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DBT Skills Training: Fundamentals

This live remote instructor-led course consists of sixteen 90-minute modules delivered online for a total of 24 instructor-led hours. Each module includes reading and homework tasks. Total participant time required for each module is approximately 2.5 - 3 hours. The modular nature of this course allows us to customize it to the schedule of our clients. Quizzes are included in each module, and are repeated as a final knowledge test at the end of the program.

Research indicates that DBT skills are a key mechanism of change for suicide attempts, non-suicidal self-injury, depression, and anger, and multiple randomized control trials have shown DBT skills to be effective for a variety of problems, including depression, emotion dysregulation, binge eating, and borderline personality disorder.

This course provides in-depth training in Dialectical Behavior Therapy (DBT) Skills: Core Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness, as well as the training methods required to help patients move from skills acquisition to generalization of skills into their natural environments. The intended purpose of the various skills and the rationale (including the evidence) for their place in the treatment are addressed. Clinical examples are used to illustrate specific skills training procedures. Participants will learn key teaching points for the various skills. Video of roundtable discussions of DBT experts, and demonstrations of a skills training class are incorporated.

The course is intended for those who have prior knowledge of DBT, and who want to learn DBT skills in depth to improve their work with their clients. Specifically, participants should either complete Dialectical Behavor Therapy Foundational Training, Dialectical Behavior Therapy Intensive Training, or DBT Skills: Introduction before participating in this course. The course relies on Dr. Marsha Linehan's DBT® Skills Training Manual, Second Edition, and participants should have this book available during the course.

DBT skills training is one of 4 modes of standard outpatient DBT. For those who want to implement a full DBT program we recommend completion of the comprehensive Dialectical Behavior Therapy Intensive Training.

DBT Foundational Training

Since its initial development in the 1980s DBT has been shown to be effective for an array of problems related to emotion dysregulation. We know severe emotion regulation difficulties result in persons facing multiple problems across many areas of life and that these problems manifest in a variety of ways. The principles of DBT were specifically designed for cases which often present therapists with novel challenges. One of the benefits of a principle-based treatment is that it can be versatile enough to accommodate specific situations, cultures, and contexts. DBT has been studied and implemented in many countries across the globe.

DBT Foundational training is a comprehensive program of study designed specifically for individual therapists or skills trainers who are members of an established DBT Consultation Team and have not completed DBT Intensive Training themselves. It is meant to assist teams who have hired new staff or experienced turnover by providing newer team members with training in the standard content of DBT. Foundational training includes 4 hours of content specific to risk assessment, management, and treatment of suicidal behaviors. Lecture, video, demonstration, and practice will be used to teach DBT theory and strategies in depth.

This live, remote, instructor-led course consists of twenty 90-minute modules delivered via video conference embedded in a learning management system (LMS) for a total of 30 instructor-led hours. Each module includes reading and homework tasks. While the typical length of DBT Foundational training is 4 – 6 months, the modular nature of this course can be customized to the schedule of our clients.

Intensive Training in the DBT Prolonged Exposure Protocol for PTSD

This 4-day workshop is designed to provide intensive training in how to integrate PTSD treatment into standard DBT. Participants will learn the DBT Prolonged Exposure (DBT PE) protocol for treating PTSD, one of the newest developments in DBT research and practice. This protocol can be added to standard DBT to allow for integrated treatment of PTSD, suicidal and self-injurious behavior, and other co-occurring problems. Participants will learn how to use DBT strategies to prepare high-risk and multi-problem clients for the DBT PE protocol as well as how to determine when clients are ready to begin formal PTSD treatment.

The structure and procedures of the DBT PE protocol will be taught in a session-by-session format with extensive opportunities to watch video examples and practice delivering each of the primary treatment components. Particular attention will be paid to discussing strategies for overcoming common problems that arise during PTSD treatment with high-risk and multi-problem clients as well as how to tailor the treatment to address the complex characteristics of this client population.

This advanced workshop is intended for mental health professionals who have attended a DBT Intensive or Foundational training (or equivalent), are active members of DBT consultation teams, or currently provide DBT individual therapy.

An Orientation to DBT Implementation

This overview of DBT and orientation to DBT training introduces stakeholders in behavioral service systems to Dialectical Behavior Therapy (DBT) and orients them to the training necessary to implement DBT programs.

