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Thriving with DBT

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This podcast has
23 episodes
Language
English
Publisher
TheraHive
Explicit
No
Date created
2026/04/22
Latest episode
2026/09/21
Average duration
48 min.
Release period
12 days

Description

What does it actually look like to learn Dialectical Behavior Therapy skills? In Thriving With DBT, TheraHive takes you behind the closed doors of 1-on-1 coaching sessions. Each season, we follow one real student as they navigate a full module of the TheraHive Adult DBT Skills program. Hosted by Dr. Alicia Smart and Dr. Jesse Finkelstein, these episodes provide a rare, fly-on-the-wall look at the hard work, "aha" moments, and practical applications of DBT skills in real-time. Whether we’re exploring the foundations of Mindfulness or the nuances of Interpersonal Effectiveness, you’ll see the human side of behavioral change. Join us as our students move from feeling stuck to thriving, one skill at a time.

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Check latest episodes from Thriving with DBT podcast


Mindfulness Week 2
2026/09/21
The conversation delves into the practice of mindfulness, exploring the impact of emotional distress, the 'What' skills of observing, describing, and participating, and the experiences and challenges associated with these skills. It also reflects on the value of participation in the present moment and the application of mindfulness skills in personal and professional contexts. Takeaways Mindfulness practice can be valuable in managing emotional distress.Observing, describing, and participating skills are essential components of mindfulness practice. Chapters 00:00 Introduction to Mindfulness05:00 Mindfulness and Emotional Distress07:30 The What Skills10:20 Observing and Describing18:49 Participating in the Moment34:11 Reflection on Mindfulness Skills
Mindfulness Week 1
2026/09/14
The conversation begins with a mindfulness exercise led by Dr. Alicia Smart, introducing the concept of mindfulness and its practice. This is followed by a discussion on setting SMART goals for mindfulness, with a focus on accessing wise mind and balancing emotions and rationality. The conversation delves into the concept of Wise Mind as a DBT skill and its application in everyday life. It explores the understanding of Wise Mind, its application in co-parenting, everyday decision-making, and a meditation practice for Wise Mind. Takeaways Mindfulness practiceSetting SMART goals Wise Mind as a DBT skillApplication of Wise Mind in everyday life Chapters 00:00 Setting SMART Goals for Mindfulness35:56 Meditation Practice for Wise Mind
Distress Tolerance Week 6
2026/09/07
The episode covers the topics of distress tolerance, willingness versus willfulness, and mindfulness of current thoughts. It explores the practice of mindfulness and the application of willingness in managing difficult situations. Edward shares his experience of supporting a friend who lost their job and the impact of mindfulness on his ability to cope with support fatigue and overwhelming situations. The conversation delves into the impact of radical acceptance and mindfulness of thought on managing distress and emotional responses. Edward shares his journey of shifting from a need for control to embracing discomfort and uncertainty, finding peace and self-respect in the process. Takeaways Distress tolerance involves accepting reality, responding instead of reacting to difficulties, and practicing mindfulness.Willingness involves doing what works, taking effective action, and acknowledging reality as it is.Mindfulness helps in managing support fatigue, coping with overwhelming situations, and finding a middle ground in co-parenting disagreements. Radical acceptance and mindfulness of thought help in managing distress and increasing self-respect.Accepting discomfort and uncertainty leads to a sense of agency and peace of mind. Chapters 00:00 Distress Tolerance and Mindfulness12:01 Willingness versus Willfulness17:41 Applying Willingness in Practice22:21 Embracing Radical Acceptance25:20 Mindfulness of Thought39:01 Practical Application of Distress Tolerance Skills
Distress Tolerance Week 5
2026/08/31
The conversation begins with a mindfulness practice led by Dr. Alicia Smart, focusing on breathing and body awareness. This leads to a discussion on radical acceptance and turning the mind, exploring the concept of accepting reality and the practice of redirecting the mind towards acceptance. The conversation delves into the concept of radical acceptance and effective communication, emphasizing the importance of controlling one's own response and maintaining a sense of integrity. It also explores the use of physical and mental skills for distress tolerance, highlighting the impact of practices such as half smile and willing hands on managing stress and improving productivity. Takeaways Mindfulness practiceRadical acceptance Radical acceptance and effective communicationThe use of physical and mental skills for distress tolerance Chapters 00:00 Mindfulness Practice06:45 Radical Acceptance and Turning the Mind17:15 Radical Acceptance and Effective Communication24:24 Physical and Mental Skills for Distress Tolerance
Distress Tolerance Week 4
2026/08/24
