Lane Pederson – Dialectical Behavior Therapy (DBT): 4-day Intensive Certification Training Course

Outline

Foundations of DBTFoundations of DBT

• The Story of DBTThe Story of DBT
• Explicit focus on validationExplicit focus on validation
• Cognitive-behavioral change strategiesCognitive-behavioral change strategies
• Skills trainingSkills training
• Consultative approachConsultative approach
• MindfulnessMindfulness
• Dialectical balanceDialectical balance
• Five functions of DBTFive functions of DBT
• Is it DBT?: What’s needed in a DBT clinical processIs it DBT?: What’s needed in a DBT clinical process

Dialectical Philosophy. What IS it, and HOW is it Used?Dialectical Philosophy. What IS it, and HOW is it Used?

• Dialectics explainedDialectics explained
• Dialectical assumptionsDialectical assumptions
• Dialectics in actionDialectics in action
• Dialectical Abstinence. When NOT to be dialecticalDialectical Abstinence. When NOT to be dialectical

Core Assumptions of DBT: Shaping the TherapyCore Assumptions of DBT: Shaping the Therapy

• Acceptance and nonjudgmental stanceAcceptance and nonjudgmental stance
• View of clients, therapist and therapyView of clients, therapist and therapy

DBT Models: Standard and BeyondDBT Models: Standard and Beyond

• DBT Modes and FormatsDBT Modes and Formats
• DBT Research: Understanding and ContextDBT Research: Understanding and Context
• Evidence-Based Practice versusEvidence-Based Practice versus
• Evidence-Based TreatmentsEvidence-Based Treatments
• Understanding how therapy worksUnderstanding how therapy works
• Six decades of empirical researchSix decades of empirical research
• Maximizing therapeutic factors, DBT-styleMaximizing therapeutic factors, DBT-style

Biosocial Theory: Guiding the TherapyBiosocial Theory: Guiding the Therapy

• Biosocial theory of difficultiesBiosocial theory of difficulties
• How theory drives therapyHow theory drives therapy
• Update to Theory: RO DBTUpdate to Theory: RO DBT

Getting Started: Therapy StructureGetting Started: Therapy Structure

• Structure as a therapeutic factorStructure as a therapeutic factor
• Structuring the environmentStructuring the environment
• DBT StagesDBT Stages
• Identifying treatment targets: suicidality, self-injurious behavior (SIB), therapy-interfering behavior (TIB), and other targetsIdentifying treatment targets: suicidality, self-injurious behavior (SIB), therapy-interfering behavior (TIB), and other targets

Special Populations and SettingsSpecial Populations and Settings

• Children and AdolescentsChildren and Adolescents
• Substance Use DisordersSubstance Use Disorders
• Levels of CareLevels of Care

Mindfulness and DBTMindfulness and DBT

• Mindfulness explainedMindfulness explained
• Mindfulness of the approachMindfulness of the approach
• Mindfulness as a therapy techniqueMindfulness as a therapy technique
• Mindfulness in lifeMindfulness in life

DBT Skills TrainingDBT Skills Training

• Integrating skills into therapyIntegrating skills into therapy
• Using skills to develop new behaviorsUsing skills to develop new behaviors
• Methods for skills trainingMethods for skills training

Mindfulness: The Path to Wise MindMindfulness: The Path to Wise Mind

• What skills: observe describe, participateWhat skills: observe describe, participate
• How skills: nonjudgmental, one-mindful, effectivelyHow skills: nonjudgmental, one-mindful, effectively
• Mindfulness practice and applicationMindfulness practice and application

Teaching DialecticsTeaching Dialectics

• Identify dialectical dilemmasIdentify dialectical dilemmas
• Activate Wise Mind actionActivate Wise Mind action
• For adolescents and parents: Middle pathFor adolescents and parents: Middle path
• For substance use disorders: dialectical abstinenceFor substance use disorders: dialectical abstinence

Distress ToleranceDistress Tolerance

• Wise mind ACCEPTSWise mind ACCEPTS
• IMPROVE the momentIMPROVE the moment
• Pros and consPros and cons
• Radical acceptance/turning the mindRadical acceptance/turning the mind

Emotion RegulationEmotion Regulation

• Model of emotionsModel of emotions
• PLEASEDPLEASED
• Build positive experiencesBuild positive experiences
• Opposite actionOpposite action

Interpersonal EffectivenessInterpersonal Effectiveness

• FAST skillsFAST skills
• GIVE skillsGIVE skills
• DEAR MAN skillsDEAR MAN skills

Supplemental and Updated Skills and ModulesSupplemental and Updated Skills and Modules

• Urge surfingUrge surfing
• Bridge burningBridge burning
• TIPTIP
• DBT Clinical ProcessDBT Clinical Process

Diary CardsDiary Cards

• StandardStandard
• Adapted for special populationsAdapted for special populations

Behavioral Analysis (Chain Analysis)Behavioral Analysis (Chain Analysis)

• Getting the client on boardGetting the client on board
• Build awareness and optionsBuild awareness and options
• Bridging into solution analysisBridging into solution analysis

Starting Out: Commitment Strategies ValidationStarting Out: Commitment Strategies Validation

• A multi-layered approachA multi-layered approach
• As an exposure techniqueAs an exposure technique
• Used dialectically with changeUsed dialectically with change
• Difference from normalizationDifference from normalization

Change InterventionsChange Interventions

• Behavioral principalsBehavioral principals
• Contingency proceduresContingency procedures
• Best behavior change methodsBest behavior change methods
• DBT-style cognitive interventionsDBT-style cognitive interventions

Exposure TechniquesExposure Techniques

• When to use (and not to use)When to use (and not to use)
• Exposure protocolsExposure protocols
• Alternatives to exposureAlternatives to exposure

Communication StylesCommunication Styles

• ReciprocalReciprocal
• IrreverentIrreverent

Consultative Group and Treatment TeamsConsultative Group and Treatment Teams

• Increase your motivationIncrease your motivation
• Develop effective responsesDevelop effective responses
• Qualities of effective treatment teamsQualities of effective treatment teams

Assess and Manage Self-Injurious Behavior (SIB)Assess and Manage Self-Injurious Behavior (SIB)

• When is SIB life-threatening?When is SIB life-threatening?
• Creating alternativesCreating alternatives

Assess and Manage Suicidal Ideation (SI)Assess and Manage Suicidal Ideation (SI)

• Suicide assessment techniquesSuicide assessment techniques
• Establishing safety protocolsEstablishing safety protocols
• Safety plans and safety commitmentsSafety plans and safety commitments

Hospitalization IssuesHospitalization Issues

• Effective use of the hospitalEffective use of the hospital
• Transitions in and outTransitions in and out

Next StepsNext Steps

• What you learned and what you needWhat you learned and what you need
• Developing your planDeveloping your plan
• Taking actionTaking action