Skip to main content

What’s After Stabilization? Extensions of DBT to Trauma-Related Problems

(How to Work with Your Stage 2 DBT Clients)

Advanced 2-Day Workshop with Kelly Koerner, Ph.D. and Amy Wagner, Ph.D.

When: Friday and Saturday, May 15-16, 2015, 9 am – 5 pm (each day)

  • Didactic presentation by Drs. Koerner and Wagner (Friday, 9:00 am-11:00 am)- open to all
  • Followed by advanced workshop (spaces limited) * participants are expected to have DBT training and/or experience, to be prepared to apply DBT in trauma work.

Where: University of North Carolina School of Social Work, 325 Pittsboro Street, Chapel Hill, NC.  directions/parking info

Description:  In this 2-day workshop, Amy Wagner and Kelly Koerner will teach the concepts and practical skills needed to conceptualize the problems of clients who have reduced high-risk intentional self-injury and other out-of-control behaviors, yet continue to struggle with significant emotion regulation difficulties and trauma-related problems. Many researchers and clinicians have offered ideas on Stage II DBT. In the first morning lecture, open to the wider community, the presenters will summarize the state of the current thinking and options available for treatment. A framework for case formulation and treatment planning will be presented.

Workshop attendees will then use this framework to conceptualize one of their own cases. Then the presenters will teach, model and lead practice exercises to help attendees understand and carry out mini-treatment plans for many common targets.

This workshop is appropriate for practitioners who are already knowledgeable and practicing DBT with clients.

Resources: For resources on these topics, see articles or book chapter coauthored by Amy Wagner, and useful DBT guides by Kelly Koerner, listed under her bio below.


Kelly Koerner, Ph.D.

Kelly Koerner, Ph.D., is a clinical psychologist and an expert clinician, clinical supervisor and trainer in Dialectical Behavior Therapy, and Creative Director and CEO of the Evidence-Based Practice Institute, where she explores how technology can scale learning and collaboration so practitioners get better clinical outcomes. She received her Ph.D. from the University of Washington and has specialized training in a number of evidence based treatments. She has served as: Director of Training for Marsha Linehan’s research investigating the efficacy of DBT for suicidal and drug abusing individuals with borderline personality disorder; Creative Director at Behavioral Tech Research where she developed e-learning and other technology based methods to disseminate evidence-based practices; and co-founder and first CEO of Behavioral Tech, a company that provides training in DBT. Her most recent publications include Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) and Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings.

Amy W. Wagner, Ph.D.

Amy Wagner, Ph.D., is an associate professor of psychology in the Department of Psychiatry at Oregon Health & Science University, staff psychologist for the PTSD Clinical Team at Portland Veteran Affairs Medical Center, and member of its clinical psychology training program.  She received her Ph.D. from the University of Washington, and postdoctoral training at the National Center for PTSD, Women’s Division, at the Boston VA Medical Center. Since that time she has held faculty positions at the University of Wyoming and the Department of Psychiatry & Behavioral Sciences at the University of Washington. Dr. Wagner joined the Vancouver division of PVAMC in September 2005. She has clinical expertise in cognitive-behavioral therapy for PTSD and anxiety disorders more generally, as well as Dialectical Behavior Therapy. She has research interests in treatment development and evaluation, emotion regulation, and treatment dissemination. Through a VA Merit grant she is currently examining the effectiveness and acceptability of Behavioral Activation Therapy for the early treatment of PTSD and depression among Veterans who served in Iraq and Afghanistan.

Register here

Learning objectives:  By the end of this workshop, participants will be able to:

  1. Describe how DBT’s biosocial theory accounts for the role of trauma in the initiation and maintenance of client problems
  2. Describe the developmental sequelae that can result from pervasive emotion dysregulation
  3. List common targets treated in Stage 2 DBT
  4. Conceptualize the top three Stage 2 targets for one of their own clients
  5. Conceptualize common targets as attempts (or failed attempt to regulate emotion
  6. Describe the steps of the treatment plans to address each of the following common stage 2 targets

a. Dissociation
b. Self-hatred, Self-Invalidation, & Shame
c. Ongoing Exquisite Sensitivity and Vulnerability to Emotion Dysregulation
d. PTSD symptoms
e. Inhibited grieving and experiential avoidance
f. Problems in intimate relationships including therapy
g. Difficulty Envisioning a Life Worth Living

7. Demonstrate via role-play treatment plans for each of these common targets (a-g)


9:00 – 11:00   General Overview of Current Thinking on Stage 2 & Case Formulation is Critical
(Targeting will be a part of this section, brief mention of key behavioral principles to attend to, look for [classical and operant conditioning, paying attention to context, immediate cues, consequences, continued focus on skills deficits, etc.)

