DBT Worksheets: Change and Motivation
Key Points
- Homework and handouts are designed to promote change.
- Find what works for you and for your clients.
- Just because homework doesn’t work right now doesn’t mean clients aren’t going to be ready for it later.
- Introduce tools early and often to lay the groundwork.
- Challenge the concept of homework. There’s judgment attached to it, so find other ways.
- Work with the client on treatment planning, otherwise you’re doing therapy to somebody, not with them.
Materials Downloads
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Transcript
The next thing I want to talk to you about is homework and tools.
I really try not to use the concept of homework, because for many people it takes them back to school and things like that, where they're like, “I never liked homework. I’m not going to do that.” And one of my areas in the field of expertise is adherence. So if I want people to be marginally adherent to what we work on in therapy, call things ‘homework’, because most people don’t want to do it and they’ll resist it. And so, I want to invite them into, hey, we're going to teach you some different skills that involve tools.
Carlson, M. R. (2017). CBT for psychological well-being in cancer: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons Ltd.,Carlson, M. R. (2014). CBT for chronic pain and psychological well-being: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons Ltd.
I'm going to share with you some tools, and then what we’re going to do is engage that concept of TAG: teach, apply, generalize. I’m going to teach you something with this tool. We’re going to work on problem solving and applying it here in therapy, and then we’re going to generalize this tool or our work out to your life. You’re going to come back to us and report on if it works or if it doesn’t, and then we’re going to continue to refine the process and problem solve how to be more effective. So let’s go over our work with tools together.
Carlson, M. R. (2017). CBT for psychological well-being in cancer: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons Ltd.,Carlson, M. R. (2014). CBT for chronic pain and psychological well-being: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons Ltd.