Marsha Linehan DBT with Suicidal Clients Video

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  • Опубліковано 17 гру 2024

КОМЕНТАРІ • 104

  • @chalronbjork4766
    @chalronbjork4766 7 років тому +179

    "I think if you've ever been to an ER when you've cut yourself you'll know why I don't go".....BINGO! It's obvious ED / ER staff should get training on this type of things so that they stop stigmatising and treating the patients like they're a worthless waste of time; somehow believing that if they treat these patients with kindness and like normal human beings, that somehow they will magically be cured and wont present to ED/ER again. Huge lack of misunderstanding when it comes to many of the mental illnesses especially by ER staff.

    • @noxdoubt861
      @noxdoubt861 6 років тому +13

      I think the issue is, she would be involuntarily hospitalized because they will think it's a suicide attempt, even if it's "just" self-harm

    • @sereneamani1713
      @sereneamani1713 4 роки тому +1

      @@noxdoubt861 I agree

    • @rebeccaweil1
      @rebeccaweil1 3 роки тому +10

      I think butterflies help if it’s just cutting but ER is not a good place for suicidal patients. Hospital staff are overworked and have little interest in this kind of behavior. It’s deeply humiliating and shameful for suicidal people. I rather jump off a bridge then go to a hospital.

    • @AsAmsterdam
      @AsAmsterdam 2 роки тому +3

      On one hand, I can sympathize with people working in hospitals who also may be fighting their own internal battles with the stigma of suicidality. I can imagine struggling, feeling like you have to keep your stamina up, to stay out of the proximity of the spiritual suck of depression, like everyone else at your job, whom with you compete to cooperate. And that could really prevent a lot of people from understanding that they’re depressed, and then some- not recognizing the nuance of the strain that is putting on them. I feel a big part of the problem is disavowing actual health for workers & patients alike. It shouldn’t be the responsibility of a person experiencing suicidal ideation to bear the burden of their caretaker’s lack of care. That’s not effective healthcare.

    • @ScaryGeorgia26
      @ScaryGeorgia26 2 роки тому +1

      I agree i no longer go to ER for mental health support, but in hindsight thats a good thing. Its better to call 111 option 2 for support earlier than learning that self harm get you positive attention. Obviously its different for ever patient and the nhs has a lot more work it needs to do in lower levels of mental health ("lower" in terms of patient still has capacity and isn't super psychotic and/or a danger to others)

  • @ajarnt9050
    @ajarnt9050 6 місяців тому +18

    There's a lot to unpack here!
    --Mirroring (both body language and tone of voice)
    --Normalizing the behavior so the client feels comfortable talking about it
    --Checking for suicidal ideation vs. plan
    -- Asking WHY the client did not follow through
    -- Client wants a "quick fix" and feels angry that the therapist is not "fixing her"
    -- Discussing the rupture between client expectations vs. counselor's job description

  • @FreeThePorgs
    @FreeThePorgs 4 роки тому +52

    Once you walk into a ER for self harm and admit it to the triage nurse YOU CAN'T LEAVE without being checked out and cleared.....If you try to leave they will ask you to say then send security and the police to bring you back. Many ER's have a locking secure psych section for this reason.....Now they mean well and want to help people, key word "mean" well....

    • @tareqelkhoury
      @tareqelkhoury 2 роки тому +5

      Because doctors and hospital staff have a legal duty of care for patient safety, as well as their altruism...

    • @godivaodonata
      @godivaodonata 2 роки тому +4

      @@tareqelkhoury Yes, but also, most err on the side of CYA. It's the reason I find dial-a-nurse services pretty much worthless: A tele-health nurse-9 times out of 10-is going to ask a few questions and then just tell you to go to the ER, so they don't get sued.

    • @averyintelligence
      @averyintelligence 3 місяці тому +1

      @@tareqelkhouryyes but it’s highly ineffective and doesn’t statistically work.
      Being admitted into hospital is actually worse prognosis than not so they should take a note from their own data. It’s for legal reasons, not for ethical and common sense reasons

    • @Zwantceeto
      @Zwantceeto 8 днів тому

      Not to mention when you have BPD on file, the staff will automatically label you as "non-compliant" and keep you locked.

