Full Course Description
Dialectical Behavior Therapy (DBT): 4-day Intensive Certification Training Course
Foundations of DBT
Dialectical Philosophy. What IS it, and HOW is it Used?
- The Story of DBT
- Explicit focus on validation
- Cognitive-behavioral change strategies
- Skills training
- Consultative approach
- Dialectical balance
- Five functions of DBT
- Is it DBT?: What’s needed in a DBT clinical process
Core Assumptions of DBT: Shaping the Therapy
- Dialectics explained
- Dialectical assumptions
- Dialectics in action
- Dialectical Abstinence. When NOT to be dialectical
DBT Models: Standard and Beyond
- Acceptance and nonjudgmental stance
- View of clients, therapists, and therapy
Biosocial Theory: Guiding the Therapy
- DBT Modes and Formats
- DBT Research: Understanding and Context
- Evidence-Based Practice versus
- Evidence-Based Treatments
- Understanding how therapy works
- Six decades of empirical research
- Maximizing therapeutic factors, DBT-style
Getting Started: Therapy Structure
- Biosocial theory of difficulties
- How theory drives therapy
- Update to Theory: RO DBT
Special Populations and Settings
- Structure as a therapeutic factor
- Structuring the environment
- DBT Stages
- Identifying treatment targets: suicidality, self-injurious behavior (SIB), therapy-interfering behavior (TIB), and other targets
Mindfulness and DBT
- Children and Adolescents
- Substance Use Disorders
- Levels of Care
DBT Skills Training
- Mindfulness explained
- Mindfulness of the approach
- Mindfulness as a therapy technique
- Mindfulness in life
Mindfulness: The Path to Wise Mind
- Integrating skills into therapy
- Using skills to develop new behaviors
- Methods for skills training
- What skills: observe describe, participate
- How skills: nonjudgmental, one-mindful, effectively
- Mindfulness practice and application
- Identify dialectical dilemmas
- Activate Wise Mind action
- For adolescents and parents: Middle path
- For substance use disorders: dialectical abstinence
- Wise mind ACCEPTS
- IMPROVE the moment
- Pros and cons
- Radical acceptance/turning the mind
- Model of emotions
- Build positive experiences
- Opposite action
Supplemental and Updated Skills and Modules
- FAST skills
- GIVE skills
- DEAR MAN skills
- Urge surfing
- Bridge burning
- DBT Clinical Process
Behavioral Analysis (Chain Analysis)
- Adapted for special populations
Starting Out: Commitment Strategies Validation
- Getting the client on board
- Build awareness and options
- Bridging into solution analysis
- A multi-layered approach
- As an exposure technique
- Used dialectically with change
- Difference from normalization
- Behavioral principals
- Contingency procedures
- Best behavior change methods
- DBT-style cognitive interventions
Consultative Group and Treatment Teams
- When to use (and not to use)
- Exposure protocols
- Alternatives to exposure
Assess and Manage Self-Injurious Behavior (SIB)
- Increase your motivation
- Develop effective responses
- Qualities of effective treatment teams
Assess and Manage Suicidal Ideation (SI)
- When is SIB life-threatening?
- Creating alternatives
- Suicide assessment techniques
- Establishing safety protocols
- Safety plans and safety commitments
- Effective use of the hospital
- Transitions in and out
- What you learned and what you need
- Developing your plan
- Taking action
- Discriminate DBT from the contextual model of therapy.
- Evaluate DBT research in light of the contextual model and the Evidence-Based Practice of Psychology (EBPP).
- Correlate DBT philosophies and interventions to the therapeutic factors that most improve outcomes.
- Analyze dialectic philosophies and their application in therapy.
- Determine how the core assumptions of DBT are put into action in therapy.
- Assess how DBT theory drives therapeutic interventions.
- Communicate how to balance validation and change strategies in clinical situations.
- Integrate mindfulness techniques into therapy
- Implement an effective therapy structure that includes identifying clear treatment goals.
- Practice how to effectively teach the four standard DBT skills modules - mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.
- Design teaching strategies for skills training sessions.
- Plan and teach supplemental DBT skills and modules.
- Practice DBT skills training techniques in small groups.
- Recommend how to seamlessly integrate DBT skills into individual therapy.
- Discriminate the DBT model from cognitive-behavioral, client-centered, and other treatment modalities.
- Practice a multi-layered approach to validation of clients' thoughts and feelings.
- Determine balance validation with the most effective (and practical) methods of behavior change.
- Practice reciprocal and irreverent communication styles, to be utilized within the therapy session.
- Comment on the key differences between traditional cognitive interventions and DBT-style cognitive interventions.
- Practice therapy techniques with effective pacing, balance, and flow.
- Articulate when to use (and not to use) exposure techniques.
- Employ DBT diary cards and chain (change) analysis.
- Propose how to operate with consultative groups and treatment teams.
- Assess and manage self-injurious and suicidal behaviors with clear protocols and safety plans.
- Develop clear plans for crisis management, including psychiatric hospitalizations.
Telehealth and DBT: Best Practices, Essential Skills, and Ensuring Safety
Telehealth Best Practices
- Level of Care concerns
- When Telehealth is the option
- Evidence-based practice guidelines
Delivering the Essentials of DBT
- Maintaining structure and predictability
- Use of the dairy card and daily schedule
- Balancing acceptance and change strategies
- Core skills to use during a time of social distancing
Managing Safety Concerns
- Assessment and intervention challenges
- Making (and following) a plan
- Using contingency management
- Role of Consultation
- Evaluate four best practices for providing telehealth services
- Assess level of care concerns related to high need clients
- Integrate the four components of evidence-based practice
- Determine the essential elements of DBT as related to clinical treatment
- Develop five core skill sets to emphasize with isolated clients
- Determine steps to ensure safety with at-risk clients
Dialectical Behavior Therapy Skills Training for Children and Adolescents: Rescuing the Dysregulated Child
Developmental Theory and Dialectical Behavior Therapy
Adapt DBT to Key Childhood and Adolescent Disorders
Skills Training with Experiential Activities
Mindfulness (reducing vulnerability to self-medicating behaviors common in ADHD & Depression)
Emotion Regulation (attachment disorders, anxiety)
Distress Tolerance (ODD /AD HD/eating disorders)
Behavior Modification and DBT
DBT relationship and change strategies
Validation and change
Practicing dialectical thinking
Creating opportunities to practice skills to avoid ineffective coping behaviors
Group Skills Format
Concurrent skills training
Multifamily skills training
Tracking outcomes to ensure effectiveness of approach
- Determine the critical “ingredients” for effective DBT therapy.
- Articulate the biosocial model of pervasive emotional dysregulation disorders found in innately sensitive children.
- Utilize behavior modification strategies at the earliest stage of dysregulation.
- Determine the importance of structure in both skills training and home environments and how to teach parents or care providers to implement these strategies.
- Determine how to adapt each skills module to reflect the language of the child.
- Determine the role of parents/therapists/care providers and how to reestablish a safe and loving structure that enables the child to learn and generalize skills.