Dialectical Behaviour Therapy: States of mind

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This training introduces mental health professionals to foundational dialectics in Dialectical Behaviour Therapy (DBT), with a focus on understanding and working with “States of Mind.” As the second instalment in a practitioner-focused DBT series, this session provides a structured framework for helping clients navigate the tensions between thought, feeling, and behaviour.

Participants will explore the core dialectics that underpin DBT and learn how to apply these concepts to increase insight, improve emotion regulation, and guide clients toward accessing their Wise Mind—a synthesis of emotional and rational awareness.

Sections

• Dialectic of Inside and Outside - Work with this Dialect helps to separate what is experienced "Inside" the client, as opposed to what they do "Outside" in the world.
• Dialectic of Acceptance and Change - This dialectic places value in the acceptance of inside experience, while it can also be useful to develop new skills to become more effective.
• Dialectic of Emotion Mind and Rational Mind - The Emotional Mind is filled with feeling. It is experienced as a “heated” state of mind.  The Rational Mind filled with logical thoughts. It is experienced as a “cool” state of mind.

Learning Outcomes

By the end of this talk, participants will be able to:

• Differentiate between Emotion Mind, Rational Mind, and Wise Mind, and describe their relevance in clinical work.

• Apply the dialectic of “Inside vs. Outside” to support clients in recognising internal experience vs. outward behaviour.

• Facilitate client understanding of the Acceptance vs. Change dialectic to promote growth without invalidation.

• Use DBT’s model of States of Mind as a psychoeducational and therapeutic tool.

• Help clients develop awareness of their dominant cognitive-emotional state and transition toward more integrated responses.

 

This video is accompanied by a file of diagrams and written summaries supporting the teaching, and a set of links to public video clips to illustrate points made. 

This video can be watched on its own, but if you would like to watch the clinical framework of DBT, you can see it here.

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