No 2 Therapy Utilize the Stages of treatment functions of ...The Expanded Dialectical Behavior...
Transcript of No 2 Therapy Utilize the Stages of treatment functions of ...The Expanded Dialectical Behavior...
TherapyDialectical Behavior
50231
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Outline
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Dialectical Behavior
designed in the early 1990s, dialectical Behavior therapy (dBt) gives hope and confidence to clinicians and clients alike. developed by marsha linehan, Ph.d.,
dBt was originally used to treat chronic suicidal individuals. However, clinicians across the country are using dBt to help treat individuals with a wide range of mental illnesses including, but not limited, to Borderline Personality disorder, eating disorders, and addictions.
this seminar is designed to help you understand why dBt is so effective with your clients and how it works with borderline personality disorder and other mental health disorders. You will also have a solid foundation in dBt through training. Speaker dr. Stephanie Vaughn will help you demystify topics related to dBt and borderline personality disorder.
Known as a third-wave therapy, dBt moves away from the strict change strategies found in traditional treatments. in dBt, the therapist and the client balance these traditional change strategies with acceptance and mindfulness. it’s the constant back and forth movement between acceptance and change that makes dBt unique.
Overview Of DBT- Why dialectics and what does that mean
anyway?- Common “dialectical dilemmas” of clients with
Borderline Personality disorder - Borderline Personality disorder defined
and re-defined- Biosocial theory of Borderline Personality
disorder…etiology and why we need to know it
- engendering compassion and empathy for this “difficult-to-treat” population
- Current research on dBt and why it is important to know it
MODes anD funcTiOns Of DBT- individual therapy—enhancing motivation- telephone Consultation—enhancing
generalization- dBt Consultation Group—enhancing
motivation & skill of the therapist- Skills training—enhancing capabilities- ancillary treatments—structuring the
environment
sTages anD TargeTs Of DBT—sTrucTuring The TreaTMenT-Pre-treatment Stage: orienting the client
to treatment and getting commitment-Stage 1 target Behaviors: decrease life-
threatening, therapy interfering and quality-of-life interfering behaviors and increase dBt skills
-Stage 2 target Behavior: decrease posttraumatic stress responses
-Stage 3 target Behavior: increase self- respect and achieve individual goals
-Stage 4 target Behavior: increase joy, freedom and spiritual fulfillment
-targeting Strategies…What to treat and when
The Diary carD- How to teach a client to fill out a diary card- review a diary card in an individual
therapy session- Where to look and what to treat on a
diary card
DBT skills Training - demographics and structure of the
dBt Skills training Group- rules of dBt Skills training Group- targets of dBt Skills training Group- roles of facilitators
cOre MinDfulness skills - the “Core” Skills in dBt Skills training- Become more mindful of thoughts, feelings
and urges and acting with intuition- decrease the amount of judgments clients
make about themselves and others- Participating and “throwing yourself in”
(with a Wise mind of course)
DisTress TOlerance skills- tolerate and survive a crisis
(without making it worse)- “distract” themselves in their attempts to
regulate their emotions- Self-Soothing the five senses in times of a crisis- “radically accepting” the crisis as it is and
letting go of the struggle
inTerpersOnal effecTiveness skills- Skills to help clients make requests and say No
(and have it stick)- teaching clients how to improve and attend
to relationships- Self-respect in the client and the respect
others have for them
eMOTiOn regulaTiOn skills- regulate or even change intense emotions- decrease emotional vulnerability in your client- decrease negative emotions and increase the
positive (and staying mindful of them)- “Building a life Worth living”
stephanie vaughn, psy.D., clinical psychologist-hsp is the founder of Psychē, PllC, a boutique outpatient therapy practice located in the Gulch area of Nashville, tennessee. She is an associate faculty member at Vanderbilt University in both the Psychology and Psychiatry departments and serves as co-founder and director of one of the few dBt-SUd residential facilities in the country, Voyage at Journey Pure, opening fall of 2016. She conducts dialectical Behavior therapy (dBt) with both adolescents and adults as a dBt-linehan Board of Certification, Certified Clinician™. She is considered an expert on therapy-interfering Behaviors and contingency management for oppositional behaviors in adolescents.
dr. Vaughn has worked in the intensive PtSd program at the department of Veteran affairs with soldiers returning from afghanistan and iraq and female soldiers suffering from military Sexual trauma where she implemented formal Prolonged exposure (Pe). She is active in the teaching and supervision of dBt for Vanderbilt’s Psychology & Counseling students and doctoral interns, as well as Psychiatry residents. She founded and currently runs Vanderbilt’s dBt Peer Consultation Group. She has served as an expert consultant for a variety of hospitals, schools, and clinics around the country. Speaker disclosures: financial: Stephanie Vaughn maintains a private practice. She receives a speaking honorarium from PeSi, inc. Non-financial: Stephanie Vaughn is a member of the american Psychological association.
A NoN-Profit orgANizAtioN CoNNeCtiNg KNowledge with Need SiNCe 1979
Behavior Therapy
Advanced Dialectical
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Objectives1 explain the Biosocial theory of
Borderline Personality disorder.
2 identify the 5 modes and functions of dBt treatment.
3 Utilize the Stages of treatment in dBt.
4 review a diary card in both individual and group sessions.
