DBT Visual Review Flash Cards.pdf

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Skills Flash Cards
These cards are helpful in familiarizing both clients and therapists with the Skills Modules within DBT and may be
used in conjunction with Skills Group or Individual Therapy. The cards are helpful for clients to use as a quick reference
while they are busy living their daily lives. The images found within are from the “Dialectical Behavior Therapy: A Visual
Review” presentation. The cards were created by Dr. Steve McCandless, Psy.D and Stephanie Johnston, LCSW of the Cen-
tral Arkansas Veterans Healthcare System in collaboration with artist Kevin Cates. The project was made possible through a
grant from the South Central MIRECC. Please feel free to use and distribute the cards as needed.
Dialectical Behavior Therapy: A Visual Review
Instructions for Use
Print the following pages then copy front and back onto one page.
Make sure the numbers ‘1’ and ‘2’ are on opposite sides of the first page and in the same loca-
tion.
Once printed cut along the dotted lines and put in sequential order.
Blank cards are numbered 63-71 and are included for notes if desired.
The cards can be stapled together or laminated with a hole punch in the top left corner and
placed on a key ring,
1
3
BioSocial Model
5
Dialectical
Behavior
Therapy
Flash Cards for Skills Use
BioSocial
Theory
Emotionally Sensitive Baby
+ Invalidating Environment
7
9
11
Dialectical Dilemma
Dialectical Dilemma
Dialectical
Dilemmas
Unrelenting Crisis
Emotional Vulnerability
6
4
2
BioSocial Theory
Borderline Personality
Disorder
1.
2.
3.
4.
5.
6.
7.
8.
9.
Sensitive Child
+
Invalidating Environment
=
Borderline Personality Disorder
Fear of Abandonment
Chaotic Relationships
Identity Disturbance
Impulsivity
Suicidal or Self Harm Behavior
Mood Instability
Feelings of Emptiness
Intense Anger
Stress related Paranoia
What is DBT?
DBT was developed in the mid-1990’s by Dr. Marsha
Linehan. It combines both person-centered therapy based
on acceptance with cognitive behavioral therapy based on
change. This dialectic of change and acceptance remains
core to the treatment. It is comprised of Skills Training in
Mindfulness, Distress Tolerance, Emotion Regulation, and
Interpersonal Effectiveness as well as Individual Therapy.
In Individual Therapy diary cards and a target hierarchy
are used to organize sessions.
12
10
Dialectical Dilemma
8
Dialectical Dilemma
Dialectical Dilemmas
Or Secondary Targets
Unrelenting Crisis vs Inhibited Grief
Emotional Vulnerability vs Self Invalidation
Active Passivity vs Apparent Competence
Self Invalidation
Inhibited Grief
13
15
Dialectical Dilemma
Opposite Action Skill
17
Emotion
Regulation
Skills
Active Passivity
Opposite Action Skill
19
Emotion:
Shame
Opposite Action Skill
21
Opposite Action Skill
23
Shame
Anger
Emotion:
Anger
Action Urge:
Action Urge:
Hide
Attack
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