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Mindfulness in Dialectical Behavior Therapy

In today's blog post, we'll explore the concept of mindfulness within Dialectical Behavior Therapy (DBT) and how important it is in fostering present-moment awareness and therefore our emotional well-being. DBT helps people become more aware of their thoughts, emotions and behaviors. When we are self-aware and able to identify these things in the moment, we have more space to respond thoughtfully! Mindfulness is the foundation of all DBT skills, so let’s jump in and flesh it out further!

What is Mindfulness?

Mindfulness is the practice of intentionally focusing on the present moment with openness, curiosity, and acceptance. It involves bringing non-judgmental awareness to one's thoughts, emotions, bodily sensations, and surroundings. Mindfulness encourages individuals to observe their experiences without getting caught up in judgments or reactions.

In DBT, mindfulness is a core skill taught to help individuals develop a greater sense of self-awareness, regulate emotions, and respond more effectively to life's challenges. By cultivating mindfulness, individuals can learn to approach their experiences with acceptance and clarity. This empowers people to make more informed choices and feel more grounded in their lives.

How DBT Incorporates Mindfulness

  1. Observing and Describing: DBT encourages individuals to observe and describe their internal experiences without judgment. This involves noticing thoughts, emotions, and sensations as they arise and describing them in a factual and non-evaluative manner.

    Example: Instead of labeling an emotion as "bad" or "wrong," practice observing it with curiosity, noting its qualities (e.g., intensity, location in the body) without judgment. “I am noticing my brow is furrowed.” “I feel warmth in my cheeks.” “I feel a wave of longing in my chest.”

  2. Participating Fully: Mindfulness in DBT emphasizes the importance of fully engaging in the present moment. This means actively participating in activities without distraction or preoccupation with past or future concerns.

    Example: When eating a meal, practice mindfulness by savoring each bite, noticing the taste, texture, and sensations involved in the act of eating.

  3. Non-judgmental Stance: DBT teaches individuals to adopt a non-judgmental attitude towards their experiences. This involves letting go of self-criticism and accepting thoughts and emotions as they are, without trying to change or suppress them.

    Example: When feeling anxious, practice acknowledging the anxiety without labeling it as "good" or "bad," allowing it to exist without resistance. “This is a moment of anxiety.” “I am noticing some anxiety.” “My heart is beating quickly.”

Wise Mind in DBT

One of the key concepts related to mindfulness in DBT is the notion of "Wise Mind." Wise Mind represents a state of balanced and intuitive knowing—a synthesis of our emotional sensitivity (Emotional Mind) and logical reasoning (Reasonable Mind). Some people feel like it is their authentic, core self.

In Wise Mind, individuals are able to make decisions and navigate challenges with clarity, compassion, and wisdom. This state is cultivated through mindfulness practices that help individuals connect with their inner wisdom and intuition. In Wise Mind, we are more intuitively responsive and much less reactive.

Practical Tips for Cultivating Mindfulness:

  • Mindful Breathing: Take a few moments each day to practice mindful breathing. Focus on the sensation of your breath entering and leaving your body. When your mind wanders, gently guide your attention back to your breath without judgment.

  • Pay Attention to Your Senses: Notice what you can observe through your five senses. This can help ground us in the present moment and keep us engaged.

    If you are trying to relax, you may even intentionally create an environment that appeals to all of your senses, just like if you were in a spa. What are your favorite scents and tastes? What are comforting, soft things to touch? Do you have images of a beloved pet or a sweeping landscape to look at? Soothing music or chimes?

  • Name the Facts of Whatever You Observe: When practicing mindfulness, we try to name and label only the facts that we can observe. We are trying to avoid interpreting the facts or making them fit into any story. For example, I may say to myself, “I am noticing a feeling of anxiety. I notice my chest feels tight. I notice an urge to hold my breath.” Or if I am focusing outward, I may notice specific, tangible things I can observe others doing, wearing, saying, etc. “I notice the man in the green shirt is crossing the street.”

As you can see, mindfulness plays a central role in Dialectical Behavior Therapy (DBT) by fostering present-moment awareness and acceptance of one's experiences. By incorporating mindfulness practices into daily life, individuals can develop greater self-awareness, emotional regulation and resilience.

If you're interested in learning more about mindfulness or exploring how DBT can support your emotional well-being, consider reaching out to a DBT therapist. Remember, mindfulness is a skill that can be cultivated and integrated into your life with practice and patience.

Stay “wise,” friends,

Maggie

Your Friendly DBT Therapist