삶의 균형을 잡고 날개를 달기까지 함께한 DBT: DBT 센터를 졸업하며

삶의 균형을 잡고 날개를 달기까지 함께한 DBT. DBT 센터를 졸업하며
DBT 치료 내담자
2023년 5월. 저는 감정조절의 어려움, 반복되는 도전과 번복, 미래에 대한 막연한 불안, 어머니와의 갈등 등으로 ‘도움’이 필요했습니다. 상담도 받아보고, 정신과에서 약도 처방받아봤지만, 그 어느 것도 문제를 실질적으로 해결해주진 않았습니다. 단순히 ‘내 이야기’를 털어놓거나 약을 복용하는 것만으로는 10년 이상 반복된 패턴과 갈등을 소거할 순 없었습니다. 격한 분노와 슬픔, 우울과 자책, 원망과 열등의 감정 속에서 무엇이 원인인지도 몰랐던 저는 DBT를 알게되고 더트리그룹에 오게된 후 문제에 ‘해결 방안’이 있음을 알게 되었습니다.
 
처음 치료자 선생님과 치료를 시작했을 때와 졸업하게 된 지금을 비교해보면 제가 얻게 된 건 “스킬”과 “경험” 두 가지입니다. 스킬은 문제상황에서, 혹은 일상에서 나를 지키고 목표를 이루기 위한 도구일 뿐 아니라 나의 문제를 바라보는 시선과 삶의 자세를 다시 세우기 위한 도구였습니다. 자연스럽게 사용하고 익숙해지기 위해선 다양한 대인관계에서, 갈등상황에서, 선택의 기로에서 사용해보는 경험이 필요했습니다. 제 감정을 들여다보고 현재로 돌아오기 위해 “Mindfulness”, 유연함을 통해 장기/중장기 목표를 달성하기 위해 “다이얼렉틱스”, 타인과 원만히 지내고 나를 표현하기 위해 “Dearman Fast”, 행동을 수정해 같은 패턴을 반복하지 않기 위해 “정반대 행동하기”와 “유해성 감소” 등의 다양한 스킬들을 삶에 적용해본 경험이 쌓이니 문제는 더 이상 두려운 것이 아닌 해결가능한 상황이 되었습니다. 감정을 조절하고 불안을 다독이며 긴 호흡으로 한 두 개의 목표를 이루고, 완결하는 경험이 기꺼이 참여하고, 쉬어가고, 또 다시 도전할 수 있게 기반을 다져주었습니다.
 
치료 과정에서 치료자 선생님과 끊임없이 저 스스로를 들여다보고, 계획을 세우는 과정이 쉬웠다고는 할 수 없습니다. 부끄럽고, 부정하고 싶거나 감추고 싶은 모습까지도 드러내고 받아들이면서 치료가 이루어지니까요. 저라는 한 사람을 깊이 궁금해 해주시고 함께 길을, 더 나은 방향을 모색해 주신 채송희 선생님과 함께한 시간은 제 내면의 아이를 치유하고 성인으로서의 첫걸음을 성공적으로 내딛을 수 있게 해주었습니다. 존경하고 감사드립니다. 제 용기와 도전을 높이 사주시고 현재에 존재하는 기쁨을 알게 해주신 조용범 선생님께도 깊이 감사드립니다. 두 치료자 선생님과 긴 시간동안 DBT를 공부한 저는 이제 DBT라는 날개를 얻어 가고픈 곳 그 어디로든 날아갈 수 있을거예요. 계속해서 연습하고 균형을 잡으며 행복하게 지내겠습니다.
 
그동안 감사했습니다!

*  더 트리 심리클리닉 치료 프로그램 참여자들의 동의 하에 솔직한 치료 후기를 공개하고 있습니다.

Finding Hope and Healing

For the first time in my life I have received a correct and helpful diagnosis.
DBT Client

Dialectical Behavior Therapy Center of Korea / the Tree Group has been so helpful to me in my life in Korea.  Dr.Cho is absolutely unique in his combination of professionalism, expertise, fluency in Korean and English language and culture, and openness to the process of cultural transition.  

