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Dr. Monica D. Gilbert, BCBA, LMHC, BCBA-D, PSYD is a counselor in Doral, FL specializing in counseling and psychology.
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Dialectical Behavior Therapy
Dialectical behavior therapy, or DBT, is a form of cognitive behavior therapy (CBT) that was originally developed to help the most severely mentally ill and depressed patients accept therapy. It relies on the same concept in CBT that examines the relationship between thoughts, feelings, and actions, but in DBT the emphasis is first on acceptance rather than change. There is also an emphasis on mindfulness, 'being in the moment,' and relaxation techniques such as yoga. These are combined with a great deal of validation and encouragement from the therapist.
The word 'dialectical' means acting through opposing forces, and this word refers to a few different opposing concepts in DBT:
Dialectical behavior therapy was developed when therapists attempting to use CBT techniques on the most seriously ill patients ran into a problem. When they suggested that a patient change their thoughts, these very vulnerable patients would become overwhelmed and turn aggressive or suicidal. DBT was developed to support these patients with acceptance and validation while still guiding them towards changing problematic thoughts. Although also used for suicidal and self-harming patients today, these days, DBT is mainly used to treat borderline personality disorder. It is one of the few effective interventions for this serious illness.
DBT has been shown to be very effective at reducing self-destructive behavior. It can also be used to teach new coping skills and increase a patient's self-esteem and motivation to become healthier.
Self-Harm
Self-harm occurs when people hurt their own bodies on purpose. People who self-harm may feel an emotional or psychological release after hurting themselves. This release can become a coping mechanism to deal with negative thoughts and feelings. While not a mental illness in itself, self-harm may be a response to abuse, trauma, or other mental health issues like depression and anxiety. Those who self-harm typically do not have suicidal intent, but are at a greater risk of attempting suicide. They may also conceal their self-harm from others, making their behavior and injuries all the more risky. Self-harm frequently arises in adolescence or adulthood. Some self-harm once, while others may self-harm more frequently and for longer periods of time.
People may self-harm by a variety of means, including cutting themselves with sharp objects, burning themselves with matches, or hitting and bruising themselves. Symptoms and signs of self-harming include:
Therapy can treat patients who self-harm. Therapists ask people to explore current and past experiences and emotions that may contribute to the desire to self-harm. Cognitive behavioral therapy, a specialized form of therapy, can also reduce self-harm by encouraging patients to identify negative patterns of thought and to develop coping strategies that do not involve self-inflicted injury. Those suffering from more severe self-harm may require in-patient hospitalization to recover mentally and physically.
Workplace Issues
Workplace issues are problems related to one's work environment and experience. These problems can create hostility and conflict between employees and their companies or coworkers. They can lead to mental health issues such as increased stress, anxiety, depression, and even trauma. Nearly everyone who works is faced with workplace issues at one point in time. Common workplace issues may include:
These problems and others can make a workplace seem toxic. For example, a worker may be propositioned with "quid pro quo" harassment, when a superior seeks sexual favors in exchange for a job benefit. Beyond being highly inappropriate, this sexual harassment can cause the targeted employee to suffer from damaged self-esteem, emotional distress, and other mental health problems. Different workplace issues, like low salary or dangerous work conditions, can threaten a worker's financial and even physical health.
One of the most common forms of workplace issues is bullying or abuse from coworkers. It can occur in a number of situations, from high performers facing threats from jealous coworkers, to a worker receiving unreasonable requests from a supervisor. Workers may be too fearful to confront work abusers and complaints to HR departments and supervisors can be unfruitful or even detrimental, leading to incidents going unreported.
Mental health therapy can mitigate the negative emotions and behaviors arising from workplace issues. Therapists may listen to people's workplace issues and provide advice for how to navigate a number of work-related problems. Online counseling can be particularly helpful in the modern workplace. Direct access to a therapist throughout the day can help alleviate recurring pressure and anxiety arising from one's job. In some cases, therapists may encourage some to seek other job prospects and opportunities.
She has a state license in Florida.
Licensed In: Florida
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Dr. Monica Gilbert specializes in psychology and counseling and practices in Doral, FL. Dr. Gilbert has obtained a license to practice in Florida.