    • @tenderpawsm473
      @tenderpawsm473 5 днів тому

      Fk the fuzz

  • @katelynfe
    @katelynfe 11 місяців тому +40

    Okay. I want to reiterate this: Marsha is a very very blunt woman. When working with HCPs and manipulative people or any cluster B, you have to be pretty direct and blunt. Shes acting like a wall to diffuse the manipulative strategies and challenge her client to not do those things. Working with borderlines is incredibly difficult. You have to have firm boundaries, be direct, and not respond to their guilt tripping via compassion or being overly empathetic. Thats why shes acting like this. Borderlines are known for saying or doing things to get reactions from others and if marsha rewards her for acting that way, she learns that if she acts in a maladaptive way she'll be rewarded in some respects

    • @fiona3929
      @fiona3929 4 місяці тому +3

      The thing is I feel like I'm borderline, but I don't do things to "get reactions" from others. If others are making me emotional upset and I can't convey those emotions to them, because they don't like that I even feel that way. That's the only thing that really makes me want to isolate and separate myself from absolutely everybody because apparently I'm manipulative when I'm not im tormented, I'm not allowed to express my emotions, even in a pretty relaxed manner. I try to escape a situation because I'm overwhelmed by my emotions not being listened to whatsoever. I go cey alone because the one i love doesn't understand me. I get told i cry to make them feel bad. I get followed around with my intense emotions, chased, demanded to come back in the house when i need to relax in the car. I don't just hurt myself because I'm overwhelmed I hurt myself because I'm overwhelmed I'm being chased I'm being forced horrible things in my ears about how horrible and awful and shameful I should feel for how fon horrible and awful I am and pitiful and a miseravle victim. As if someone with BPD is going to take insults lightly, especially when they're thrown so hard and you can't stop crying already. Just saying not every time a person with BPD self-harms or says something pitiful, it's not always because they're trying to manipulate someone. They're full with shame to the max amount. And it's mostly for no reason.

    • @averyintelligence
      @averyintelligence 3 місяці тому +1

      @@fiona3929you might have bpd traits but not fully meet criteria for bpd. Having bpd traits is still a clinical disorder, or at least it’s documented in your medical files so if you can get assessed. I know it’s expensive though

    • @sofiekaergaard93
      @sofiekaergaard93 Місяць тому +1

      " When working with HCPs and manipulative people or any cluster B, you have to be pretty direct and blunt. "
      If you really think every person with BPD is manipulative then you need to either find a new job or educate yourself further. These generalizing statements are highly unhelpful to patients.

    • @Zwantceeto
      @Zwantceeto 8 днів тому +1

      Way to spread the stigma. She is the one using manipulative and abusive techniques instead of helping the person who desperately need help. She has no empathy whatsoever.

    • @tenderpawsm473
      @tenderpawsm473 7 днів тому +1

      And no, you do not have to be direct and blunt with borderlines. This can make them worse. It's true that they can be very challenging patients, but a skilled clinician can help even borderlines.

  • @brendalg4
    @brendalg4 5 років тому +106

    Save 2+ minutes of your life... there is no DBT and then they tell you to buy the video to find out what happens
    Edit: my post is 3 years old.. I could be wrong... I am not a therapist.

    • @brendalg4
      @brendalg4 2 роки тому +7

      @Lollie Pop I meant don't waste your time watching this video because it doesn't talk about DBT and then wants you to buy a video to find out what happens.

    • @PrinceRowen
      @PrinceRowen Рік тому +2

      Bless you

    • @plusfuture
      @plusfuture Рік тому

      yea it's fucking bs

  • @Hemlocker
    @Hemlocker 4 місяці тому +12

    I love random UA-camrs criticising the founder of DBT based on a 2min UA-cam clip

  • @dmitryvolkov4300
    @dmitryvolkov4300 7 років тому +29

    It looks like very hard case.

    • @orewa830
      @orewa830 8 місяців тому +1

      Looks like a normal bpd case to me

    • @Zwantceeto
      @Zwantceeto 8 днів тому

      Looks like a pretty chill case of bpd.

  • @greenmatzoh
    @greenmatzoh 7 років тому +28

    Hi guys, Is this an actress acting the transcript of a real client's therapy session? Please inform, thanks!

