Heightened and unstable mood or emotions.Recent research has proposed that emotional dysregulation, especially when present in those suffering from BPD, is made up of four components: People who are struggling with emotional dysregulation react to relatively mild negative events in an emotionally exaggerated manner they may cry, scream, accuse, or blame those around them, or engage in passive-aggressive behaviors or other behaviors that can disrupt relationships and escalate conflict (PCH Treatment Center, n.d.). The process culminates in a behavior (avoidance, physical action, or expression PCH Treatment Center, n.d.).Then a cognitive response (thought) is followed by an emotion-related physiological response (for example, an increase in heart rate or hormonal secretion).An internal or external event (thinking about something sad or encountering someone who is angry) provokes a subjective experience (emotion or feeling).If emotion regulation is the process of controlling one’s emotions, keeping them in balance and away from extremes, then it’s probably easy to figure out what emotional dysregulation is-the inability to control one’s emotional responses.Įmotional dysregulation is a process with three main steps: Instead of focusing on avoiding or denying the presence of the negative, DBT clients learn valuable skills to keep their emotions in check and avoid emotional dysregulation. Clients are encouraged to accept that they will undoubtedly experience negative emotions in their life, no matter how happy or well-balanced they may be. One of the most important aspects of treatment is recognizing that negative or painful emotions are not inherently bad. In this module, clients learn how to understand and accept their emotions, reduce their emotional vulnerability and volatility, and decrease their emotional suffering (Bray, 2013). The emotion regulation portion focuses on skills that benefit everyone who has emotions (i.e., every human!), but they are most beneficial for those struggling with mood or personality disorders, especially those with Borderline Personality Disorder (BPD). Distress tolerance/reality acceptance skills.
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