Multi-problem individuals experiencing pervasive emotional dysregulation, especially those with borderline personality disorder and/or high risk behaviors (e.g., suicidality; nonsuicidal self-injury), have long been considered difficult to treat (e.g., Linehan, 1993). Dialectical behavior therapy (DBT) has robust empirical support for treating suicidal and/or emotionally dysregulated individuals (e.g., Linehan et al, 1991; Mehlum et al., 2014; Pistorello et al., 2011), with models for adults (Linehan, 1993; Linehan ,2015) and adolescents (Miller, Rathus, & Linehan, 2007; Rathus & Miller, 2015). When emotion dysregulation occurs in emerging adulthood, a developmental stage marked by constant change and uncertainty, health care providers are tasked with managing additional complexities. There is minimal DBT-informed clinical or research guidance for managing these complexities with emerging adults specifically (e.g., Pistorello et al, 2011). Given clinical expertise with young people and DBT, the presenters co-developed a developmentally-responsive adaptation of DBT, DBT-YA, tailored to meet the needs of 18-25 years olds and their families. This training will focus on the skills training mode of DBT-YA: multi-family DBT skills training with the identified young adult patient/client and their caregivers. In this training, we examine emotion dysregulation and emerging adulthood through a developmental lens. We explore ways that families contribute to and participate in problematic behavioral patterns associated with emotion dysregulation during this developmental stage, with attention to case formulation. Essential therapeutic elements of multi-family skills group will be covered. Finally, we introduce the Middle Path skills, DBT skills specifically developed for adolescents and families, and describe our developmentally-tailored adaptations of these skills for emerging adults. This training is best suited to individuals with introductory knowledge of full-model/comprehensive DBT as a prerequisite (e.g., Charlotte AHEC September 2021 Intro to DBT course) at minimum and will also offer rich learning opportunities for those with moderate to advanced training in DBT. Faculty Colleen Cowperthwait, PhD is a licensed psychologist and a Medical Instructor in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center. Her research has focused on adaptation and implementation of contemporary, family-based cognitive behavioral therapies (CBTs) and Dialectical Behavior Therapy (DBT). Dr. Cowperthwait co-developed the DBT for Young Adults Program within the Duke Cognitive Behavioral Research and Treatment Program (CBRTP). Dr. Cowperthwait is active in the clinical training of psychotherapy for graduate students, clinical psychology interns, and psychiatry residents. Kristin Wyatt, PhD is a clinical psychologist and educator, who enthusiastically teaches learners of various levels and disciplines in the empirically-supported treatments she provides as a clinician: contemporary CBTs for emotion dysregulation, trauma sequelae, suicidality, and multi-problem complex clinical presentations. She has particular expertise in DBT, especially for emerging adults, adolescents, and their families, exposure-based treatments, and evidence-based PTSD treatments for adults. Dr. Wyatt has extensive experience in tailoring evidence-based approaches to meet the developmental needs of adolescents and emerging adults. In her faculty role in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center, she trains psychology graduate students, predoctoral psychology interns, and psychiatry residents in DBT, CBTs, and evidence-based psychotherapies, provides clinical services to transitional age youth and adults, sits on the DBT provider consultation team, and alongside co-trainer Dr. Cowperthwait she co-founded DBT-YA services for young adults and families at Duke. She recently co-founded a private practice, Arise Psychological Wellness and Consulting, PLLC, where she promotes wellness amongst patients and providers across levels and disciplines, using these psychotherapies and trauma-informed care principles. Webinar Information This webinar will be broadcast with Zoom. Instructions to join the webinar will be emailed prior to the event. You can test your computer by going to the Zoom Test Page. Want more DBT Classes? This training is part of our Fall 2021 DBT Training Series: Introduction to DBT (Dialectical Behavior Therapy) September 9, 2021 / 9 AM – 1:15 PM Advanced Skills Training in DBT (Dialectical Behavior Therapy) October 13, 2021 / 9 AM – 1:15 PM
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