DIALECTIC BEHAVIOUR THERAPY (DBT) FOR BORDERLINE PERSONALITY DISORDER - Two active days developing a DBT stance and skill-kit for use in clinical work.

CPD

Faculty

John Butters, BPsych PGDip Psych MPsych MRes Adv Dip Psychotherapy Related seminars and products

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John Butters is a Counselling Psychologist with specialist endorsement through AHPRA. He has worked as a psychologist since 1988, in both psychiatric and community health settings where he has coordinated DBT outpatient programs, provided individual psychotherapy and clinical supervision.

John has undergone training in psychodynamic psychotherapy - which has included a five-year intensive training in Self-Psychology. Between 2007 and 2012 he undertook advanced training in MBT (Mentalization Based Therapy) through the Anna Freud Centre (London) by Prof. Peter Fonagy and Dr Anthony Bateman and has a specific interest in this mode of treatment incorporated into his work.

He has taught a variety of short courses for training organisations and professional bodies including Think Education, Karitarne, AABCAP, CASPC, PDP, and PESI to name a few.

John is currently a clinical supervisor and clinician providing short- to long-term counselling and psychotherapy services in Pyrmont and Crows Nest, NSW providing treatment and supervision. He has specialist endorsement with AHPRA for counselling psychology.
Specialties: Short and long-term psychology support using a variety of evidence-based approaches including; CBT, DBT, MBT and psychodynamic therapies.
Lecturer and trainer in a number of core areas of discipline and supervisor of grad-students.

 

Speaker Disclosures:
Financial: John Butters receives compensation as a consultant. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John Butters is a member of the Australian Psychological Society.

 

 

Objectives

1. Develop an understanding of the history and diagnosis of BPD.
2. Understanding and relevance of terms ‘skills deficit’ and ‘biopsychosocial model’ to BPD.
3. Determine the ways interpersonal skills training can support clients to improve relationships.
4. Apply DBT skills to identify unhealthy interaction styles for the client.
5. Develop an understanding of dialectics.
6. Understand the organisation of skills modules and their relevance to symptoms seen in BPD.
7. Develop understanding of Mindfulness and its practical application with client grouping.
8. Understand the definition of ‘crisis’ and ‘crisis behaviours’.
9. Develop Self-harm and Suicide assessment skills.
10. Determine DBT strategies to reduce self-destructive urges.
11. Explore DBT applications for working with clients with trauma history.
12. Determine DBT interventions to help foster acceptance of traumatic events whilst addressing doubt, guilt and shame.
13. Develop knowledge and practical application of validation techniques.
14. Demonstrate effective teaching of DBT skills with constructive feedback and support.
15. Support how interpersonal skills practice in therapy settings can help clients be in relationships without losing their sense of self.
16. Develop a 'Wise Mind' together with the client state for increased awareness and self-regulation.
17. Develop a skill kit for clients in emotional crisis using distress tolerance skills.
18. Develop approaches to facilitate client engagement and commitment to DBT homework assignments.

“Develop a practical and systematic way of working that is both deeply respectful and playful."  John Butters

How will you benefit from attending this training?

• Develop a specific understanding of BPD and how dialectical behaviour therapy speaks to the symptoms.
• Take skills away that can be practiced immediately.
• Provide a practical way of developing your skills as a counsellor or other helping professional.

Outline

DAY 1

• Borderline Personality Disorder:
  • Clinical Features
  • History of diagnosis
  • From symptoms to skills deficits
• Introduction to DBT
  • Dialectics - change versus acceptance:
  • Validation - levels
  • Chain Analysis
• Suicide
  • Considerations for Assessment and Intervention
  • Screening and assessment tools for self- harming behaviors
  • Interventions and treatment considerations for the self-harming population
  • Suicide risk as a skills deficit problem
  • Tools and techniques to assess for level of risk

DAY 2

• Introduction to Mindfulness (CM)
  • Understanding States of Mind
  • The “What Skills”
  • The “How Skills”
  • How to run a mindfulness practical
  • Group Practice
• Introducing Distress Tolerance (DT)
  • What is a Crisis?
  • From accepts to Radical Acceptance
  • Looking at homework sheets for DT
  • Creating a crisis survival box / plan (Traffic Light Exercise)

DAY 3

• Introducing Emotion Regulation (ER)
  • Using the Model of Emotion
  • Group Exercise (creating a model for one emotion)
  • Using PLEASE Master to reduce emotion mind
  • “Urge Surfing” as exposure to phobia-producing emotions
  • Opposite Action
• Introducing Interpersonal Effectiveness (IE)
  • How “Important / Intense” do I need to be?
  • Working out my priorities
  • Balancing Objectives / Relationship / Self Respect
  • Role Plays and Wrap Up

Webcast Schedule

Morning Session
  9:00am - 12:30pm (includes 15 minute break at 10:30am)

Lunch Break
  12:30pm - 1:00pm

Afternoon Session
  1:00pm - 4:30pm (includes 15 minute break at 2:45pm)

Target Audience

This seminar has been designed to extend the clinical knowledge and applied skill of Counsellors, Psychotherapists, Coaches, Psychologists, Hypnotherapists, Social Workers, Community Workers, Mental Health Nurses and Psychiatrists.