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all right our next video lecture focuses
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in on um cognitive psychotherapy and
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this is still a continuation of unit 5
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on therapy and positive psychology and
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today's focus is on module 5.5b part
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two so looking at the goal of the
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cognitive perspective the cognitive
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perspective believes that um our
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thoughts our beliefs um our perspectives
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need to change in order to change the
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behavior that we experience so they
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believe kind of somewhere in between an
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event happening and the response we feel
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or we say lies the mind and in there is
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our beliefs and our thoughts and that's
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what we need to focus in on because
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that's where the anxiety um the
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depression fill in the blank comes from
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so the goal is to change what's
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happening in between the event and our
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response change that negative thinking
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to more constructive way of interpreting
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an event and if we can do that that
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individual is going to live a much
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happier and more fulfilled
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life so one of the fathers of this
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perspective is a man named Aaron Beck
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and Aaron Beck um believed in what he
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called the cognitive triad and so he
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thought specifically when you look at
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individuals who are depressed uh with
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individuals who have major depression or
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persistent depression um what happens is
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that they're ch thinking changes in
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three important ways that
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negatively impact the individual and
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becomes almost like this negative
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trifecta cycle that's very difficult to
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get out of and so this cognitive triad
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included three different important ways
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that our overall beliefs and thinking
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changed the first thing that changes is
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our thoughts about our self we start to
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have a lower self-esteem we start to
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perceive our worth is not as high um
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individuals who are depressed see
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themselves as a failure so the view the
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thoughts the belief the interpretations
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of self the second one is the
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interpretations about the world um how
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do we how do we interpret relationships
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and events we tend to individuals with
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depression this cognitive triad tend to
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see the world as a hostile or unfair
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place they see that this world is not
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positive this world doesn't have a lot
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of good things to offer and third their
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thoughts about the future um are
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negatively impacted so this is kind of
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where we look at like the optimism or
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pessimism about the future and so
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individuals with depression their
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futuristic thoughts sees the future as
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hopeless sees that nothing is ever going
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to get better sees that their future
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self isn't any better than their current
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self and so kind of this
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trifecta of thoughts about our self
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about our future and about the world
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around us all they do is feed into each
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other to make the opposite one or to
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make the next one worse so if we believe
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there's no hope for our future well then
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we obviously have no hope for today so
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we feel like we've failed because we've
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failed our future because our current is
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not even good if we view the world and
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others around them others around us as
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um not caring um if we interpret
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people's intentions as negative all the
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time well then we're going to feel worse
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about ourselves and we're going to feel
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worse about our future so we kind of get
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caught in this terrible cognitive triad
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and so what we want to do is we want to
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try and get individuals out of this
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depressive dark glasses this depressive
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cognitive triad and we want to get them
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to start to perceive the world
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themselves and their future much
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different and so um we want to change
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this negative view um to by using a
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technique called cognitive restructuring
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and so um in order to do this the first
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thing that we have to do is identify
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what are some of the cognitive
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distortions what are some of those big
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beliefs that that individual has either
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about themselves their future or the
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world and so we will go in class and we
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will take a look at all the different
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types of cognitive distortions that um
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that individuals experience and I'm sure
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you're going to find some cognitive
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distortions that you hold and believe
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are true in your head that is getting
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you into a negative headsp space and
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that um trifecta but the first task in
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cognitive restructuring is we have to
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first identify we have to figure out
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what are those cognitive distortions
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what are those um really embedded
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beliefs and thoughts that we have about
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our environment our future and ourselves
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once we identify them then the goal is
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to challenge those um and this is really
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a lot of this is on the therapist to use
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a lot of um questioning to use
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strategies such as examining evidence
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for and against the belief um asking
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questions to identify the validity of
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that um inherent belief that they had um
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asking them how other people might
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interpret that same um situation or that
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same thing that they are having that
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about and slowly try and help them see
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the errors in that cognitive
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distortion once they can get there the
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next step is to replace those so once we
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get rid of those negative thoughts we
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have to have something to replace them
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with we have to have a realistic and
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alternative thought to put in there so
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when our brain goes naturally to the
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negative cognitive distortion about our
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future about ourselves or about the
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world we need to have something to
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replace it with because if we don't
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replace it with something then it's
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going to just be so easy if we look at
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you know our neural networks it's going
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to be so easy for our neural networks to
