ISITDBT 2019 CONFERENCE

2019 Program

Access the new eco-friendly program for this year’s conference here!

https://umass.box.com/v/isitdbt2019atl

2019 REGISTRATION

Registration for the 2019 ISITDBT Conference in Atlanta will begin on:

September 1st, 2019: Early Bird reduced rates!

Early bird rate ends: October 1st at 12 noon EST

2019 REGISTRATION

Registration for the 2019 Conference in Atlanta will begin on:

September 1st, 2019: Early Bird reduced rates!

Early bird rates ends: October 1st at 12 noon EST

ON OR BEFORE OCTOBER 1st

with ABCT attendance * $150
without ABCT attendance $180
student fee $80

PRICING

AFTER OCTOBER 1st

with ABCT attendance * $180
without ABCT attendance $210
student fee $100

DAY OF EVENT

with ABCT attendance * $190
without ABCT attendance $220

* ABCT registration must be purchased separately

Click “Register” above or go to https://www.eventbrite.com/e/2019-isitdbt-conference-tickets-67236964571 to register.

Attending the ISITDBT Conference at the Hyatt Regency on Thursday, November 21? Why not extend your stay and come to the ABCT convention, Friday, November 22 -Sunday, November 24 at the Atlanta Marriott Marquis?

The Association for Behavioral and Cognitive Therapies welcomes you to the 53rd ABCT Annual Convention in Atlanta, GA November 21st – 24th, 2019. 

General registration gives you access to our mini workshops, clinical roundtables, panel discussions, and other formats that will get you thinking and improve your skill sets.

Visit us at: www.abct.org/conv2019/ to view details on events that provide tools to use in your clinical practice and empirical research while earning CE credit. We encourage you to attend our Invited Addresses (Drs. Vikram Patel, Matthew Sanders, Linda & Mark Sobell, along with Bruce Chorpita’s Presidential Address). We are also tackling some thorny issues and have organized a special panel by international and domestic experts who have made large-scale impact on service systems and vulnerable populations. Plus, we put together a panel, “Realizing ABCT’s Mission in a Politicized World,” to bring attention to the pressing issue of using psychological science to responsibly discuss and inform regulation development.

First-time ABCT attendees who are also attending the ISITDBT on Thursday, November 21 may register at the member-only rate.

To register, go to  www.abct.org/registration

Enter the promo code: DBTM

 

NOVEMBER 21, 2019

The 2019 ISITDBT Conference will be held at the Hyatt Regency, 265 Peachtree St NE, Atlanta, GA 30303 (the SAME location as ABCT) on Thursday, November 21st, 2019.

Please “Like” us on Facebook to receive automatic updates regarding conference details.

Registration for the conference will start on September 1st, 2019.

 

NOVEMBER 21, 2019

The 2019 ISITDBT Conference will be held at the Hyatt Regency, 265 Peachtree St NE, Atlanta, GA 30303 (the SAME location as ABCT) on Thursday, November 21st, 2019.

Please “Like” us on Facebook to receive automatic updates regarding conference details.

Registration for the conference will start on September 1st, 2019.

 

ISITDBT 2019 PROGRAM

Countdown to ISITDBT 2019!

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CONFERENCE SCHEDULE

7:30 – 8:00 Optional Morning Mindfulness (Randy Wolbert) Spring
7:30 – 8:30 Registration & Continental Breakfast International Foyer
8:30 – 8:40 Mindfulness (Kelly Koerner, Ph.D.) International Ballroom
8:40 – 8:50 Orientation (Katie Dixon-Gordon, Ph.D. and Esme Shaller, Ph.D.) International Ballroom
8:50 – 9:50 Research Spotlight: Stress, Emotion Dysregulation, and Addictive Behaviors (Rajita Sinha, Ph.D.) International Ballroom
9:55 – 10:45 Research Lightning Round International Ballroom
    Field Update on Maternal BPD: DBT for Mothers  (Maureen Zalewski, Ph.D. & Stephanie Stepp, Ph.D.)  
    Prevalence, Correlates, and Treatment of BPD Symptoms Among Adolescents in a Nationally-representative Sample (Andrea L. Gold, Ph.D., Matthew Carper, Ph.D., Katherine M. Keyes, Shirley Yen, Ph.D., Seth R. Axelrod, Ph.D., & Katie McLaughlin, Ph.D.)  
    Dialectical Behavior Therapy versus Treatment as Usual for Acute-Care Inpatient Adolescents (Alison Tebbett-Mock, Ph.D., Ema Saito, M.D., Madeline McGee, Ph.D., Patricia Woloszyn, RN, Maria Venuti, RN)  
  The Impact of DBT on Suicidal and Self-injury Ideation: An Examination of Specific Ideation Domains and the Moderating Role of Emotion (Skye Fitzpatrick, Ph.D. & Shireen L. Rizvi, Ph.D.)  
  Homework Compliance and Phone Coaching Predict Treatment Outcomes in Intensive Outpatient DBT (Emily Edwards, Ph.D. & Emily Cooney, Ph.D.)  
10:45 – 11:00 Break  
11:00 – 12:30 Clinical Workshops (attendees have previously chosen one of the following):  
    Acceptance and Change: Implementing DBT in Settings that Engage in Treatment Interfering Behavior (Patrik Karlsson, LCSW, Damian Cassells-Jones, Psy.D., Maggie Mullen, LCSW, Marlen Kanagui-Muñoz, Ph.D., Emily Schiller, Psy.D., Gary Shaller, Ph.D., & J.E. Raines, Psy.D.) Spring
    DBT in Spanglish: Developing a Multifamily DBT Skills Group conducted in both Spanish & English (Maciel Campos, Psy.D., Zachary K. Blumkin, Psy.D., & Alexandra Canetti, M.D.) Techwood
    Effective Approaches to Provide Caregiver Skills Training and Managing Therapy Interfering Behaviors (Julie Orris, Psy.D., Kelly Graling, Ph.D., & Jessica Schneider, Psy.D.) International Ballroom
    Targeting Gun Access in DBT: Are We Doing Enough? (Lauren Lovato Jackson, Psy.D., & Lizbeth Gaona, Ph.D.) Piedmont
12:30 – 1:45 Lunch on your own  
1:45 – 3:15 Clinical Seminar: Advanced Case Formulation in DBT (Anthony P. Dubose, Psy.D., Sara C. Schmidt, Ph.D., Kathryn E. Korslund, Ph.D., ABPP, & Emily B. Cooney, Ph.D.) International Ballroom
3:15 – 3:30 Break (refreshments) International Ballroom
3:30 – 4:00 DBT From a Consumer’s Perspective (April Shenberger) International Ballroom
4:00 – 4:10 DBT-LBC: Getting your Program Certified (Joan Russo, Ph.D) International Ballroom
4:10 – 4:45 Annual Update on DBT Research (Melanie Harned, Ph.D.) International Ballroom
4:45 – 5:00 Closing and Presentation of Award International Ballroom
5:15 – 6:30 Poster Presentations and Cocktail Reception International Ballroom

