Dialectical Behavior Therapy [Continuous]
Credits: [20 ]
Dates:
Continuous
Cost: $175 SIGN-UP
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This course will provide a comprehensive, clinically oriented, overview of Dialectical Behavior Therapy (DBT), including the DBT theory of the etiology of borderline personality disorder (BPD), the philosophy of dialectics and how it informs behavioral treatment of BPD. Case examples will be used to illustrate the principles and therapeutic interventions specific to DBT. Course will also address outpatient treatment of chronic suicidal behavior, and will review efficacy research.
Participants will learn the following:
1. A dialectical biosocial theory of BPD used to guide treatment planning.
2. DBT treatment targets and how to structure treatment for multi-problem individuals at high risk for life-threatening behaviors.
3. Treatment strategies used in all modes of Dialectical Behavior Therapy, including individual psychotherapy, psychoeducational skills training, and telephone coaching.
Required texts:
Click on the title of the book to purchase them from Amazon.com
Cognitive-Behavioral Treatment of Borderline Personality Disorder, by Marsha M. Linehan, Guilford Press (May 1993)
Skills Training Manual for Treating Borderline Personality Disorder, by Marsha M. Linehan, Guilford Press (December 1993)
Curriculum:
Weeks 1 & 2: Etiology of Borderline Personality Disorder (BPD) from the perspective of Dialectical Behavior Therapy (DBT).
We will discuss BPD as a disorder of emotion dysregulation and how biological vulnerabilities and particular environmental factors interact and transact over time to create the behavioral patterns seen in individuals diagnosed with borderline personality disorder.
Week 3: What is the “D” in DBT?
We will discuss the overall philosophical view of Dialectics and how it informs the treatment. The major dialectic of DBT is that of balancing acceptance with change. The importance of validation when working with borderline patients will be illustrated.
Week 4: Pre-treatment Phase
We will discuss the hierarchy of goals in DBT and the strategies used to gain commitment towards working on these goals. We will also introduce the treatment structure of DBT.
Week 5: What does an Individual Therapy session look like in DBT?
We will discuss the structure of the individual therapy session in DBT as well as the principles guiding this structure. This will include the use of diary cards, agenda setting, and conducting a behavioral analysis.
Weeks 6 & 7: DBT Group Skills Training.
We will discuss the structure and method of teaching DBT skills. We will give an overview of the four modules in DBT skills training: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. We will formally teach one skill from each module and will ask the course participants to practice these skills in their lives.
Week 8: Telephone Coaching, Therapist Consultation Team, and How DBT Eliminates “Splitting” Behavior.
Week 9: Management of Suicidality & Treatment Outcome Research
About Dialectical Behavior Therapy
Dialectical Behavior Therapy is an empirically-supported approach to management of extreme patterns of behavior resulting from borderline personality disorder, especially for those with chronic patterns of suicidal or other severely dysfunctional behaviors like substance abuse. Thanks to the documented effectiveness of DBT, mental health professionals have been able to achieve dramatic new successes in cases seemingly beyond help and hope, and systems have been able to achieve significant savings (51 to 58% decrease in some studies) by effectively treating their highest utilizers of services. Consistent findings from studies have shown that DBT effectively reduces suicidal behavior, treatment drop outs, psychiatric hospitalization, anger, interpersonal difficulties, and substance-dependence in people with multiple Axis I and Axis II problems.
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Faculty
Ingrid Kemperman, M.D.
is currently in private practice in Albany and New York, NY. She was an Assistant Clinical Professor of Psychiatry at Columbia University and a Research Scientist at Columbia Presbyterian- New York State Psychiatric Institute (NYSPI) from 2001-2003. At NYSPI she was involved in an efficacy study of Dialectical Behavior Therapy (DBT) as well as research on the biological basis of borderline personality disorder. Dr Kemperman developed the DBT program at New York Presbyterian Hospital and served as the Director of the DBT Program at the Payne Whitney Clinic from 1997-2001. She has published journal articles and book chapters on such things as the biologic basis of self-injurious behaviors and brain imaging in personality disorders. She has given numerous talks and workshops on the application of Dialectical Behavior Therapy in various settings and patient populations.
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