Those working with patients who have multiple problems and severe emotion dysregulation are often stymied by the complex clinical presentations and challenges that arise during treatment. Since its initial development in the 1980s, DBT has been shown to be effective for an array of problems related to emotion dysregulation. We know that severe emotion regulation difficulties result in persons facing multiple problems across many areas of life and that these problems manifest in a variety of ways. The principles of DBT were specifically designed for cases that often present therapists with novel challenges. One of the benefits of a principle-based treatment is that it can be versatile enough to accommodate the specific situations, cultures, and contexts of the persons it serves. DBT has been studied and implemented in multiple countries across the globe.

This presentation and discussion is a precursor to the world of DBT training. It consists of 2 modules. In the first, the dialectical nature of DBT is explained via the balance between change-based technology (behavior therapy) with acceptance-based principles (validation). It describes the structure and components of standard DBT and the manner in which these serve specific functions. It provides an outline of the program elements of DBT so that participants can begin to conceptualize how DBT might be implemented in their own programs. The second module orients participants to the comprehensive DBT training model, including expected milestones at which tasks are expected to be completed. It allows for discussion so that participant questions can be answered, and specific strategies can be identified to increase the likelihood of a successful implementation.

Teaching methods include lecture and treatment demonstrations to illustrate the principles and strategies of DBT, as well as discussion and a question and answer session.

The presentation describes the structure, components, and core strategies of standard DBT and orients participants to the training and implementation plan needed to establish these.

Learning Community: Getting Started with DBT Skills

The purpose of this learning community is to help participants acquire knowledge to benefit from future training on DBT skills.

This learning community is a team-based guided self-study program that focuses on DBT skills training. It can also be facilitated by a DBT content expert assigned by Behavioral Tech.

What is DBT & what is required to become a DBT therapist?
To begin the journey toward becoming a DBT therapist we want to provide an overview that will help participants make an informed decision about pursuing DBT training. We recommend reviewing the information found on this page at BTECH: Dialectical Behavior Therapy DBT

Team-based study-guide
Participants complete the Readings and Discussions according to the study-guide outlined below. We recommend individuals read on their own time and meet with their team to discuss. The curriculum is intended to break the readings into manageable sections with recommended discussion topics to facilitate comprehension of the material. The bold text in each entry is used to designate the readings in each of the Discussions below. In some discussion sessions different groups of readings can be chosen based on personal preference. In addition to the time required to complete the readings, please allow for a minimum of 30 minutes of discussion with the team for each topic/session.

The readings and discussion focus on the role of DBT skills in a standard DBT program, structuring DBT skills training, and the content of the DBT skills modules.

Learning Community: Preparation for Comprehensive DBT Training

The purpose of this learning community is to help participants acquire basic knowledge about DBT so that they can benefit from future DBT training that is focused on application of concepts and implementation of treatment interventions. The intended result is to create DBT consultation teams that will guide participants through the learning process and provide ongoing motivation and improvement of clinical work.

This learning community is a team-based guided self-study program that focuses on preparation for DBT Intensive Training. It can also be facilitated by a DBT content expert assigned by Behavioral Tech.

What is DBT & what is required to become a DBT therapist?
To begin the journey toward becoming a DBT therapist we want to provide an overview that will help participants make an informed decision about pursuing DBT training. We recommend reviewing the information found on this page at BTECH: Dialectical Behavior Therapy DBT.

Team-based study-guide
Participants complete the Readings and Discussions according to the study-guide outlined below. We recommend individuals read on their own time and meet with their team to discuss. The curriculum is intended to break the readings into manageable sections with recommended discussion topics to facilitate comprehension of the material. The bold text in each entry is used to designate the readings in each of the Discussions below. In some discussion sessions different groups of readings can be chosen based on personal preference. In addition to the time required to complete the readings, please allow for a minimum of 30 minutes of discussion with the team for each topic/session. It is recommended that individuals complete this at least 4 months prior to attending a DBT Intensive Training. Please note that while much of the required reading in this program contributes to the required reading for DBT Intensive or Foundational training, it does not constitute all the required reading. Additional readings are required if those courses are pursued.

The curriculum-based guide identifies specific readings on the core foundations, structure, and strategies of DBT that form the basis for group discussion and practice.

DBT Skills Training: Introduction & Fundamentals

This live instructor-led course is intended for those who are ready to make a serious commitment to the implementation of DBT Skills training in order to more effectively serve their program participants.