Invitation to Optional Morning Mindfulness with Randy Wolbert Sensei

7:30 AM-8 AM Spring

Hello my friends.  Why not start your fabulous ISIT conference experience with some mindfulness practice.  For anyone interested we will gather in Spring at 7:30 and sit together in stillness.  No prior experience necessary just a desire to decrease suffering, increase happiness, and see reality as it is.

ISITDBT 2019 WORKSHOPS

You will be able to choose 1 of the below Clinical Workshops to attend:

Acceptance and Change: Implementing DBT in Settings that Engage in Treatment Interfering Behavior

Presenters: Patrik Karlsson, LCSW, Damian Cassells-Jones, Psy.D., Maggie Mullen, LCSW, Marlen Kanagui-Muñoz, Ph.D., Emily Schiller, Psy.D., Gary Shaller, Ph.D., & J.E. Raines, Psy.D.
Kaiser Permanente Department of Psychiatry, Richmond, CA
Level: Basic

Abstract: Delivering DBT treatment in managed health care organizations involves overcoming unique obstacles. Managed health care has expanded rapidly in the past 20 years and has dramatically changed the landscape of mental health care delivery (Abramson, 2012). Although DBT is well suited for managed healthcare settings (given its evidence-based structure and focus on outcomes), establishing DBT programs within managed care settings often requires system-level changes to move away from treatment-as-usual and accommodate the DBT protocol. In this transition, there can be tension between the desires of the organization (i.e., focus on cost-reduction, productivity, access) and the needs of DBT therapists (i.e., weekly sessions, time for consultation groups). Currently there is limited research and training focused on the challenges of DBT therapists within in integrated/managed health care organizations. As such, DBT therapists may struggle with institutional challenges that may affect their ability to provide this effective treatment to the managed care population. In this clinical workshop, we will share the challenges and rewards of a DBT program established at Kaiser Permanente East Bay, a large California-based HMO, including an overview and structure of our relatively successful program, the process of implementing the program within the integrated managed care setting, and the ongoing challenges faced by the team. Finally, recommendations to clinicians aspiring to create a robust DBT program within managed care settings will be discussed. The unique model implemented at our site can provide important precedent for other integrated health settings hoping to provide DBT services on a larger scale to diverse groups of individuals.  

Learning Objectives:

  1. Provide an example of a program applying the DBT treatment protocol in a large and diverse managed health care setting
  2. Discuss unique challenges and benefits of implementing DBT in a managed care setting
  3. Provide recommendations and foster dialogue to support clinicians to build DBT programs within their institutions

 

DBT in Spanglish: Developing a Multifamily DBT Skills Group conducted in both Spanish & English

Presenters: Maciel Campos, Psy.D., Zachary K. Blumkin, Psy.D., & Alexandra Canetti, M.D.  (Children’s Hospital of New York-Presbyterian/Columbia University Irving Medical Center, Columbia Day Program/Columbia University Irving Medical Center)

Level: Basic & Intermediate 

Abstract: Factors including trauma, acculturation stressors, and discrimination place Latinx children and adolescents, who comprise the nation’s largest ethnic minority group, at high risk for mental health disorders. Suicide, particularly, is a public health concern looming over the Latinx community and its providers. Despite the high risk for mental distress, Latinx engagement in mental health care, and specifically evidence-based practices, remains low. 

This workshop aims to focus primarily on language as a barrier to access to care for Latinx families. The workshop will review a linguistic and cultural adaptation of Jill Rathus, PhD, and Alec Miller’s, PsyD, Dialectical Behavioral Therapy (DBT) for Adolescents multifamily skills group to increase access to care for Latinx families managing adolescents with severe emotion dysregulation, suicidal behaviors, and other risky behaviors. 

Presenters will detail their process in applying cultural nuances, acculturation themes, Latinx specific values, and bilingualism when developing this model. The integration of supplemental dialectical corollaries (German, 2015) for development, implementation, and adaption of the proposed model will be discussed. In this context, the presentation emphasizes cultural awareness as a channel for achieving dialectical synthesis in Latinx families. There will be reflection on themes and observations from launching and directing the program, as well as future directions of the program. 

Workshop participants will engage in experiential learning activities (e.g., mindfulness activity, interactive activity illustrating aspects of the adolescent multi-family skills group) that model considerations for developing a culturally attuned DBT skills group. Participants will actively discuss clinical application of the model and understand its role in increasing access to fully adherent DBT for Latinx, Spanish speaking/bilingual families, and improving their engagement in care. 

Learning Objectives:

  1. This workshop will introduce participants to a culturally attuned model of the Dialectical Behavior Skills Manual 

for Adolescents that can be utilized with Spanish speaking populations. 

  1. After this workshop participants will be able to explain strategies to augment flexibility for cultural and linguistic 

adaptations, specifically in the multi-family skills group, while maintaining Dialectical Behavior Therapy treatment fidelity when working with Spanish speaking populations. 

  1. This workshop will review and discuss specific challenges, barriers, and nuances when adapting DBT with cultural and linguistic adaptions.

