DBT Part One: Becoming a competent DBT individual Therapist

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9/19/2022 & 9/20/2022 from 9-4:15


CEUs: 12


Presented by: The DBT Team at Compass Point


Training presented through Zoom as an online Webinar or in person at our Montgomery office


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)!


To avoid entering into a dual relationship, we are currently unable to host any current or past clients in our trainings. If you are currently, or have ever been in the past, a client of Compass Point you will be unable to register for our trainings. We apologize for any inconvenience.

Objective:  This training will clarify some of the foundational concepts and therapeutic techniques central to the DBT® treatment modality.  Understanding behaviorism and methods for implementation within therapy is a key component for any clinician to succeed using DBT® as a treatment modality.  During this training we will explore the stages of treatment, including how to identify where your client is and what methods to use for meeting and treating them where they are.  You will learn practical applications for behavioral principles in an effort to motivate change with the client. We seek to teach attendees different behavioral approaches and terms so that they might understand and teach their clients about how their problems may be behaviorally reinforced.  We seek to teach the basic strategies used during individual therapy within the framework of the DBT® treatment modality.  Clinicians attending this training will learn about the treatment hierarchy and secondary dialectics to target.  Furthermore, the attendee will learn specific DBT treatment strategies to work toward acceptance, change, and helping the client find the middle path dialectically.  We would like therapist’s leaving this training to feel confident in being the individual therapist for a client who is learning the DBT® skills in a skills class.

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
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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
9:30-10:00                           Dialectics
  • 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
10:00-10:15                         Biosocial Theory
  • 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
10:15-10:30                         Break
10:30-11:00                         Assumptions
  • 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
11:00-11:30                         Validation
  • Understanding, utilizing and teaching clients to validate, at all levels
  • Using metaphors to validate
11:30-12:00                         Stages of treatment
  • 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
12:00-1:00 Lunch
1:00-1:30                              Behaviorism concepts
  • Understanding the differences between classical conditioning and operant reinforcement
  • Acknowledging the differences between behavioral and psychodynamic therapies
1:30-2:15                              Behavioral terms
  • Understanding reinforcers
  • Utilization of case examples, videos and role play to solidify comprehension of behavioral reinforcement
2:15-2:45                              Behaviorism and DBT ®
  • 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
2:45-3:00 Break
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
4:00-4:30                              Q& A, Evaluations


​Day Two Schedule:
9:00-9:30                              Attachment
  • A look at why DBT® differs on it’s view of attachment
  • Healthy disclosure vs unhealthy disclosure
9:30-10:00                           Dialectics and the therapist’s strategies
  • 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
10:00-10:15                         Treatment Planning
  • Understanding the 5 types of dysregulation
  • An in depth look at the stages of treatment
10:15-10:30                         Break
10:30-11:00                         Treatment Planning Continued
  • Stages of treatment
11:00-12:00                         Hierarchy of Targets
  • How to prioritize the clients’ behavior along the hierarchy
  • Using the diary card
12:00-1:00                           Lunch
1:00-1:30                              Phone Coaching
  • Phone coaching agreements
  • Allowing for therapist limits
  • Format of phone coaching
1:30-2:15                              Documentation
  • 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
2:15-2:45                              Exposure
  • Prolonged Exposure as a stage two change based treatment technique
  • Rationale for “skills first” mentality
2:45-3:00 Break
3:00-4:00                              Therapy Interfering Behaviors
  • Identifying and treating TIBs
  • What to do for willfulness
  • Viewing TIBs through the lens of secondary dialectics
4:00-4:30                              Adherence, Q& A, Evaluations
  • A look at common therapist pitfalls that decrease adherence ratings

Objectives:
  • 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


References:
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.
                Pryor, K. (1999). Don't Shoot The Dog!: The New Art of Teaching and Training (Rev. ed.). New Y York, New York: Bantam Books.
Ramnero, J., & Torneke, N. (2008). The ABCs of human behavior behavioral principles for the practicing clinician. Oakland, California: New Harbinger Publications.
Farmer, R.F. & Chapman, A.L. (2007). Behavioral interventions in cognitive therapy: practical guidance for putting theory into action. American Psychological Association.
Nezu, A. & Nezu, C. (2001). Problem solving therapy. Journal of Psychotherpy Integration, 11, (2), 187-205.
Linehan, M. (2015). DBT skills training handouts and worksheets (Second ed.). New York, New York: The Guilford Press.
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.
Rathus, J., & Miller, A. (2015). DBT skills training manual for adolescents (1st ed.). New York, New York: The Guilford Press.
Shenk, C., & Fruzzetti, A. (2011). The Impact of Validating and Invalidating Responses on Emotional Reactivity. Journal of Social and Clinical Psychology, 30(2), 163-183.
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.
 
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