15 'hygiene Hacks'dialectical Behavioral Training



  1. Make good hygiene a responsibility. If your teen is resistant to basic teen hygiene - like showering after practice or using deodorant - don't just nag or plead.
  2. Alpaca Conservation status Domesticated Scientific classification Kingdom: Animalia Phylum: Chordata Class: Mammalia Order: Artiodactyla Family: Camelidae Genus: Vicugna Species: V. Pacos Binomial name Vicugna pacos (Linnaeus, 1758) Alpaca range Synonyms Camelus pacos Linnaeus, 1758 Lama pacos (Linnaeus, 1758) The alpaca (Vicugna pacos) is a species of South American camelid mammal.
Hygiene and grooming can be one of the most challenging areas to work on, yet one of the most critical to social integration. Appropriate bathing, shaving, dressing, and feminine hygiene are a foundation that must be there in order to be able to work on other areas. Good hygiene and grooming skills are necessary for socialization, employment, and accessing community resources.
15 Teaching Strategies

Hygiene rules are a guide and need to be tailored to your son or daughter. If your teen has oily skin or hair, a daily shower might be necessary. If his skin is dry, then bathing every other day is acceptable and even preferred because too much bathing strips away the skin's natural protective oils. Learn more about our Dental Hygiene Associate in Science Degree program. Apply for clinicals - check back HERE for link to the Fall 2021 clinical application. You must have already taken the TEAS test (minimum score 62) and attended a mandatory application session within the past 12 months. The application deadline is March 15. Herzberg labeled factors causing dissatisfaction of workers as “hygiene” factors because these factors were part of the context in which the job was performed, as opposed to the job itself. Hygiene factors included company policies, supervision, working conditions, salary, safety, and security on the job. To illustrate, imagine that you are.


Sometimes, particularly with adolescents, a person has not learned the appropriate skills. Shaping is often used when teaching new skills. This involves providing rewards for successive approximations of the skill. Many people are not able to learn the whole skill at one time, and will benefit from learning the 'baby steps' one at a time. Two commonly used strategies are forward chaining and backward chaining. Both involve breaking the activity down into small, achievable steps.
Forward chaining involves teaching the skill starting with the first step. So, the first time, you teach the client to perform the first step, and you perform the rest. When your client is able to do that well, teach him or her to perform the first two steps, and you perform the rest. Continue this way until your client is performing all the steps independently.
Backward chaining involves teaching the skill starting with the last step. You start by performing all the steps, up until the last one, which you teach your client to perform independently. When your client is able to do the last step well, you start encouraging your client to do the last two steps. Continue this way until your client is performing all the steps independently.