Effective Approaches to Provide Caregiver Skills Training and Managing Caregiver Therapy Interfering Behaviors

Presenters: Julie Orris, Psy.D., Kelly Graling, Ph.D., and Jessica Schneider, Psy.D., CBT California/DBT California

 

Level: Intermediate

Abstract: The primary goal of this workshop is to provide participants with strategies to intervene more effectively with caregivers in the context of DBT-A, Dialectical Behavior Therapy for Adolescents. Presenters will discuss the pros and cons of delivering caregiver skills training in the multi-family group and “parents only” skills groups. Presenters will discuss the role of caregiver phone coaching and will role-play effective validation and problem solving strategies.  Presenters will also emphasize the importance of clear orientation, psychoeducation, assessment and intervention using behavioral principles, commitment and motivation techniques to increase parents’ consistency, as well as validation for the difficulty of implementing and adhering to intervention strategies. We will demonstrate how to conceptualize the role of caregiver’s behavior in the client’s treatment as well as intervene with caregivers who may not be engaged in the treatment, do not appear supportive of treatment goals, are inadvertently contributing to the symptoms or problem behaviors that the therapist is targeting, or may be reinforcing or accommodating problem behavior.  Presenters will help participants troubleshoot difficult scenarios presented in their own clinical work and practice strategies during the workshop. 

Learning Objectives:

  1. Recognize pros and cons of delivering caregiver skills in multi-family versus “parents only” skills group. 
  2. Demonstrate understanding of effective orientation, commitment, problem solving, and validation strategies in caregiver intervention and specifically caregiver coaching.
  3. Implement effective caregiver skills training, intervention, and coaching into DBT-A program.

Targeting Gun Access in DBT: Are We Doing Enough? 

Presenters: Lauren Lovato Jackson, Psy.D.1,2 Lizbeth Gaona, Ph.D,3
1VA Long Beach Healthcare System, 2Academy of Cognitive Therapy, 3Homeless Healthcare Los Angeles

Level: Basic

Abstract: Dialectical Behavior Therapy (DBT) has been shown to be the gold standard treatment for suicidal behavior and non-suicidal self-harm.  In DBT, there is a strong emphasis placed on ongoing assessment and clinical targeting of factors associated with imminent risk for suicide.  Despite this emphasis, standard DBT does not provide unique instruction regarding the clinical targeting of firearms. This lack of overt instruction may be significant when considering that firearms continue to be the method used in the overwhelming majority of completed suicides in the United States.  According to recent death data, 48.4% of civilian suicide deaths and 69.4% of Veteran suicide deaths occur through the use of firearms. Furthermore, firearm ownership rates, independent of underlying rates of suicidal behavior, have been shown to largely determine variations in suicide mortality in all 50 states.  The literature also suggests that psychologists rarely receive graduate-level training around how to effectively discuss firearm access with their clients. Additional barriers such as a lack of knowledge about firearm ownership, worry about damaging the patient relationship, and doubts about the efficacy of firearm counseling have been shown to deter providers from assessing firearm access.  To this end, the authors set out to examine the extent to which therapists are assessing and targeting firearm access in DBT by disseminating a brief survey over various clinical listservs and to therapists at local community mental health clinics. Preliminary findings demonstrate that there is a high degree of variability in DBT clinicians’ approach to assessing firearm access as well as their confidence in the ability to equip their clients with skills to decrease access given their current DBT knowledge. These finding suggest a potential for DBT to be enhanced through incorporating gun safety counseling strategies.  Authors will present these findings as well as introduce DBT gun safety skills, as adapted from current gun safety counseling literature. This workshop will introduce participants to newly developed worksheets and handouts emphasizing key components of gun safety counseling and formatted in a manner that is consistent with both the theoretical underpinnings and practical application of DBT. 

Learning Objectives:

  1. To present a rational for emphasizing the assessment and clinical targeting of firearm access in DBT by reviewing current literature illustrating the relationship between gun access and completed suicides.
  2. To present findings from authors’ current study evaluating the degree to which firearm access is being assessed and clinically targeted in DBT among clinicians providing comprehensive and/or DBT-informed treatment. 
  3. To provide practical recommendations for enhancing gun safety assessment and targeting gun access in DBT.  Presenters will draw upon current gun safety counseling literature and discuss ways in which these strategies can be adapted and incorporated into the DBT treatment model.

All participants will attend the following Clinical Seminar from 1:30pm – 3:15 pm.

Advanced Case Formulation in DBT

Presenters: Anthony P. DuBose, Psy.D.,1 Sara C. Schmidt, Ph.D.,1,2 Kathryn E. Korslund, Ph.D., ABPP,1,3 & Emily B. Cooney, Ph.D.1,4

1Behavioral Tech, LLC; 2Seattle Institute for Biomedical and Clinical Research; 3THIRA Health;4Yale University School of Medicine

 This clinical seminar will focus on translating the basic assumptions of DBT treatment into a practical tool that will organize complex information, generate hypotheses about problem behaviors, guide treatment decisions, and develop useful treatment plans. Didactic information will be complemented with treatment demonstrations that illustrate principles in action, group discussion, and experiential exercises in which participants will apply the seminar content to their own clinical practice.  

Advanced Case Formulation in DBT

Presenters:

Anthony P. DuBose, Psy.D.,1 Sara C. Schmidt, Ph.D.,1,2 Kathryn E. Korslund, Ph.D., ABPP.,1,3 & Emily B. Cooney, Ph.D.1,4

1Behavioral Tech, LLC; 2Seattle Institute for Biomedical and Clinical Research; 3THIRA Health; 4Yale University School of Medicine

 This clinical seminar will focus on translating the basic assumptions of DBT treatment into a practical tool that will organize complex information, generate hypotheses about problem behaviors, guide treatment decisions, and develop useful treatment plans. Didactic information will be complemented with treatment demonstrations that illustrate principles in action, group discussion, and experiential exercises in which participants will apply the seminar content to their own clinical practice.  

ISITDBT 2019 RESEARCH PRESENTATIONS

Research Spotlight Talk

Stress, Emotion Dysregulation and Addictive Behaviors: Co-occurrence or Causation?