The session begins with a mindfulness exercise, followed by a discussion on radical acceptance as a distress tolerance skill. Edward shares his experience with radical acceptance in personal and professional contexts, highlighting its impact on conflict resolution and emotional regulation. The concept of approval versus acceptance is explored, and the application of radical acceptance in co-parenting and interpersonal relationships is discussed. The session concludes with a focus on the importance of accepting reality for meaningful change. The conversation delves into the concept of radical acceptance and its impact on personal growth and interpersonal relationships. Edward shares his journey of accepting his emotional reactions and the shift towards a more balanced and results-oriented approach. The discussion also explores the ongoing practice of radical acceptance and the challenges associated with removing judgment and emotional aspects from decision-making. Takeaways Mindfulness exercises can provide a moment of pause and relaxation, especially in times of distress.Radical acceptance involves acknowledging and accepting reality as it is, without necessarily agreeing or approving of it. Radical acceptance involves acknowledging and accepting the reality of a situation, leading to a more balanced and results-oriented approach.The ongoing practice of radical acceptance requires awareness of non-acceptance, compassion towards oneself, and a focus on the facts of the situation rather than emotional judgment. Chapters 00:00 Mindfulness and Distress Tolerance06:29 Introduction to Radical Acceptance08:44 Edward's Experience with Radical Acceptance15:06 Application of Radical Acceptance17:00 Impact of Radical Acceptance22:35 The Journey of Acceptance24:33 Balancing Emotional Reactions27:58 Recognizing Non-Acceptance34:04 Acceptance in Daily Life41:33 Challenges of Radical Acceptance
Distress Tolerance Week 3
2026/08/17
The episode begins with a mindfulness exercise led by Dr. Alicia Smart, followed by a discussion on the concept of self-soothing and its application in distress tolerance. Edward shares his experience with self-soothing and its impact on his distress levels. The conversation delves into the use of distress tolerance skills, including self-soothe and improve the moment. Edward shares his experiences and the effectiveness of these skills in managing distressing situations. The discussion also explores the importance of skill stacking and the ongoing maintenance of self-soothe as a background skill. Takeaways Mindfulness exercises can increase awareness of one's surroundings and promote a sense of presence.Self-soothing techniques, such as music, taste, smell, and touch, can be effective in reducing distress and promoting emotional regulation. Skill stacking involves using multiple distress tolerance skills in combination to manage distress effectively.Self-soothe is an important background skill for ongoing maintenance and emotional regulation.Improving the moment involves using distress tolerance skills for ongoing stressful situations that are not likely to resolve quickly. Chapters 00:00 Mindfulness Exercise: Five Four Three Two One06:38 Self-Soothing and Distress Tolerance20:32 Distress Tolerance Skills: Self-Soothe and Improve the Moment25:31 Skill Stacking and the Importance of Self-Soothe34:10 Using Distress Tolerance Skills in Ongoing Stressful Situations41:24 The Effectiveness of Distress Tolerance Skills
Distress Tolerance Week 2
2026/08/10
The podcast episode focuses on distress tolerance and mindfulness, exploring the use of distraction, comparison, and emotion regulation as coping skills. The conversation delves into the practice of mindfulness, word association exercises, and the application of distress tolerance skills in real-life scenarios. The conversation covers various distress tolerance skills, including pushing away, distracting with thoughts, and embracing physical sensations. Edward shares his experience with these skills and their impact on his emotional regulation. The discussion also delves into the pros and cons of engaging in problem behaviors and using distress tolerance skills instead. Takeaways Distraction as a distress tolerance skillComparison as a tool for cultivating gratitude Distress tolerance skills such as pushing away, distracting with thoughts, and embracing physical sensations can help regulate emotions and reduce rumination.Engaging in problem behaviors often provides relief or escape from discomfort, while using distress tolerance skills requires sitting with discomfort and uncertainty. Chapters 00:00 Introduction to Distress Tolerance and Mindfulness03:01 Mindfulness and Word Association Exercise04:53 Reflection on Word Association Exercise07:02 Distraction as a Distress Tolerance Skill09:20 Wise Mind Accepts - Activities and Contributions12:53 Wise Mind Accepts - Comparison and Emotion Regulation36:27 Embracing Physical Sensations41:22 Pros and Cons of Problem Behaviors and Skills
Distress Tolerance Week 1
2026/08/03
Dr. Alicia Smart and Edward discuss the introduction to distress tolerance, mindfulness, and the 54321 exercise. They then delve into the STOP skill and the TIPP skill, exploring their practical applications and effectiveness in managing high-conflict situations and emotional dysregulation. Takeaways Practical application of distress tolerance skillsImportance of intentional use of skills in high-conflict situations Chapters 00:00 Introduction to Distress Tolerance02:12 Mindfulness and 54321 Exercise16:49 The STOP Skill23:34 The TIPP Skill
