The Four Modules of Dialectical Behavior Therapy:
12 Week (12 CE) Workshop
Presenter: Presenter: Dr. Yosef Posy
These workshops offer 12 Continuing Education Credits
All webinars in this series are recorded and will not grant live credits.
The Four Modules of Dialectical Behavior Therapy
This is a 12 session, 12 hour class.
The training will discuss the use of validation and dialectics to help move clients towards change. Six levels of validation will be discussed, and the use of each will be described. The four modules of DBT: Mindfulness, Distress tolerance, emotional regulation, and interpersonal effectiveness will be discussed. The use of these modules to reduce problematic behavior through anticipation and adaptive skills will be described in depth. Examples from real life situations will be provided, to help participants incorporate these skills to their practice
Each session is recorded. Earn 12 CE Credit.
DBT training course outline
Session 1 830 - 855 History of DBT
The development of DBT from its original title of CBT for borderline personality disorder (BPD) will be discussed.
The limitations of CBT in treating borderline personality disorder will be discussed.
The way that DBT addresses the limitations of CBT in treating BPD will be discussed.
855- 920 what is DBT-
The use of dialectics as a new way of thinking will be discussed.
The combination of behavioral change skills and humanism will be discussed.
The use of validation to help move patients towards change will be discussed. The six ways to validate will be discussed in depth later in the training.
The assumptions made in DBT and how they relate to treatment will be discussed.
Wrap up/ review
Session 2 830 -855Diagnostic criteria for BPD
DSMV definitions for borderline personality disorder will be described.
Other disorders that can be treated with DBT will be discussed.
Common symptom presentation will be described.
Applications of symptoms in clinical settings will be discussed
Applications of symptoms in school and other settings will be discussed.
3. BPD risk factors
855.920 Comorbid disorders
The comorbid disorder of Bipolar, Anxiety and other cluster B personality disorder, as well as how to treat these disorders together with BPD will be discussed.
1. Wrap up/ review
Session 3 830 to 855 Diagnosis appropriate for DBT treatment
1. The use of DBT in the treatment of BPD will be discussed.
2. The use of DBT in the treatment of oppositional defiant disorder will be discussed
3. The use of DBT in the treatment of OCD will be discussed.
4. The use of DBT in the treatment of Anxiety will be discussed.
Explanations of why and how these disorders can be treated with DBT will be discussed
855-920 DBT limitations
The reasons OCPD is not treated with DBT will be discussed.
The reason some other cluster b personality disorders are not treated with DBT will be discussed.
The reasons Schizophrenia is not treated with DBT will be discussed
The reasons why Autism Spectrum Disorder is not treated with DBT will be discussed.
Explanations why DBT is not effective for these issues will be provided.
1. Wrap up review
Session 4 830-855 the components of DBT treatment.
1. The elements of DBT individual sessions will be discussed.
2. Skills groups, and their incorporation to one on one session, will be discussed.
3. How to use Phone coaching and the need to discuss boundaries will be discussed.
4. The Consultation team concept will be described.
All six validation techniques and how they are used to help move people towards change will be discussed.
Wrap up/ review
Session 5 830- 855 mindfulness A description of the 3 states of mind in DBT (wise mind, emotional mind, rational mind) will be provided.
The following mindfulness skills will be described:
4. Non judgmentally
5. One mindfully
A Discussion of how to implement these mindfulness techniques will follow the description.
855- 920 mindfulness practice exercises will be taught
1. The use of music as a mindfulness exercise will be demonstrated.
2. Other mindfulness exercises will be demonstrated
Wrap up review
Session 6 830 -855 Emotional regulation
1. Analyzing behavior-The effect of emotional regulation other parts of BDT will be discussed.
2. A Chain analysis –showing the interplay of vulnerability links, trigger links, and behavior will be demonstrated
855-920 chain analysis continued
Different uses of chain analysis will be demonstrated with case examples.
A brief description of the use of Dairy cards in DBT will be discussed.
1 wrap up review
Session 7 830-855 the following emotional regulation skills will be discussed.
2. Build Mastery
3. Build positive experience
Examples of how these can be used in real time sessions will be demonstrated.
855- 920 behavioral skills
The skills of opposite action to emotion will be discussed. The implementation of these skills with different emotions will be demonstrated.
Various uses of opposite action to emotion with case examples will be demonstrated.
Wrap up/ review
Session 8 830-855 Distress tolerance skills
The purpose of Distress tolerance skills will be discussed.
The appropriate timing of these skills will be discussed
Case examples will be provided to help illustrate these skills.
855-920 distress tolerance continued
Suicide prevention skills will be discussed
Self-harm prevention skills will be discussed
DBT Protocols for these skills will be demonstrated.
Wrap up/ review
Session 9 830 -855 Distress tolerance continued
The Distract skills for distress tolerance will be discussed Specific uses of these skills for specific problems will be discussed.
855-920 Distress tolerance continued
The skill of Wise mind accepts will be discussed. Followed by a
Discussion of how to use these skills to decrease distress and stop little problems from becoming big problems. (Arrested for speeding ticket story)
Wrap up/ review
Session 10 830-855 Interpersonal effectiveness skills
The Purpose of skills- including why they needed and how to get client buy in will be discussed.
The use of these skills to prevent invalidation will be discussed case examples will be provided.
The use of these skills to prevent aggression will be discussed .Case examples will be provided.
Methods to connect Interpersonal effectiveness skills and emotional regulation skills will be discussed.
Methods to connect Interpersonal skills and distress tolerance skills will be discussed.
Session 11 830 -855 Interpersonal effectiveness skills continued
Skills of objective effectiveness such as Dear Man will be discussed the use of these skills to effectively advocate and to learn to say no will be demonstrated.
855 = 920
Relationship effectiveness skills will be discussed. The use of these skills to build relationships will be discussed
Self-respect effectiveness skills such as Give Fast will be discussed. The use of these skills to enhance self-respect and self-validation will be discussed.
Wrap up review
Session 12 830 -855 Case presentations
Case presentation 1/ the case type will be determined by request.
Case presentation 2/ the case type determined by request.
920/930 wraps up review
Dr. Yosef Posy is a doctoral level psychologist who received his doctoral degree from Hofstra University. Dr Posy has also done advanced training in Dialectical Behavioral Therapy (DBT) through Behavioral Tech, and has worked as a clinician, supervisor and administrator since 2003. Dr Posy has provided training on CBT and DBT to several schools in the Brooklyn area. He has also developed, and ran a Doctoral level internship and externship program for Interborough Developmental & Consultation Center.