Ellie Wildbore

The long-term impact of being in a therapeutic community for staff and service users The long-term impact of being in a therapeutic community - for staff and service users was clear from this research which shows that being in a therapeutic community has a significant impact that last...

link.growkudos.com/1pinisj356o

My first solo authored research paper!

And you too!!!

That would be fab Chrissy I’d love that!

Great to see you too Andre!

Well that’s a wrap on #BIGSPD25 - great to see faces old and new, lots of food for thought.

Can’t believe I actually made it - 8 days out of hospital after 8 months in, this was a difficult conference for me but the right decision to come! Thanks those that made it happen!

@bigspd.bsky.social

You guys did a fab job!

It was brilliant!

So well deserved @hoppypelican.bsky.social and what an epic photo with @thementalelf.bsky.social

#BIGSPD25

Big thanks also to all of my #BeyondTheRoom colleagues who have done a sterling job of reporting live from #BIGSPD25 this year 👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽 @keirwales.bsky.social @sarahpsyc.bsky.social @elliewildbore.bsky.social @squarepegsuk.bsky.social @drarghyasarkhel.bsky.social @kellythepsych.bsky.social

Still absolutely stoked a year later to be part of the exclusive crochet mental elf owner's club! Now growing to 4 members! #BIGSPD25

@thementalelf.bsky.social is announcing the winner of the coveted crochet mental elf (pictured here enjoying the gala dinner last night) .... and the winner is.... the fabulous @hoppypelican.bsky.social 👏 congratulations!

We enjoyed the Friday night photo booth! Bring it back next year! #BIGSPD25

@garylamph.bsky.social and @fik-t.bsky.social are closing #BIGSPD25 - their first as new presidents - and what an excellent job they've done!

Can't believe its over already-some amazing topics this year, love seeing and hearing about all the amazing work going on in the BIGSPD community and beyond

We didn't get a photo...but a solid 8.5km in the book this morning :) Nice to see you out too!

Great to see you guys again! :)

This decolonising work is not just for BIPOC community, it is the job of everyone and white people to start to think about what they can do to decolonise not just DBT, but psychotherapy in general.

#BIGSPD25

What a fab & original talk from @bodyandsoulcharity.bsky.social - really thought-provoking, & as a white person who has completed DBT years ago I feel ashamed that I didn't pick up on these nuances that are so white/euro centric. Definitely have a lot of food for thought from this talk

#BIGSPD25

Conclusions:
-DBT operates as race, culture and systems are invisible
-Minimises and invalidates experiences - leading to internalising
-skills need to feel appropriate and effective
-BIPOC individuals shouldn't have to adjust the skills themselves.

#BIGSPD25

Theme 4: Challenging Eurocentric assumptions and notions: acknowledgement of influences eg buddhism & mindfulness, recognising individuals as part of communities instead of the emphasis on individualism,DBT book work choices reinforcing harmful stereotypes, removing racial assumptions

#BIGSPD25

Theme 3: Integrating cultural considerations: including non-western examples of activities, understanding concepts in different cultural norms, cultural interpretations of body language ,tone etc. and adjusting skills to different cultural values.

#BIGSPD25

Shocking fact: The word "racism" only comes up once in the DBT manual - and in the context of a white person overhearing racism under the theme "disgust", never in "anger" or "frustration" and always passive observation, not experiencing. The decolonised version changes this.

#BIGSPD25

2 - sing skills effectively in the context of racism: assessing priorities of risk & safety to ensure skills are appropriate and validating to experiences of racism, how to use allyship effectively (e.g.checking the facts) &skills need to reflect the LX of navigating racism in daily life.

#BIGSPD25

Themes that came out included:

1 - Integrating structural, systemic and intergenerational realities: stereotypes and systemic ideas about how black people are perceived can be a barrier to using certain DBT skills, as can intergenerational trauma

#BIGSPD25

Despite increased risk of suicidality and self-harm for BIPOC, there are higher levels of dropout from DBT, and little evidence of the curriculum being adjusted appropriately.

@bodyandsoulcharity.bsky.social set about looking at how they could make the DBT curriculum more suitable

#BIGSPD25

@bodyandsoulcharity.bsky.social are speaking about decolonising the DBT curriculum this morning Decolonising the DBT Curriculum. A comprehensive
review led by young adults who are Black or of
Colour and have struggled with suicidality @bigspd.bsky.social

#BIGSPD25

Powerful opening talk on Day 3 of #BIGSPD25 by Prof Brin Grenyer (online from Aus) on stepped care for PD.
✅ Co-production with lived experience
✅ De-stigmatising, welcoming services
✅ Brief intervention clinics -
1 month
✅ Big drop in ED use & hospital stays
✅ clinical governance . #beyondtheroom

Mental Elf enjoying the @bigspd.bsky.social gala dinner

@thementalelf.bsky.social #BIGSPD25

Key messages:

Interactions between autism and trauma are complex and deep

Many people who have been given a perosnality disorder diagnosis are both autistic and traumatised

Reflective, neuro-affirmative, trauma informed approaches to formulation are required for this client group

#BIGSPD25

The research landscape shows that:
-Autistic people are at high risk of experiencing trauma
-The effects of trauma may be more severe for autistic people
-Trauma may influence the development of autism in some people

#BIGSPD25

Finally in the #autism parallel @bigspd.bsky.social we are looking at navigating the grey area of autism and complex trauma with @ciacox.bsky.social

#BIGSPD25