    • @IcedReality
      @IcedReality 6 років тому +35

      It's an actress- and a very good one.

    • @kenlem
      @kenlem 6 років тому +9

      There is no way in hell that that women is an actress. That's about as real as you can get.

    • @sharlamize
      @sharlamize 5 років тому +18

      @@kenlem she's a grad student of Marsha's.

    • @kenlem
      @kenlem 5 років тому +3

      Well, she certainly fooled me.

    • @shellbee8098
      @shellbee8098 4 роки тому +18

      She’s not a good actress. I saw through it pretty quick.

  • @antotheja251
    @antotheja251 6 років тому +5

    The link does not provide the full video!!

    • @freeedom22
      @freeedom22 9 місяців тому

      ofc not, you are supposed to buy the whole video series. Lol

  • @Clicker3
    @Clicker3 2 місяці тому

    Life changing video

  • @un.nico.de.lava.
    @un.nico.de.lava. Рік тому +11

    Marsha Linenhan is a very smart therapist, stop criticizing her

    • @James-eb9gs
      @James-eb9gs 6 місяців тому +4

      She's above criticism?

    • @Zwantceeto
      @Zwantceeto 8 днів тому

      She's anything but smart. She pathologizes emotions, manipulates vulnerable patients, takes advantage of the attachment to then use abusive and aversive techniques on people in lrder to make them comply.

  • @marzwolfe4037
    @marzwolfe4037 Рік тому +18

    I watched the whole video on a different channel and holy crap, this is such an abusive form of therapy. “Withholding warmth” with the client is such a horrible tactic for a client who feels deeply betrayed and alone.

    • @dawnapple7079
      @dawnapple7079 Рік тому +4

      Fr, I am a psychology student and I recognized so many red flags. Her voice got loud and aggressive when the client said, "You were not available and this is why I did this." And we know cutting is a sign for a need for release or risk of suicide.
      she also went to blaming her and saying, "OH, you should just patch that up." she avoiding asking why which is one of the main things you should do. she did not come down to her level or was empathic, making the client feel even more alone and not understood and hopeless about anything getting better, which is another reason why people commit suicide. Along with her life goin not so good.
      Plus, Feeling isolated from people is one of the reasons suicide happens and not having a support or social group. As a social worker or therapist. It was her responsibility to be available for her.

    • @katelynfe
      @katelynfe 11 місяців тому +7

      Marsha is a very very blunt woman. When working with HCPs and manipulative people, you have to be pretty direct and blunt. Shes acting like a wall to diffuse the manipulative strategies and challenge her client to not do those things. Working with borderlines is incredibly difficult. You have to have firm boundaries, be direct, and not respond to their guilt tripping via compassion or being overly empathetic. Thats why shes acting like this.

    • @sunbeamfactory5171
      @sunbeamfactory5171 10 місяців тому +10

      I went through 18 months of DBT, and it changed my life. There was nothing abusive about it. Most people with BPD have very poor boundaries, and the rigid rules helped me so much. I hated them at times, but having them in place taught me that I could abide by them and soothe myself. If you self-harm or attempt suicide, your therapist won't talk to you for 24 hours; it sounds cruel, but it teaches you that those behaviors aren't effective. DBT is a rigid form of therapy, and that's why it works.

    • @freeedom22
      @freeedom22 9 місяців тому +4

      @@dawnapple7079 You are a student indeed so no experience yet my friend. She literally saved thousands of lives the way she created (and practiced) therapy and is seen as a "titan" in the field. Who do you think is more likely to be right you or her?
      One good thing for your futur as a pro : don't think you know sh** before any actual practice. You'll see. Come back in a few years and read your comment again.

    • @Yogayin
      @Yogayin 8 місяців тому +2

      She's working with BPD, obviously. You have to be direct and not take any shit from the client. Her methods are backed by scientific evidence. Personality disorders are a very different presentation to depression or anxiety and you can't judge her techniques by humanistic methods which do not help PDs

  • @ededd3175
    @ededd3175 3 роки тому +10

    is she an actress? or is this chick just that comfortable with an audience like that?

