Clearer Thinking with Spencer Greenberg Improving your skill of emotional regulation (with Shireen Rizvi)
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Dec 31, 2025 
Shireen Rizvi, a licensed clinical psychologist and expert in DBT and CBT, discusses the nuances of emotional regulation. She emphasizes the importance of matching therapy types to patient needs and highlights the role of structure in effective treatments. Shireen explains how DBT integrates radical acceptance and mindfulness, offering skills that help reduce suffering. The conversation also explores the balance between acceptance and change in therapy, along with practical techniques for self-validation and effective communication.
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Medications Can Help, But Teach Skills Too
- Use medication if it helps and fits your life, but be aware effects often stop when you stop the drug.
- Combine meds with therapy when possible so you also learn durable psychological skills.
DBT Adds Acceptance To CBT
- DBT augments CBT by adding radical acceptance and balancing change with acceptance (the dialectic).
- Marsha Linehan developed DBT because pure change-focused CBT often failed for highly distressed clients.
Emotion Dysregulation Is Central
- DBT assumes many problems stem from emotion dysregulation and skills deficits, making its skills broadly applicable.
- Teaching concrete skills targets impulsive behaviors and chronic emotional suffering across diagnoses.
