Dialectical Thinking in DBT Trauma Work: TOM and Fortunately-Unfortunately Skills

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In this presentation, our faculty member Kirby Reutter, Ph.D., talks about the case of Maria, a client presenting with PTSD symptoms.

Here are some highlights we’ve extracted from this video:

* Dialectical thinking is important for clients who tend toward extreme thoughts.
* The TOM skill helps to address extreme thoughts by developing a middle thought which is both more accurate and less distressing.
* The fortunately-unfortunately exercise helps the client become more dialectical by acknowledging and accepting that there are good and bad things in life.

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#PTSD #DBT #Dialectics #Thoughts #TOMSkill
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Great job! There are so many skills in DBT. I love the way that you isolate this and make it very digestible and you do a wonderful job, explaining how this is dialectical. It really does feel different to me from cognitive reframing.

KimberlyJSteiner
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This really doesn’t feel different from CBT thought reframing.

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