DBT: Beyond the Basics
March 29, 2019 @ 5:00 am - 8:00 am
DBT: Beyond the Basics
Presented By: Stephanie Mattei, Psy.D.
PCOM 4170 City Avenue Philadelphia, PA 19131
Room Location Evans Hall 326A/B
March 29, 2019
Time: 9am to 12pm
3.0 CE
Dialectical Behavior Therapy (DBT) is a modification of standard Cognitive Behavioral Therapy (CBT) that was designed to treat individuals who meet criteria for Borderline Personality Disorder (BPD).
In her modification of standard CBT, Marsha Linehan conceptualized the development of the Borderline pathology in a package that both patients and clinicians alike could understand and lock onto as a foundation for treatment. Linehan added acceptance-based principles and her own Zen teaching to help individuals understand that much of their emotional experience in life was valid. She focused on behaviorism as a technology of change and most important, she introduced the concept of dialectics, which invites the clinician and the patient to begin observing the world and the pathology to conceptualize life as having multiple truths and perspectives to expand our understanding of reality as it is.
In this workshop, PowerPoint, lecture, video-clips, small group exercises as well as q/a will be used to teach about the critical migrations away from standard CBT. We will review the DSM-V criteria of BPD and discuss how the diagnostic profile of behavioral, emotional, self, interpersonal and cognitive dysregulation can be understood through the biosocial theory and how DBT was built to meet the skills deficits of these individuals. We will discuss why/how behaviorism makes its way into DBT treatment and how to use these principles to understand, intervene and promote change in these patients. As a counter balance to behaviorist principles and because this is a dialectical treatment, validation strategies must be reviewed and practiced so that the impact of the traumatic invalidation our patients experience can be attended to in the therapy relationship so they can eventually learn how to recover from the chronic invalidation in their lives.
Following this presentation, participants will be able to:
Objectives:
1. Identify the 9 DSM criteria of Borderline Personality Disorder and describe the Biosocial Theory of Borderline Personality Disorder. Participants will be able to identify how the change from CBT to DBT was necessary in treating the various components of the pathology.
2. Name various principles of Learning Theory and Behaviorism that are necessary in conducting a Behavioral Chain Analysis (BCA). Participants will select a behavior that they would like to target and will practice conducting BCA through small group exercises.
3. List various dialectic and validation strategies that are often used in DBT to maintain a client’s commitment to treatment and increase motivation for change.
Stephanie Mattei, Psy.D. is a licensed clinical psychologist who earned her doctoral degree from La Salle University in 2003 and has been instructing and supervising in various capacities in the program since graduation. Dr. Mattei is Intensively trained in Dialectical Behavior Therapy and DBT-PE and is one of the few clinicians in the state of Pennsylvania to have earned DBT certification through the Dialectical Behavior Therapy-Linehan Board of Certification (DBT-LBC).
Dr. Mattei has also co-founded the Center for Acceptance and Change in Bala Cynwyd, PA. and has a particular interest in treating women who meet criteria for BPD, engage in Non-Suicidal Self Injury (NSSI), have suicidal thoughts/experiences and who struggle with eating disorders, trauma and relationship distress. She and her colleagues co-founded the Center for Acceptance and Change in 2005 and have had a consistent consultation team to treat the almost 150 patients they currently treat. In addition to being a professor/supervisor, treating clinician, and DBT skills trainer, Dr. Mattei has also been a consultant to many area psychotherapy practices who are looking to adopt a DBT program or adapt DBT principles to their practice.
Lastly, Dr. Mattei also has a subset of patients that she treats who have been diagnosed with Polycystic Ovary Syndrome (PCOS). Having treated PCOS for over 20 years, she has authored chapters about the topic (Grassi: The Dietician’s Guide to PCOS) and has co-written a workbook to assist women with under-recognized medical disorder (Grassi & Mattei: PCOS Workbook: Your Complete Guide to Physical and Emotional Health). Dr. Mattei has particular interests and knowledge pertaining to how the hormonal fluctuations that occur in PCOS influence young women and their emotional and physical health.
PSCP: The Psychology Network is approved by the American Psychological Association to sponsor continuing education for psychologists. PSCP: The Psychology Network maintains responsibility for this program and its content.