  

Add to this his compassion, dedication and unflappable character–and add to this the kindness of his staff! For the first time in my life I have received a correct and helpful diagnosis.  I also always appreciate Dr.Cho’s genuine response to my views about medication.  Coming to DBT Center was a profound turning point in my life.  I am so very grateful for Dr.Cho and the services he and his staff provide here in Korea.  I hope many others benefit from the same good fortune. 

We appreciate our clients for their honest and sincere testimonials.

DBT teaches me what is more effective and rational

I hope you will trust the therapists and try your best until the end.
DBT Client

Dialectical Behavior Therapy (DBT) is a scientifically proven method for effective behavior modification.

It doesn’t just comfort the mind, but it also teaches me what is more effective and rational for me. There may be times when you have to do things you don’t want to do, and there may be times when you doubt the effectiveness of the treatment, but I hope you will trust the therapists and try your best until the end. I hope you will always trust and follow the therapists who have warm hearts.

Even if you can’t see the future, you need to be prepared to trust the therapists’ words completely.

 

If you are prepared like that, you will also have good results like me.

*  더 트리 심리클리닉 치료 프로그램 참여자들의 동의 하에 솔직한 치료 후기를 공개하고 있습니다.

I finally comprehend why life is worth the trouble

I have learned to trust myself more; I didn’t expect how much self trust would bring me peace.
DBT client

Thank you for all your support and guidance over the past six months. The past few months have been quite a journey for me, and my perspective on life has evolved in ways that I could never have anticipated. I no longer feel the compulsive need to plan every minute detail of my life excessively. I have learned to trust myself more; I didn’t expect how much self trust would bring me peace.

 

Most importantly, I think I finally comprehend why life, despite all its ups and downs, struggles, and moments of despair, is worth the trouble. My life feels full and vibrant, even in the face of momentary stress or unexpected changes. I am no longer fear the unknown and instead gets excited by it, and I have learned to embrace change as an integral part of my life. I finally feel like I can breathe.

 

Thank you for your empathy and insights, and the invaluable skills you’ve taught me. Thank you!

We appreciate our clients for their honest and sincere testimonials. 

 

The Tree Group Was A Turning Point In My Life

If it hadn't been for Tree, I believe achieving an average score of 92 on last year's qualification exam and securing early admission to college would have been impossible for me.
ALC student

If it hadn’t been for Tree, I believe achieving an average score of 92 on last year’s qualification exam and securing early admission to college would have been impossible for me.

 

Before joining Tree, I struggled with studying. However, since enrolling, I’ve been able to fully immerse myself in learning, supported by dedicated teachers. I successfully completed both middle and high school qualification exams and even managed to excel in the college entrance exam.

 

If it hadn’t been for Tree, I believe achieving an average score of 92 on last year’s qualification exam and securing early admission to college would have been impossible for me.

 

While I’m graduating from Tree now, I’m not going to settle for my current achievements. Instead, I’m fully committed to pushing myself even further academically.

 

Thank you.

* We appreciate our clients for their honest and sincere testimonials. 

Distraction & Mindfulness 2

조용범ㅣYong Cho, Ph.D.

A child’s interesting behavior was observed. While sitting on the sofa, their hands continuously touched their face and head, twisting and turning, while their body moved up and down, legs shaking and constantly in motion.

 

A child visited our clinic. They were exceptionally bright and well-mannered. The child believed multi-tasking was a reasonable behavior with confidence. Although the child excelled in studies and seemed flawless academically, the parents were concerned about their scattered attention during homework, because the child did multiple homework and seemed distracted. However, the child thought such behavior was a good learning strategy.

 

It was the first therapy session. While quietly conversing with the child, their interesting behavior was observed. While sitting on the sofa, their hands continuously touched their face and head, twisting and turning, while their body moved up and down, legs shaking and constantly in motion. Of course, the child was completely unaware of these actions.

 

 

We suggested trying mindfulness with the child. Though they had tried it before, they didn’t seem interested and found meditation boring, not finding much significance to it. We started with the body scan mindfulness.

 

We guided the child to focus their attention, bit by bit, from the tips of their toes to the top of their head, on different parts of their body.

