Overview
This sixteen session Intensive “Dialectical Behaviour Therapy Training” has been designed for self-paced learning and it is hoped that it will assist clinicians gain knowledge of how to work with DBT and how to work as individual therapists and as Group Facilitators using DBT. Information on how to set up a DBT program including Therapists Consult groups is also detailed in the online training. Optional creative exercises are added to the Skills section of the program as a variation to the structured cognitive learning of the skills. Many clients over the years have enjoyed this aspect of the learning and appreciate having a concrete original object that replicates the skill they have learnt to view at any time reminding them of the techniques that assist them.
Face to Face Training is still an option for specific organizations.
Course Outline
TABLE OF CONTENTS
Session 1
Introduction – Biosocial Theory of Borderline Personality Disorder (BPD), DSM IV, V. Description of DBT, Australian and USA Statistics.
Session 2
Five functions of Treatment, 2015 New DBT Training Manual, Standards and Modes of Treatment, Researched Model of DBT description – Adults and Adolescents. The Four Modules of DBT, Assumptions in DBT
Session 3
The Styles of DBT, Validation, Dialectics, Encouragement, Genuineness, Irreverent Communication
Session 4
Pre-Treatment Stage, Client/Therapist agreements, Hierarchy of Targets, Hitting and Impass. Primary and Secondary Targets of DBT
Session 5
Individual DBT Therapy, session structure and timing, crisis intervention, risk factors for suicide, phone coaching, how to handle calls when your client is lonely, treating wilfulness when it shows up, Diary Card, Chain Analysis, Environmental intervention. Discussion of Adult and Adolescent Training Manuals
SKILLS
Session 6
Wise Mind Skill of DBT, The Brain and Emotions
Session 7
Mindfulness
Session 8
TIPP, Wise Mind Accepts – Distraction, Self-soothe
Session 9
STOP, Improve the Moment
Session 10
Checking the Facts, Reality/Radical Acceptance
Session 11
Emotional Regulation – Model of Emotions, Opposite Action,
Session 12
Validate your Vulnerabilities, Know your Triggers, Primary and Secondary Emotions, Mindfulness to current emotions, Managing extreme emotions.
Session 13
Chemistry, Labelling emotions, Reducing Vulnerability, Building relationships and ending destructive relationships, Increase positive emotions, Coping Ahead, Decrease emotional suffering
Session 14
Interpersonal Effectiveness – Goals, DEAR MAN GIVE FAST, Factors reducing Interpersonal Effectiveness
Session 15
Skills Training Group
Session 16
Walking the Middle Path, exclusion criteria, Implementing DBT into a System, DBT Consultation Team Agreements, Structure of a Consult Team
Resources
Evaluation
Learning Outcomes
LEARNING OUTCOMES
Participants will:
· gain knowledge of the philosophy of DBT, the structure of the therapy and statistical information on the researched model.
· gain knowledge of how to teach ‘crisis survival’ techniques and address suicide ideation, self-harm and impulsive destructive behaviours of clients
· gain knowledge in how to work dialectically using validation and acceptance strategies with clients
· gain knowledge in how to look after oneself as a clinician and gain supportive supervision within the DBT frame to help assist in working with clients who present with high levels of emotional dysfunction
· gain knowledge of all four skills of DBT, Mindfulness, Distress Tolerance, Emotional Regulation and Interpersonal Effectives, including the addition of new skills added in 2nd Edition DBT Training Manual 2015 (Prof Marsha Linehan). The Adolescent Manual created by Jill Rathus and Alec Miller (2014) will also be discussed
· gain knowledge in how to teach a skills training group.
· gain knowledge in working with many client groups that experience emotional dysregulation and working with DBT with adolescents