Full Course Description
Dialectical Behavior Therapy (DBT) Certificate Course
DEVELOPING THE FOUNDATION
Essentials of DBT
- Explicit focus on validation
- Cognitive-behavioral change strategies
- Dialectical balance
- Skills training
- Consultative approach
DBT and the Contextual Model
- Understanding how therapy works
- Six decades of empirical research
- Evidence-based practice
- Maximizing therapeutic factors, DBT-style
Dialectics in Practice
- Dialectics explained
- Dialectic assumptions
- Dialectics in action
Core Assumptions of DBT
- Acceptance and nonjudgmental stance
- View of clients, therapists, and therapy
- What’s needed in a DBT clinical process
- Biosocial theory of difficulties
- How theory drives therapy
Mindfulness and DBT
- Mindfulness explained
- Mindfulness of the approach
- Mindfulness as a therapy technique
- Mindfulness in life
Getting Started: Structuring Therapy
- Structure as a therapeutic factor
- Structuring the therapy environment
- Identifying treatment targets: suicidality, self-injurious behavior (SIB), therapy-interfering behavior (TIB), and other targets
Making It Practical: Structuring Your Therapy or Program
- Integrating skills into therapy
- Using skills to develop new behaviors
Mindfulness: The Path to Wise Mind
- What skills: observe describe, participate
- How skills: nonjudgmental, one-mindful, effectively
- Mindfulness practice and application
- Identify dialectical dilemmas
- Activate Wise Mind action
- Wise mind ACCEPTS
- IMPROVE the Moment
- Pros and cons
- Radical Acceptance/turning the mind
- Model of Emotions
- Build positive experiences
- Opposite action
- FAST skills
- GIVE skills
- DEAR MAN skills
Other Skill Modules
- Multi-layered approach to validation
- Validation as an exposure technique
- Balance of validation and change
- Behavioral principals
- Contingency procedures
- Best behavior change methods
- DBT-style cognitive interventions
- When to use (and not to use)
- Exposure protocols
- Alternatives to exposure
MANAGING CHALLENGING BEHAVIORS
Diary Cards: Standard and Adapted Behavior Chain (Change) Analysis
- Getting the client on board
- Build awareness and options
Consultative Group and Treatment Teams
- Increase your motivation
- Develop effective responses
- Qualities of effective treatment teams
Assess and Manage Self-Injurious Behavior (SIB)
- SIB assessment techniques
- When is SIB life-threatening?
- Creating alternatives
Assess and Manage Suicidal Ideation (SI)
- 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
DEVELOPING THE FOUNDATION
- Describe DBT from the contextual model of therapy.
- Evaluate DBT research in light of the contextual model and the Evidence-Based Practice of Psychology (EBPP).
- Match DBT philosophies and interventions to the therapeutic factors that most improve outcomes.
- Explain dialectic philosophies and their application in therapy.
- Demonstrate how the core assumptions of DBT are put into action.
- Explain how DBT theory drives interventions.
- Develop the fluid movement between validation and change strategies.
- Integrate mindfulness into therapy (and your own life).
- Implement an effective therapy structure that includes identifying clear treatment targets.
- Integrate skills training into therapy.
- Identify teaching strategies for skills training sessions.
- Demonstrate how to effectively teach the four standard DBT skills modules.
- Explain and teach supplemental DBT skills and modules.
- Practice skills training techniques in small groups.
- Describe how to seamlessly integrate skills into individual therapy.
- Summarize DBT from cognitive-behavioral, client-centered, and other approaches.
- Practice a multi-layered approach to validation.
- Maintain balance validation with the most effective (and practical) methods of behavior change.
- Practice reciprocal and irreverent communication styles.
- Demonstrate the key differences between traditional cognitive interventions and DBT-style cognitive interventions.
- Practice therapy techniques with effective pacing, balance, and flow.
- Determine when to use (and not to use) exposure techniques.
MANAGING CHALLENGING BEHAVIORS
- Demonstrate DBT diary cards and chain (change) analysis.
- Operate with consultative groups and treatment teams.
- Assess and manage self-injurious and suicidal behaviors with clear protocols and safety plans.
- Establish clear plans for hospitalizations.
- Establish a plan for your further development as a DBT therapist.
- Describe how you will use DBT in your practice.
Bonus Seminar: DBT Skills Training for Children and Adolescents with Jean Eich, PsyD, LP: Rescuing the Dysregulated Child
- Articulate key components of effective DBT therapy and how it relates to clinical practice.
- Describe the biosocial model of pervasive emotional dysregulation disorders found in innately sensitive children and its impact on clinical practice.
- Utilize behavior modification strategies at the earliest stage of dysregulation to improve clinical outcomes.
- Teach parents how to implement skills training in the home environment to reinforce positive clinical outcomes.
- Apply DBT skills modules as they relate to a client’s development demographics.
- Articulate strategies to help reestablish stability and enhance learning in clients.
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