Interpersonal Effectiveness Week 6
2026/07/27
Dr. Alicia Smart begins the conversation with a mindfulness exercise and focuses on gratitude. The discussion then transitions to behaviorism and reinforcement, where Edward shares his positive reinforcement strategy for calm and direct communication during stressful situations. The conversation explores measuring effectiveness, unintended consequences, role play, and troubleshooting interpersonal effectiveness. It concludes with a discussion on expressing needs and self-doubt. The conversation delves into the impact of invalidation on emotional vulnerability, the challenge of seeking help and support, the toll of compromising in a relationship, the long-term impact of dysregulation, the need for self-validation and self-care, the incompatibility of communication styles, the impact of invalidation on sharing and vulnerability, the role of emotional vulnerability in relationships, troubleshooting interpersonal effectiveness, improvement and practice in interpersonal effectiveness, and reflection and acknowledgment of personal growth. Takeaways Mindfulness and gratitude can positively impact emotional well-being.Positive reinforcement and effective communication strategies can improve interpersonal interactions. Invalidation can have a significant impact on emotional vulnerability and well-being.Self-validation and self-care are essential in navigating challenging relationships and seeking support.Improvement in interpersonal effectiveness requires practice and reflection. Chapters 00:00 Mindfulness and Gratitude04:49 Behaviorism and Reinforcement08:00 Positive Reinforcement Strategy11:01 Measuring Effectiveness and Unintended Consequences16:09 Role Play and Troubleshooting22:23 Expressing Needs and Self-Doubt27:13 Invalidation and Emotional Vulnerability28:12 The Impact of Invalidation on Emotional State30:01 The Challenge of Seeking Help and Support31:15 The Toll of Compromising in a Relationship32:26 The Long-Term Impact of Dysregulation34:22 The Need for Self-Validation and Self-Care35:15 The Incompatibility of Communication Styles36:43 The Impact of Invalidation on Sharing and Vulnerability39:09 The Role of Emotional Vulnerability in Relationships47:06 Troubleshooting Interpersonal Effectiveness49:27 Improvement and Practice in Interpersonal Effectiveness52:40 Reflection and Acknowledgment of Personal Growth
Interpersonal Effectiveness Week 5
2026/07/20
The conversation begins with a mindfulness exercise and transitions into a discussion about dialectics in DBT. It explores the application of dialectics in practice, the role of distress tolerance and the middle path, and the concept of acceptance and change within dialectics. The conversation delves into the practice of dialectical behavior therapy (DBT) and its impact on interpersonal relationships, emotional regulation, and self-perception. It explores the art of compromise, the role of self-respect in communication, the concept of dialectics, non-dialectical communication patterns, emotional vulnerability, compassion, non-dialectical self-talk, and the power of dialectics in resolving conflicts and fostering connection. Takeaways Mindfulness and dialectics are interconnected practices for managing interpersonal effectiveness.Dialectics in DBT involve understanding and applying the concept of accepting two seemingly opposite truths simultaneously. The importance of compromise in communicationThe impact of dialectics on emotional regulation and interpersonal relationships Chapters 00:00 Mindfulness and Dialectics06:18 Understanding Dialectics in DBT09:31 Applying Dialectics in Practice13:26 Distress Tolerance and Middle Path19:29 Acceptance and Change in Dialectics22:42 The Art of Compromise23:13 Self-Respect and Apology24:10 Understanding Dialectics25:33 Non-Dialectical Communication27:39 Emotional Vulnerability and Misunderstanding30:02 Compassion and Connection40:50 Non-Dialectical Self-Talk45:04 The Power of Dialectics
Interpersonal Effectiveness Week 4
2026/07/13
The conversation begins with a mindfulness exercise and self-reflection, leading into an exploration of interpersonal interactions. The FAST skill for self-respect effectiveness is introduced, followed by its application in work scenarios. The discussion delves into struggles with the FAST skill, the impact of apologizing unnecessarily, and concludes with a reflection on personal struggles and improvement. The conversation explores the use of the Dime Game as a tool for clarity in interpersonal communication. It delves into personal scenarios, analysis of Dime Game results, challenges and growth with assertiveness, and the reconciliation of personal struggles. The discussion concludes with closing thoughts and takeaways for the listeners. Takeaways Mindfulness and self-reflection are essential for exploring interpersonal effectiveness.The FAST skill, particularly self-respect effectiveness, requires a balance between being fair to oneself and others, avoiding unnecessary apologies, and sticking to personal values. The Dime Game provides clarity in interpersonal communication.Assertiveness and self-respect skills are essential for maintaining healthy relationships. Chapters 00:00 Mindfulness and Self-Reflection05:20 Exploring Interpersonal Interactions08:19 FAST Skill: Self-Respect Effectiveness11:13 Application of FAST Skill in Work Scenarios19:10 Struggles with FAST Skill and Self-Respect21:25 Impact of Apologizing Unnecessarily22:28 Reflection on Personal Struggles and Improvement23:28 The Dime Game: A Tool for Clarity28:18 Using the Dime Game in a Personal Scenario32:08 Analyzing the Dime Game Results36:12 Challenges and Growth with the Dime Game39:56 Reconciling Personal Struggles with Assertiveness42:47 Closing Thoughts and Takeaways