    • @freeedom22
      @freeedom22 9 місяців тому +3

      actress obviously (written on the website and perhaps even under the video)

  • @timmartin6091
    @timmartin6091 2 роки тому +11

    Some years ago, I almost took my own life. I was abused when I was a kid, broken, depressed, anorexic, bulimic, self-harming. suicidal. My biological father choked me and chased me with the lawnmower as if her was gonna run me over, I went in & out of psychiatric units like it was a game of Chess. Suicide watch. I was on enough Antidepressants to kill a horse since i was 12. I hated myself. I wanted out. I wanted the pain to stop. The abuse to end
    I wanted power. I got into witchcraft. I thought it would give me the identity i wanted, to be set apart from people who hurt me. It only made me sicker. Sicker. Thats what it did to me.
    The doctors said i’d never get well. That i would suffer severe Chronic Manic depression, and never be well, that id be stuck on antidepressants all of my life.
    I would plot suicide on a daily basis, binging and purging my food as often as opening and closing a door. The pain was too real. People choked me. Assaulted me. Told me i was ugly, told me to apologize to him for every year i was alive. i felt worthless. Nothing ever got better. Then my mother died. The (1) & only soul who ever loved /emotionally supported me was removed from the earth. I was stuck living with people who broke me, ruined my identity, thus causing me to hate God. I thought God hated me, that he was just like the ones who tortured me, a family of abusers, who cover up all their actions with the mask of religion. I didnt know that God is on my side. I didnt know that Jesus would Love and Defend me, and fight for me and that He later would heal me, rescue me from Family. The ones who caused me pain. The ones who choked me for wearing a pagan necklace.
    I moved out after family threatened to throw all my belongings on the front yard, and have me permanently institutionalized in an insane asylum, when they were the ones who caused my mental illness via abuse.
    They blamed me for the abuse they did to me.
    To take my life in a psychiatric unit aka insane asylum when they were the ones who made me suicidal.
    Next morning i moved in with my dead mom’s parents.
    I stayed on the antidepressants, prescribed. But they only made me sicker. I got deeper and deeper into witchcraft, thinking it was a solution. But it made me even more suicidal. Self hatred was inescapable. All my cards have fallen down. I have nothing left. But out. I wanted out.
    I decided i was going to kill myself. I was going to take all my pills.
    But then Jesus stepped in. I didnt die. I surrendered my life to Jesus to make me well and heal me.
    The deity i blamed for me being abused wanted to heal me. He Was fighting for me and Loved me all along.
    He wanted to love me. He wanted to give me a new heart. His Heart.
    Jesus miraculously healed me - i am off all the drugs and dont need them and i dont have any mental illnesses. I am totally healed , full of joy.
    I’m now a born again Christian.
    I want ALL y’all to know that JESUS IS ON YOUR SIDE
    HE’s FIGHTING FOR you.
    Don’t believe me?
    Just WATCH WHAT HE WILL DO FOR YOU NEXT

    • @thevirtualtraveler
      @thevirtualtraveler Рік тому +8

      As soon as I got to the "witchcraft made me sicker" bit, I started skimming for Jesus to pop up. Didn't take you long
      God bless you, but Jesus doesn't need you to proselytize in the UA-cam comments.

    • @amy5206
      @amy5206 Рік тому +2

      Great to read this.

    • @trollsneedhugs
      @trollsneedhugs Рік тому +1

      Proclaim the name of Jesus Christ everywhere! All must know about our amazing humble king Jesus!

    • @sunbeamfactory5171
      @sunbeamfactory5171 10 місяців тому +4

      Religion isn't a cure for mental illness, and Christianity isn't the only religion.

  • @dannyboii34
    @dannyboii34 4 роки тому +31

    This woman has no idea how to help people. Stating the obvious and making the person say it back to you is only killing time for the persons money. She did nothing to help this woman

    • @thomasreedy4751
      @thomasreedy4751 4 роки тому +28

      So a therapist is just wasting your money by repeating what you say.
      Does that make you feel cheated?
      I can understand how you may feel that way, after seeing a two minute clip. I also, realize that since this is an advertisement it could help strengthen those feelings.
      However, it is important to point out that repetition or paraphrasing what someone says it the second step in trying to understand what they are attempting to communicate.
      And so while, as you say repetition isn't enough, it is a part of the process of helping someone in distress.

