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of the skills are rarely new, but the bination often is ? Clients need to be convinced that what they?re learning is going to be useful, relevant to them (?marketing? the skills) ? Clients will often have attended other groups, need to discuss how this might be different (. not process oriented) ? Emphasize goal of longterm relief vs. immediate relief ? Emphasize need for practice, practice, practice The Skills ? Core mindfulness ? Interpersonal effectiveness ? Emotion regulation ? Distress tolerance Mindfulness “bringing an unshakeable friendliness and deep degree of curiosity and interest to what is happening in and around you… and doing this again and again and acclimatising to this way of being” Tarchin Hearn “Mindfulness in totality has to do with the quality of awareness that a person brings to activities” Marsha Linehan Interpersonal Effectiveness Asking amp。 Saying No Objectives Effectiveness How to get what you want Relationship Effectiveness How to maintain the relationship SelfRespect Effectiveness How to keep your selfrespect Emotion Regulation Goals 1. Understand emotional experience 2. Reduce emotional vulnerability 3. Decrease emotional suffering Distress Tolerance Surviving a situation you can?t change Crisis Survival Reality Acceptance North Metro DBT Program ? Referral Process ? Entry to group every 6 months ? 12 month mitment ? 810 per group desirable ? Weekly skills group, 2189。 hours ? Weekly individual therapy ? Fortnightly consultation meeting ? Followup group ? Annual 2 day training for NMMHS staff ? Outes research