Format: Self-paced / asynchronous program
Engage with this recorded program on your schedule.
CE: 2 CEs total, read for more information on CEs
Fee: $35, read for more information on fees and scholarships
Description: This virtual live workshop is designed to provide an introduction to the Dialectical Behavior Therapy Prolonged Exposure Protocol (DBT PE) for PTSD, one of the newest developments in DBT research and practice. DBT was originally developed to treat chronically suicidal and self-injuring individuals with multiple mental disorders and pervasive emotion dysregulation. From its inception, DBT has highlighted the role of trauma as a common etiological factor and posttraumatic stress disorder (PTSD) as an important treatment target for many clients who receive this treatment. The first two decades of DBT treatment development and research primarily focused on Stage 1 DBT to target behavioral dyscontrol, and DBT’s Stage 2 in which PTSD is targeted was left largely undeveloped. As a result, formal treatment of PTSD during DBT has historically been the exception rather than the norm. The DBT Prolonged Exposure (DBT PE) protocol, an adapted version of Prolonged Exposure (PE) therapy, was developed specifically to provide a structured method of treating PTSD within DBT. In this workshop, the rationale for and structure of the integrated DBT and DBT PE treatment will be described and the criteria for determining when a Stage 1 client is ready to begin DBT PE will be reviewed. The core procedures of DBT PE will be explained, including how in vivo exposure, imaginal exposure, and processing are used to treat PTSD. Finally, research findings supporting the safety and effectiveness of the treatment will be presented.
Learning Objectives
As a result of this training, participants will be able to:
- Describe the rationale for integrating PTSD treatment into DBT.
- Explain the core procedures of the DBT PE protocol.
- Review research findings evaluating the safety and effectiveness of the treatment.
Trainer: Melanie Harned, PhD, ABPP is a Psychologist and Coordinator of the DBT Program at the VA Puget Sound Health Care System as well as an Associate Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Associate Professor in the Department of Psychology at the University of Washington. Dr. Harned has previously worked as the Research Director of Dr. Marsha Linehan’s Behavioral Research and Therapy Clinics at the University of Washington (2006-2018), Director of Research and Development for Behavioral Tech, LLC (2014-2017), and Director of Behavioral Tech Research, Inc. (2013-2016). Dr. Harned’s research focuses on the development and evaluation of the DBT Prolonged Exposure protocol for PTSD as well as methods of disseminating and implementing this and other evidence-based treatments into clinical practice. She regularly provides training and consultation nationally and internationally in DBT and DBT PE and has published extensively on these treatments. She is a certified DBT therapist, a certified PE therapist and supervisor, is board certified in Behavioral and Cognitive therapy, and is licensed as a psychologist in the state of Washington.
References:
- Harned, M. S. (2022). Treating Trauma in Dialectical Behavior Therapy. The DBT Prolonged Exposure Protocol (DBT PE). New York, NY: Guilford Press.
- Harned, M. S., Schmidt, S. C., Korslund, K. E., & Gallop, R. J. (2021). Does adding the Dialectical Behavior Therapy Prolonged Exposure (DBT PE) protocol for PTSD to DBT improve outcomes in public mental health settings? A pilot nonrandomized effectiveness trial with benchmarking. Behavior Therapy, 52, 639-655.
- Harned, M. S., Ritschel, L. A., Schmidt, S. C. (2021). Effects of workshop training in the Dialectical Behavior Therapy Prolonged Exposure protocol on clinician beliefs, adoption, and perceived clinical outcomes. Journal of Traumatic Stress, 34, 427-439.
- Harned, M. S., Fitzpatrick, S., & Schmidt, S. C. (2020). Identifying change targets for PTSD among suicidal and self-injuring women with borderline personality disorder. Journal of Traumatic Stress, 33, 610-616.
- Harned, M. S. & Schmidt, S. C. (2019). Perspectives on a stage-based treatment for PTSD among Dialectical Behavior Therapy consumers in public mental health settings. Community Mental Health Journal, 55, 409-419.
- Harned, M. S., Wilks, C. R., Schmidt, S. C., & Coyle, T. N. (2018). Improving functional outcomes in borderline personality disorder by changing PTSD severity and post-traumatic cognitions. Behaviour Research and Therapy, 103, 53-61.
- Harned, M. S., Gallop, R. J., & Valenstein-Mah, H. R. (2018). What changes when? The course of improvement during a stage-based treatment for suicidal and self-injuring women with borderline personality disorder and PTSD. Psychotherapy Research, 28, 761-775.
- Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014). A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behaviour Research and Therapy, 55, 7-17.
- Harned, M. S., Tkachuck, M. A., & Youngberg, K. A. (2013). Treatment preference among suicidal and self-injuring women with borderline personality disorder and PTSD. Journal of Clinical Psychology, 69,749-761.
- Harned, M. S., Korslund, K. E., Foa, E. B., & Linehan, M. M. (2012). Treating PTSD in suicidal and self-injuring women with borderline personality disorder: Development and preliminary evaluation of a Dialectical Behavior Therapy Prolonged Exposure protocol. Behaviour Research and Therapy, 50, 381-386.