The therapist has the delicate and difficult task of challenging the client regarding their maladaptive behaviors and cognitions and clearly conveying their self-defeating nature. 7. Limited reparenting

Schema healing, while essential to ST, is not easy, yet several tools and techniques can help the process (Young et al., 2007; Jacob & Arntz, 2013). 1. Explore maladaptive modesDo you get regular exercise? If not, is there something you can do for exercise, starting out with just a little? Maybe start by taking a daily walk around the neighborhood if possible. Regular exercise, besides being good for your heart, lungs, muscles, and bones, stimulates chemicals in your brain called endorphins, which are natural antidepressants. Even a short exercise regime can make you feel better about yourself and your life. Though not original to Linehan’s DBT, some sources add Paced Breathing : regulating our breath to help signal our brains that all is well. Diagnostic imagery helps the client understand the origins of existing emotional problems and dysfunctional behavior patterns and thinking (Young et al., 2007).

Cope ahead – have a plan in place for how you’ll cope successfully when faced with a challenge (refer to my Crisis Plan printable for putting a plan in place).

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When the therapist thinks the client is ready to do so, they will shift the treatment focus to behavioral pattern breaking (Young et al., 2007).