530- Managing ADHD and Emotion Dysregulation with Dialectical Behavior Therapy
Dec 3, 2024
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Lauren Allerhand, Co-director of DBT programs at the Child Mind Institute, shares her expertise in diagnosing and treating ADHD in children. She discusses how Dialectical Behavior Therapy (DBT) helps manage emotional dysregulation through acceptance and mindfulness. Learn about effective strategies for parents to support their children's emotional needs and the role of validation in DBT. The conversation also delves into engaging teens in therapy and empowers children with coping strategies during crises.
Dialectical Behavior Therapy (DBT) combines mindfulness and acceptance strategies to help children with ADHD manage intense emotions effectively.
Emotional dysregulation often coexists with ADHD, contributing to behavioral issues and increasing the risk of anxiety and depression in adolescents.
Validation of children's emotions is crucial in enhancing communication and strengthening relationships, counteracting the chronic invalidation they may face.
Deep dives
Understanding Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) integrates cognitive behavioral therapy with mindfulness and acceptance strategies, initially developed for chronically suicidal adults. It focuses on helping individuals manage intense emotions by teaching them distress tolerance skills and emotional regulation. Over the years, DBT has been adapted for adolescents and even younger children, emphasizing a family-based approach. The therapy aims to improve social relationships and decision-making through enhancing self-acceptance and reality acceptance.
Emotional Dysregulation in ADHD
ADHD often coexists with emotional dysregulation, which can lead to significant behavioral issues. It is estimated that between 25-40% of children with ADHD also face challenges with chronic emotional dysregulation. This combination can increase risks for anxiety, depression, and suicidal behaviors in adolescents. DBT aims to address these aspects by targeting the emotional and behavioral difficulties that accompany ADHD, particularly focusing on impulsivity and emotional responses.
Core Skills of DBT for Children
DBT emphasizes various core skills that can positively impact children and adolescents. Skills are taught to both children and their parents, reinforcing learning outside the therapy setting. Mindfulness practices serve as foundational skills, allowing children to become aware of their emotions before acting on them. Additionally, distress tolerance skills equip young individuals with strategies to cope with extreme emotional states without resorting to harmful behaviors.
The Importance of Validation
Validation is a critical component in supporting children with emotional dysregulation, as it communicates acceptance of their feelings and emotions. Providing validation helps counteract the effects of chronic invalidation often experienced by these children. This practice involves listening actively and reflecting on what the child shares, which acknowledges their emotional state without jumping to problem-solving. When parents and caregivers validate emotions, it enhances communication and strengthens relationships.
Implementation and Support in DBT
DBT incorporates structured support through both individual therapy and skills groups. The skills groups educate both parents and children on essential DBT techniques, ensuring cohesive learning experiences. To facilitate practical application, DBT programs offer telephone coaching, allowing clients to receive real-time guidance in crises. The goal of DBT is not just to reduce symptoms but to foster a fulfilling and meaningful life for children and their families, equipping them with tools to manage challenges independently.
DBT works by helping children develop skills that decrease unwanted feelings and unhelpful behaviors, as well as accept difficult feelings about themselves and others without judgment. Learn about this evidence-based treatment from Lauren Allerhand, Psy.D.
This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/additude and get on your way to being your best self.
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