Andrew Bein – Adapting Dialectical Behavior Therapy for Everyday Clinical Needs

Outline

Dialectical Behavior Therapy

• Dialectics
• DBT vs. CBT
• DBT in individual therapy
• DBT in group therapy
• Hierarchical skill instruction
• Supporting research
• Limitations of practice and risk

The Four Modules Of DBT Skills

• Mindfulness
• Distress tolerance
• Emotion regulation
• Interpersonal effectiveness

Foundations For Powerful Client Interventions

• Describe DBT principles and neuroscience accessibly to clients
• Unify concepts
• Build upon and refine concepts and skills session-to-session
• Flatten the clinician-client hierarchy
• Connect with client trauma
• Enhance internal motivation
• Strengthen skillful response and personal resilience

The Client’s Wise Mind Process

• Intention
• Acceptance and culturally competent equivalents
• Improve the moment for emotion regulation and safety
• Expand the moment to strengthen connection
• Cultivate self-compassion, an emotion regulation oasis
• Use Wise Mind diagrams for clients

Key Client Exercises

• Effectively teaching mindfulness exercises
• Face emotions and thoughts, improving the moment
• Deal with judgments
• Deal with difficult times: distress tolerance plan
• Expand the moment (inclusive “bigger picture” or spiritual strategies)
• Work with client logs and assignments

Moving Beyond Theory: How To Integrate Principles In Your Practice

• Applications for diverse clientele
• Adapt DBT to your practice setting
• Strategies for effectively incorporating DBT
• DBT work side-by-side with other interventions
• Maintain practitioner radical acceptance and mindfulness in the midst of emotional intensity
• Discuss case scenarios

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.