    • @jackdawcaw4514
      @jackdawcaw4514 4 роки тому +23

      @@thomasreedy4751 It might be helpful, if it's authentic. The problem with many treatment models and those practicing it is that they apply principles in a mechanistic way: when client does X, therapist does Y. This is a horrible way of relating with people. A client wants an authentic reaction from a real person. It doesn't mean you can just say whatever comes to mind, but it does mean that you can't just apply simplistic principles. You need to notice what you feel, notice what is happening for the client, and respond in an authentic but focused way. I'm convinced an important reason for clients to keep going back to therapy with a different therapist each time, is because they never had an authentic encounter with someone willing to wrestle through it with them. (and being authentic in a professional and focused way is probably the most difficult thing you can ask of a therapist -- much more difficult than applying a technique)

    • @marianaa6285
      @marianaa6285 4 роки тому +31

      You can't understand a whole treatment with a 2 minute video, that's why you are saying wrong things

    • @ts3858
      @ts3858 3 роки тому +2

      @@jackdawcaw4514 I agree..! 👍

    • @ts3858
      @ts3858 3 роки тому +2

      @@jackdawcaw4514 I agree!

  • @azranger7294
    @azranger7294 Рік тому +7

    DBT is fancy gaslighting

    • @sunbeamfactory5171
      @sunbeamfactory5171 10 місяців тому +8

      It's not even close. Your DBT therapist isn't trying to make you doubt your own sanity for their personal benefit, which is what "gaslighting" means. Instead, they're slowly teaching you how not to make things worse when you're emotionally distressed, so that you can build a life worth living. DBT saves lives.

    • @azranger7294
      @azranger7294 10 місяців тому +4

      @sunbeamfactory5171 DBT teaches you that your negative reactions to stressful situations are wrong, ridiculous, and unhelpful. My trauma responses and autism symptoms were no exception. I doubted my own sanity. Her personal benefit? To keep little teen me depressed so my dad had to keep giving her money... and maybe I wouldn't complain so much about my suicidal depression due to emotional neglect plus a thousand other issues that children shouldn't have to suffer through.
      So yeah. Gaslighting.

    • @sunbeamfactory5171
      @sunbeamfactory5171 10 місяців тому

      @@azranger7294 But DBT is all about looking at things nonjudgmentally! The two DBT therapists I worked with never told me my reactions were wrong or ridiculous; that's the opposite of how DBT works. They did tell me my behavior was ineffective, and give me tools for behaving effectively next time I was in that situation. Because BPD is often a trauma-based disorder, nobody ever shamed me for my trauma. I remember a couple of people in my group having to go do some EMDR and come back to DBT later, and the therapists were well aware that sometimes trauma therapy was needed.
      It sounds like you had a really bad therapist. But please don't associate the whole of DBT with her, because DBT done right can save people's lives.

    • @Yogayin
      @Yogayin 8 місяців тому

      @@sunbeamfactory5171 Hear, hear

    • @alexblack9958
      @alexblack9958 8 місяців тому

      @@azranger7294 Believing your therapist wants to keep you depressed so your dad had to keep giving her money.....sounds like you have BPD

  • @BloodAndGutsTV
    @BloodAndGutsTV 2 роки тому +16

    DBT is A JOKE!!

    • @comradeshmurda8103
      @comradeshmurda8103 Рік тому +4

      Elaborate

    • @ABC-abc123-j7s
      @ABC-abc123-j7s Рік тому +2

      just talking and blaming

    • @freeedom22
      @freeedom22 Рік тому +4

      DBT is the only therapy that a real improvement on me. But it requires work..and on your own. If go expecting it "to be pre-done for you" it will never work. I personally am very glad I found this approach.

    • @sunbeamfactory5171
      @sunbeamfactory5171 10 місяців тому +8

      DBT saved my life. If you practice the skills, you can find yourself wanting to live.

    • @Yogayin
      @Yogayin 8 місяців тому

      It's not unusual to get this sort of backlash. DBT is challenging for people with personality disorders, but that in itself is why it's so effective for them. The problem with people with PD is that they're incredibly manipulative.