• H&R Moderators: VerbalTruist

Positive Behaviour Support Therapy

Eligiu

Bluelight Crew
Joined
Jul 8, 2017
Messages
1,428
So, in Australia I receive government funding to pay for living costs associated with having several significant disabilities - namely level 3 autism, and cptsd.

One of the things that what's called the NDIS sometimes will fund for people, depending on the situation, is what is known as Positive Behaviour Support.

This is a type of therapy aimed at helping people with behaviours of concern (for me, various serious and harmful forms of.self harm, verbal and physical aggression, etc). It is difficult to get this funded especially for 'psychosocial disabilities' as the NDIS constantly tries to push people like they did with me, back to Community MH servics. Which is kinda dumb since the community services referred me to be granted access to the NDIS as my needs were too complex for them...

Anyway, when @arrall visited he got check out some of what is involved with PBS, and I realised that some of how it works, even a basic model of it, could be of use to some people.

Essentially PBS works on the premise that 'all Behaviour is communication' and practitioners seek to understand what their client is communicating with any behavior.

For example, if i am triggered badly by my dad, because I am unable to verbalise my emotions, and feel like I am burdening even my support workers if they ask how I am (I always just say good thanks), I have in the past relied on cutting or burning myself, specifically to trigger the person I needed to talk about it with, to ask 'what happened to your arm' which would then allow me to discuss it.

Clearly, this is not an effective way of communicating. Instead, i wear a lanyard, and carry around a box of cardboard tags which click on to the lanyard, and say things like 'I feel anxious' or 'I feel sad'. This has the impact of meaning when support workers or therapists check my tag by looking or asking to see it, instead of seeing a third degree burn and asking what happened, they see a tag and go 'why are you anxious.'

For other behaviours, I had to do some intense self reflection on why I did it. For a lot of the time, the issue is that when I am by myself, I am not kind to myself often.

Too many people attempt to remove behaviours of concern, but they do not give a person sufficient or appropriate replacement behaviours.

After working to develop my behaviour support plan, I now have it set up so that depending on how I was triggered, I instead try to force myself to what is written on the plan, which are replacement behaviours I picked myself.

Things like:
Acrylic paint pouring
Oil painting
Pastel
Watercolour painting
Zelda
Animal crossing
Last of us
Meditation
Playing guitar
Playing piano
Using my sensory items
Going for a walk.

I have a chart with paper saying 'no alcohol/no weed' etc and for every day without,I get a sticker so I can count the total days, not consecutive days.

I also have a spreadsheet where I stamp which replacement behaviours I practiced and who with. That way I can track which ones I seem to prefer.

The critical thing about PBS is it works from a neuroscience perspective where people need time and room to fail and support a d encouragement, not shame when engaging in a behaviour.

Having this therapy has changed my life. I genuinely believed I would be dead before I got to 30 without it. Now I think that within 3years I will no longer need it

But the thing is, you really do not have to pay for this. All it is, is figuring out what unhealthy behaviours you wanna switch for one's which LESS negative, or even healthy.

Then, devise a way to keep track of your progress.


And then off you go. My ex PBS practitioners boss kept congratulating him for thinking up stuff we did during sessions and he had to tell him I actually thought of it
 
So, in Australia I receive government funding to pay for living costs associated with having several significant disabilities - namely level 3 autism, and cptsd.

One of the things that what's called the NDIS sometimes will fund for people, depending on the situation, is what is known as Positive Behaviour Support.

This is a type of therapy aimed at helping people with behaviours of concern (for me, various serious and harmful forms of.self harm, verbal and physical aggression, etc). It is difficult to get this funded especially for 'psychosocial disabilities' as the NDIS constantly tries to push people like they did with me, back to Community MH servics. Which is kinda dumb since the community services referred me to be granted access to the NDIS as my needs were too complex for them...

Anyway, when @arrall visited he got check out some of what is involved with PBS, and I realised that some of how it works, even a basic model of it, could be of use to some people.

Essentially PBS works on the premise that 'all Behaviour is communication' and practitioners seek to understand what their client is communicating with any behavior.

For example, if i am triggered badly by my dad, because I am unable to verbalise my emotions, and feel like I am burdening even my support workers if they ask how I am (I always just say good thanks), I have in the past relied on cutting or burning myself, specifically to trigger the person I needed to talk about it with, to ask 'what happened to your arm' which would then allow me to discuss it.

Clearly, this is not an effective way of communicating. Instead, i wear a lanyard, and carry around a box of cardboard tags which click on to the lanyard, and say things like 'I feel anxious' or 'I feel sad'. This has the impact of meaning when support workers or therapists check my tag by looking or asking to see it, instead of seeing a third degree burn and asking what happened, they see a tag and go 'why are you anxious.'

For other behaviours, I had to do some intense self reflection on why I did it. For a lot of the time, the issue is that when I am by myself, I am not kind to myself often.

Too many people attempt to remove behaviours of concern, but they do not give a person sufficient or appropriate replacement behaviours.

After working to develop my behaviour support plan, I now have it set up so that depending on how I was triggered, I instead try to force myself to what is written on the plan, which are replacement behaviours I picked myself.

