What Is Emotion, Anyway?dialectical Behavioral Training

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Dialectical Behavioral Therapy, or DBT, is a type of therapy specifically developed by Marsha Linehan in 1993 to address the following symptoms:

  1. Dialectical Behavioral Therapy Pdf
  2. Dialectical Behavioral Therapy For Children

Training Objectives Review of EBP trends related to DBT and Twelve Step Facilitation (TSF) Discuss key concepts of DBT and TSF Compare stages and targets of DBT with Twelve Step philosophy Review 4 modules from Integrating DBT with the Twelve Steps workbook and practice a sampling of the skills. Keywords: DBT, personality disorders, behavior therapy, emotion regulation, skills training DBT: An Overview Dialectical Behavior Therapy (DBT) is a cognitive-behavioral therapy originally designed by Linehan (1993) as an outpatient treatment for people diagnosed with borderline personality disorder (BPD).

  • Frantic attempts to prevent abandonment
  • Unstable relationships – alternating between “I love you” and “I hate you”
  • Unstable self-image
  • Impulsive behavior such as binge eating, reckless driving, sex, spending , substance use
  • Self-mutilation or suicidal thoughts/behavior
  • Mood swings of intense anxiety, depression, or irritability
  • Chronic feelings of emptiness
  • Anger that is out of control or inappropriate
  • Brief paranoid ideas or severe dissociative symptoms related to stress

DBT skills have also proven effective for anyone going through an emotional crisis such as job loss, relationship loss, etc.

DBT differs from traditional therapies in several ways. Therapists undergo specific adjunct training in the principles and methods of implementing DBT. The therapist becomes more directive with teaching the skills and clients are challenged to practice the skills as they learn them. Be wary of other programs who claim to teach DBT. They may be teaching the skills, which are valuable. However, to be a complete DBT program, clients must participate in both group and individual therapy, complete homework assignments, utilize diary cards, and complete a Behavior Chain Analysis regularly to process unhealthy behavior patterns.

A DBT therapist is your partner on your journey to a Life Worth Living. You decide your goals. Your DBT therapist will ask questions and prompt you to consider things that you never thought of before.

Dialectics

The term “dialectic” refers to opposites. In Dialectical Behavior Therapy, we consider many dialectics (two opposite things that can be true at the same time) with the purpose of finding a middle path. Some commonly discussed dialectics include:

Acceptance vs. Change

Emotion Mind vs. Rational Mind

Fun vs. Responsibility

Assumptions of DBT

A DBT therapist enters into the therapeutic relationship with certain attitudes or “assumptions” about the clients and their role as a therapist:

  1. People are doing the best they can, and they can do better
  2. People want to improve
  3. People need to do better, try harder and be more motivated to change
  4. People may not have caused all their problems, but they need to solve them anyway
  5. The lives of suicidal, depressed, anxious, or angry people are painful as they are currently being lived
  6. All people must learn new behaviors in different situations in their lives (school, work, home, community)
  7. There is no absolute truth
  8. People cannot fail DBT

The Four Modules of DBT

  • Mindfulness–In the words of Jon Kabat-Zinn, mindfulness is, “Paying attention, on purpose, in the present moment, as if your life depended on it, non-judgmentally.”
  • Distress Tolerance--Getting through a challenging moment without making the situation worse
  • Emotional Regulation— Staying in the “wise mind” and managing emotional reactions/overreactions to stressors
  • Interpersonal Effectiveness–Using assertiveness skills to solve problems and work out conflicts

Each module will be revisited over the course of therapy, and the client will develop a deeper understanding of each component with each repetition.

Earn 5.25 CE/CME Credits - Online DBT Training for Therapists

Learn the foundations of DBT in this course led by Stephanie Vaughn, PsyD, a seasoned therapist, and trainer. This is an on-demand, self-paced online training covering the essentials of DBT.

Can you learn DBT and have fun at the same time? Absolutely! All our videos are easy to follow and fun to watch.

Get access to a comprehensive and unique learning experience, adapted to your busy schedule. All modules are divided into small digestible videos, each one of them gives you actionable take-home messages (scroll down to watch a sample).

This training offers up to 5.25 CE/CME credits.

Online Training You Can Immediately Apply to Your Practice

'DBT in Practice: Mastering the Essentials' uses microlearning principles: each module has several video sections, which are short and to the point.