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Backward chaining is often a preferred method of teaching hygiene and grooming skills as it is often very rewarding to the client to be able to complete the finishing steps.
Checklists and Visual Cues
It is important to find out why the hygiene and grooming tasks are not being performed. Often, a person knows how to do them, but is not motivated. Sometimes, the person does not have the appropriate supplies. Sometimes, a person may be able to perform each individual step, but has difficulty putting them all together.
Checklists can help a person remember what needs to be done, and how to put the steps together. A morning routine checklist is commonly used, and sometimes a nighttime routine checklist as well. If you put the checklist in a plastic sleeve or laminate it, it can be re-used with a washable or dry-erase marker. I often purchase self-adhesive vinyl at a dollar store to cover the checklist. I have found that clients often end up taking the page out of a plastic sleeve, so a plastic sleeve does not end up protecting it very well.
A morning routine checklist lists all the activities that need to be done, in the order they need to be done. For example:
  • go to the bathroom
  • eat breakfast
  • get dressed
  • brush teeth
  • wash face
  • brush hair
It could be simplified even more by listing the steps involved in each of the steps listed above. For example, you could have a checklist for getting dressed:
  • take off pajama shirt
  • take off pajama pants
  • put on underwear
  • put on socks
  • put on pants
  • put on shirt
For some people, it is sufficient to have a written list of activities, but for others, it is very helpful to have picture cues for each step. However, if a person does not require picture cues, he or she may find them degrading.
When a person commonly runs out of personal care products and forgets to purchase new ones, a personal care product checklist may be helpful. List all the supplies a person uses, and then when the person gets close to running out, encourage him or her to place a checkmark next to that item. Then the checklist can be used when creating a shopping list. One problem with this approach is that people often wait until a product has completely run out prior to checking it on the list. If the product comes in bottles (e.g. shampoo), you can use permanent marker to place a mark on the bottle. When the product reaches that level, it needs to be added to the list.
Sometimes signs can be used as visual cues to remind your client of specific activities needing to be done. I had one client who would shower daily, but forget to wash appropriately when he was in the shower, resulting in bad body odor. We created a colorful, laminated sign to post in the shower to remind him to wash his underarms, groin, and feet. Ideally, the color or positioning of the sign would be changed at least weekly to ensure he does not become habituated to it, and stop seeing it.
Closet/Drawer Organization
Sometimes, people are able to get dressed, but are unable to put an outfit together. They may not choose appropriate outfits, or may miss putting on certain items. It can be helpful to have a well-organized closet. This often means ensuring that all items in the closet and/or drawers are for the appropriate season. Clothes for opposite seasons should be packed away. It often means ensuring that clothes for special occasions are also packed away. It can be helpful to put together full outfits, and hang them together on one hanger. This ensures no items are missed, and the clothes match. Items such as underwear and socks can be hung in a bag on the same hanger. This way, the client can go to the closet, choose out a hanger, and know that if he or she puts on all the items, it will be a full, coordinated outfit.
When Motivation is a Problem
15 When your client knows what to do, but just cannot bring him- or herself to do it, it may be helpful to work with your client to set goals and establish rewards. There are many intrinsic rewards to good hygiene and grooming, which should be reviewed. These include: being attractive to others (making and keeping friends), finding and keeping employment, and finding and keeping a place to live.
It can be helpful to establish specific goals for how often to do hygiene and grooming activities, and to have your client track how often he or she actually does them (using a checklist). Appropriate extrinsic rewards can also be planned e.g. If I have a bath before group, I will go out for coffee with group members afterward. It is important to ensure the goals are a 'just right challenge' (check out my blog on it by clicking here).Therapy
When Hygiene and Grooming are Still a Problem
If hygiene and grooming continue to be a problem, despite all the attempts to teach the skills or modify the task, it may be appropriate to look for ways to minimize the impact of the poor hygiene. Living in a situation that gives the person a little more space (e.g. his or her own apartment instead of a group home) can make body odor less offensive to others. I heard about one client who found a job working at a sewage treatment plant, where body odor was not a concern. Encouraging your client to meet friends outside instead of in an enclosed space can help to maintain friendships.
Another concern with poor hygiene is that it is often associated with poor housecleaning. A smelly apartment can make a person smell bad, and a smelly person can make an apartment smell bad. I think that lack of motivation can contribute to both situations. You may also want to check out my blog on housecleaning.Therapy

Time to turn off the commute music, name your emotions, practice active listening and ask yourself if it is really worth the pain for a healthier and happier day.

Dialectical Behavior Therapy (DBT) is an effective treatment for PTSD, depression, anxiety, and personality disorders. However, many skills within the treatment can apply to everyone, and I meaneveryone, with major benefits to day-to-day life. Here are some suggestions on how to become more engaged, emotionally regulated, and present with four simple ways to practice DBT techniques.

What is DBT?

Dialectical Behavior Therapy is a treatment originally developed by Marsha Linehan in the 1980s-1990s to treat Borderline Personality Disorder. Since that time, research has proven its efficacy with nearly all types of mental health disorders.

Dialectical Behavior Therapy should not be confused with Cognitive Behavioral Therapy (CBT). DBT has four components:

  1. DBT Individual Therapy – Weekly therapy with a DBT therapist where skills learned in DBT Skills Group are reinforced and significant work is done on commitment to treatment.
  2. DBT Skills Group – Occurring weekly, this group is more psychoeducational in nature and is run similar to a classroom, where participants are taught skills using a Socratic style method and assigned homework which is reviewed during the following week's group.
  3. DBT Phone Coaching – Patients are able to call their therapist during times of crisis to receive help in applying skills they are trying to learn to manage symptoms.
  4. DBT Consultation Team – Therapists practicing DBT meet weekly to receive support in practicing a difficult, intense treatment and in maintaining competency.

DBT teaches four categories of skills:

  • Mindfulness – Developing an awareness of the present moment, without judgment or attachment, in a way that allows you to be more aware of and more effectively manage emotions, thoughts, feelings, etc.
  • Emotion Regulation – Improving awareness of emotions, causes, and consequences, in a way that allows us to choose how to manage them and improve the effectiveness of the way that we manage them
  • Distress Tolerance – Practicing tolerating, rather than avoiding or changing extreme and/or distressing emotions
  • Interpersonal Effectiveness – Learning how to advocate for yourself and improve management of relationships and relationship issues

Clearly the treatment, with so many parts and in depth skills training, is intense. However, as you read more about it, you will inevitably find that anyone can benefit from it. Who hasn't done something they regret in the heat of the moment? Who hasn't felt overwhelmed and unsure of what to do? Who hasn't been so caught up in their head that they miss the turn off the expressway?