This course can be provided onsite or remotely (online). The modules can be customized to the schedule of our clients, or it can be offered over 5 contiguous days. If the course is offered as a spaced modularized offering each module is 90-minutes, while a contiguous offering would have each module as 75-minute segments with additional segments to begin and close each day. Quizzes are included in each module, and are repeated as a final knowledge test at the end of the program.

Research indicates that DBT skills are a key mechanism of change for suicide attempts, non-suicidal self-injury, depression, and anger, and multiple randomized control trials have shown DBT skills to be effective for a variety of problems, including depression, emotion dysregulation, binge eating, and borderline personality disorder.

Participants learn about the function of skills training in DBT, the structure of a DBT skills training program, the content of each skills module, and the targets for DBT skills training. The intended purpose of the various skills and the rationale (including the evidence) for their inclusion in the treatment are addressed. It also provides an overview of the manner in which DBT conceptualizes problems, as well as the behavior change, validation, and dialectical strategies used across all modes of the treatment. The course is a hybrid model of the introductory and fundamentals DBT Skills courses offered by BTECH. It includes the first 4 modules of the introductory course and all 16 of the fundmentals modules. Clinical examples are used to illustrate specific skills training procedures. Video of roundtable discussions of DBT experts, and demonstrations of a skills training class are incorporated.

DBT skills training is one of 4 modes of standard outpatient DBT. For those who want to implement a full DBT program we recommend completion of the comprehensive Dialectical Behavior Therapy Intensive Training.

Skills training is one of multiple modes of treatment delivery in comprehensive DBT. The focus of this course is limited to the skills training mode.

DBT: A Brief Overview

To provide an exploration of whether learning Dialectical Behavior Therapy (DBT), to a standard of clinical proficiency, would benefit partcipants and their clients suffering from complex disorders.

Clinicians working with patients who have multiple problems and severe emotion dysregulation are often stymied by the complex clinical presentations and challenges that arise during treatment. Since its initial development in the 1980s, Dialectical Behavior Therapy (DBT) has proven to be effective for an array of problems related to emotion dysregulation. We know that severe emotion regulation difficulties result in persons facing multiple problems across many areas of life and that these problems manifest in a variety of ways. The principles of DBT were specifically designed for individuals who often present therapists with novel challenges. One of the benefits of a principle-based treatment is that it can be versatile enough to accommodate the specific situations, cultures, and contexts of the persons it serves. DBT has been studied and implemented in multiple countries across the globe.

This live instructor-led overview of DBT consists of two 2-hour modules delivered for a total of 4 hours. The dialectical nature of DBT is explained via the balance between change-based technology (behavior therapy) with acceptance-based principles (validation). It describes the structure and components of standard DBT and the manner in which these serve specific functions. Given that DBT is a skills-deficit model of treatment, this introduction provides an overview of the goals and content of the DBT skills modules.

This high-level overview of DBT is intended for mental health professionals, administrators, and interested stakeholders who wish to acquaint themselves with the treatment. Prior knowledge of DBT is not required. The workshop should be particularly useful for those who are exploring whether learning DBT, to a standard of clinical proficiency, would benefit their own clinical skills and their clients suffering from complex disorders. Attendees will receive the basic knowledge needed to make decisions about whether DBT is the right fit for the problems with which they are faced. Thus, this workshop can also be useful for both mental health providers and health care providers outside of mental health. This workshop can also serve as a useful tool for organizations who have implemented DBT to orient new or additional staff to the general structure and principles of DBT. Suggestions for additional training and self-study will be provided.

Teaching methods include lecture and treatment demonstrations to illustrate the principles and strategies of DBT.

This overview is a precursor to the world of DBT training. Those who want to implement DBT are invited to follow this workshop with additional training. For those who want to implement a full DBT program, we recommend completion of the comprehensive Dialectical Behavior Therapy Intensive Training. For those interested in implementing DBT skills, we recommend DBT Skills Training: Introduction & Fundamentals, which provides in-depth training in acquisition, strengthening, and generalization procedures of DBT skills. DBT skills training is one of 4 modes of standard outpatient DBT.

Basic knowledge about DBT, including the need for team-based dialectical treatment for complex disorder, and an overview of the components of the treatment, as well as the goals and content of the DBT skills modules.

