Full Course Description


Advanced Dialectical Behavior Therapy - Modules 1-4

Program Information

Objectives

  1. Articulate the theories of DBT and their importance.
  2. Assess the 5 Modes and Functions of DBT Treatment.
  3. Utilize the Stages of Treatment in DBT in your practice.
  4. Utilize a variety of DBT skills for treating mental health symptoms, chemical dependency and complex co-morbidity.
  5. Teach DBT skills in the areas of Mindfulness, Distress Tolerance, Emotional Regulation and Interpersonal Effectiveness.
  6. Articulate a variety of strategies for teaching DBT skills to clients.

Outline

Overview of DBT

  • Why Dialectics and what does that mean anyway?
  • Common “Dialectical Dilemmas” of clients with Borderline Personality Disorder
  • Borderline Personality Disorder Defined and Re-Defined
  • Biosocial Theory of Borderline Personality Disorder… Etiology and why we need to know it
  • Engendering compassion and empathy for this “difficult-to-treat” population
  • Current research on DBT and why it is important to know it

Modes and Functions of DBT

  • Individual Therapy — enhancing motivation
  • Telephone Consultation — enhancing generalization
  • DBT Consultation Group — enhancing motivation & skill of the therapist
  • Skills Training — enhancing capabilities
  • Ancillary Treatments — structuring the environment

Stages and Targets of DBT — Structuring the Treatment

  • Pre-Treatment Stage: Orienting the client to treatment and getting commitment
  • Stage 1 Target Behaviors: Decrease life-threatening, therapy interfering and quality of life interfering behaviors and increase DBT skills
  • Stage 2 Target Behavior: Decrease posttraumatic stress responses
  • Stage 3 Target Behavior: Increase self-respect and achieve individual goals
  • Stage 4 Target Behavior: Increase joy, freedom and spiritual fulfillment
  • Targeting Strategies…What to treat and when

The Diary Card

  • How to teach a client to fill out a diary card
  • Review a diary card in an individual therapy session
  • Where to look and what to treat on a diary card

DBT Skills Training

  • Demographics and structure of the DBT Skills Training Group
  • Rules of DBT Skills Training Group
  • Targets of DBT Skills Training Group
  • Roles of facilitators

Core Mindfulness Skills

  • The “Core” Skills in DBT Skills Training
  • Become more mindful of thoughts, feelings and urges and acting with intuition
  • Decrease the amount of judgments clients make about themselves and others
  • Participating and “throwing yourself in” (with a Wise Mind of course)
Distress Tolerance Skills
  • Tolerate and survive a crisis (without making it worse)
  • “Distract” themselves in their attempts to regulate their emotions
  • Self-Soothing the five senses in times of a crisis
  • “Radically Accepting” the crisis as it is and letting go of the struggle

Interpersonal Effectiveness Skills

  • Skills to help clients make requests and say NO (and have it stick)
  • Teaching clients how to improve and attend to relationships
  • Self-Respect in the client and the respect others have for them

Emotion Regulation Skills

  • Regulate or even change intense emotions
  • Decrease emotional vulnerability in your client
  • Decrease negative emotions and increase the positive (and staying mindful of them)
  • “Building a Life Worth Living”

Copyright : 01/26/2017

Advanced Dialectical Behavior Therapy - Modules 5-8

Program Information

Objectives

  1. Integrate the theory and techniques of DBT into your clinical practice.
  2. Evaluate the communication/stylistic strategies used in DBT.
  3. Incorporate the behavioral chain analysis for specific target behaviors with clients.
  4. Utilize the six levels of validation in therapy sessions.
  5. Structure an individual session based on stage 1 target behavior.
  6. Teach the use of diary cards to reinforce use of DBT skills.

Outline

Movement, Speed, Flow and Dialectics

  • Developing goals with clients
  • DBT client and therapist agreements
  • Decreasing and assessing suicidal and self-harming behaviors
  • Increasing Skill Acquisition and Strength
  • Mindfulness
  • Interpersonal Effectiveness
  • Distress Tolerance
  • Schema Change Methods – The CBT of DBT
  • Improving the Moment and Dialectical Synthesis
  •  

Communication/Stylistic Strategies

  • Reciprocal communication — Being responsive, genuine and engaging
  • Irreverent communication — “Plunging in where angels fear to tread”

Stages and Targets of DBT — Structuring the Treatment

  • Pre-Treatment Stage: Orienting the client to treatment and getting commitment
  • Stage 1 Target Behaviors: Decrease life-threatening, therapy interfering and quality-of-life interfering behaviors and increase DBT skills
  • Stage 2 Target Behavior: Decrease Posttraumatic Stress Responses
  • Stage 3 Target Behavior: Increase self-respect and achieve individual goals
  • Stage 4 Target Behavior: Increase joy, freedom and spiritual fulfillment
  • Targeting Strategies — What to treat and when

The Diary Card

  • How to teach a client to fill out a diary card
  • How to review a diary card in an individual therapy session
  • Where to look for and what to treat on a diary card
  • Handling diary card non-compliance

The Behavioral Chain Analysis — The ingenuity of DBT

  • Learning the steps to conduct the chain
  • Identifying function in behavior
  • Using behavioral principles in order to “break the chain”
  • Applied case studies

Core DBT Strategies: Validation

  • Levels of Validation — Staying awake to radical genuineness
  • Emotional Validation Strategies
  • Behavioral Validation Strategies
  • Cognitive Validation Strategies

 

Copyright : 01/27/2017