 

When the child felt the urge for various actions with their hands, feet, or other body parts, we asked them to simply notice it without moving and concentrate on the part of the body they were already focused on.

 

The child found it challenging. The child twitched and fidgeted as if electricity was passing through them.

 

After about five minutes of mindfulness, we asked the child about their experience. They expressed surprise and clarity, realizing they didn’t know they wanted to move their body like that, and they became aware of their body for the first time.

 

We named the behavior of twisting and touching their body after mindfulness as ‘Monkey Dance’. For homework, the child was tasked to practice the mindfulness. 

 

The following week, the child no longer showed Monkey Dance.

Distraction & Mindfulness 1

조용범ㅣYong Cho, Ph.D.

When we close our eyes for a moment, images and thoughts pass through our minds like scenes from a movie, filling our minds with numerous thoughts, emotions, and images.

 

Attention deficit is a representative symptom of Attention Deficit Hyperactivity Disorder (ADHD). In many Korean households of previous generations, highly energetic and active children were not a major concern; instead, they were often regarded as lively and full of vitality. It was commonly believed that their hyperactive behavior would improve as they grew older, and adults would often reassure by saying that all children were like that when they were young.

 

Of course, in the West, not all children with severe attention deficits were pathologized. Energetic and lively children were often distinguished from rebellious troublemakers referred to as “brats.” However, during the 20th century, there was a shift in perceiving such behavior problems, observed both at school and at home, of children who did not follow adults’ instructions and could not control their actions, as indicative of a bad personality or a naughty child, leading to the consideration of it as a disorder. Various fields of mental health and education began to observe and study such behaviors, and in the 1960s, symptoms like ADHD began to be included in diagnostic systems.

Since various forms of attention deficit behaviors, also known as externalization symptoms, are sometimes exhibited by all humans, not all cases of attention deficit are necessarily severe problems. When we close our eyes for a moment, images and thoughts pass through our minds like scenes from a movie, filling our minds with numerous thoughts, emotions, and images.

 

Throughout history, humans have employed religious activities such as prayer or meditation to tame this restlessness of the mind. These religious activities have been somewhat scientifically formalized and are now utilized in everyday life under the name of mindfulness. Through mindfulness, the effectiveness of emotional and behavioral stability has been demonstrated in various studies.

 

(To be continued in the next article)

“Anger” is a precious gift!

조용범ㅣYong Cho, Ph.D.

‘Anger’ is undoubtedly an important gift to humanity when accompanied by the Wise Mind.

‘Anger’ is an emotion we all want to avoid or experience. In today’s society, where losing control of intense emotions is frowned upon, expressing anger or failing to control anger can be seen as a flaw. We often try to avoid feeling angry in various situations, such as when we suffer losses or when things don’t go as planned. 

However, ‘anger’ serves a very useful function for us humans. When we fail or encounter difficulties, ‘anger’ helps us shake off intense feelings of depression and find new paths to move forward. It generates hormones that awaken us, enabling us to confront obstacles.

 

In Dialectical Behavior Therapy (DBT), through skill training, we learn that what we perceive as negative ‘anger’ isn’t necessarily bad; it serves valuable functions. Since the release of Dr. Linehan’s DBT workbook in 1993, eliminating negative emotions has not been the ultimate goal of therapy. Rather, the goal is to thoroughly and compassionately understand these so-called negative emotions, to first understand their functions, and then to learn to tolerate them. Understanding and accepting these emotions are crucial therapeutic goals for emotion regulation.

Recent research has published findings on the beneficial functions of ‘anger’. The study suggests that experiencing anger when faced with challenging goals helps in achieving those goals.

 

In experiments involving over 1000 participants, situations such as solving difficult puzzles, playing video games, or scenarios to prevent economic losses, anger was found to enhance problem-solving abilities and prompt rapid responses.

 

In Korea, the Confucian and Buddhist traditions have long recognized this fact and have taught us not to despise the emotion of ‘anger’ but to use it wisely for our development. It encouraged us to reflect on ‘anger’ as a mirror, teaching us not to simply express anger but to resolve it.

So, instead of avoiding ‘anger’, instead of simply expressing it, and without using it to fuel aggression and becoming embodiments of wrath for our goals, understanding the message that ‘anger’ presents to us and resolving it with a calm mind is the key.

