I’ve had several requests for more information on Before During After (BDA) Plans. This is a symptom management techniques I learned at Sheppard Pratt last year.
BDA Plans are used to prepare for events that may cause an increase in CPTSD and/or DID symptoms. You might use them to plan for both positive and negative events. This includes things like holidays, appointments, or telephone calls.
The plan has three sections, aptly named Before, During and After (the event). In each section, you identify what symptom management skills you can use at each point.
Some things to note:
- Before starts whenever you need it to start. This could be anywhere from days to hours before the event.
- During is helpful to focus on grounding skills or whatever else you need to do to stay present.
- After is just as important as any part of this plan, to help you in case of any impact after the event is over. Self-soothing and Internal Communication (if needed) are very important here.
- Use your Crisis Continuum as a guide to incorporate things that help into the BDA.
To give you an idea of how a BDA looks when all pulled together, here is one that I developed at Sheppard Pratt:
Event: Taking a Shower
As you can see, Internal Communication is a big part of the entire process. What helps us is the BDAs not only helps us plan for difficult situations, but helps us have a script/talking points for Internal Communication. This plan in particular has been very helpful in building trust between parts during a vulnerable moment and in turn giving us power in our recovery.