Moving from Coping Skill to Practice: Making to Facilitate DBT/CBT Behavioral Integration

Institute for through the 847-448-8336 [email protected] Dr. Marni Rosen, Psy.D ATR-BC is the Practice Manager, Licensed Clinical Psychologist, and Board Certified Art Therapist at the Institute for Therapy through Meet the the Arts. Cara Fisher Wellvang is an Art Therapist and Licensed Presenters Professional Counselor with the Institute for Therapy through the Arts. She works in psychiatric treatment settings with adolescent, adult, and geriatric populations, and has experience providing psycho-educational and Dialectical Behavioral Therapy (DBT) skills groups. Amber Przybyla is an Art Therapist-Provisional and Licensed Professional Counselor-Intern at the Art Station in Fort Worth, TX. She works with adolescents in school settings and residential treatment facilities. This topic may bring up unsettling or uncomfortable feelings Please take breaks, even leaving the space if needed Please participate only to the extent that Disclaimer you feel comfortable No one is required to complete any exercise or experiential Please check in with me follow the presentation if you have any uncomfortable reactions, so that I can support you Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications. (APA website) Dialectical Behavioral Therapy (DBT) is an CBT and adapted form of CBT. It combines respected psychological change strategies with training in mindful awareness, along with a strong emphasis on DBT acceptance of oneself, one’s problems, and the broader realities of the present moment. Originally developed as an intervention for suicidal women, and widely used to treat borderline personality disorder, DBT is now applied in working with a variety of problems and is especially effective for clients who have difficulty managing and regulating their . (APA website; Clark, 2017) Cognitive Triad of CBT Feelings Identification

Common Psysiological Symptoms CBT Skills Lemons to Lemonade

Positive Self-Talk Common Thought Distortions Mindfulness

DBT Skills Distress Tolerance Recognized by Founder Marsha Linehan Interpersonal Effectiveness Emotional Regulation “Art Therapy is a mental health profession in which clients, facilitated by the Art Therapist, use art media, the creative process, and the resulting artwork to explore their feelings, reconcile emotional conflicts, foster self-awareness, manage behavior and What is Art addictions, develop social skills, improve reality orientation, reduce Therapy? anxiety, and increase self-esteem” (American Art Therapy ) Master’s Degree 1000 Hours of Supervised Post- Graduate Practice Registration in Art Therapy (ATR) Action Oriented Projective Distance Why Art Coping Skills within Practice Therapy? Strengths- Based Non-Clinical in Appearance Non-Verbal Components of Art Therapy Process, Product, & Observer Process: How the client makes art – what order, time and emphasis, use of body, use of materials, etc. Product: The content of the art piece – images, words, elements of art making Observer: The reactions of the therapist, perceptions of the therapist, etc. Principles in Art Therapy

FORMS OF MEDIA FORMAL GRAPHIC THEORY OF (SPECTRUM) ELEMENTS OF ART DEVELOPMENT CREATIVITY MAKING

INTERVENTION ART OWNERSHIP ARTWORK STRUCTURE DISCUSSION Distress Tolerance

Push Strokes by Edith Zeier Non-Preference Art Materials Co-making of Art Challenging materials Let’s Practice! Self Soothing

Visual Representation of Another Sensory Experience by Susan M. Clark Sight Smell Taste Sound Touch *Movement Let’s Practice! Mindfulness

Drawing a Breath by Barry M. Cohen, Mary Michola-Barnes, & Anita Rankin

Bringing awareness to the present moment

Creating a visual representation of breath Let’s Practice! Becoming an ITA Client www.itachicago.org (Schedule an Appointment) CBT/DBT Art Therapy Group for Adults, Adolescents and Pre-adolescents Monday Evenings Individual Therapy (Art, Music, Drama, and Dance/movement) is offered Monday through Saturday Chicago, Evanston, Highland Park Accept BCBS and Sliding Scale Available We can also come to you! Opportunities with ITA for Professionals Monthly Newsletter Monthly Professional Development Seminars Trainings for Organizations, Institutions, Group practices Supervision/Consultation Groups ITA Creative Arts Therapy Conference- March 29- 30th Questions Comments Thoughts Clark, S. M. (2017). DBT-Informed Art Therapy: Mindfulness, cognitive, behavior therapy, and the creative process. Philadelphia, PA: Jessica Kingsley Publishers. Hinz, L. D. (2009). Expressive Continuum: A framework for using art in therapy. New York, NU: Taylor & Francis Group. Lowenfeld, V. Brittain, W.L. (1987). Creative and Mental Growth (8th ed.). New York: Macmillan Co. References Rubin, R. A. (Ed.). (2001). Approaches to art therapy: Theory and technique (2nd Edition). Philadelphia, PA: Brunner-Routledge. Schwartz, N. (1996). Observer, process, and product. Art Therapy. 13, 4, 244-251. Wadeson, H. (1995). The Dynamics of Art . New York, NY: John Wiley and Sons. Zeire, E. …