‘Anger’ is undoubtedly an important gift to humanity when accompanied by the Wise Mind.

 

It seems that ‘anger’ will be a good topic for future research.

 

Reference

Lench, H. C., Reed, N. T., George, T., Kaiser, K. A., & North, S. G. (2023). Anger has benefits for attaining goals. Journal of Personality and Social Psychology. Advance online publication.

Post in 심리치료 & 건강
Tagged DBT, 마인드풀니스, 화, 분노, 감정 

LOU-21-10 EN IPS Post Contents

"I do not know how to thank the DBT clinicians who taught me to live a better life while I was drowning in pain."

This year was the most challenging and yet, the most rewarding year of my life. 

I do not know how to thank the DBT clinicians who taught me to live a better life while I was drowning in pain.  

It was a very precious experience.  

I do not feel like crying, but I feel a little blue writing the treatment review.  

I have an entrance exam coming up, and I know I can overcome the challenge since I tackled through a tougher challenge already.  

I can do it! 

Post in Psychotherapy & Health
Tagged DBT 

During the pendemic, Dr. Cho and his team in Korea reached to people who are in great psychological assistance.

Remote Administration of the Comprehensive Psychological/Psycho-educational Evaluation

The International Psychological Services center of the Tree Group has been providing treatment services online; however, the comprehensive psychological/psycho-educational evaluation has been provided offline only as various assessment tools are needed to carry out the evaluation. Nevertheless, in times when travel is restricted and social distancing is necessary, the Tree Group has become more aware of those who need comprehensive psychological/psycho-educational evaluation from abroad. Therefore, the Tree Group has decided to provide remote administration of the comprehensive psychological/psycho-educational evaluation by following the protocols updated by Pearson regarding Tele-practice of psychological and educational evaluations.


Where will the comprehensive psychological/psycho-educational evaluation take place?

The clinic has been providing years of online services to those in both Korea and abroad using diverse online platforms. Recently, due to the global pandemic, theTreeGroup has created and actively utilized a virtual office on Teams to provide better services online. The comprehensive psychological/psycho-educational evaluation will also be held on Teams to those who might find it difficult to visit our clinic in person.


How is the comprehensive psychological/psycho-educational evaluation arranged?

The clinic receives all referrals and contacts from international schools and parents. The school can make the initial contact; however, we then encourage the parents to call us for further information. During the first few contacts, an intake interview along with a comprehensive psychological/psycho-educational evaluation can be arranged to create a good diagnostic picture of the child or/and to make an effective treatment plan. The results of the intake interview and the comprehensive psychological/psycho-educational evaluation can also be shared with the school under the parent’s consent.


What is involved in the comprehensive psychological/psycho-educational evaluation?

The clinic uses various scientifically proven assessments to understand a child’s cognitive and academic abilities as well as the child’s behavioural and psychological issues. Below are several of the assessments included in the evaluation.

The content of the assessment varies slightly depending on the age of the child. The clinic also uses the Korean version of the Wechsler Intelligence Scale for Children – Fifth Edition to those who are bilingual. The inclusion of both the English and Korean versions of the assessment is to have a better understanding of the child’s language development and state.


How is the remote administration of the comprehensive psychological/psycho-educational evaluation different to that provided in person?

The parents will be more actively involved in the evaluation as there are subtests within the WISC-V that requires timing and handling of response booklets. Prior to the evaluation, the parents will be provided with guidance on how to support their child during the evaluation. The WISC-V Block Design subtest which is used to measure a child’s visual-spatial coordination abilities will be excluded from the evaluation as a professional is needed to guide the child in using the evaluation tool. The performance results from the Visual Puzzles subtest will be substituted in calculating the scores. More information regarding the tele-practice of WISC-V can be found in the link below provided by Pearson.

https://www.pearsonassessments.com/professional-assessments/digital-solutions/telepractice/telepractice-and-the-wisc-v.html#


For further information or/and arrangement of the comprehensive psychological/psycho-educational evaluation please contact us at (+82)2-557-8823 or send us an email to ips@treegroup.onmicrosoft.com.