Stephanie Vaughn – Dialectical Behavior Therapy: For Clients

Description

Handouts

Outline

Overview of DBT

• Why Dialectics and what does that mean anyway?
• Common “Dialectical Dilemmas” of clients with Borderline Personality Disorder
• Borderline Personality Disorder Defined and Re-Defined
• Biosocial Theory of Borderline Personality Disorder… Etiology and why we need to know it
• Engendering compassion and empathy for this “difficult-to-treat” population
• Current research on DBT and why it is important to know it

Modes and Functions of DBT

• Individual Therapy — enhancing motivation
• Telephone Consultation — enhancing generalization
• DBT Consultation Group — enhancing motivation & skill of the therapist
• Skills Training — enhancing capabilities
• Ancillary Treatments — structuring the environment

Stages and Targets of DBT — Structuring the Treatment

• Pre-Treatment Stage: Orienting the client to treatment and getting commitment
• Stage 1 Target Behaviors: Decrease life-threatening, therapy interfering and quality of life interfering behaviors and increase DBT skills
• Stage 2 Target Behavior: Decrease posttraumatic stress responses
• Stage 3 Target Behavior: Increase self-respect and achieve individual goals
• Stage 4 Target Behavior: Increase joy, freedom and spiritual fulfillment
• Targeting Strategies…What to treat and when

The Diary Card

• How to teach a client to fill out a diary card
• Review a diary card in an individual therapy session
• Where to look and what to treat on a diary card

DBT Skills Training

• Demographics and structure of the DBT Skills Training Group
• Rules of DBT Skills Training Group
• Targets of DBT Skills Training Group
• Roles of facilitators

Core Mindfulness Skills

• The “Core” Skills in DBT Skills Training
• Become more mindful of thoughts, feelings and urges and acting with intuition
• Decrease the amount of judgments clients make about themselves and others
• Participating and “throwing yourself in” (with a Wise Mind of course)

• Tolerate and survive a crisis (without making it worse)
• “Distract” themselves in their attempts to regulate their emotions
• Self-Soothing the five senses in times of a crisis
• “Radically Accepting” the crisis as it is and letting go of the struggle

Interpersonal Effectiveness Skills

• Skills to help clients make requests and say NO (and have it stick)
• Teaching clients how to improve and attend to relationships
• Self-Respect in the client and the respect others have for them

Emotion Regulation Skills

• Regulate or even change intense emotions
• Decrease emotional vulnerability in your client
• Decrease negative emotions and increase the positive (and staying mindful of them)
• “Building a Life Worth Living”

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.

Faculty

Stephanie Vaughn, Psy.D. Related seminars and products: 4

Owner/ Clinical Psychologist

Psyche

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Stephanie Vaughn, Psy.D., Clinical Psychologist-HSP is the founder of Psyche, PLLC, a boutique outpatient therapy practice located in the Nashville, TN and Boston, MA. She is an associate faculty member at Vanderbilt University in both the psychology and psychiatry departments. Dr. Vaughn conducts Dialectical Behavior Therapy (DBT) with both adolescents and adults as a Board Certified DBT Clinician™. She is an expert on therapy-interfering behaviors and contingency management for oppositional behaviors in adolescents.

Dr. Vaughn has worked in the intensive PTSD program at the Department of Veteran Affairs with soldiers returning from Afghanistan and Iraq and female soldiers suffering from Military Sexual Trauma where she implemented formal Prolonged Exposure (PE). She is active in the teaching and supervision of DBT for Vanderbilt’s psychology & counseling students and doctoral interns, as well as psychiatry residents. Dr. Vaughn has presented DBT workshops around the country for the last seven years and is a highly rated speaker. She founded and currently runs Vanderbilt’s DBT Peer Consultation Group. She has served as an expert consultant for a variety of hospitals, schools, and clinics around the country.

Speaker Disclosures:

Financial: Stephanie Vaughn maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Stephanie Vaughn is a member of the American Psychological Association.