You can easily choose which video section you are interested in watching (or listening, if you prefer audio).

Dr. Stephanie Vaughn, PsyD, introduces the basic principles of Dialectical Behavior Therapy (DBT). She discusses DBT's history, structure, stages and targets.

Sections

  1. History of Dialectical Behavior Therapy: A Very Brief Introduction
  2. What is the Meaning of Dialectics in DBT?
  3. Biosocial Model in DBT: How Symptoms Arise and Are Maintained
  4. Structure of Standard DBT: Pre-treatment and 4 Different Components
  5. The 4 Stages & Targets in DBT
  6. DBT Assumptions About Patients
  7. Targets & Goals of DBT

Module 1 duration: 00:48:25

Dr. Vaughn focuses on how to create and run a DBT group. She takes a closer look at the most significant modules in DBT skills training, the most common problems in group work, and the importance of Mindfulness.

Sections

  1. Starting a DBT Skills Group
  2. How to Run a DBT Group
  3. Problems in DBT group
  4. Mindfulness & 3 States of Mind
  5. What and How Skills
  6. Interpersonal Effectiveness Module
  7. Emotion Regulation Module

Module 2 duration: 00:58:13

In this module, we dive into the roles of the individual therapist in DBT. Dr. Vaughn discusses commitment strategies, specific agreements, and the use of the diary card and behavioral chain analysis in session. She also highlights the significance of prioritizing targets.

Dialectical behavioral therapy definition

Sections

  1. DBT Individual Therapist Roles
  2. DBT Agreements & Commitment Strategies
  3. Individual Session Overview
  4. Diary Card
  5. Prioritizing Targets: The DBT Hierarchy

Module 3 duration: 00:50:06

Module 4 - The Importance of Intersession Contact in DBT

DBT is the only psychotherapy model which formally incorporates the use of intersession contact. Therefore, it is important to understand the corresponding protocols, utility, and functions. Dr. Vaughn also explores common therapist beliefs regarding this type of contact.

Sections:

  1. Introduction to Inter-session Contact
  2. Functions of Telephone Coaching
  3. Orienting the Patient to Inter-Session Contact
  4. The 24-Hour Rule
  5. Observing Limits & Inter-session Contact

Module 4 duration: 00:48:44

Module 5 - Identifying & Addressing Therapy-Interfering Behaviors

In this module, Dr. Vaughn explains how to identify and define therapy-interfering behaviors in order to properly address them. She also emphasizes the role of a dialectical stance when defining these behaviors.

Dialectical Behavioral Therapy Pdf

Sections

  1. 3 Types of Patient “Therapy-Interfering Behaviors”
  2. Operational Definitions & Therapy-Interfering Behaviors
  3. Taking a Dialectical Stance in Defining What is Therapy-Interfering Behavior
  4. 4 Tips for Overcoming Fear of Addressing TIB’s
  5. Therapy-Interfering Behavior of the Therapist

Dialectical Behavioral Therapy For Children

Module 5 duration: 00:49:57

Behavior

Module 6 - Dialectical Dilemmas & the Role of Validation

In this module, we look closely at behavioral patterns that are essential to resolve and balance in therapy. Dr. Vaughn also guides us on how to provide a validating environment in which the patient may change more easily.

Sections

Behavioral
  1. Dialectical Dilemmas Overview
  2. Emotional Vulnerability vs Self-Invalidation
  3. Unrelenting Crisis vs Inhibited Grieving
  4. Active Passivity vs Apparent Competence
  5. Basics of Validation
  6. Invalidation in Therapy
  7. Using Validation in Therapy
  8. Six Levels of Validation

Module 6 duration: 01:10:52

All our sections are concise and clinically relevant, none of them lasts more than 12 minutes. That's our rule.

Stephanie Vaughn, Psy.D., Clinical Psychologist-HSP is the owner of Psychē, PLLC, a boutique outpatient therapy practice located in the Gulch area of Nashville specializing in treating adults and adolescents utilizing Cognitive Behavioral and Dialectical Behavioral Therapy (DBT).