Presenter: Rajita Sinha, Ph.D. The Foundations Fund Endowed Professor in Psychiatry, Neuroscience and in Child Study at the Yale University School of Medicine

Stress, Emotion Dysregulation and Addictive Behaviors: Co-occurrence or Causation?

Presenter: Rajita Sinha, Ph.D. The Foundations Fund Endowed Professor in Psychiatry, Neuroscience and in Child Study at the Yale University School of Medicine

 

Field Update on Maternal BPD: DBT for Mothers

Authors: Maureen Zalewski, Ph.D. & Stephanie Stepp, Ph.D. (University of Oregon & University of Pittsburgh)

Abstract:

1. Children’s developmental outcomes when being raised by a mother with BPD. In the past two decades, the field has seen a sharp increase in studies examining children’s outcomes when being raised by a mother with BPD. A recent systematic review identified 33 studies that examined parenting quality and/or children’s mental health and developmental outcomes when their mothers had a diagnosis/symptoms of BPD (Eyden et al., 2016). From this review, I will summarize the pattern of findings and highlight ongoing research gaps. 

2. Impact of DBT on parents with serious mental health disorders and their children. Treating parents’ mental health disorders as a mechanism of improving parenting quality and preventing emerging mental health disorders in their children is a growing area of interest although to date, most of this work has been done with treatments aimed at moderate maternal depression. I will summarize the literature on what is known about improving parenting and children’s outcomes via treatment for the parent as well as summarize the various approaches by which the DBT field has empirically tested changes in parenting quality or child outcome when parents receive DBT (Zalewski, Gamache Martin, & Lewis, 2018).  

 3.  Ongoing NIMH funded R01 being conducted by Dr. Maureen Zalewski and Dr. Stephanie Stepp which is a two-site RCT doing DBT Skills for mothers with BPD who have preschool aged children. The figure below will be presented on the 3rd slide and will walk the audience through our study design, which will be half way completed by Nov 2019.

Conclusion: Maternal BPD and DBT for mothers is an area of research for the audience to spark ongoing discussions on these topics for the remainder of the ISITDBT conference and ABCT. This will help researchers and clinicians in this area identify one another to foster future collaborations.

 

Prevalence, Correlates, and Treatment of BPD Symptoms Among Adolescents in a Nationally-representative Sample

Authors: Andrea L. Gold,  Matthew Carper, Katherine M. Keyes, Shirley Yen, Seth R. Axelrod, Katie McLaughlin

1Department of Psychiuatry and Human Behavior, Warren Alpert Medical School of Brown University; 2Mailman School of Public Health, Columbia University; 3Beth Israel Deaconess Medical Center & Warren Alpert Medical School of Brown University; 4Dept. of Psychiatry, Yale School of Medicine; 5Dept. of Psychology, Harvard University

Abstract:

 Relative to the literature on adults, epidemiological research on BPD in adolescents is sparse and the population prevalence remains largely unknown. Indeed, BPD may be underrepresented in adolescent clinical samples, given ongoing confusion, reluctance, and controversy surrounding clinicians’ ability to diagnose BPD in adolescents, despite clear criteria in the DSM-IV-TR and DSM-5 permitting this diagnosis. Moreover, the clinical literature on sex differences among adults with BPD is mixed and plagued by sampling biases, such as the tendency for females to be more likely to seek treatment. Whereas clinical research suggests a substantially higher BPD prevalence in females, this is not the case in epidemiological studies of adults. Epidemiological research is therefore critical to improving our understanding of BPD among adolescents. To address this problem, this study investigates the prevalence, correlates, and treatment of BPD in a large, nationally-representative sample of non-treatment-seeking adolescents. Participants included 6,483 adolescents (ages 13–18 years) and parents participating in the National Comorbidity Survey Replication-Adolescent Supplement (NCS-R/NCS-A). Multi-informant data was derived from face-to-face household interviews with adolescents and questionnaires with their parents. We will present results addressing three primary aims.

Aim 1: We will report the frequencies of individual BPD symptoms endorsed by adolescents and their parents, as well as diagnostic case classification. Given that the same BPD screening items were administered to adults (NCS-R; Lenzenwegger et al., 2007) and adolescents (NCS-A), we will compare BPD prevalence across development.

Aim 2: We will present associations of BPD with socio-demographics, co-occurring psychiatric disorders, suicidality, parental BPD symptoms, and developmental risk factors. Quantifying associations of BPD with other psychiatric diagnoses is of particular relevance to DBT for adolescents (DBT-A). DBT-A aims to treat “high-risk multi-problem adolescents.” That is, adolescents who struggle with suicidality or non-suicidal self-injury (NSSI), multiple coexisting psychiatric disorders, and subthreshold or full criteria for BPD, rather than a target population as BPD per se. Moreover, we will present self- and parent-report measures reflecting emotional vulnerability and environmental invalidation, and their relationships to adolescent BPD symptoms.

Aim 3: Finally, we will present data relating BPD to treatment utilization. In conclusion, data from nationally-representative samples are needed to improve developmental models of BPD. These findings might improve the identification of subthreshold and threshold BPD in adolescence, which in turn may inform treatment development and improve outcomes.

 

Dialectical Behavior Therapy versus Treatment as Usual for Acute-Care Inpatient Adolescents

Authors: Alison Tebbett-Mock, Ph.D., Ema Saito, M.D., Madeline McGee, Ph.D., Patricia Woloszyn, RN, & Maria Venuti, RN

Northwell Health

Abstract:

Given the seriousness of suicidality and non-suicidal self-injury (NSSI), many adolescents are psychiatrically hospitalized.  However, minimal research has been conducted evaluating any treatment or specific intervention during hospitalization for adolescents.  Despite evidence that DBT decreases suicide attempts and NSSI in outpatient adolescents (McCauley, Berk, Asarnow, et al., 2018) research on DBT for inpatient adolescents has been extremely limited.  To date, there are only two non-randomized controlled studies examining the efficacy of DBT on psychiatric units for adolescents with an average length of stay of 18 days and several months (Katz, Cox, Gunasekara, & Miller, 2004; McDonell, Tarantino, Dubose, & Matesti, 2010, respectively).  This study evaluated DBT versus treatment as usual (TAU) for adolescents on an acute-care psychiatric inpatient unit with an average length of stay of 7-10 days. 

