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Background: DBT skills are useful to any person with emotion dysregulation. Getting clients who need such skills engaged in learning them can be challenging. This presentation will give a brief overview to the philosophy of Dialectical Behavior Therapy and teach experiential techniques designed specifically to engage the reluctant client.
Presentation Outline:
- Introduction to DBT.
- What is dialectic
- What makes DBT, DBT
- Who benefits from DBT
- Challenges/barriers to treatment
- Client challenges
- Therapist challenges
- Experiential techniques of the four DBT skill sets
- Mindfulness
- Distress Tolerance
- Emotion Regulation
- Interpersonal Effectiveness
- Role plays on client motivation
- Mindfulness Exercise
- Role plays using audience suggestions.
- Questions
Dialectical Behavior Therapy is an empirically validated treatment for people who struggle with emotion regulation issues, including eating disorders. Clients with emotional avoidance issues can benefit from DBT, yet these are also individuals who are difficult to engage in treatment. Especially in Inpatient and Residential settings, where clients may not always be immediately committed to recovery, it can be difficult for even the most experienced clinician to get buy in from the client in order to begin their recovery journey. This presentation is designed to provide clinicians with tools to engage such clients in treatment using DBT combined with experiential techniques.
A brief overview of the philosophy of DBT will be provided, focusing on the interplay between Acceptance and Change approaches that work to simultaneously validate and motivate clients. We will then move into more in depth conversation about application of this approach using experiential techniques. The presenters are experienced clinicians who successfully use this therapeutic model daily with both adolescent and adult eating disorder populations. The presentation will be heavily focused on role plays, using examples from the clinicians' practices as well as audience questions and suggestions. Lecture and experiential presentation will allow attendees to walk away with tangible skills to bring back to their practice.
Jancey Wickstrom, AM, LCSW, Milieu Coordinator at Timberline Knolls, is trained in Dialectical Behavior Therapy. She earned a master’s in social work from the University of Chicago’s School of Social Service Administration and completed a year-long internship learning DBT. In her capacity of Milieu Coordinator, Jancey works to create active recovery environments for continued skill building while residents are outside of individual or group therapy. She recently coauthored a chapter, “Healing Self-Inflicted Violence in Adolescents with Eating Disorders: A Unified Treatment Approach,” with Dr. Kim . The chapter appears in Treatment of Eating Disorders: Bridging the Research-Practice Gap, 2010.
Melissa Rocchi is the Manager of Expressive Therapies as well as Program Coordinator at Timberline Knolls, a residential treatment facility specializing in the treatment of eating disorders and substance use issues. Melissa is a Licensed Clinical Professional Counselor in the state of Illinois as well as a Registered Art Therapist. Her areas of expertise include the use of expressive therapies in the treatment of trauma and addiction. Melissa is also a professional practicing artist, and has shown her work nationwide.