Things like:
Acrylic paint pouring
Oil painting
Pastel
Watercolour painting
Zelda
Animal crossing
Last of us
Meditation
Playing guitar
Playing piano
Using my sensory items
Going for a walk.

I have a chart with paper saying 'no alcohol/no weed' etc and for every day without,I get a sticker so I can count the total days, not consecutive days.

I also have a spreadsheet where I stamp which replacement behaviours I practiced and who with. That way I can track which ones I seem to prefer.

The critical thing about PBS is it works from a neuroscience perspective where people need time and room to fail and support a d encouragement, not shame when engaging in a behaviour.

Having this therapy has changed my life. I genuinely believed I would be dead before I got to 30 without it. Now I think that within 3years I will no longer need it

But the thing is, you really do not have to pay for this. All it is, is figuring out what unhealthy behaviours you wanna switch for one's which LESS negative, or even healthy.

Then, devise a way to keep track of your progress.


And then off you go. My ex PBS practitioners boss kept congratulating him for thinking up stuff we did during sessions and he had to tell him I actually thought of it
I kind of actually did something similar with me and my friends, and i been in recovery and going at it for a good two years now i think, and still making progress everyday!

I wish i got access to this when i was at peak self destructive behavior, but oh well, i have been clean for over two years though so that's rad!

I would honestly do anything to watch you and Arrall on Twitch or something playing games together, literally peak entertainment~ >:3
 
I kind of actually did something similar with me and my friends, and i been in recovery and going at it for a good two years now i think, and still making progress everyday!

I wish i got access to this when i was at peak self destructive behavior, but oh well, i have been clean for over two years though so that's rad!

I would honestly do anything to watch you and Arrall on Twitch or something playing games together, literally peak entertainment~ >:3

Oh me and him are into very different games. I am currently playing BOTW on switch though. I swap between that and animal crossing mainly. But I may play SSB with my old PBS practitioner on Wednesday when I hang out with him for my music lesson. He creamed me and @arrall when we played. Was a dual Kirby v me fight.
 
That sounds FIRE AF

Share steam link please 🥺
75% off right now for the Steam Summer Sale.
The businessman who bought the company out has taken all of the $ from the actual developers, stolen their company, and then fired them for being upset about the first two.
So you may want to find other ways to acquire the game ;)
 
75% off right now for the Steam Summer Sale.
The businessman who bought the company out stole all $ from the actual developers, so you may want to find other ways to acquire the game ;)
Gosh, clearing me to get it in sus ways too?! THANK YOUUUU <3 <3 <3
 
I would've owned both of you in SSB Melee for GameCube

Whose your main? Surely not Kirby as well. I main Richter in switch ssb. The reach on the whip is insane.

I am gonna buy Pokemon Go Eevee soon, I was so jealous of my brother having pokemon yellow and a cute Lil pikachu following him around everywhere. Pikachu is okay, but eevee is the real best pokemon. And apparently, instead of following you it sits on your head wherever you go.

The game is going to be my reward for going a whole month doing a replacement behaviour every single day.
 
Whose your main? Surely not Kirby as well. I main Richter in switch ssb. The reach on the whip is insane.

I am gonna buy Pokemon Go Eevee soon, I was so jealous of my brother having pokemon yellow and a cute Lil pikachu following him around everywhere. Pikachu is okay, but eevee is the real best pokemon. And apparently, instead of following you it sits on your head wherever you go.

The game is going to be my reward for going a whole month doing a replacement behaviour every single day.

my best was Marth and Roy for sure, sometimes Samus

never played Pokémon Let's Go , but I always liked Eevee as well. I played red/blue/yellow/silver/gold.
 
my best was Marth and Roy for sure, sometimes Samus

never played Pokémon Let's Go , but I always liked Eevee as well. I played red/blue/yellow/silver/gold.

I have three big eevee toys lmao. I got one of them when @arrall was here he can vouch for how awesome it is. It's a sleepy eevee. I also have a big sleepy charmander and a big sleepy pikachu (sits on my shelf and I labelled the shelf pikachu) and a bunch of other small sleepy pokemon. Then kinda small happy eevee and my friend got a cool eevee from a claw machine. Plus gengar and mudkip.

Pokemon toys will be the death of my budget lol.

I had pokemon blue. I loved pokemon gold and a support worker lent me his DS with a copy of heart gold cause it's so expensive and impossible to find
 
I have three big eevee toys lmao. I got one of them when @arrall was here he can vouch for how awesome it is. It's a sleepy eevee. I also have a big sleepy charmander and a big sleepy pikachu (sits on my shelf and I labelled the shelf pikachu) and a bunch of other small sleepy pokemon. Then kinda small happy eevee and my friend got a cool eevee from a claw machine. Plus gengar and mudkip.

Pokemon toys will be the death of my budget lol.