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just connect right back to that
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automatic cognitive distortion or
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negative thought process so something
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needs to replace that and be practiced
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to remake those neural
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networks and then finally it's going to
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need to be reviewed we're going to need
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to regularly assess the effectiveness of
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this um utilizing different techniques
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in order to practice with that more
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realistic alternative thought and make
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sure that that is actually working and
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so we'll do a little bit more of this
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kind of practice in
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class finally there is a combination a
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common eclectic meaning eclectic
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remember is when you combine um two or
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more perspectives um together but one of
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the most common eclectic approaches is
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called CBT or cognitive behavioral
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therapy i'm guessing that you probably
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maybe have heard of this before you came
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in here u maybe maybe not but now that
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you've heard of it I'm sure you are
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going to see it um in more places but
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this is exactly what it sounds like a
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combination of cognitive and behavioral
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perspective so in this kind of therapy
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the goal is to address the negative
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thinking to change those as well as to
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teach them new behavioral responses um
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to
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those so within that um there are two
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different techniques that we're going to
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be talking about um we're going to be
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talking about REBT or rational motive
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behavioral therapy and dialectical
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behavioral therapies and so in general
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in CBT we want to change that irrational
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thinking we want to train people to
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practice more positive approaches and um
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essentially have a new lease on life so
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the first technique is by a man named
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Albert Ellis and he created what's
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called REBT or rational emotive
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behavioral therapy so where in cognitive
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restructuring we talked more about the
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ingrained beliefs about themselves the
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future and the world REBT hones in on
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cognitively restructuring one specific
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way of thinking and so they're going to
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look at um maybe relationships for this
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individual and what are the repetitive
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thoughts that that person has with
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regards to this relationship with this
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one person or this one area of their
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life it's um more of a smaller focus
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we're focusing in on one thought or one
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group of thoughts versus a larger belief
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about ourselves and the world um around
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us so in REBT we're going to use a
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method called ABC and A stands for
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activating event meaning what happened
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uh so on a simple level my friend didn't
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say hi to me in the hallway that's an
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event just what
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happened c is the consequence how do you
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feel in light of that event so I feel
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sad i feel rejected or um my friends
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went out without me didn't even call to
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invite me to see if I was free the
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consequence of that negative event
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activating event is I feel sad i feel
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upset well most of us in life believe
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that A causes C that that event is the
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reason I'm sad because my friends didn't
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invite me out that is the reason I am
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upset and sad and Albert Ellis comes in
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and he revolutionalizes that and he says
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"No no no no no no no events don't have
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that power rather there's something that
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happens in between there and that's the
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be and that's our beliefs." And our
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beliefs are really what make us feel
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that way so it's not that your friend
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didn't invite you out that made you feel
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sad it's that you believe that they
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intentionally left you out don't care
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about you you're not important that's
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why you feel
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upset if somebody else had the same
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thing happen that same activating event
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the friend doesn't invite them they
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might
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feel
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happy well why would that person feel
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happy from that same situation well we
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have to evaluate what is their B perhaps
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their B was saying "Oh I know that they
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only had like two tickets to go i think
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it's so exciting that they got to go to
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this concert and that they chose so and
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so to go to that concert with them what
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a cool experience for them i'm really
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excited for them." Their consequence
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their emotion is joy happiness
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so if we can
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first you know sip through the mud and
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figure out what are those events what
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are those feelings and then try and
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figure out well what are those beliefs
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that led us to those feelings we then
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have something that we can trigger that
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we have something that we can now go for
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that we can try and adjust and to change
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and so Ellis and others who use REBT
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their job is to do the D of the ABC
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model and the D is to dispute where
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their job is to dispute those beliefs
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that that individual had that they
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believe leads to the consequence or
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emotion that they're experiencing and so
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if they can challenge criticize adjust
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find flaws in that belief about that
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situation they can then change the
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feelings that that individual has it's a
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really powerful um technique it's not
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always the most warm and fuzzy you know
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you're you're identifying somebody's
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irrational beliefs and sometimes it can
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be harsh to hear um the challenges that
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Albert Ellis may utilize in order to get
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you to adjust that be um but I think at
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least for me this technique really just
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brings to light you know when I'm
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experienced emotions pausing myself to
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think is it really that event or that
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thing that happened is it that thing
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that my friend did or is it the thing
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that that student did or is it the thing
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that you know my husband did that's
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causing me to feel this way and instead
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evaluate and say well what are my
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beliefs about that what am I thinking
