DBT for Psychosis:
       Radical Acceptance
       and
       Therapy-Interfering
       Behaviors
       Dr. Kirby Reutter, DBTC, LMHC, MAC & Maggie Mullen,
       LCSW
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             Content
                 Introduction                                                     2
                 Transcript
                 PTSD and Interpersonal Eectiveness Skills                       3
                 Transcript
                 Applying Validation                                              4
                 Transcript
                 Using Irreverence With Clients With Psychosis                    6
                 Transcript
                 Radical Acceptance and Psychosis                                 7
                 Transcript
                 Dealing With Treatment-Interfering Behaviors                     9
                 Transcript
                 Main Points                                                      11
                 Transcript
                                                1
      Introduction
      In the final segment of this interview series on DBT and psychosis, Maggie Mullen
      explores a variety of topics related to the following themes: validation, radical
      genuineness, clinical irreverence, and radical acceptance.
      Maggie further discusses how they help clients manage treatment-interfering
      behaviors and the importance of providing psychoeducation, especially including the
      normalization of psychotic symptoms.
      Maggie concludes the interview by identifying which DBT skills they use in their
      personal life.
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            PTSD and Interpersonal Eectiveness
            Skills
                    Kirby     How do you apply interpersonal effectiveness skills to clients
                              with psychotic disorders with PTSD?
                   Maggie     One of the things I love about your workbook is the focus on
                              these skills for clients with PTSD. The rates of PTSD for clients
                              with psychosis are also high. They’re assumed to be at least
                              30%—probably higher because people don’t always self-report
                              and clinicians don’t screen.
                              When we’re thinking about interpersonal effectiveness skills,
                              the core part of PTSD or trauma is the idea of avoidance. For
                              clients, it can be common to encounter difficulties when they
                              have to say no due to past traumatic experiences. They may
                              also find it difficult to ask for something they need.
                              We have to work on what was originally a survival skill. If the
                              client is now in a relatively safe environment, it’s important to
                              teach them to ask for their needs to be met in a way that helps
                              them.
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