creates emotional and physical distress for a period of hours.

Having done the work of identifying all of these issues, and mapping out the way they intersect, focus can remain on heading off triggers. Some triggers are easier to spot than others, of course. For example, having identified trypophobia, I understand that if I avoid the sight of patterns of irregular holes, then I can avoid a day of emotional turbulence and anxiety. Having identified misophonia, I understand that if I remove myself from a room where someone is eating cereal, I can avoid having to suppress the desire to lash out.

It is not possible to simply avoid all triggers, however, if we are to be fully functional in society, while encouraging our children to be sociable and participate fully in their community. This is where DBT comes int...

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