Dialectical Behavior Therapy (DBT). 4-day Intensive Certification Training Course – Lane Pederson
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, therapist 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
Faculty
Consultation and Therapy
Lane Pederson Psy.D, LP, has provided Dialectical Behavior Therapy (DBT) training and consultation to over 10,000 professionals in the United States, Australia, South Africa, Dubai, Canada, and Mexico through his training and consultation company, Lane Pederson and Associates, LLC (www.DrLanePederson.com). A real world practitioner, Dr. Pederson co-owns Mental Health Systems, PC (MHS), one of the largest DBT-specialized practices in the United States with four clinic locations in Minnesota (www.mhs-dbt.com). At MHS Dr. Pederson has developed DBT programs for adolescents, adults, people with dual disorders, and people with developmental disabilities. He has served as clinical and training directors, has directed practice-based clinical outcome studies, and has overseen the care of thousands of clients in need of intensive outpatient services.
Dr. Pederson’s DBT publications include The Expanded Dialectical Behavior Therapy Skills Training Manual, 2nd Edition: DBT for Self-Help and Individual & Group Treatment Settings (PESI, 2017); Dialectical Behavior Therapy: A Contemporary Guide for Practitioners (Wiley, 2015); Dialectical Behavior Therapy Skills Training for Integrated Dual Disorder Treatment Settings (PESI, 2013) and The DBT Deck for Clients and Therapists: 101 Mindful Practices to Manage Distress, Regulate Emotions & Build Better Relationships (PESI, 2019).
Notable organizations he has trained for include Walter Reed National Military Hospital, the Federal Bureau of Prisons, the Ontario Psychological Association, the Omid Foundation, and Psychotherapy Networker. He has provided DBT training for community mental health agencies, chemical dependency treatment centers, hospital and residential care settings, and to therapists in forensic settings. Dr. Pederson also co-owns Acacia Therapy and Health Training (www.AcaciaTraining.co.za) in South Africa. Dr. Pederson currently serves on the advisory board for the doctorial counseling program at Saint Mary’s University of Minnesota and is a peer reviewer for Forensic Scholars Today.
Lane Pederson is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organization.
Speaker Disclosures:
Financial: Lane Pederson maintains a private practice. He is an author for PESI Publishing & Media and receives royalties. Dr. Pederson receives a speaking honorarium from PESI, Inc.
Non-financial: Lane Pederson has no relevant non-financial relationship to disclose.
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