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Date: Monday, November 4, 2024
Time: 12 – 2 pm EST

Format: Hybrid

  • Livestream via Zoom, or
  • In person: UNC School of Social Work, 325 Pittsboro Street, Chapel Hill, NC 27516

CE Credit: 2 CEs, read for full information on credit types awarded.
Fees: $35 (scholarships available)

Description: 

Therapy often starts out well and then somewhere on the journey we hit a roadblock. What do you do when you are not seeing progress, feel frustrated, seem to be putting in more energy than the client, or find yourself questioning your competence or checking out in session? This workshop will zero in on what can get us stuck in our psychotherapeutic work and teach specific strategies to navigate these impasses, illustrating this with case examples. Drawing from DBT, Katherine will help participants conceptualize treatment-interfering behaviors (TIBs) on the part of clients and therapists both, and how to prioritize and address these across therapy approaches. She will provide strategies to work through TIBs when they arise, as well address them more proactively in assessment, goal setting, and ongoing progress monitoring with clients. Katherine will draw from principles from DBT and CBT case conceptualization; however, no prior knowledge of DBT is required.

Learning Objectives:

At the end of the training participants will be able to:
1. Identify at least 3 treatment interfering behaviors (TIBs) by clients and therapists that commonly occur in therapy relationships.
2. Conceptualize TIBs and target them directly as a primary focus of treatment.
3. Name and apply 3 methods for working proactively with TIBs in session.

Trainer: Katherine Schulz, LCSW provides psychotherapy and supervisory services through Middle Path DBT and Mindfulness Center, with licenses in North Carolina and California. She has over 20 years of experience in inpatient and outpatient mental health settings and medical social work. She is DBT Certified through the Linehan Board, with advanced training in applying DBT with parents and families (trained with Alan Fruzetti), and in conjunction with prolonged exposure (trained with Melanie Harned). She also has training and expertise in exposure and response prevention (ERP) for obsessive compulsive disorder. She regularly provides supervision and clinical consultation for new and seasoned practitioners interested in incorporating DBT principles and concepts into their practice.

References:

  • Chapman, A., & Rosenthal, Z. (2016). Managing therapy-interfering behavior: Strategies from dialectical behavior therapy. Guilford Press.
  • Davis, M. L., Fletcher, T., McIngvale, E., Cepeda, S. L., Schneider, S. C., La Buissonnière Ariza, V., Egberts, J., Goodman, W., & Storch, E. A. (2020). Clinicians’ perspectives of interfering behaviors in the treatment of anxiety and obsessive-compulsive disorders in adults and children. Cognitive Behaviour Therapy, 49(1), 81-96. https://doi.org/10.1080/16506073.2019.1579857
  • Dimeff, L., & Koerner, K. (Eds.). (2007). Dialectical behavior therapy in clinical practice: Applications across disorders and settings. Guilford Press.
  • Emelianchik-Key, K., Labarta, A., & Glass, B. (2022). Infusing dialectical behavior therapy skills into supervision to address challenges and enhance performance. Journal of Creativity in Mental Health, 17(3), 394-409. https://doi.org/10.1080/15401383.2020.1870599
  • Ruork, A. K., Yin, Q., & Fruzzetti, A. E. (2022). Phone consultation and burnout among providers of dialectical behaviour therapy. Clinical Psychology and Psychotherapy, 29(2), 744-753. https://doi.org/10.1002/cpp.2668
  • Frank, R. I., & Davidson, J. (2014). Transdiagnostic road map for case formulation and treatment planning: Practical guidance for clinical decision making. New Harbinger Publications.
  • Harned, M. S. (2017). Treating trauma in dialectical behavior therapy: The prolonged exposure protocol (DBT PE). Guilford Press.
  • Koons, C. R. (2016). Mindfulness solutions for intense emotions: Take control of borderline personality disorder with DBT. New Harbinger Publications.
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.
  • Persons, J. B. (2008). The case formulation approach to cognitive behavior therapy. Guilford Press.
  • Rizvi, S. L. (2019). Chain analysis in dialectical behavior therapy. Guilford Press.
  • Rizvi, S. L., & Ritschel, L. A. (2014). Mastering the art of chain analysis in dialectical behavior therapy. Cognitive and Behavioral Practice, 21(3), 335-349. https://doi.org/10.1016/j.cbpra.2013.09.002
  • Ruork, A. K., Yin, Q., & Fruzzetti, A. E. (2022). Phone consultation and burnout among providers of dialectical behaviour therapy. Clinical Psychology and Psychotherapy, 29(2), 744-753. https://doi.org/10.1002/cpp.2668
  • Swenson, C. R. (2016). DBT principles in action: Acceptance, change, and dialectics. Guilford Press.

UNC Chapel Hill – Clinical Lecture Series

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