We conducted a retrospective chart review for adolescents receiving inpatient DBT (n = 425) and for a historical control group treated on the same unit prior to DBT (i.e., TAU, n = 376).  Chi square and t tests were conducted as preliminary analyses to examine differences between groups on diagnosis, gender, and age.  Mann-Whitney U tests were conducted to examine differences between groups on outcome variables.  The potential benefit of cost savings was analyzed.  Results: Patients who received DBT had significantly fewer number of constant observation (CO) hours for self-injury; incidents of suicide attempts and self-injury; restraints, and days hospitalized compared to patients who received TAU.  Statistically significant differences were not found between DBT and TAU groups for number of CO hours for aggression, incidents of aggression toward patients or staff, seclusions, or readmissions.  A cost analysis determined $251,609 less was spent on staff time for CO hours with DBT compared to TAU. 

Results provide support for the implementation of DBT in an acute-care adolescent psychiatric inpatient unit. Clinical implications, limitations, and future research directions are discussed.

 

The Impact of DBT on Suicidal and Self-injury Ideation: An Examination of Specific Ideation Domains and the Moderating Role of Emotion

Authors: Skye Fitzpatrick, Ph.D. & Shireen L. Rizvi, Ph.D.

York University & Rutgers University

Abstract: A recent meta-analysis suggested that, although dialectical behavior therapy (DBT) effectively reduces suicidal behavior, it does not reduce suicidal ideation (DeCou, Comtois, & Landes, 2019). However, almost all studies included in the meta-analysis examined suicidal ideation as a global construct (i.e., total score on a measure). Emerging research shows that there are distinct components to suicidal ideation, including its frequency, intensity, and the perceived likelihood of its occurrence in the future. Furthermore, the impact of DBT on similar NSSI ideation domains, and whether changes in these variables are impacted by individual moderators, is unknown. Given that suicidal and NSSI behavior are theorized to regulate emotion, it is likely that changes in their ideation are impacted by the presence or absence of negative emotion. The present study therefore had two primary aims: 1) to examine the impact of six months of standard DBT on specific, rather than global, suicidal and NSSI ideation domains; and 2) to examine which negative emotions, if any, moderate changes in these domains during DBT.

Individuals with borderline personality disorder (N = 78) were enrolled in six months of standard DBT in a university-based training clinic. Participants completed pre-, mid-, and post-treatment interviews assessing the past-week frequency of, past-week worst intensity of, and perceived likelihood of future, suicidal and NSSI ideation. Participants also completed self-report measurements of shame/guilt, fear, anger, and sadness at these time points. Generalized estimating equations were used to examine changes in suicidal and NSSI ideation variables over time, as well as the moderating effect of specific emotions. Repeated measures Cohen’s d indices were calculated to examine pre- to post-treatment changes in ideation variables. 

Results indicated significant reductions in past-week suicidal ideation frequency (B = -.67, SE = .21), χ2 (1) = 10.23, p = .001 (d = .30), worst suicidal ideation intensity (B = -.64, SE = .09), χ2 (1) = 56.84, p < .001 (d = 1.01), and worst NSSI ideation intensity (B = -.31, SE = .08), χ2 (1) = 14.34, p < .001 (d = .56), but not NSSI ideation frequency, χ2 (1) = 2.60, p = .11.  There were also statistically significant reductions in the perceived likelihood of future suicidal ideation (B = -.46, SE = .10), χ2 (1) = 22.22, p < .001 (d = .55), and NSSI ideation (B = -.16, SE = .08), χ2 (1) = 3.75, p = .05 (d = .22). Furthermore, individuals with higher shame/guilt exhibited less reduction in past week suicidal ideation frequency, NSSI ideation frequency, and worst suicidal ideation intensity. Individuals with higher fear exhibited greater reduction in past week suicidal ideation frequency and NSSI ideation frequency. Finally, those with higher sadness exhibited greater reduction in worst SI intensity, but less reduction in the perceived likelihood of NSSI ideation.

Our findings suggest that DBT results in reductions in several specific suicidal ideation domains, with particularly substantive effects on the worst intensity of suicidal and NSSI ideation. However, they also suggest that attempts to refine the efficacy of DBT on NSSI ideation frequency is needed, as DBT did not influence this domain. In addition, our findings highlight that targeting shame/guilt may be particularly important to reducing several forms of NSSI and suicidal ideation, and that high levels of fear may potentiate the effect of DBT on ideation frequency. 

 

Homework Compliance and Phone Coaching Predict Treatment Outcomes in Intensive Outpatient DBT

Authors: Emily Edwards, Ph.D., & Emily Cooney, Ph.D.

(Greater New York (VISN 2-South) MIRECC; James J. Peters VA Medical Center, Bronx, & Yale School of Medicine)
 

Abstract: Dialectical Behavior Therapy (DBT) emphasizes generalization of skills to the client’s real-world context as a primary mechanism of change in treatment. To promote generalization, DBT includes weekly skills-focused homework assignments and as-needed phone coaching. Despite this central function of generalization in DBT, however, research on these interventions is limited. The current study aimed to address this research gap by helping to clarify the contributions of these interventions to DBT treatment outcomes.
Charts and diary cards of 45 patients who completed a full, four-month cycle of intensive-outpatient DBT were reviewed. For each patient, the following information was recorded: (a) proportion of homework assignments completed; (b) frequency of phone coaching; (c) daily urges for suicide, self-harm, drug use, and alcohol use (hereafter, dysregulated behaviors) per report on diary cards; and (d) daily engagement in dysregulated behaviors per report on diary cards. Analyses explored the extent to which homework completion and phone coaching during the first three months of treatment predicted (a) whether patients engaged in dysregulated behavior during the final month of treatment and (b) change in severity of urges for dysregulated behavior from the first to final month of treatment.
Results suggested that, on average, patients completed approximately 85% of skills-homework assignments and made 5.31 phone coaching calls during the first three months of treatment. Rate of homework completion and phone coaching (a) cumulatively predicted approximately 14% of the variance in whether patients engaged in dysregulated behavior(s) during the final month and (b) were independently associated with reductions in urges for dysregulated behaviors across the course of treatment. These findings offer preliminary insight into the therapeutic function of DBT interventions targeting generalization. Though further research is necessary, results preliminarily support generalization as a mechanism of change in DBT, particularly within this intensive-outpatient context.  

