In preparation for a more thorough DBT episode with experts in the field, Margaret leads us through a “DBT 101” covering the essentially axioms of dialectical behavioral therapy along with the pillars of mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness.
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Produced by Dr Glaucomflecken & Human Content
Get in Touch: howtobepatientpod.com
Chapters:
00:00 Mindfulness Isn’t Just Meditation: Making Space for Emotions
00:21 Welcome Back + Flying Solo After COVID (and the Leech Bit)
01:28 Levity in Medicine: Shouting Out Funny Healthcare Creators
02:51 Creator Spotlight: Abby & ‘Serve Evidence-Based Medicine’ Energy
04:29 Amino’s Residency Impressions + When Viral Skits Get Reported
07:13 Rapid-Fire ‘Glass’ Jokes + Why Fresh, Non–Punching-Down Humor Matters
10:40 Sponsor Break: Cozy Earth Blanket & Pajamas
11:40 DBT 101 Setup: Why This Episode + Hosts’ DBT Experience
14:13 What ‘Dialectical’ Means + Marsha Linehan’s Origin Story
20:21 Where DBT Helps: Beyond BPD to Transdiagnostic Life Skills
21:49 High-Fidelity DBT Explained: What ‘Real DBT’ Includes (and Why It’s Hard)
26:42 Consult Team & ‘Discharging Affect’: Supporting Therapists in High-Acuity Work
28:49 Why DBT Needs a Team: Holding High-Risk Patients & Boundaries
30:19 Splitting Explained: Dialectics and the Therapist Stance
33:06 Pillar 1 — Mindfulness: What/How Skills and Staying One-Minded
37:59 Wise Mind: Integrating Rational + Emotional Mind
41:37 Pillar 2 — Emotion Regulation: Why Emotions Exist & Key Skills
48:05 Pillar 3 — Distress Tolerance: “Emergency Procedures” (TIP, Radical Acceptance)
52:22 Pillar 4 — Interpersonal Effectiveness: DEAR MAN, Scripts, and DIME Skills
56:37 Wrap-Up: Patreon Plug, Listener Qs, Credits, and Lilac the Cat
