Full Course Description

3-Day Personality Disorders Course: Advanced Diagnosis, Treatment, & Management

You know that feeling of tension and anxiety that creeps in after looking down at your schedule and you see THAT client coming in today? The one you secretly dread and hope is a no-show, though here they are, ready and waiting to see you. Or what about the agony of a session that seems to go in circles, leaving you frustrated with no idea what just happened?

How do you differentiate between mental health symptoms and a personality disorder? How do you get past the fear and self-doubt of diagnosing a personality disorder?

In this recording, renowned personality disorders expert, Dr. Gregory W. Lester, answers these questions and guides you through the dramatically different ways necessary to effectively work with personality disordered individuals. You’ll discover everything you need to breakthrough with your most difficult clients.

Imagine the feeling of success the next time that frustrating client is in your office and you’re able to keep the session on track. The empowerment of being equipped with a psychological toolkit of practical interventions that allow you to make clinical gains, rather than putting out fires. The confidence of making an accurate personality disorder diagnosis and knowing you are on the right path with treatment.

Don’t get blindsided or caught up in the drama of difficult clients – gain clarity and confidence in this intensive training with cutting-edge techniques to diagnose, treat, and manage all 10 personality disorder types.

Don’t miss out – this practical, hands-on course recording is a must-have training for all clinicians!

Program Information

Objectives

Communicate the difference between personality disorder and psychiatric disorder as it relates to clinical treatment.
Articulate the underlying structure of disordered personality and its clinical implications.
Assess individuals with personality disorders to clinically distinguish and put to practical use in session.
Communicate why diagnosis is the critical element to effective clinical treatment for clients with personality disorders.
Categorize different types of personality disorders to accurately identify and inform clinical treatment interventions.
Evaluate significant problems typically created by clients with personality disorders and utilize clinical strategies for symptom management.
Implement the framework for successful treatment and management of clients with personality disorders.
Differentiate intervention models as they relate to treatment outcomes.
Demonstrate the most effective aspect of the intervention models to improve the client's level of functioning.
Determine effective targeted interventions to improve treatment outcomes with personality disordered clients.
Implement empirically validated treatment interventions for clients with personality disorders.
Appraise the management models of interventions for clients with personality disorders.
Assess common co-occurring conditions in relation to assessment and treatment planning.
Determine clinical interventions for reduction of self-harm behaviors.
Recommend interventions to manage suicide risk in clients with personality disorders.
Differentiate personality disorders in children and adolescents to inform the clinician’s choice of treatment interventions.
Adapt treatment strategies for working with personality disorders in couples and family therapy.
Summarize clinical strategies for working with the significant others of individuals with personality disorders.

Outline

The Essentials of Advanced Assessment & Treatment Effectiveness: Fill in the missing pieces and create a treatment plan that works

The Distinction “Personality Disorder”
- Why traditional models of mental health don’t fit
- “Symptomatic” conditions vs. “characteristic” conditions
- The underlying structure of disordered personality
- What makes a personality disorder a chronic condition?
- Why personality disordered people think “it’s everybody else”
- Why “normal” talking with personality disordered people is ineffective
The Effects of a Personality Disorder
- How personality disordered people create difficulties for themselves and others
- The difference in life pattern between “normal” and “disordered” personality
- How to predict the behavior of individuals with personality disorders
- The type of chaos created by
  - Cluster A personalities
    - Paranoid Personality Disorder
    - Schizoid Personality Disorder
    - Schizotypal Personality Disorder
  - Cluster B personalities
    - Antisocial Personality Disorder
    - Borderline Personality Disorder
    - Histrionic Personality Disorder
    - Narcissistic Personality Disorder
  - Cluster C personalities
    - Avoidant Personality Disorder
    - Dependent Personality Disorder
    - Obsessive-Compulsive Personality Disorder
Assessment and Diagnosis of Personality Disorder
- Why diagnosis is EVERYTHING in the treatment of personality disorders
- 5 steps to identify and diagnose a personality disorder
  - Effective, brief, and rapid identification
  - Tests and clinical instruments
Why the Etiology of Personality Disorders Matters in Treatment
- The single biggest mistake clinicians make regarding etiology
- Why misunderstanding etiology will disable interventions
- What causes personality disorders - the definitive conclusion
Treating vs. Managing Personality Disorders
- Predicting “treatability” of a personality disordered client
- Critical preparation to determine the proper intervention approach
- How to choose an intervention approach
- The structure that makes all interventions effective
  - Two common techniques
- Develop effective treatment goals for Cluster A, B, and C personalities

Advanced and Empirically Validated Intervention Approaches in Action: A step-by-step plan to implement the most appropriate treatment strategy

Select Intervention Based on “Treatability” Level of Client
- Optimal functioning
  - Mentalization-Based Treatment
  - Transference-Focused Psychotherapy
  - Interpersonal Reconstructive Psychotherapy
  - Object Relations Developmental Psychotherapy
- Adequate functioning
  - Dialectical Behavior Therapy
  - Schema-Based Treatment
  - Personality-Guided Psychotherapy
- Targeted behavior improvement
  - Tactical Therapy
  - Strategic Therapy
  - Structural Therapy
- Limitations and risks of the psychotherapeutic approaches
4-Step Approach to Effective Personality Disorder Treatment
- Engage the treatment relationship
- Apply two fundamental treatment techniques
- Determine the category of treatment
- Utilize approach based on client’s diagnosis and treatment goals
3-Step Approach to Effective Personality Disorder Management
- Foundation to inhibit disordered behavior
- Implement contingency
- Utilize approach specific to client’s diagnosis
3 Must-Have Intervention Techniques for Personality Disorders
- Behavioral Chain Analysis
- Mentalizing interpretations
- Problem-solving process confrontations

