Lynn, I think it is brilliant the amount of skills you have developed to help manage this illness and that you are still
open to learning more. Dialectic behaviour
Therapy when applied in the right way for us, is very good with helping us managing our emotions and prevent relapses. There are 4 components to DBT which very much interrelate with each other: Mindfulness, Emotion Regulation, Distress Tolerance and Interpersonal Effectiveness. From your post it seems like you incorporate a lot of that stuff anyway and you would probably find it really suits you! Another therapy is Acceptance Commitment Therapy, which is based on the premises a) that if you accept suffering, the suffering reduces or at least doesn't intensify - kinda like lying flat in quicksand and b) that you keep working towards what you value in life despite pain and suffering. DBT is probably more focussed on us helping us manage our problem behaviour
s, even though both modalities would do that - they just get their via different (albeit sometimes eerily similar) routes. So to answer your question, yes there are further things you can do to help you manage the behaviour
al aspect of your illness. Also seeing a psychiatrist/therapist weekly (who respects your decision to not take meds) to help you learn those social nuances that are obvious to others, but tend to evade us BP's, might help you maintain intimate relationships, which you have already identified is a priority for you.
Post Edited (living well) : 5/26/2011 6:07:34 PM (GMT-6)