DBT Tools to Help Stubbornly Resistant and Reactive Clients

by Kimberly Duris, EdD, LCPC | Oct 6, 2023 | Uncategorized

Date course created: October 2023

Dialectical Behavioral Therapy can be extremely helpful even if your client doesn’t meet all criteria for BPD (actual BPD prevalence is less than 2% of the general population). DBT skills have contributed to positive outcomes in the treatment of other conditions like mood disorders, trauma, eating disorders, and even anxiety and OCD! Its core benefit lies in the attention it gives to arousal and reactivity, viewed primarily from a psychosocial perspective. Clinicians who love to use these skills like DBT’s baked in philosophy of: “Yes you have experiences and strong emotions that are valid (i.e. acceptance), but you must change your behaviors if you want to improve your experiences and relieve suffering (i.e. change).” DBT’s construct validates and affirms the client’s experiences and reactions while simultaneously placing ultimate responsibility on them (not their therapist, spouse, sibling) to put in the work necessary to experience positive change.

This workshop will teach participants about core DBT skills to use with reactive and resistant clients. Treatment resistance is a common experience in counseling, frequently leaving the counselor and the client frustrated with the treatment process. Utilizing techniques found in DBT’s emotion regulation and distress tolerance skills, participants will learn how to apply specific interventions to address therapy-interfering behaviors. Examples of effective strategies to use with resistant clients will be provided. The workshop will include a review of core concepts within DBT and updated techniques within the treatment.

**This is a 2.5-CE noninteractive, self-paced online video course delivered in home study format via an industry-standard online learning platform**

Agenda:

00:00 – 01:00: Neuroplasticity and Fundamental Techniques in DBT Treatment

01:00 – 02:00: Core DBT Concepts for Therapy-Interfering Behaviors

02:00 – 02:30:  Targeting Emotional Responses

Objectives:

This training will provide participants clinical knowledge and tools to:

a). After completing this training, participants will be able to participants will gain an understanding of the fundamental techniques utilized in DBT treatment.

b). After completing this training, participants will be able to participants will identify core DBT concepts used to treat therapy-interfering behaviors.

c). After completing this training, participants will be able to participants will examine the benefits and limitations of DBT treatment with resistant and reactive clients.

Target Audience:

Clinical Mental Health Professionals such as Counselors, Psychologists, Marriage and Family Therapists, and Licensed Clinical Social Workers.

Instructional Level: Intermediate

Instructor(s): Kimberly Duris, EdD, LCPC

Material Author(s): Kimberly Duris, EdD, LCPC

Kimberly Duris, Ed.D., LCPC, CADC, C-DBT is the clinical director for Guiding Light Counseling in Bolingbrook, IL, and an associate professor of psychology at Lewis University in Romeoville, IL. Dr. Duris has worked in community mental health for 20 years. Her educational background includes a doctorate of education specializing in counselor education and supervision (Ed.D. in CES) and a master’s degree in counseling psychology. In addition, Dr. Duris is a Licensed Clinical Professional Counselor, a Certified Alcohol and other Drug Counselor, and a certified Dialectical Behavior Therapy. Dr. Duris’ clinical experience includes working with adolescents who have been dually diagnosed with a mental illness and a substance abuse disorder, adults with chronic, severe mental illness, and private practice work settings, and multiple positions providing clinical supervision to master level interns and master’s degree professionals seeking licensure. Dr. Duris began utilizing DBT as a treatment modality in a psychosocial rehabilitation program servicing adult with severe, chronic mental health diagnoses.

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