Interpersonal Effectiveness Week 3
2026/07/06
The conversation delves into the GIVE skill in interpersonal effectiveness, emphasizing the importance of validation and self-validation. It explores the impact of invalidation and the challenges of self-validation, highlighting the need for compassionate understanding and acceptance of one's emotions. Takeaways The GIVE skill is a powerful tool for effective communication and relationship building.Validation and self-validation play a crucial role in emotional well-being and interpersonal dynamics. Chapters 00:00 Introduction to Interpersonal Effectiveness05:50 Applying the GIVE Skill in Challenging Conversations13:30 The Power of Validation in Relationships20:20 Understanding Validation and Recovering from Invalidation30:52 Self-Validation and Recovering from Invalidation38:27 Challenges with Self-Validation and Seeking Help
Interpersonal Effectiveness Week 2
2026/06/29
The conversation begins with a mindfulness exercise and reflection, leading to the introduction of the Dear Man skill for interpersonal effectiveness. The discussion progresses to the preparation for using the Dear Man skill, followed by a breakdown of the skill's components: Describe, Express, Assert, Reinforce, Appear Confident, and Negotiate. The conversation concludes with a deep dive into the challenges of assertiveness and the impact on personal and professional interactions. Edward and Dr. Alicia Smart discuss the fear of making requests, the outcome of the Dear Man conversation, reflections on the Dear Man technique, and conclude with acknowledgment and gratitude, transitioning to week 3 of interpersonal effectiveness. Takeaways Mindfulness can aid in preparing for tough conversations by setting clear intentions and goals.The Dear Man skill involves specific steps for effective communication, including describing the situation, expressing feelings, making clear requests, providing reinforcement, maintaining confidence, and negotiating. The impact of past experiences on making requestsThe importance of structure in communication Chapters 00:00 Mindfulness and Interpersonal Effectiveness05:01 Introduction to Dear Man Skill14:47 Describe and Express20:38 Appear Confident and Negotiate26:32 Overcoming the Fear of Making Requests36:26 Reflections on the Dear Man Technique48:39 Conclusion and Next Steps
Interpersonal Effectiveness Week 1
2026/06/22
Conflict avoidance feels safe until it starts costing you. In Week 1 of the Interpersonal Effectiveness module, Dr. Alicia Smart and Edward discuss the hidden barriers to genuine connection, including communication myths and the pull toward people-pleasing. Together, they dive into one of the hardest parts of relating to others: balancing your goals, your relationships, and your self-respect without letting any of them collapse. Takeaways Myths and Belief Systems Around CommunicationBalancing Objectives, Relationships, and Self-RespectAssertiveness vs. Conflict AvoidanceNegotiation and Asking for HelpMental Health Stigma in Interpersonal ContextsPrioritizing Relationship Stability Chapters 00:00 Introduction to Interpersonal Effectiveness05:31 SMART Goal for Interpersonal Effectiveness23:11 Challenges in Interpersonal Communication29:02 Overcoming Self-Reliance and Seeking Help35:31 Balancing Objectives, Relationships, and Self-Respect42:33 Conflict Avoidance and Assertiveness48:08 Prioritizing Relationship Stability
Emotion Regulation Week 1
2026/04/17
The conversation covers the introduction to emotion regulation and SMART goals, the practice of mindfulness and breathing, the development of emotional resilience and decision making, coping with high-stakes situations and pressure, the use of distress tolerance and skill stacking, and the challenge of tolerating uncertainty and fear-based thinking. The conversation delves into the exploration of emotional regulation and vulnerability factors, highlighting the impact of past experiences and the urge to react. It emphasizes the importance of practice in developing and implementing emotional regulation skills. Takeaways Emotion Regulation and SMART GoalsMindfulness and BreathingEmotional Resilience and Decision MakingHigh-Stakes Situations and PressureDistress Tolerance and Skill StackingTolerating Uncertainty and Fear-Based Thinking Emotional RegulationVulnerability Factors Chapters 00:00 Introduction to Emotion Regulation and SMART Goals10:14 High-Stakes Situations and Pressure27:03 Tolerating Uncertainty and Fear-Based Thinking39:17 Understanding Emotional Regulation45:36 The Impact of Past Experiences01:00:20 The Urge to React01:07:22 The Importance of Practice

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