DBT Conference

CPD

Handouts

Speaker

Lane Pederson, PsyD, LP, C-DBT Related seminars and products

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Lane Pederson, PsyD, LP, C-DBT, has provided Dialectical Behavior Therapy (DBT) training and consultation to over 30,000 professionals in the United States, Australia, South Africa, England, Canada, Mexico, and the Middle East through his training and consultation company, Lane Pederson and Associates, LLC (www.DrLanePederson.com).  A real world practitioner, Dr. Pederson co-owns Mental Health Systems, PC (MHS), one of the largest DBT-specialized practices in the United States with four clinic locations in Minnesota (www.mhs-dbt.com).  At MHS, Dr. Pederson has developed DBT programs for adolescents, adults, people with dual disorders, and people with developmental disabilities.  He has served as clinical and training directors, has directed practice-based clinical outcome studies, and has overseen the care of thousands of clients in need of intensive outpatient services.

Dr. Pederson’s DBT publications include The Expanded Dialectical Behavior Therapy Skills Training Manual, 2nd Edition: DBT for Self-Help and Individual & Group Treatment Settings  (PESI, 2017); Dialectical Behavior Therapy: A Contemporary Guide for Practitioners (Wiley, 2015); Dialectical Behavior Therapy Skills Training for Integrated Dual Disorder Treatment Settings (PESI, 2013) and The DBT Deck for Clients and Therapists: 101 Mindful Practices to Manage Distress, Regulate Emotions & Build Better Relationships (PESI, 2019).

Notable organizations he has trained for include Walter Reed National Military Hospital, the Federal Bureau of Prisons, the Ontario Psychological Association, the Omid Foundation, and Psychotherapy Networker.  He has provided DBT training for community mental health agencies, chemical dependency treatment centers, hospital and residential care settings, and to therapists in forensic settings.  Dr. Pederson also co-owns Acacia Therapy and Health Training (www.AcaciaTraining.co.za) in South Africa. Dr. Pederson currently serves on the advisory board for the doctorial counseling program at Saint Mary’s University of Minnesota and is a peer reviewer for Forensic Scholars Today.

Lane Pederson is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organization.

 

Speaker Disclosures:
Financial: Lane Pederson maintains private practice and is the founder and CEO of Dialectical Behavior Therapy National Certification and Accreditation Association. He receives compensation as a national speaker and receives royalties as a published author. Lane Pederson receives a speaking honorarium, recording, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Lane Pederson has no relevant non-financial relationships.

Alternate Options

Objectives

1. Discriminate DBT from the contextual model of therapy.
2. Evaluate DBT research in light of the contextual model and the Evidence-Based Practice of Psychology (EBPP).
3. Correlate DBT philosophies and interventions to the therapeutic factors that most improve treatment outcomes.
4. Explore dialectic philosophies and their application in therapy
5. Determine how the core assumptions of DBT are put into action in therapy
6. Assess how DBT theory drives therapeutic interventions.
7. Communicate how to balance validation and change strategies in clinical situations
8. Integrate mindfulness techniques into therapy.
9. Implement an effective therapy structure that includes identifying clear treatment goals
10. Practice how to effectively teach the four standard DBT skills modules - mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness.
11. Design teaching strategies for skills training sessions.
12. Plan and teach supplemental DBT skills and modules.
13. Practice DBT skills training techniques in small groups.
14. Recommend how to seamlessly integrate DBT skills into individual therapy.
15. Discriminate the DBT model from cognitive-behavioral, client-centered, and other treatment modalities.
16. Practice a multi-layered approach to validation of clients’ thoughts and feelings.
17. Establish balance validation with the most effective (and practical) methods of behavior change.
18. Practice reciprocal and irreverent communication styles, to be utilized within the therapy session.
19. Comment on the key differences between traditional cognitive interventions and DBT-style cognitive interventions.
20. Practice therapy techniques with effective pacing, balance, and flow.
21. Articulate when to use (and not to use) exposure techniques.
22. Employ DBT diary cards and chain (change) analysis.
23. Propose how to operate with consultative groups and treatment teams.
24. Assess and manage self-injurious and suicidal behaviors with clear protocols and safety plans.
25. Establish clear plans for crisis management, including psychiatric hospitalizations.

Outline

DEVELOPING THE FOUNDATION

Essentials of DBT

• Explicit focus on validation
• Cognitive-behavioral change strategies
• Dialectical balance
• Skills training
• Mindfulness
• Consultative approach

DBT and the Contextual Model

• Understanding how therapy works
• Six decades of empirical research
• Evidence-based practice
• Maximizing therapeutic factors, DBT-style

Dialectics in Practice

• Dialectics explained
• Dialectic assumptions
• Dialectics in action

Core Assumptions of DBT

• Acceptance and nonjudgmental stance
• View of clients, therapists, and therapy
• What’s needed in a DBT clinical process

Biosocial Model

• Biosocial theory of difficulties
• How theory drives therapy

Mindfulness and DBT

• Mindfulness explained
• Mindfulness of the approach
• Mindfulness as a therapy technique
• Mindfulness in life

Getting Started: Structuring Therapy

• Structure as a therapeutic factor
• Structuring the therapy environment
• Identifying treatment targets: suicidality, self-injurious behavior (SIB), therapy-interfering behavior (TIB), and other targets

Making It Practical: Structuring Your Therapy or Program

SKILLS TRAINING

Skills Training

• Integrating skills into therapy
• Using skills to develop new behaviors

Mindfulness: The Path to Wise Mind

• What skills: observe describe, participate
• How skills: nonjudgmental, one-mindful, effectively
• Mindfulness practice and application

Teaching Dialectics

• Identify dialectical dilemmas
• Activate Wise Mind action

Distress Tolerance

• Wise mind ACCEPTS
• IMPROVE the Moment
• Pros and cons
• Radical Acceptance/turning the mind

Emotion Regulation

• Model of Emotions
• PLEASED
• Build positive experiences
• Opposite action

Interpersonal Effectiveness

• FAST skills
• GIVE skills
• DEAR MAN skills

Other Skill Modules

• Boundaries
• Problem-solving

DBT THERAPY

Validation

• Multi-layered approach to validation
• Validation as an exposure technique
• Balance of validation and change

Change Interventions

• Behavioral principals
• Contingency procedures
• Best behavior change methods
• DBT-style cognitive interventions

Exposure Techniques

• When to use (and not to use)
• Exposure protocols
• Alternatives to exposure

Communication Styles

• Reciprocal
• Irreverent

MANAGING CHALLENGING BEHAVIORS

Diary Cards: Standard and Adapted Behavior Chain (Change) Analysis

• Getting the client on board
• Build awareness and options

Consultative Group and Treatment Teams

• Increase your motivation
• Develop effective responses
• Qualities of effective treatment teams

Assess and Manage Self-Injurious Behavior (SIB)

• SIB assessment techniques
• When is SIB life-threatening?
• Creating alternatives

Assess and Manage Suicidal Ideation (SI)

• Suicide assessment techniques
• Establishing safety protocols
• Safety plans and safety commitments

Hospitalization Issues

• Effective use of the hospital
• Transitions in and out

Next Steps

• What you learned and what you need
• Developing your plan
• Taking action

Target Audience

Counselors, Psychologists, Psychotherapists, Social Workers, Marriage & Family Therapists, Addiction Counselors, Case Managers, Mental Health Professionals, Nurses

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