Andrew Bein – Adapting Dialectical Behavior Therapy for Everyday Clinical Needs

Outline

Dialectical Behavior TherapyDialectical Behavior Therapy

• DialecticsDialectics
• DBT vs. CBTDBT vs. CBT
• DBT in individual therapyDBT in individual therapy
• DBT in group therapyDBT in group therapy
• Hierarchical skill instructionHierarchical skill instruction
• Supporting researchSupporting research
• Limitations of practice and riskLimitations of practice and risk

The Four Modules Of DBT SkillsThe Four Modules Of DBT Skills

• MindfulnessMindfulness
• Distress toleranceDistress tolerance
• Emotion regulationEmotion regulation
• Interpersonal effectivenessInterpersonal effectiveness

Foundations For Powerful Client InterventionsFoundations For Powerful Client Interventions

• Describe DBT principles and neuroscience accessibly to clientsDescribe DBT principles and neuroscience accessibly to clients
• Unify conceptsUnify concepts
• Build upon and refine concepts and skills session-to-sessionBuild upon and refine concepts and skills session-to-session
• Flatten the clinician-client hierarchyFlatten the clinician-client hierarchy
• Connect with client traumaConnect with client trauma
• Enhance internal motivationEnhance internal motivation
• Strengthen skillful response and personal resilienceStrengthen skillful response and personal resilience

The Client’s Wise Mind ProcessThe Client’s Wise Mind Process

• IntentionIntention
• Acceptance and culturally competent equivalentsAcceptance and culturally competent equivalents
• Improve the moment for emotion regulation and safetyImprove the moment for emotion regulation and safety
• Expand the moment to strengthen connectionExpand the moment to strengthen connection
• Cultivate self-compassion, an emotion regulation oasisCultivate self-compassion, an emotion regulation oasis
• Use Wise Mind diagrams for clientsUse Wise Mind diagrams for clients

Key Client ExercisesKey Client Exercises

• Effectively teaching mindfulness exercisesEffectively teaching mindfulness exercises
• Face emotions and thoughts, improving the momentFace emotions and thoughts, improving the moment
• Deal with judgmentsDeal with judgments
• Deal with difficult times: distress tolerance planDeal with difficult times: distress tolerance plan
• Expand the moment (inclusive “bigger picture” or spiritual strategies)Expand the moment (inclusive “bigger picture” or spiritual strategies)
• Work with client logs and assignmentsWork with client logs and assignments

Moving Beyond Theory: How To Integrate Principles In Your PracticeMoving Beyond Theory: How To Integrate Principles In Your Practice

• Applications for diverse clienteleApplications for diverse clientele
• Adapt DBT to your practice settingAdapt DBT to your practice setting
• Strategies for effectively incorporating DBTStrategies for effectively incorporating DBT
• DBT work side-by-side with other interventionsDBT work side-by-side with other interventions
• Maintain practitioner radical acceptance and mindfulness in the midst of emotional intensityMaintain practitioner radical acceptance and mindfulness in the midst of emotional intensity
• Discuss case scenariosDiscuss case scenarios

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.