She is an Associate faculty member at Vanderbilt University for both the Psychology and Psychiatry Departments and is active in the teaching and supervision of Psychology students, Counseling students, and Psychiatry residents. She founded and currently leads Vanderbilt’s DBT peer consultation group and has served as a trainer and consultant for a variety of institutions including the U.S. Department of Defense, Kennedy Krieger Hospital in Baltimore, Jacksonville Naval Hospital, Kentucky State Hospital, and Camp Pendleton Marine Corps Base.

Dr. Vaughn is one of only two DBT-Linehan Board of Certification, Certified Clinicians in Tennessee and is considered to be an expert within the field of DBT in treating Therapy-Interfering Behaviors and managing high-risk and oppositional adolescent behavior.

In addition to private practice, Dr. Vaughn has served as the interim Director of a women’s residential treatment center for Substance Use Disorders (DBT-SUD) and worked for 2 years in the intensive PTSD program at the Nashville Department of Veteran Affairs with soldiers returning from Afghanistan and Iraq and female soldiers who experienced Military Sexual Trauma. She is a national speaker for and travels around the US teaching DBT and Prolonged Exposure (PE) for PTSD.

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Psychopharmacology Institute (PSYIN). Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Psychologists (APA)

Amedco LLC designates this activity for a maximum of 5.25 Psychologist contact hours.

The following state boards accept courses from APA providers for Counselors: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MO, NC, ND, NH, NE, NJ, NM, NV, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WY

MI: No CE requirements

The following state boards accept courses from APA providers for MFTs: AK, AR, AZ, CA, CO, CT, DE, FL, GA, IA, ID, IN, KS, MD, ME, MO, NE, NC, NH, NJ, NM, NV, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WY

MI: No CE requirement

The following state boards accept courses from APA providers for Addictions Professionals: AK, AR, CO, CT, DC, DE, GA, IA, IN, KS, LA, MD, MO, MT, NC, ND, NE, NJ, NM, NY (outstate held)*, OK, OR, SC, UT, WA, WI, WY

MA / MFTs: Participants can self-submit courses not approved by the MAMFT board for review.

The following state boards accept courses from APA providers for Social Workers: AK, AR, AZ, CA, CO, DE, FL, GA, ID, IN, KY, ME, MN, MO, NE, NH, NM, OR, PA, VT, WI, WY

* If the activity is held live in the state of NY, then direct addictions board is required, ie: NAADAC. If the activity is held outside NY, is virtual, enduring or remote, it is considered 'outstate' and this reciprocity applies.

As a Jointly Accredited Organization, Amedco is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Amedco maintains responsibility for this course. Social Workers completing this course receive 5.25 GENERAL continuing education credits.

The following state boards accept courses offering ASWB ACE credit for Social Workers: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NC, ND, NE, NH, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WV, WY

* WV accepts ASWB ACE unless activity is in live in West Virginia then an application is required.

The following state boards accept courses offering ASWB ACE credit for Counselors: AK, AR, AZ, CA, CO, CT, DC, FL, GA, IA, ID, IL, IN, KS, MA, MD, ME, MO, ND, NE, NM, NH, NV, OK, OR, PA, TN, TX, UT, VA, WI, WY

AL / Counselors: Activities not providing NBCC approval may be approved by the Board for individual licensees upon receipt of acceptable documentation prior to the activity. Please send course details to your licensing board for approval BEFORE the event. No approvals afterward by the board.

MI: No CE requirement

The following state boards accept courses offering ASWB ACE credit for MFTs: AK, AR, AZ, CA, CO, FL, IA, ID, IN, KS, MD, ME, MO, NC, NE, NH, NM, NV, OK, OR, PA, RI, TN, TX, UT, VA, WI, WY

MA / MFTs: Participants can self-submit courses not approved by the MAMFT board for review.

MI: No CE requirement

The following state boards accept courses offering ASWB ACE credit for Addictions Professionals: AK, CA, CO, CT, GA, IA, IN, KS, LA, MO, MT, ND, NM, NV, OK, OR, SC, WA, WI, WV, WY

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Psychopharmacology Institute (PSYIN). Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team

Nurses (ANCC) – Effective 1/1/2021

Amedco LLC designates this enduring material for a maximum of 5.25 AMA PRA Category 1 Credits TM. Physicians should
claim only the credit commensurate with the extent of their participation in the activity.

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Psychopharmacology Institute (PSYIN). Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team

Nurses (ANCC) – Effective 1/1/2021

Amedco LLC designates this activity for a maximum of 5.25 ANCC contact hours.

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