Special Issues with Personality Disorders

Interventions for Co-occurring Conditions
- Typical co-occurring disorders for the 10 subtypes
- Sequencing interventions for co-occurring conditions
- Medication do’s and don’ts with personality disorders

Crisis Management: Self-Harm and Suicide Interventions
- Fundamental misunderstandings
- Physiological effects and motivations
- Interventions to reduce or eliminate self-harm
- Harvard’s three distinctions of suicidality
- Interventions for chronic suicidal ideation
- Treatment approaches for acute suicidality
Unique Considerations
- Personality disorders in children and adolescents
  - Intervention modifications
- Couples and family therapy interventions
  - Special procedures for interventions
- Working with significant others of a personality disordered individual
  - Methods to help them stay out of difficulties
  - Coach for effective management
  - Self-care for significant others

Target Audience

Psychologists
Counselors
Social Workers
Addiction Counselors
Marriage & Family Therapists
Psychotherapists
Case Managers
Nurses
Other Mental Health Professionals

Copyright : 10/09/2018

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

Dialectical Behavior Therapy (DBT) has evolved from the go-to treatment for borderline personality disorder to one of the most recognized and sought after therapies for a variety of difficult to treat client problems. The increasing pressure to adopt treatments that work makes DBT skills and strategies a must-have for all types of therapists.

For those who feel that pressure but fear becoming a “manual manic”, relax. Dr. Lane Pederson teaches how to follow the manual yet make thoughtful customizations consistent with evidence-based practices and always grounded in the therapeutic alliance. Covering DBT from theory to clinical application, including the use of diary cards, behavioral analysis, contingency management, and multi-layered validation, this intensive course welcomes those implementing DBT in standard and adapted ways as well as those wishing to simply add DBT skills and techniques to their eclectic or integrative style.

If you have felt limited or stuck with your therapy skills or ready to give up on certain clients, this course recording will breathe new life into your work.

You will finish this program ready to use the essentials of DBT listed above as well as skills from the Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness modules with your clients, enjoying new confidence in and effectiveness with your clinical skill set.

Lane Pederson, Psy.D., LP, is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.

Program Information

Objectives

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.

Outline

Foundations of DBT

The Story of DBT
Explicit focus on validation
Cognitive-behavioral change strategies
Skills training
Consultative approach
Mindfulness
Dialectical balance
Five functions of DBT
Is it DBT?: What’s needed in a DBT clinical process

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

Dialectics explained
Dialectical assumptions
Dialectics in action
Dialectical Abstinence. When NOT to be dialectical

Core Assumptions of DBT: Shaping the Therapy

Acceptance and nonjudgmental stance
View of clients, therapists, and therapy

DBT Models: Standard and Beyond

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

Biosocial Theory: Guiding the Therapy

Biosocial theory of difficulties
How theory drives therapy
Update to Theory: RO DBT

Getting Started: Therapy Structure

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

Special Populations and Settings

Children and Adolescents
Substance Use Disorders
Levels of Care

Mindfulness and DBT

Mindfulness explained
Mindfulness of the approach
Mindfulness as a therapy technique
Mindfulness in life

DBT Skills Training

Integrating skills into therapy
Using skills to develop new behaviors
Methods for skills training

Mindfulness: The Path to Wise Mind

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

Teaching Dialectics

Identify dialectical dilemmas
Activate Wise Mind action
For adolescents and parents: Middle path
For substance use disorders: dialectical abstinence

Distress Tolerance

Wise mind ACCEPTS
IMPROVE the moment
Pros and cons
Radical acceptance/turning the mind

Emotion Regulation

Model of emotions
PLEASED
Build positive experiences
Opposite action

Interpersonal Effectiveness

FAST skills
GIVE skills
DEAR MAN skills

Supplemental and Updated Skills and Modules

Urge surfing
Bridge burning
TIP
DBT Clinical Process

Diary Cards

Standard
Adapted for special populations

Behavioral Analysis (Chain Analysis)

Getting the client on board
Build awareness and options
Bridging into solution analysis

Starting Out: Commitment Strategies Validation

A multi-layered approach
As an exposure technique
Used dialectically with change
Difference from normalization

Change Interventions

Behavioral principals
Contingency procedures
Best behavior change methods
DBT-style cognitive interventions

Exposure Techniques

When to use (and not to use)
Exposure protocols
Alternatives to exposure

Communication Styles

Reciprocal
Irreverent

Consultative Group and Treatment Teams

Increase your motivation
Develop effective responses
Qualities of effective treatment teams

Assess and Manage Self-Injurious Behavior (SIB)

When is SIB life-threatening?
Creating alternatives

Assess and Manage Suicidal Ideation (SI)

Suicide assessment techniques
Establishing safety protocols
Safety plans and safety commitments

Hospitalization Issues

Effective use of the hospital
Transitions in and out

Next Steps

What you learned and what you need
Developing your plan
Taking action

Target Audience

Counselors
Psychologists
Psychotherapists
Psychiatrists
Social Workers
Marriage & Family Therapists
Addiction Counselors
Case Managers
Mental Health Professionals
Nurses