Whether you are in intense crisis or an average healthy individual, the knowledge that comes from receiving Dialectical Behavior Therapy can improve your everyday functioning. But if you aren't someone who is in or hasn't received DBT treatment, what do you do? How do you get these benefits?

Well, below you can find a few easy ways to start using aspects of DBT skills daily.

  • Turn Off The Music During Your Commute
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One of my favorite past times is jamming out to my favorite tunes on my way to work. Unfortunately, this is the opposite of what I should be doing. Distraction can be fun, but it also sets us up to miss something important or get caught off guard. What's the harm, though? Well, a public service announcement might tell you that listening to music during your commute can lead to more car crashes. On the less dramatic side of things, it keeps you from taking in and being mindful of everything that is going on around you (which I guess would also lead to more car crashes).

When you are juggling multiple things at once it inherently means you aren't doing any one thing as well as you could be if you were only doing one thing at a time. It cuts you off from what is going on around you. If you aren't aware of what is going on around you, then you aren't able to effectively deal with it. On the flip side, by committing to whatever you are doing fully, without distractions, you not only improve the way you do it, but you flex and build your Mindfulness muscles. This idea applies to everything from driving to parenting and from washing dishes to shopping. Once you start working on being more mindful in these smaller arenas, you will be able to eventually do it when it matters. To start, though, just practice turning off your music during your commute and just travel.

  • Practice Naming Emotions In Everyday Conversation

Everyone has had the experience of being upset but not quite being sure why. Unfortunately, when you don't know why you're upset, there is often very little you can do about it. That's where DBT comes in. One of the best things about DBT is that it encourages patients to improve their ability to be more aware of their emotions, thoughts, behaviors, etc. in such a way that it empowers them to be able to manage more effectively. Sounds pretty complicated but in all actuality it doesn't have to be. Being able to name your emotions is a great place to start and what better place to practice doing that than in every day conversations? For example, 'I'm so happy you came over for dinner!' or 'It irritates me when you come home late without calling.

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  • Listen To The Person You Are Talking To

15 'hygiene Hacks'dialectical Behavioral Training Reliaslearning

Sounds easy enough. But how often have you found yourself thinking about what to say before the person has even finished their sentence? We are all guilty of this. Sometimes it's because the conversation is heated or we are anxious. Either way, it rarely ends well. You usually say something you regret or ultimately wind up not getting what you wanted.

You don't have to agree with what the person is saying and you don't have to ultimately change your tune. But actually listening improves your odds of accomplishing your goals in dealing with someone (i.e. improves interpersonal effectiveness). When you actually listen to someone, it increases the likelihood that the other person feels heard and will give you what you want. It also increases the effectiveness of your eventual response because that choice will be based on a more fully informed assessment of the situation.

Conclusion: You should actually listen to the person you are talking to (even if you don't want to).

  • Asking Yourself 'Is This Really Worth It?'

Spinning your wheels. It's a phrase meant to recall images of gerbils hopelessly running in circles in their cage wheel. They aren't going anywhere, but continue to run none-the-less. When you're upset, you sometimes find yourself spinning your wheels. Or maybe more appropriately, you find yourself banging your head against a wall being upset about something that isn't really worth it.

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Unfortunately, in the moment, we aren't always thinking about whether it is worth it. We are usually obsessing over whatever we are upset about and making ourselves miserable in the process. We are tolerating distress poorly.

When we find ourselves here, we almost never actually do anything to make it better. Often times we make it worse and the cycle continues. By ourselves in the moment, it is hard to see the ineffectiveness of this pattern. But one of the easiest ways to try to cut this cycle off at the pass is to, when you notice you are really upset about something, ask yourself: 'Is this really worth it?', 'Is anything here actually in my control?', or 'Is my reaction making this situation better for myself?' (hint: the answer is usually no).

Overall, the DBT message is relatively consistent and clear: it is important to take ownership over our lives and we have an inherent ability to effect change for ourselves. Receiving adherent treatment from a certified DBT therapist and/or program is always recommended. But that doesn't mean that you can't benefit from some of the concepts without being in or having completed a full course of DBT treatment.

Many of the people I treat with Dialectical Behavior Therapy (DBT) have accidentally referred to it as DIABOLICAL Behavior Therapy. I can't tell you how many times other therapists at conferences or staff meetings have re-counted a story where a patient has referred to the treatment this way.

When re-telling this type of story, it usually ends with resounding laughter at what is perceived as a Freudian slip. Why, you ask? Well, because while receiving DBT treatment has been known to change your life, it also requires hard work from the person receiving it. DBT may not quite be diabolical or hellish, but it's certainly not a cakewalk. But these four ways to use DBT daily are certainly a good place to start.

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Date of original publication: September 21, 2015

Updated: January 25, 2016





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