5 format and structure a dBt Skills Group.
6 identify the 4 modules of dBt Skills training: Core mindfulness, distress tolerance, interpersonal effectiveness and emotion regulation.
• take your knowledge in dBt to the next level
• major emphasis on specific individual dBt techniques
• Hands-on practice using specific dBt strategies
• Become proficient in behavioral chain analysis
Advanced DialecticalBehavior Therapy
• realize why dBt is effective with the most challenging clientsIncluding...
Borderline Personality disorderaddictionseating disorders
• excel in the 4 Skills modules: Core mindfulness, distress tolerance, interpersonal effectiveness and emotion regulation
• evidence-Based approach
Suicideadolescents
TherapyDialectical Behavior
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Counselors • PsychologistsPsychotherapists • Social WorkersAddiction Counselors • Therapists
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seminars Designed especially for
Behavior Therapy
Advanced Dialectical Dialectical Behavior Therapy Skills Training with Adolescents: A Practical Workbook for Therapists, Teens & ParentsBy Jean eich, pSYD, lp
a comprehensive training manual
filled with age-relevant skills explanations, examples, activities and applied worksheets for real-life situations. Separated into three easy-to-use parts; the therapist section focuses on practical dBt strategies and guidance to balance therapy with parents.
The Expanded Dialectical Behavior Therapy Skills Training Manual: Practical DBT for Self-Help, and Individual & Group Treatment SettingsBy lane pederson,
psy.D., lp, DBTC
With fresh updates on the classic modules of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, this manual expands skills training into the areas of dialectics, shifting thoughts, building routines, problem-solving, and boundaries. Straightforward applications and useful worksheets make the skills accessible to clients. easy to ready and highly practical.
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take your current knowledge of dBt to the next level. this training will help you focus on individual dBt techniques, specifically the behavioral chain analysis. many dBt
clinicians agree that the individual mode of dBt is the most difficult mode to implement. this training will help you add another tool to your dBt tool belt and increase your confidence while delivering this comprehensive model.
Come ready to engage in this highly interactive seminar. National expert and speaker dr. Stephanie Vaughn will use case examples, recordings of actual sessions, role-plays and an up-beat, high energy and down-to-earth presentation to teach these advanced topics. Stephanie has the unique ability to translate the most challenging concepts from dBt to simple practical terms, so you are ready to use these skills the next day with your clients.
MOveMenT, speeD, flOw anD DialecTics- developing goals with clients- dBt client and therapist agreements- decreasing and assessing suicidal and self-harming
behaviors- increasing Skill acquisition and Strength
- mindfulness- interpersonal effectiveness- emotion regulation- distress tolerance
- Schema Change methods – the CBt of dBt- improving the moment and dialectical Synthesis
cOMMunicaTiOn/sTylisTic sTraTegies- reciprocal communication—Being responsive,
genuine and engaging- irreverent communication—“Plunging in where
angels fear to tread”
sTages anD TargeTs Of DBT—sTrucTuring The TreaTMenT-pre-Treatment Stage: orienting the client to
treatment and getting commitment-Stage 1 Target Behaviors: decrease life-threatening,
therapy interfering and quality-of-life interfering behaviors and increase dBt skills
-Stage 2 Target Behavior: decrease posttraumatic stress responses
-Stage 3 Target Behavior: increase self-respect and achieve individual goals
-Stage 4 Target Behavior: increase joy, freedom and spiritual fulfillment
-targeting Strategies—What to treat and when
The Diary carD- How to teach a client to fill out a diary card- How to review a diary card in an individual therapy
session- Where to look for and what to treat on a diary card- Handling diary card non-compliance
The BehaviOral chain analysis—The ingenuiTy Of DBT-learning the steps to conduct the chain-identifying function in behavior-Using behavioral principles in order to “break the
chain”-applied case studies
cOre DBT sTraTegies: valiDaTiOn- levels of Validation—Staying awake to radical
genuineness- emotional Validation Strategies- Behavioral Validation Strategies- Cognitive Validation Strategies
Seminar on CD or DVD Package: if you cannot attend this seminar, you can purchase a self-study package on the subject. You will receive a set of dVds or Cds that include a digital copy of the seminar manual and post-test/evaluation. You and your colleagues can receive Ce hours for a nominal fee. to determine if homestudy credits are available for your profession go to www.pesi.com or call 800-844-8260. Check with your licensing board to verify acceptance of self-study credits for license renewal. order today by using the order form on this brochure or by calling 800-844-8260.
omni Nashville Hotel 250 fifth avenue South • 37203 (615) 782-5300 Day 1: Dialectical Behavior Therapy ■ January 26, 2017 50231NaS1
Day 2: advanced Dialectical Behavior Therapy ■ Janaury 27, 2017 50231NaS2
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7:30 registration/morning Coffee & Tea8:00 program begins11:50-1:00 lunch (on your own)4:00 program ends
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Objectives1 implement the dialectical
strategies used in dBt.
2 identify communication strategies used in dBt.
3 implement a behavioral chain analysis on specific target behaviors.
4 implement six levels of validation.
5 Structure an individual session based on stage 1 target behavior.
6 examine the use of diary cards to reinforce use of skills.
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