ISITDBT 2019 POSTER PRESENTATIONS

Posters will be displayed on tabletops. Please provide your own easel or bring a trifold for display. 

  • Does Self-Compassion Moderate the Relationship Between Borderline Symptoms and Suicidal Behavior? – Braun, D.C.1, Hiatt, B.C.1, Weathers, M.T.1 & Salsman, N.L.1 (1Xavier University)
  • DBT Bootcamp: Effectiveness of an Accelerated DBT Skills Program for College-Aged Adults – Byrnes, J.1, Kelin, S.1, Day, H.1, & Haddock, K.1 (1Center for Cognitive and Dialectical Behavior Therapy)
  • Descriptive Statistics on LGBTQ Participants in Full-Course Adherent DBT– Campagna, D.1, Loerinc-Guinyard, A.1, Montgomery, R.1, Thomas, M.1, Stivers, M.1, Cohen, K.1, Chen, S.1,2 & McFarr, L.M.1,2 (1CBT California, 2Pepperdine University)
  • Examining Non-PTSD Anxiety Symptom Outcomes for DBT Outpatients in a Private Practice– Chen, S.1,2, Montgomery, R.2, Loerinc-Guinyard, A.2, McFarr, L.M.3, Thomas, M.2, Stivers, M.2, Cohen, K.2, DiRocco, A.2, Campagna, D.2, Thornburg, L.E.2 (1Pepperdine University, 2CBT California, 3Harbor and CBT California)
  • Exploring the Crossraods of Employment-Related Dysfunction and Borderline Symptomatology in a DBT Outpatient Sample – Cohen, K.1, Granato, H.G.1, Thomas, M.1, Montgomery, R.M.1, Stivers, M.1, Chen, S.M.1, Thornburg, L.1 & McFarr, L.M.1,2(1CBT California/DBT California, 2Harbor UCLA Medical Center)
  • Examining Effectiveness of a DBT-A Program in a Population of Predominantly Hispanic Youth seen in a Public Health Academic Medical Setting– Cordova, M.1, Hendrickson, M.1, Ranaldo, C.A.1 & Oliva, M.1 (1Jackson Health System-University of Miami)
  • The Acceptability and Feasibility of Implementing Comprehensive School-Based DBT (CS-DBT) – Dadd, A.1, Graling, K.1, Gerardi, N.1, Bonavitacola, L.1, Brice, C.1, Buzcek, M.1, Doughty, F.1, O’Brien, C.1, Walker, A.1, Miller, A.1, McGinn, L.1 (1Behavioral Consultants of Westchester and Manhattan, LLP)
  • Efficacy of DBT in Treating At-risk Sexual Minorities with Borderline Personality Disorder – Finkelstein, J.1 & Rizvi, S.L.1 (1Rutgers University)
  • Effect of DBT Skills Training in Partial Hospital/Intensive Outpatient Setting on Posttraumatic Stress Disorder – Guendner, E.1, Renwick, L.1, Lothes, J.,1 Mochrie, K.,2 Harberger, A.,3 & St John, J.3 (1University of North Carolina Wilmington, 2East Carolina University, 3Delta Behavioral Health)
  • Testing an Adjunctive Mobile Application for DBT Skills Generalization & Self-Efficacy:
    A Proof-of-concept Study    – Macrynikola, N.1, Miranda, R.1 & Greene, P.2 (1City University of New York, The Graduate Center & Hunter College, 2Manhattan Center for Cognitive-Behavioral Therapy) 
  • When Substance Use Becomes a Pattern: The Effects of Skills on Urges to Use in the Days and Weeks Following Substance Use– MccCool, M.W., & Noel, N.E. (University of North Carolina Wilmington)
  • Mindful Mechanisms of Change in DBT: Nonreactivity and Nonjudging– Montgomery, R.M.1,2, Granato, H.1,4, DiRocco, A.1, Thomas, M.1,4, Shemesh, K.1,4, Stivers, M.1,3 , Cohen, K.1,3, Chen, S.1,3, Wall, L.1, Thornburg, L.1 & McFarr, L.M.1,4 (1CBT California, 2CSU Northridge, 3Pepperdine University, 4Harbor UCLA Medical Center)
  • Differential Effectiveness of DBT Skills Modules on Skills Use and Dysfunctional Coping– Poplawski, R.1, Weiler, R.1, Birt, J.1, Dobbs, J.1, Zack, S.2 (1PGSP-Stanford Psy.D. Consortium, 2Stanford University)
  • Invalidating Experiences Predict Self-Injury and Suicide Attempts among a Sample of Adolescents in a Rural School System – Salsman, N.L.1 & Ronis-Tobin, V.1 (1Xavier University)
  • Effects of Multifamily DBT Skills Training for Emerging Adults on Anxiety and Skills Use – Schmeling, N.E.1, Wyatt, K.P.2, Cowperthwait, C.M.2 (1Duke University-Department of Psychology & Neuroscience, 2Duke University Medical Center- Department of Psychiatry & Behavioral Sciences)
  • Perceived Control of Internal States Partially Mediates the Relationship Between Difficulties in Emotion Regulation and Borderline Personality Disorder Symptoms – Sheintoch, M.K.1, Flores-Cruz, M.A.1, & Salsman, N.L.1 (1Xavier University)

ISITDBT 2019 AWARDS

 