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about that and how is it really my
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interpretation that's causing me to feel
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this way not that actual
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event and the final technique in CBT
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that we are going to go over is called
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dialectical behavioral therapies so this
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is originally created for individuals
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with borderline personality disorder and
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it was you know obviously made for
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individuals who has really intense
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emotions tend to have very impulsive
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behaviors and difficulty with those
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interpersonal relationships again all
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hallmarks of that borderline um
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personality disorder and so with
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dialectical behavioral therapies or DBT
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there is kind of a four-step process in
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order to try and um mend a rational mind
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with our emotional mind and put it
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together to create what's called a wise
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mind and so there's four different steps
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to doing this those include
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mindfulness self- tolerance or
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acceptance emotional regulation and
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interpersonal effectiveness so starting
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first with mindfulness this is all about
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acceptance so the idea here is that we
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need to accept our triggers be aware of
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our stress triggers um be aware of our
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feelings be aware of the here and now in
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the present and when something happens
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that um upsets us to be aware of those
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things and we have to have this what
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they call radical acceptance that we
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need to recognize and accept that we
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have these feelings right we need to
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name the emotions that we feel we need
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to identify the intensity of those
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feelings that we have and it's not about
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necessarily changing those it's changing
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how we react and in order to change how
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we react we first need to recognize that
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we have them and we need to accept them
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not saying we agree or we think that
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they're good but we need to accept that
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those feelings happen for us we have
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those stress
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triggers um the second step is the self-
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tolerance the um acceptance the distress
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tolerance that's happening and so one of
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the main pillars is to accept that pain
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is inevitable recognize that we're going
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to have triggers we're going to feel
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pain in life that's just inevitably what
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it's going what's going to happen in our
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life and so the goal is in this step to
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help the person feel or be exposed to
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different types of stress recognizing
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that we're going to have the pain it's
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inevitable but what can we do different
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as a response so when we are exposed to
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stress what are some techniques we could
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use in order to um deal with the stress
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and pain that is inevitably going to
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happen to everybody in the world and so
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during this piece they're going to teach
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some different techniques like
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distraction where you might do something
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else when you start to feel triggered um
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maybe you hold an ice cube maybe you go
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do dishes maybe you go somewhere and cry
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maybe you write in a journal maybe you
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exercise maybe you go volunteer but you
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do something
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else other than the
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[Music]
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negative techniques that you've been
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using up until this point so we are
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going to make sure that we feel that
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stress we want to then practice self-
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tolerance we want to practice accepting
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that pain and doing something that's
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different than what we normally
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do the third step is emotional
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regulation where we start to need to
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make changes where we start to now
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understand how can we manage and
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understand our emotions so this is where
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we're going to work more in the thought
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process so how can we practice not
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jumping to conclusions how can we slow
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down and evaluate our thoughts before we
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behave and act upon them how can we
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label and build positive experiences by
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looking around and noticing positive
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things and interactions and the more we
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notice one thing hopefully the more
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we're going to notice multiple other
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things um we're going to try and find
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causes and effects what are things that
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happen that cause the emotions or cause
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me to overreact um be aware of what
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those triggers are for self harm
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behavior especially in the borderline
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patients
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um and find a way to let go of that
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guilt those feelings um those emotions
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let go of them as a way to regulate
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yourself allow yourself to let go of
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them and then finally is the making
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changes this is the interpersonal
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effectiveness stage and this is where we
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um where a DBT therapist is going to
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help an individual learn how to
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communicate with themselves and with
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others um help them to get their needs
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met in a more healthy manner than what
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they had been doing prior to this again
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this was created for individuals with
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borderline personality disorder so how
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can you get your needs met with that
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fear of the instability or somebody
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leaving um or being rejected how can you
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get those needs met while maintaining a
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positive relationship with that
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individual and reacting in a way that is
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more likely to have a response that's
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going to help you um how can you assert
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yourself without getting too emotional
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or too angry um how can you work in
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conflict um how do you either help
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people who are too passive or too
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aggressive in order to respond
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differently to different situations so
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big picture acceptance accept that this
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is the feelings the emotions the
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experiences that you have but how can we
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change them how can we change our
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reactions how can we change and deal
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with the emotions that we have and how
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can we better make our relationships
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with each
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other that is it for today i hope you
00:17:59
have a wonderful day