2020 DBT Summit-The Latest in Practice-Based Innovations – Eboni Webb and Others

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Dialectical Behavior Therapy’s guiding theory and deep use of acceptance-based and CBT tools and techniques makes it one of the most adaptable and useful treatments across settings and diagnoses.

Watch Lane Pederson, PsyD, as he hosts this one-day summit where you will hear from top DBT practitioners with real-world experience applying it to PTSD and attachment issues, dual diagnosis disorders, and even bipolar disorder.

In addition, you’ll learn:

• Distinctions between DBT and CBT that increase the effectiveness of this approach with clients that struggle with emotions and harmful urges
• The keys to making practice-based applications of DBT evidence-based
• Bring DBT online via Telehealth in the age of Covid-19

This summit concludes with a roundtable discussion of current client and DBT issues of concern to you. Watch faculty members: Lane Pederson, PsyD; Eboni Webb, PsyD; Sher van Djik, MSW and Steve Girardeau, PsyD for this exciting day of learning and connection with colleagues!

Session 1 – Trauma-Informed DBT Strategies – Eboni Webb, PsyD

1. Propose the critical steps in clinical sessions for effective TFDBT therapy.
2. Determine the biosocial model of pervasive emotional dysregulation disorders found in innately sensitive clients most vulnerable to trauma.
3. Demonstrate validation of client’s self-defeating beliefs and feelings (e.g. trauma reenactments)
4. Adapt DBT to somatic interventions for the clinical need of the client.

Session 2 – DBT-Informed Treatment of Bipolar Disorder – Sheri van Djik, MSW

1. Determine the research and nature of current evidence base for using Dialectical Behavior Therapy with clients diagnosed with bipolar disorder.
2. Integrate the core skills of DBT (mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness) in your clinical treatment planning for clients with bipolar disorder diagnosis.
3. Propose how to conduct DBT sessions in both individual and group settings for this client base.

Session 3 – DBT for Dual Diagnosis: Innovation and Integration – Steve Girardeau, PsyD

1. Determine three specific ways to plan therapy that integrates DBT and chemical health treatment.
2. Extrapolate how an innovative model of care can more successfully address the special needs of a population with dual diagnoses.
3. Propose how the model of care can support a different model of payment that best meets the needs of the population. 

Session 4 – DBT in Action: Fundamentals, Following the Evidence, and DBT via Telehealth – Lane Pederson, PsyD

1. Assess three important distinctions between DBT and CBT.
2. Evaluate the differences between treatment fidelity and evidence-based practice.
3. Determine three best practices for providing DBT via telehealth.

Session 1 – Trauma-Informed DBT Strategies – Eboni Webb, PsyD

Trauma and attachment

• Biosocial model
• Symptoms of a pervasive emotional dysregulation disorder
• Developmental vs. attachment trauma

Trauma and brain development

• Biphasic arousal model
• Core organizers of experience

TF-DBT survival resources

• Survival resources
• Somatic resources

Critical interventions

• Proximity maintenance: restructuring boundaries
• Creating a secure therapeutic base
• Creating a safe therapeutic haven
• Validation: Connection before redirection

Session 2 – DBT-Informed Treatment of Bipolar Disorder – Sheri van Djik, MSW

How DBT evolved as an effective treatment of Bipolar Disorder (BD)

On-target DBT skills applied to treatment of BD:

• Mindfulness
• Distress tolerance
• Emotion regulation
• Interpersonal effectiveness skills

Special considerations for teaching skills in group vs. individual sessions

The Research: Risks, limitations and the nature of current evidence base

Session 3 – DBT for Dual Diagnosis: Innovation and Integration – Steve Girardeau, PsyD

DBT and Chemical Health Treatment

• Separate tracks
• As they have been combined

What needs to be covered in interventions

• Breaking out of ineffective patterns
• Alternatives to emotional blunting
• Skillful addressing of issues vs. reactivity
• Development of healthy and supportive relationships

The special role of Dialectical Abstinence

• A process of change vs. an on off switch
• Leaving shame behind and replacing it with choices to reinforce

Key issues and applicaton in practice

• Full integration
• Address the full set of issues
• Expect slips/lapses and program to address them
• Focus on change and hope vs. shame and failure

Session 4 – DBT in Action: Fundamentals, Following the Evidence, and DBT via Telehealth – Lane Pederson, PsyD

Key similarities and differences between DBT and CBT

• Different theories drive different interventions
• Integrating acceptance to open the doors of change

Bring acceptance strategies to the session

• Key tips that will transform your use of mindfulness
• Debunking mindfulness myths
• Tolerance in the moment: What therapists commonly miss

How to make practice-based DBT evidence-based for special settings and populations

• Treatment fidelity and evidence-based practice
• Different, yet equally legitimate ways of following evidence
• Determine what works for your clients and setting

DBT online? Yes, you can!

• Telehealth in the age of Covid-19
• Future directions for DBT online

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