Student Research Award

This year the ISITDBT board is pleased to offer a $1000 research award for any graduate student or postdoctoral researcher who is establishing a career in DBT research. Please submit your applications by September 6th, 2019.   At the 2019 ISITDBT Conference (isitdbt.net) we will award a $1000 scholarship for the most meritorious research application coming from a graduate student or postdoctoral researcher. The award can complement existing funding to support an exciting line of DBT research. If you are interested in applying, please submit a 3-page proposal for a research project that identifies mechanisms of change in DBT or otherwise identifies ways to optimize the treatment. Research proposals concerning the application of DBT to other populations, or advancements in the delivery of DBT are also welcome. The research proposal should follow NIH guidelines and detail significance, innovation, approach, and justification of need. In addition to the research proposal, please submit your CV or NIH biosketch, a one-page budget, a one-page summary of deliverables and future research and training opportunities that could emerge from the research project, and a letter of support from a faculty advisor/mentor. If the award is intended to supplement existing funds, please highlight in the budget or the application the need for the award and where the additional funding to complete the study is coming from. Please ask your mentor to specify in your letter that you are a graduate student or postdoc. Expert DBT researchers will review all submitted proposals and select the most competitive application for this award. The key criteria on which the application will be judged is originality and likelihood that it can begin a promising line of funding that will advance research in DBT. Please submit applications (as well as any questions about the award that you might have) to isit@isitdbt.net by midnight, September 1st, 2019. Please put “ISITDBT 2019 Student Research Award submission” in the subject line. Submissions that do not follow this guideline will not be considered. Funding decisions will be sent no later than October 1st, 2019.

This year, the ISITDBT board is pleased to offer the ISITDBT Educator Award. This award recognizes outstanding contributions to implementing and expanding DBT by way of education of clinicians, researchers, and the general public. Educator award recipients have gone above the call of duty to provide vital education about DBT. Previous recipients of the Educator Award include Charlie Swenson and Cindy Sanderson (2002), Heidi Heard, Michaela Swales (2009), Linda Dimeff (2011), and Jill Rathus (2016), among several other leaders in the field. Please submit a nomination letter for the ISITDBT Educator Award indicating the evidence supporting the nominee’s contribution to the DBT Community via the nominee’s efforts to educate others about the field about DBT and/or Borderline Personality Disorder.Please submit a nomination letter for the ISITDBT Researcher Award indicating the evidence supporting the nominee’s contribution to the DBT Community via the nominee’s efforts to contribute to the research on DBT and/or Borderline Personality Disorder. Please email isit@isitdbt.net and put in the subject head: Nomination for 2019 Educator Award, or nominations will not be accepted. Nominations for the 2019 ISITDBT  Service Award are due Friday, September 20th, 2019.

Previous Award Recipients

1997
Marsha was honored (no award given)

1998

Founder’s Award

Charlie Swenson, MD, is a psychiatrist on the faculty of the University of Massachusetts School of Medicine.

2000

Service Award

Cedar Koons, MSW, LCSW, is a consultant, teacher, researcher, and therapist specifializing in mindfulness-based treatments, including DBT. She is a senior trainer and consultant for Behavioral Tech and cofounder of Santa Fe DBT.

2001

Science Award

Kate Comtois, PhD, MPH is an Associate Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Associate Professor in the Department of Psychology at the University of Washington.

2002

Service Award

Alec Miller, PsyD is a licensed clinical psychologist and Co-Founder and Clinical Director of Cognitive and Behavioral Consultants, LLP. He is also Clinical Professor of Psychiatry and Behavioral Sciences, at Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.

Educator Award

Charlie Swenson, MD, is a psychiatrist on the faculty of the University of Massachusetts School of Medicine.

Educator Award

Cindy Sanderson

2003

Service Award

Alan Fruzzetti, PhD, is the program director of the 3East Boys Intensive Program at McLean Hospital.

2004

Research Award

Martin Bohus, MD is the Chair of Psychosomatic Medicine and Psychotherapy, Heidelberg University, Medical Faculty Mannheim and the Scientific Director Institute of Psychiatric and Psychosomatic Psychotherapy Central Institute of Mental Health, Mannheim.

2005

Research Award

Tom Lynch is an Emeritus Professor of Clinical Psychology at the University of Southampton.

2006

Service Award

Bev Long is a Clinical Psychologist Specialist in Anoka, Minnesota

Service Award

Joan Russo, PhD. After a long career in clinical practice, Dr. Russo continues to carry a torch for her belief in providing resources to support consumers and clinicians in her role on the DBT-Linehan Board of Certification. She now serves as President of the DBT-LBC

2007

Service Award

Rose marie Karparis, RN, MPH

Leadership Award

Shari Manning, PhD, is the CEO and one of the founders of the Treatment Implementation Collaborative, and the founder of the South Carolina Center for DBT.

2008

Service Award

Kelly Koerner, PhD is a clinical psychologist, creative director, and CEO of the Evidence-Based Practice Institute

2009

Educator Award

Heidi Heard, PhD founded the British isles DBT Training, and now serves as the Senior Trainer for Behavioral Tech in Europe and is a clinical instructor at the University of Washington

Educator Award

Michaela Swales, PhD, is a Consultant Clinical Psychologist with BCUHB and Reader in Clinical Psychology on the North Wales Clinical Psychology Programme, School of Psychology, Bangor University.

Educator Award

Cindy Sanderson – joint recipients

2010

Research Award

Shelley McMain, PhD, is a Clinical Psychologist and Head of the Borderline Personality Clinic of the Addictions Section in the Clinical Research Department. She is an Assistant Professor with the Department of Psychiatry, University of Toronto as well as an Adjunct Professor with the Department of Psychology at York University.

2011

Educator Award

Linda Dimeff, PhD, is Chief Scientific Officer at Evidence-Based Practice Institute, Inc.; Institute Director at Portland DBT Institute; and Clinical Faculty in the Department of Psychology at the University of Washington.

Educator Award

Cindy Sanderson

2013

Research Award

Alan Fruzzetti

2014

Service Award

Adam Payne, PhD, currently serves as a Clinical Supervisor at the University of Washington for graduate students in clinical psychology at the Behavioral Research and Therapy Clinics (BRTC).

2015

Research Award

Melanie Harned, PhD, ABPP, is the Research Director of the Behavioral Research and Therapy Clinics.

2016

Educator Award

Jill Rathus, PhD, is Professor of Psychology at Long Island University/CW Post Campus in Brookville, New York, and Co-Director of the Family Violence Program at CW Post

2017

Service Award

Alicia Gonzalez, MSN, RN, CS, is a clinical nurse specialist at North Duke Psychotherapy in Durham, NC.