Intensive workshop (space limited)
11:15 – 12:00  Applying a Case Formulation Approach to Your Clients
12:00 – 1:00   Lunch  (buffet catered by Vimala’s CurryBlossom Cafe  or lunch on own)
1:00 – 2:00   Treating Common Targets: Dissociation
2:00 – 3:00  Treating Common Targets: Self-hatred, Self-invalidation, & Shame
3:00 – 3:15   Break
3:15 – 4:45   Treating Common Targets:  Ongoing Exquisite Sensitivity & Emotion Dysregulation
4:45 – 5:00  Evals

9:00 – 11:00    Treating Common Targets:  PTSD Symptoms
11:00 – 11:15    Break
11:15 – 12:00   Treating Common Targets:  Inhibited Grieving and Experiential Avoidance
12:00 – 1:00    Lunch (buffet catered by Vimala’s CurryBlossom Cafe or lunch on own)
1:00 – 2:30      Treating Common Targets:  Problems in Intimate Relationships including Therapy
2:30 – 3:00     Break
3:00 – 4:30     Treating Common Targets:  Difficulty Envisioning a Life Worth Living
4:30 – 5:00     Q&A, Evals

CREDITS:  Program will provide a total of 13.0 Contact Hours from University of North Carolina Chapel Hill School of Social Work.

13.0 Contact Hours from UNC Chapel Hill School of Social Work.

13.0 Contact Hours NBCC (provider #6642) The UNC School of Social Work is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program.  

13.0  Category A for Psychologists — The program is co-sponsored by the North Carolina Psychological Association and the UNC School of Social Work. The North Carolina Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The North Carolina Psychological Association maintains responsibility for this program and its content. This program is offered for 13 hours of continuing education credit.


Plenary (2 hours CE):  $102 general; $68 SSW Discount*

Full workshop (13 hours CE)  $475 general; $375 SSW Discount*,  includes plenary. Optional lunch buffet is an additional $10/day

* eligible for SSW Discount = current UNC School of Social Work students, faculty, field instructors, and task supervisors

** additional $6 daily fee for category A credit

***needs-based discounts also available


Lunch – Catered by Vimala’s Curryblossom Cafe, lunch will include locally sourced, wholesome ingredients. The buffet will include fresh fruits and vegetables, a variety of vegetarian options, as well as her delicious chicken curry, and fabulous cardamon brownies. Vegan and gluten-free options can be made available — please indicate any dietary restrictions you may have. (Lunch option is $10)

Payment and refund policies A refund of 70% of the paid registration fee will be available for written cancellation request is received 48 hours prior to the program date. You may send a substitute in your place.

Attendance policy– To receive credit, you must be present for the entire session, and must sign the sign-in and sign-out sheets. No credit will be given to participants who are more than 15 minutes late at the beginning of any session. No credit will be given to participants who leave before the close of a session. 


Recommended accommodations:

1. Carolina Inn – next door to UNC School of Social Work – This large, historic hotel combines traditional with modern comfort. Prices can range considerably. Internet resources may produce lower prices than booking with hotel directly.  800-962-8519

2. Franklin Hotel – 0.6 mile from UNC School of Social Work. This small, posh hotel is on the main street of our town and an easy walk to campus.  This includes made-to-order breakfast. To book a room, call 866-831-5999

3. Hampton Inn – 1 mile from UNC School of Social Work. This brand new Hampton Inn is in the heart of adjacent neighboring town of Carrboro. Includes breakfast. This hotel is just a few blocks further and walkable. To book a room: 919-969-6988.

There are plenty of additional hotels in the area within an easy drive, however, keep in mind that parking on UNC campus is very limited. (The above hotels are all within walking distance and are listed in order of proximity to UNC School of Social Work.)

Courtyard by Marriott | Aloft  | Siena | Days Inn


Please direct any questions to: Debbie Barrett, Ph.D., LCSW.