DBT Skills Training: Introduction

This live instructor-led workshop provides a high level overview of the four DBT Skills modules and the programatic delivery of these skills. Skills training is one of multiple modes of treatment delivery in comprehensive DBT. This focus of this course is limited to the skills training mode.

This workshop can be provided onsite or remotely (online). The modules can be customized to the schedule of our clients, or it can be offered over 2 contiguous days. If the course is offered as a spaced modularized offering each module is 90-minutes, while a contiguous offering would have each module as 75-minute segments with additional segments to begin and close each day. Quizzes are included in each module, and are repeated as a final knowledge test at the end of the program. The workshop includes supplemental reading, homework, and quizzes estimated to be 9 - 12 hours beyond the scheduled didactic portion of the workshop.

Research indicates that DBT skills are a key mechanism of change for suicide attempts, non-suicidal self-injury, depression, and anger, and multiple randomized control trials have shown DBT skills to be effective for a variety of problems, including depression, emotion dysregulation, binge eating, and borderline personality disorder.

This introduction to DBT Skills Training introduces Dialectical Behavior Therapy (DBT) Skills Core Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. Participants learn about the function of skills training in DBT, the structure of a DBT skills training program, the goals and general content of each skills module, and the targets for DBT skills training. It also provides an overview of the manner in which DBT conceptualizes problems, as well as the behavior change, validation, and dialectical strategies used across all modes of the treatment. Clinical examples are used to illustrate specific skills training procedures. Video of roundtable discussions of DBT experts, and demonstrations of a skills training class are incorporated.

The workshop is designed for all mental health professionals who want get a high level overview of the four DBT Skills modules and the programatic delivery of these skills. Prior knowledge of DBT is not required; however, learning will be enhanced if participants are familiar with Dr. Marsha Linehan's 1993 text, Cognitive-Behavioral Treatment of Borderline Personality Disorder, and the 2015 DBT Skills Training Manual, Second Edition. Participants should have the latter available during the course.

This workshop is a precursor to the world of DBT skills training. Those who want to fully implement a DBT skills training program are invited to follow this course with the DBT Skills Training: Fundamentals, which provides in-depth training in acquisition, strengthening, and generalization procedures of DBT skills. DBT skills training is one of 4 modes of standard outpatient DBT. For those who want to implement a full DBT program we recommend completion of the comprehensive Dialectical Behavior Therapy Intensive Training.

This introduction to DBT Skills Training introduces Dialectical Behavior Therapy (DBT) Skills Core Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. Participants learn about the function of skills training in DBT, the structure of a DBT skills training program, the goals and general content of each skills module, and the targets for DBT skills training.

DBT in Milieu-based Settings

Providing milieu-based mental health services places high demands on systems and persons working within them. This is particularly true when working with persons with complex problems heightened by emotion dysregulation. This training is designed to teach staff ways to successfully address these complex problems. Among the specific items of focus, it is expected that participants will learn:

  • Effective ways to formulate the problems of residents in milieu-based treatment
  • Specific strategies to create a proactive treatment environment
  • Methods for increasing willingness to engage in skillful behavior
  • Strategies for coaching clients in the use of skillful behavior when in crisis
  • The goals of the four DBT skills modules&%2358; core mindfulness, emotion regulation, interpersonal effectiveness, distress tolerance
  • Specific DBT skills that are commonly used in milieu-based treatment
  • How to work as members of a milieu-based DBT team

This training is designed for those individuals who provide sustained or routine care for individuals receiving DBT services in milieu-based settings. Individuals may work in various settings, including hospitals, residential treatment centers, juvenile rehabilitation, day programs, prisons, therapeutic schools, and group homes. The training is intended for persons who have various roles in these settings, and may include direct-care workers, line staff, nurses, probation and parole officers, guards, nursing assistants, milieu counselors, educators, care coordinators, case managers, and those who supervise and plan treatment.

The course consists of 16 modules; a total of 24 instructor-led hours, that can be configured according to the needs of the organization. If provided as a single event, the 16 modules can be provided in 4 days of training. The training will use lecture and extensive clinical examples to illustrate the concepts being taught. Instructors will demonstrate application of the treatment and engage participants in exercises designed to foster application of strategies and procedures. Four of the 16 modules in this training provide an overview of the DBT skills modules of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. If participants are familiar with that information by having attended a workshop such as DBT Skills Training: Introduction the training can be shortened by removing these modules. This would result in 3 days of training, rather than 4.