Dialectical Behavioural Therapy OR Compassion Focused Therapy?

DBT would be twice a week for the whole of next year. Imagine being stuck in Derby for a whole year. It’s a horrible thought. But it’s real therapy, at last. I’ve been badgering mental health services for 3 or 4 years, this time round. Finally, I’ve got somewhere.

As for CFT, what is it? The guy who invented it is from Derby, so that’s why it’s popular here, but it doesn’t seem hugely common. How long it’s for, how often, all of the basic practicalities of it, I don’t know. I only know that it would take place the next town over from where my parents live.

This study found  the following themes in their study of patients’ experience of Compassion Focused Therapy:  (1) the battle to give up the inner critic: who am I if I am not self-critical?; (2) an aversive and alien experience: how it feels to develop self-compassion; (3) the emotional experience of therapy; (4) self-compassion as a positive emotional experience; and (5) a more positive outlook in the present and for the future.

Aside from the ‘aversive and alien experience’, that doesn’t sound too bad. But I don’t think just being nice to myself will fix everything. I’m angry at so much more than just me. I’m confused by life. I know myself not. I’ve made great progress in getting over my previous self hatred and teenage deathwishes, but somehow that’s not enough. I’m still trapped somewhere invisible.

Is compassion the missing piece? Or do I need the DBT skills more? The four key skills are apparently Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation. All of which sound like great things to have.

I have serious problems making decisions, and even more problems with imagining, let alone planning, the future. So I have no idea how I’m going to decide this one.