I had pokemon blue. I loved pokemon gold and a support worker lent me his DS with a copy of heart gold cause it's so expensive and impossible to find

yeah i really regret selling my 3DS , so many good games

my original GBC too
i had a whole case of old gameboy color games, including all Pokémon games, the Pokémon TCG which was awesome, Zelda links awakening, oracle of ages and seasons, and much more.

at the time I just wanted money and couldn't have imagined how much I want them back now
hopefully Nintendo will put them on the switch soon, but they love to drag ass

i know the oracle games are coming but haven't heard anything on Pokémon
 
yeah i really regret selling my 3DS , so many good games

my original GBC too
i had a whole case of old gameboy color games, including all Pokémon games, the Pokémon TCG which was awesome, Zelda links awakening, oracle of ages and seasons, and much more.

at the time I just wanted money and couldn't have imagined how much I want them back now
hopefully Nintendo will put them on the switch soon, but they love to drag ass

i know the oracle games are coming but haven't heard anything on Pokémon

God, I relate to that feeling. I sold my GBC and GBA advanced to get an SP. My brother was the smart one and kept them but I so wanted to have the SP.

I only just found out yesterday on the Nintendo online shop that you can download the N64 emulator. There is a GameBoy one too, but I'm so excited to play all the older zelda games now. I also bought Portal 1 and Portal 2 after my friend brought his playstation over to show me the game so that I could tell if I wanted to buy it.

I have 2 3DS game boys. I actually do not remember whose they are. I guess they're mine now lol. I'm gonna show my friend the old Nintendo emulators cause they have a bunch of Kirby games as well. Also one of my workers she likes playing Kirby. She gets bad vertigo when playing or watching video games so I give her my other switch to play on so that we can do parallel play.
 
God, I relate to that feeling. I sold my GBC and GBA advanced to get an SP. My brother was the smart one and kept them but I so wanted to have the SP.

I only just found out yesterday on the Nintendo online shop that you can download the N64 emulator. There is a GameBoy one too, but I'm so excited to play all the older zelda games now. I also bought Portal 1 and Portal 2 after my friend brought his playstation over to show me the game so that I could tell if I wanted to buy it.

I have 2 3DS game boys. I actually do not remember whose they are. I guess they're mine now lol. I'm gonna show my friend the old Nintendo emulators cause they have a bunch of Kirby games as well. Also one of my workers she likes playing Kirby. She gets bad vertigo when playing or watching video games so I give her my other switch to play on so that we can do parallel play.

i love portal, I feel like you will too

the zelda games aren't on the gameboy emulator on switch yet but they're coming supposedly

ocarina of time and Majoras mask are on the n64 one tho. Majoras mask is my favorite zelda game

i love windwaker too. Did you ever play it?
 
at the time I just wanted money and couldn't have imagined how much I want them back now
hopefully Nintendo will put them on the switch soon, but they love to drag ass
You could always get a GBA emulator on your phone, I did that back in middle school.

I also bought Portal 1 and Portal 2 after my friend brought his playstation over to show me the game so that I could tell if I wanted to buy it.
Both are excellent games, you’ll probably love them.
 
So, an idea that is one I came up with because whenever I would slip up (versus relapse, i do make that distinction) I would become seriously negative, and very aggressively antagonistic and extremely nasty towards myself for 'failing'(this is a trait I personally believed I picked up in 12 step meetings. Personally, they were a net negative for my recovery and well-being). I wasn't able to see the big picture.

One of the reasons for this is that all 'sober apps' to count your days, to my understanding, ALWAYS do consecutive days. And I have ALWAYS struggled with this. I might go 9 months not touching any substance. Then I'll use a day. And it still hit me hard having to reset the counter.

I realised if I got my practitioner to write up about 20 copies of sheets saying 'no weed, no alcohol, no meth, no cutting, no burning etc' that I could hole punch them, and then put them in a folder. The additional 2 sets of papers were 'used PBS replacement behaviour' and 'good day (emoji time)' the latter of which was an in joke between me and my therapist.

Every week, him and I would go through the folder putting a sticker on the paper for each day I did NOT engage in the behaviour listed. This gave me the ability to then count up how many weeks I had been counting all up, and get an aggregate score for all of my self harming.

To my utter disbelief, despite having approximately 20-30 incidents of self harm per month, I still was able to not engage in behaviours more than 60+ of the time, and much much higher for others. It may not sound like it but most days I *did* engage in SH I engaged in multiple forms.

It's super important with this that if you are rewarding yourself, or working with someone to keep you accountable that you have a chat about where the limit for not being given the reward for the week is. For the person I do it with, he's told me that I would have to have a 'spectacularly atrocious week' for him NOT to reward me, because more often than not I have avoided all but one form of SH each week which is a good effort.

I also made up a chart which lists all of my favourite replacement behaviours and each day of the week. I try to remember to tick off what it did on which day, so that I can sort of get a read on what I'm most engaged with.

Doing this has allowed me to break my self harm down to data sets. It's now a problem I can solve, rather than just what I did.

If anyone wants the sheets or charts, let me know and I can send through like, generic versions.
 
Well... When it comes to my mental health I have a lot to deal with. I have schizoaffective disorder bipolar type. So, I just take everything day by day and keep my mental health in shape. The best thing you can do sometimes is to keep a routine. One thing I'd like to do is get out more, but my condition basically keeps me at home.
 
Top