DBT Part One: Becoming a competent DBT individual Therapist
02.20 & 02.21 from 9am-4:15pm
06.15 & 06.16 from 9am-4:15pm
08.27 & 08.28 from 9am-4:15pm
Presented by: Alexandria Beresford MSW, LISW-S, DBTC & Charles Roberts LPCC-S, LICDC-CS, DBTC
Training Located at: 1251 Nilles Rd Suite 5 Fairfield, OH 45014
This training is approved for counselor, social work, and marriage and family therapy continuing education. In addition, it is approved by the Ohio Chemical Dependency Board for chemical dependency continuing education. Check CE Broker for detailed breakdown of CE types (provider number 50-24074)!
Purpose: Dialectical Behavioral Therapy® (DBT®) is a cognitive-behavioral treatment modality developed by Marsha Linehan. DBT® applies a wide range of cognitive and behavioral approaches to the symptoms exhibited by the client, resulting in decreased problem behavior and increased healthy coping strategies. DBT® was originally created to treat chronically suicidal clients who were diagnosed with borderline personality disorder, it was the first psychotherapy found to be effective with this population. Since its inception, DBT® has been extensively studied and has been found to be an effective treatment option for numerous axis I disorders including depression, bipolar, ADHD, domestic violence, self-injury behavior, substance abuse and eating disorders.
Method: This course will employ the use of training videos, lecture, and role play training. There will be plenty of time for questions and the trainees are happy to tailor this training as participants see helpful.
Audience: Licensed mental health professionals. Nurses can receive reciprocal CEUs. CEUs are approved for Social Workers, Counselors and Marriage and Family Therapists CEUs (RCS030903) and Chemical Dependency CEUs. CE Broker tracking number: 50-2404
Skill Level: Introductory
Day One Schedule:
9:00-9:30 Introduction to Dialectical Behavioral Therapy® and Borderline Personality Disorder
- A look at this history of DBT®, reasons for its creation and how it has evolved
- Use DSM V criteria to understand diagnostic criteria for borderline personality disorder
- Align the overarching goals of DBT® treatment with the symptoms of BPD
- Look at dialectics and how we can aid clients in growth more efficiently with this model
- An introduction to primary and secondary dialectics
- Why to be transparent with clients about dialectics and dialectical dilemmas
- Utilization of this theory as a blame-free understanding of the causes of emotional dysregulation
- Discussion of case examples related to biosocial theory
- Exploring how to begin to teach this to clients and their families
- Comprehension of the assumptions
- Case examples to explain how to shape your practice by these assumptions
- Why the assumptions will help clinicians treating this populations
- Understanding, utilizing and teaching clients to validate, at all levels
- Using metaphors to validate
- An introduction to the stages of treatment
- Meet your client where they are
- Learning not to push too fast and how to recognize when you have
1:00-1:30 Behaviorism concepts
- Understanding the differences between classical conditioning and operant reinforcement
- Acknowledging the differences between behavioral and psychodynamic therapies
- Understanding reinforcers
- Utilization of case examples, videos and role play to solidify comprehension of behavioral reinforcement
- A look at learned helplessness and habitual passive problem solving
- Exploring how to teach clients to shape their environments
- Contingency management
- Ethical considerations for utilizing behavioral concepts
3:00-4:00 Chain Analysis
- Understanding the treatment hierarchy
- Format your session by using chain analyses
- Logistics of a chain and solution analysis
- DBT® Adherence
Day Two Schedule:
- A look at why DBT® differs on it’s view of attachment
- Healthy disclosure vs unhealthy disclosure
- Balancing acceptance vs change with your client
- Knowing when to push for change and when to use acceptance strategies
- Using case examples to teach therapist strategies
- Understanding the 5 types of dysregulation
- An in depth look at the stages of treatment
10:30-11:00 Treatment Planning Continued
- Stages of treatment
- How to prioritize the clients’ behavior along the hierarchy
- Using the diary card
1:00-1:30 Phone Coaching
- Phone coaching agreements
- Allowing for therapist limits
- Format of phone coaching
- A look at a DBT® Progress note
- How and why to document contingency management
- Adherent use of the treatment hierarchy, diary card and chain analyses
- Prolonged Exposure as a stage two change based treatment technique
- Rationale for “skills first” mentality
3:00-4:00 Therapy Interfering Behaviors
- Identifying and treating TIBs
- What to do for willfulness
- Viewing TIBs through the lens of secondary dialectics
- A look at common therapist pitfalls that decrease adherence ratings
- Be able to recite the diagnostic criteria for Borderline Personality Disorder and be able to describe the related biosocial theory.
- Discuss the concept of dialectics with trainers.
- Apply and use stages of treatment and the treatment hierarchy to structure your session.
- Critique the role of attachment between client and therapist.
- Apply theories of behaviorism to teach clients ways to reinforce themselves and stop their environments from reinforcing problem behaviors.
- Implement a behavioral chain analysis on target behaviors as a tool for change.
- Describe the strategies employed by a DBT therapist and analyze how they may differ from other modalities
- Identify and apply secondary dialectics to assist their clients
- Create behavioral chain analyses on specific target behaviors
- List the necessary steps toward orienting a client to DBT and preparing them to benefit from a comprehensive DBT program
- Discuss and structure an individual DBT therapy session
- Demonstrated methods for managing phone coaching through role plays
Bohus, M., Haaf, B., Stiglmayr, C., Pohl, U., Böhme, R., & Linehan, M. (2000). Evaluation of inpatient Dialectical-Behavioral Therapy for Borderline Personality Disorder — a prospective study. Behaviour Research and Therapy, 38, 875-887.
Stoffers, J., Völlm, B., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (1996). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews Reviews, 8.
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Ramnero, J., & Torneke, N. (2008). The ABCs of human behavior behavioral principles for the practicing clinician. Oakland, California: New Harbinger Publications.
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Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, New York: The Guilford Press
Linehan, M. (2015). DBT skills training manual (Second ed.). New York, New York: The Guilford Press.
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Ziegelbaum, B., Spokas, M., Holzman, J., Carlquist, A., Mattei, S., & Goldbacher, E. (n.d.). Examining Emotion Regulation Difficulties as Mediators of the Relationship Between Childhood Trauma and Suicidal Ideation and Suicide Attempts. In Press.