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1. Explore the origins of DBT in order to more fully understand it, including a brief look at DBT versus CBT; the traditional DBT model; and research showing that adaptations of DBT can be very effective.
2. Describe the biosocial theory and how this applies to BPD and other disorders of emotion dysregulation.
3. Explain new ways of conceptualizing emotion dysregulation and the behaviors associated with this to reduce therapist feelings of burn-out and ineffectiveness.
4. Discuss behavior theory and the importance of these concepts to building stronger relationships with clients, and to assist clients in making behavioral changes.
5. Demonstrate tools for the individual session to help clients develop insight and move toward positive change.
6. Demonstrate a variety of mindfulness techniques to make mindfulness more understandable and acceptable to clients.
7. Explain the basics of dialectics and some dialectical strategies for the individual session to help get clients unstuck and to build the therapeutic alliance.
8. Practice the Behavioral Analysis.
9. Reduce therapist burn-out through observing limits and use of skills such as nonjudgmental stance and radical acceptance.
10. Develop a more in-depth understanding of mindfulness through discussion of Core Mindfulness skills.
11. Develop an understanding of neuroplasticity and mindfulness, and translate that into skills and use these ideas to help increase client motivation.
12. Explain skills in the Emotion Regulation module to give clinicians a basic understanding of how to teach these skills to clients to regulate emotions more effectively.
13. Demonstrate the distress tolerance skills that will help clients survive crisis situations and learn how to not act on urges.
14. Discuss Interpersonal Effectiveness skills: the importance of increasing and maintaining positive relationships and improving communication.
15. Discuss how these skills can be helpful in treating a wide array of psychiatric conditions and problems, including major depression, bipolar disorder, anxiety disorders, and problems with anger and self-esteem.
16. Demonstrate through discussion, exercises, and viewing videotaped sessions of real-life clients how to bring these skills together in treatment to help clients move toward healing.
17. Explore the consultation team and practice working within this context.
18. Practice validation skills to build and strengthen the therapeutic alliance.

Essentials of DBT

• Mindfulness
• DBT versus CBT
• Traditional DBT model versus adapted models
• Balancing acceptance of clients with pushing for change
• Clinician’s use of DBT skills is essential in order to teach the skills effectively

Biosocial Theory of Emotion Dysregulation

• Understand how emotion dysregulation develops in BPD and other psychiatric illnesses such as:
  • Depression
  • Anxiety
  • Bipolar disorder
• Learn how this theory drives treatment
• Take a nonjudgmental perspective of clients

Dialectics In Therapy

• Reduce therapist burn-out and power struggles in treatment through balanced thinking
• Strategies to help clients (and clinicians!) get unstuck in session
• How dialectical dilemmas affect therapy
• Communication strategies:
  • Shaking things up with irreverence
  • Building rapport with reciprocal communication
• Emphasis on validation to reduce emotional arousal
• Other dialectical strategies

Reducing Therapist Burn-Out

• Living your own life more mindfully
• The Behavior Tracking Sheet
• Observing limits

The “B” in DBT

• Behavior Theory “brush-up”
• Help clients understand their behaviors from a learning theory perspective
• Contingency management
• Behavioral analysis

Mindfulness and Neuroplasticity

• DBT skills change the brain
• Using these ideas to motivate your clients
• Increasing awareness to decrease suffering
• Changing problem-behaviors
• Teaching mindfulness to a variety of client populations
• Reality acceptance

The Four Skills Modules

1. Core Mindfulness Skills

• An alternative way of thinking about mindfulness
• How mindfulness helps
• Mindfulness as a way of life

2. Emotion Regulation Skills

• Recognize and name emotions
• Understand the function of emotions
• Reduce vulnerability to emotions through lifestyle changes
• Reduce the negatives and increase the positives
• Opposite action to help down-regulate painful emotions
• Self-validation

3. Interpersonal Effectiveness Skills

• Teach clients to:
  • Form and maintain safe, healthy relationships
  • Set and prioritize goals in interpersonal interactions
  • Improve assertive communication
  • Increase self-respect
  • Have a healthier balance of responsibilities versus enjoyable activities

4. Distress Tolerance Skills

• Help your clients get through crisis situations without making things worse by:
  • Distracting
  • Self-soothing
• Considering the pro’s and con’s of problem behaviors
• Managing urges

Sheri Van Dijk, MSW, is a registered Social Worker who has been working in the mental health field since 2000, both at a community hospital outpatient clinic and now in her full-time private practice. Sheri works with clients aged 16 and older who are experiencing severe mental health problems; she has had extensive training in mindfulness and dialectical behavior therapy (DBT) and has been running DBT-informed groups since 2004.

Sheri is the author of eight books for both adults and teens, the focus of which is to teach clients how to use DBT skills to help them live emotionally healthier lives. She has also written DBT Made Simple, the aim of which was to make DBT more accessible to therapists working with diagnoses other than borderline personality disorder; and she has been presenting extensively in Canada and abroad with this goal as well. Sheri is the winner of the R.O. Jones award for her research on using DBT skills with bipolar disorder, presented at the Canadian Psychiatric Association Conference in September, 2010.

Speaker Disclosures:

Speaker Disclosures: Financial: Sheri Van Dijk is in private practice. She receives a speaking honorarium from PESI, Inc. Sheri has no relevant financial relationships with ineligible organizations.

Non-financial: Sheri Van Dijk is a member of the Ontario Association of Social Workers.

For U.S. and Canadian customers, a CE test is available for $29.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Addiction Counselors

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 19.0 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.

Connecticut Addiction Counselors: Provider #120924. This course has been approved as a CCB approved training and has been awarded 19.0 hours by the Connecticut Certification Board.

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Counselors
This intermediate self-study activity consists of 19.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists: This program has been approved for 19.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Counselors: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 19.0 continuing education credits.

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Marriage & Family Therapists
This self-study activity consists of 19.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Marriage & Family Therapists: PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. Provider #: 168-000156. Full attendance at this self-study activity qualifies for 19.0 credits.

Texas Marriage & Family Therapists: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider #: 503. This self-study activity qualifies for 19.0 continuing education credits.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This intermediate activity consists of 19.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 19.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 19.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 22.8 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Psychologists
This self-study activity consists of 19.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline and the certificate of completion you receive from this self-study activity. Contact us for more information on your state board or organization specific filing requirements.

Canadian Psychologists: PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 19.0 self-study continuing education hours. Full credit statement at: https://catalog.pesi.com/page/ceinformation#psychologists

Florida Psychologists: PESI, Inc., is an approved provider with the Florida Board of Psychology. Provider Number 50-399. This product qualifies for 19.0 self-study continuing education credits. Please make sure to bring your license number to the seminar so that we can report your attendance to CE Brokers.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 19.0 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 19.0 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 19.0 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 19.0 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 19.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 22.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 19.0 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 19.0 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 19.0 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 19.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.

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Other Professions
This self-study activity qualifies for 19.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Addiction Counselors, Case Managers, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers and other Mental Health Professionals