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Setting up a DBT Program (4 Days)

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SETTING UP A DIALECTICAL BEHAVIOUR THERAPY INFORMED PROGRAM (4 days)

This 4 day program from mental health professionals looking to start a DBT program. It is recommended that clinicians attend with colleagues who will be members of your DBT program

For teams seeking to set up a DBT informed program. Minimum of 3 clinicians to attend the training spread over 8 months.

  • Melbourne Part 1: 7th & 8th December 2015 and Melbourne Part 2: 17th & 18th June 2016
  • Cost: $900 (excl. GST)
  • Facilitators: Peter King (Mental Health Nurse)
  • Location: Essentia Health & Wellbeing Centre, Melbourne VIC

Topics covered:

  • Overview of DBT (Research, Theoretical Basis, Stages of Treatment, Structure)
  • Commitment
  • Skills Training
  • Individual Therapy
  • Phone Coaching
  • Contingencies
  • Middle Path (Behaviouralism, Dialectics & Validation)
  • Setting up your DBT Program

This four day training focuses on the overall application of Dialectical Behaviour Therapy geared towards all participants having an understanding of, commitment to and benefits Dialectical Behaviour Therapy (DBT) can have for your clients. This course will explore DBT that offers skills based non‐judgemental approach to the management of client’s with Borderline Personality Disorder and clients who are self harming. In particular key concepts of Core Mindfulness and Distress Tolerance as acceptance based modules; teaching clients how to live with reality “as it is” will be explored. Emotion Regulation and Interpersonal Effectiveness as change‐oriented modules, teaching clients how to alter themselves or their environments will also be addressed.

Stylistic strategies:

How to reframe suicidal and other behaviours as part of the clients learned ‘problem solving’ repertoire. Participants will learn to balance active problem solving with validating the client’s current emotional state and behavioural responses. This session will teach you to blend a ‘matter‐of‐fact’, irreverent attitude towards current and previous dysfunctional behaviours with warmth, flexibility and responsive- ness to the client.

Attention to contingencies:

Ways to influence behaviour. BPD individuals actively avoid threatening situations. This session will as- sist participants to expose client in session and in vivo to fear eliciting stimuli. Participants will learn to arrange and encourage exposures.

Validation:

This session will be an in‐depth practice of validating the client’s thoughts feelings and actions. Participants will learn to search for the grain of wisdom or truth in each client response and know how to communicate that to the client. The emphasis here is on building and maintaining a positive, interpersonal, collaborative relationship between client and therapist

Format and organization of sessions:

Learn how to structure a session and stay on task. Learn how to use diary cards to maximize success of a session. Participants will learn to manage issues that come up in session in a timely manner and how to conduct chain analysis of problem behaviours.

Core Mindfulness Skills:

Learn how to practice mindfulness with your clients every session. This session will focus on using skills to balance emotion mind and reasonable mind to achieve wise mind. Participants will practice strategies through roles play and observe and describe skills that will then be able to impart to clients.

Interpersonal effectiveness skills:

Learn effective strategies for asking for what one needs, saying no and coping with conflict. Learn how to assist your clients in analysing a situation and determining goals for interpersonal effectiveness.

Emotion regulation skills:

Suicidal behaviours are often behavioural solutions to intolerably painful emotions. Learn to assist clients in identifying the difference between their primary emotion (adaptive and appropriate to the context), and their secondary response (intense shame, anxiety or rage). Learn ways of exposing your client to their primary emotion in a non judgmental atmosphere.

Distress tolerance skills: 

The ability to tolerate and accept distress is essential. Learn how to teach clients to perceive their own environment without putting demands on it to be different. Learn how to teach clients to experience their own emotional state without attempting to change it, and to observe their own thoughts and action patterns without attempting to stop or control them.

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