives and emotions. In order to feel safe and avoid vulnerability, overly controlled (OC) people hard work, self- sacrifice, avoid risk, follow rules and delay gratification. OC People tend be have very high expectations of themselves and others, tend to have a strong sense of wrong and right, and tend to have a high need for order and structure in a way that interferes with happiness, spontaneity, relaxation and relationships. OC people may feel like they are doing all the right things in their lives, and yet they are frustrated and confused that they still feel emotionally lonely, and they long for deeper connection in relationship.
RO DBT teaches us to be more flexible in our responses to life, question our actions and reactions through self- enquiry and enhance emotional vulnerability to create more intimate bonds with others. Following RO tenants helps to create “a life worth sharing” by enhancing intimacy and vulnerability. We learn the importance of social signaling, being vulnerable with others, increasing flexible responses and sharing needs to connect authentically with others. Most common RO DBT tools and building blocks for the treatment are self-enquiry, diary cards, behavior chains, and learning the RO Skills.
Flexibility to life changes
Sharing & communicating authentic emotions
Building social connectedness
Opening up to feedback / Praise from others
Chronic Anxiety
Chronic Depression
Avoiding New Experiences
Highly Perfectionistic Tendencies
Sensitivity To Threat
Rigidity & Over Reliance On Rules
Relinquishing Control
Imploding On Self Rather Than Explode On Others
Perfectionism
Over Control
Anorexia Nervosa
Obsessive-Compulsive Personality Disorder
Autistic Spectrum Disorder
Cluster C Personality Disorder
Avoidant Personality Disorder
Treatment-Resistant Depression & Anxiety
… and more after the specific diagnoses
There are three types of RO DBT; RO DBT skills training group, individual RO DBT, and RO DBT skills coaching. Usually a combination of RO DBT skills training class and individual RO DBT or RO DBT skills coaching are suggested for the best outcomes. The actual RO DBT skills that are the foundation of the RO DBT practice are taught in a group setting. RO DBT is based on using the skills, so RO DBT skills class is an essential part of your RO DBT Treatment.
Each group is structured, beginning with Mindfulness (meditation), then Homework review is conducted to show how you are using your RO DBT skills to assess what is working and what isn’t working. Then, we teach the next skill, and Homework assigned for what to practice for the week.
The group is a 30- week cycle that teaches all the DBT skills; mindfulness, radical openness, emotion regulation, and interpersonal effectiveness. Each group lasts 1- 1.5 hours/ once a week and is structured beginning with Mindfulness (meditation), then Homework review is conducted to show how you are using your RO DBT skills to assess what is working and what isn’t working. Then, we teach the next skill, and Homework assigned for what to practice for the week.
Individual RO DBT is used in conjunction with RO DBT skills training class to increase the level of care for clients with behavioral problems that significantly interfere with their quality of life and relationships. Individual RO DBT Therapy is highly structured and utilizes self- enquiry and a diary card to efficiently target the most important behaviors to address in therapy. Clients discuss life threatening behaviors (When applicable); therapeutic alliance ruptures, social signaling problems all using a structured format of behavior chain analysis. This is a very highly effective behavior change therapy.
RO DBT skills coaching is used when clients need individualized intentional focus in applying and understanding the RO DBT skills that are being taught in the group. Clients may find that RO DBT skills, does not provide the level of support that they need to really change the behaviors they are identifying as problems. RO DBT skills coaching helps clients get highly individualized support in understanding RO DBT skills, how to apply them in their lives, and gives one-on-one outside of group support for skills integration. Skills coaching with the RO DBT skills training group is a highly effective and efficient way to change and create a life worth sharing.
Therapy options are available depending on the provider / therapist selected.
WholeHeart Psychotherapy represents a group of collaborative treatment professionals. However, each provider is an independent contractor. Note that this communication, in and of itself, is for informational purposes only and does not constitute a client-therapist relationship until a written agreement is made.
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