Troubleshooting Lack of Improvement in DBT PE

Description

Although research indicates that most clients who initiate DBT PE report a reliable improvement in PTSD, a minority of clients do not experience a significant change in PTSD. When progress is slow or limited, therapists will need to work with clients to determine what is interfering with treatment and generate potential solutions. In this process, it is important to consider the behavior of both the therapist and client as potential contributors to the lack of improvement. Therapy-interfering behaviors of the therapist may include factors such as non-adherence to the protocol, issues with assessment and treatment planning, and colluding with client avoidance. In addition, clients may engage in a variety of behaviors during DBT PE that limit its effectiveness by reducing contact with trauma cues, disrupting emotional activation, and interfering with processing and retaining corrective information. In this webinar, a principle-driven and step-by-step approach to troubleshooting problems that may contribute to lack of improvement during DBT PE will be presented, including methods for defining and assessing treatment non-response. Case examples will be provided to illustrate common problems and associated interventions. Finally, factors to consider when deciding whether to pause DBT PE due to lack of improvement will be discussed.

Learning Objectives

As a result of this training, participants will be able to:

1. Describe methods to assess lack of improvement in DBT PE.
2. Identify potential problems and associated interventions to address lack of improvement in DBT PE.
3. Understand factors to consider when deciding whether to pause DBT PE due to lack of improvement.

Who Should Attend

This webinar is intended for mental health professionals and trainees who are familiar with DBT PE.

Instructor

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 numerous articles and book chapters 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.

Cost

Webinar Registration Fee (required):

• Early Bird Discount: for registrations paid by November 1, 2024 - $45 per person
• Standard Price: for registrations paid by December 9, 2024 - $55 per person

This fee covers the cost of the webinar, electronic copies of the materials, and 2 months of access to the webinar recording. The fee is the same for those who attend the live event and those who only intend to access the webinar recording.

Continuing Education Credits (optional for those who attend the live webinar):

• 1.5 CE credits are being offered by Antioch University Seattle - $10 per person

*NOTE: CE credits are not included in this registration and must be paid for separately on Antioch University's website here.

Continuing Education Information

Continuing Education (CE) credits are being offered for this webinar by Antioch University Seattle as described below. CE credits are only available for people who attend the live event.

Washington State – 1.5 CE credits will be available to licensed marriage and family therapists, licensed mental health counselors, licensed social workers, and psychologists within Washington State. Late arrivals or early departures will NOT receive CE credit.

Workshops offered by Antioch University Seattle are recognized as continuing education activities under the rules adopted by the Washington State Examining Board of Psychology (WAC 246-924-240) and the Licensed Counselors Advisory Committee (WAC 246-809-620).

Outside of Washington State - CE credit policy can vary from state to state. Participants licensed outside of Washington state should check with their state licensing board and/or professional affiliation boards to determine if this workshop qualifies for CE credit.

All participants are expected to attend the full course in order to receive credit. Participants are required to sign in online at the beginning and conclusion of the course and participate fully in the course, Q&A and any assessments given by the presenters.

Questions about the CE credits for this event can be directed to Ingrid Ingerson, Director of Continuing Education, Antioch University at iingerson@antioch.edu