2017

Service Award

Kathryn Korslund, PhD, is Clinical Director at Thira Health in Bellevue, Washington.

2018

Researcher Award

Marianne Goodman, MD, is a Professor of Psychiatry with Icahn School of Medicine at Mount Sinai, and a full-time VA clinical research physician at the James J. Peters VA (JJPVA). She is the director and developer of the JJPVA DBT clinical and research program, and has been PI on multiple studies of the biology and treatment of emotion dysregulation in BPD and high-risk suicidal patient samples.

Are we missing someone? Please let us know!   isit@isitdbt.net

ISITDBT 2019 CONFERENCE PRESENTERS

Maciel Campos, Psy.D.

Maciel Campos, Psy.D., is an Assistant Professor of Medical Psychology (in Psychiatry) at Columbia University Irving Medical Center and the Program Director for the Home Based Crisis Intervention program, which offers short term and intensive in-home therapeutic services to families with psychiatrically at-risk children. Dr. Campos received her doctoral degree from Adler University and completed her APA internship at Columbia University Medical Center. Dr. Campos identifies as bicultural and bilingual with a strong background in community psychology, social responsibility, and social justice and dedicates significant efforts to the delivery of evidence-based care for children, adolescents, and adults in community settings.

Anthony P. Dubose, Psy.D.

Anthony P. DuBose, Psy.D., is the Chief Training Executive & Director of CE/CME for Behavioral Tech, LLC, the company founded by Marsha Linehan, PhD, ABPP, for the dissemination of evidence-based treatments. He is a Founding Member and serves on the Advisory Board of the Evidence Based Treatment Centers of Seattle, PLLC. Dr. DuBose received a doctoral degree in clinical psychology from Pacific University of Oregon. He completed his predoctoral psychology internship at Western State Hospital in Lakewood, WA, and his residency requirements for psychology licensure as a postdoctoral fellow in clinical child psychology through the University of Washington’s Department of Psychiatry and Behavioral Sciences. Before training as a psychologist he completed a Master of Science degree in counseling from Loyola University of New Orleans and worked as a family therapist upon completion of that degree.

Dr. DuBose is licensed as a psychologist by the state of Washington since January 1998. His interest in suicidal and self injurious behaviors developed when working with severely suicidal adolescents at the Child Study and Treatment Center, the state psychiatric hospital for children in Washington, where he served as director of the older adolescent program from 1997 to 2001. His experience includes treatment of adults, adolescents, children, families, and inpatient adolescent populations. He is a recognized expert in the use of Dialectical Behavior Therapy in the treatment of suicidal and self-injurious behaviors in adults and adolescents, borderline personality disorder, and substance use disorders. He holds appointment as a clinical assistant professor in the University of Washington Department of Psychology. He collaborates with Marsha Linehan, PhD, ABPP, and other researchers on the study of DBT, particularly related to its dissemination and implementation. He has a particular interest in implementation of evidence-based treatments in systems and has trained and consulted with providers in the United States, Australia, Canada, Egypt, Europe, the Republic of Korea, New Zealand, and South America.

Emily Edwards, Ph.D.

Emily Edwards, PhD is a postdoctoral fellow in the VISN 2 MIRECC program at James J. Peters VA Medical Center in Bronx, NY. She received her PhD in clinical psychology from CUNY Graduate Center / John Jay College and completed a predoctoral fellowship with the Intensive Outpatient DBT program at Yale-New Haven Hospital. Dr. Edwards has provided DBT in a variety of settings, including private practice, psychiatric inpatient, and intensive outpatient. Her research focuses primarily on treatment and theory for persons with emotion processing and emotion regulation difficulties. She is especially interested in adapting treatments for individuals with severe personality disorders and for forensic contexts.  

Skye Fitzpatrick, Ph.D.

Skye Fitzpatrick, Ph.D. is an assistant professor (tenure-track) in the Department of Psychology at York University. She completed her PhD at Ryerson University under the mentorship of Dr. Janice Kuo, her internship at the University of Washington Medical Center under the mentorship of Dr. Debra Kaysen, and her postdoctoral fellowship at Rutgers University under the mentorship of Dr. Denise Hien and Dr. Shireen Rizvi. Her research involves identifying and refining ways to treat borderline personality disorder (BPD) and suicidality, with and without comorbid posttraumatic stress disorder (PTSD). She has two streams of research that work towards this goal. First, she uses experimental, ecological momentary assessment, and other translational science paradigms to identify which specific strategies work in the treatment of BPD and how. Second, she directly studies BPD and PTSD treatments themselves with a particular focus on dialectical behavior therapy. She has recently become particularly focused on harnessing the power of relationships to treat BPD and/or PTSD through conjoint and dyadic interventions. Dr. Fitzpatrick has received numerous awards for academic excellence and contributions to training or leadership, including the Governor General’s Academic Gold Medal Award, the American Psychological Association Dissertation Research Award, and the Dennis Mock Student Leadership Award, and the University of Washington Medical Center Nancy Robinson Award for Outstanding Overall Achievement.

Andrea Gold, Ph.D.

Andrea Gold, Ph.D., is a Clinical Assistant Professor of Psychiatry and Human Behavior at the Brown University Alpert Warren School of Medicine, and Staff Psychologist at the Pediatric Anxiety Research Center, Bradley Hospital. Her research examines brain-behavior relationships underlying principles of exposure-based treatments for pediatric anxiety disorders, OCD, and emotion dysregulation. Her clinical practice integrates the shared principles of DBT and exposure and response prevention (E/RP). As a clinician-scientist, her current interests focus on the subpopulation of adolescents with OCD and anxiety co-occurring with BPD and emotion dysregulation. Her research also examines the development of BPD in adolescent girls and boys. 

Melanie S. Harned, Ph.D, ABPP

Melanie S. Harned, Ph.D., ABPP, received her PhD in clinical psychology at the University of Illinois at Urbana-Champaign. She completed predoctoral and postdoctoral fellowships at McLean Hospital/Harvard Medical School, a postdoctoral fellowship at Two Brattle Center, and a postdoctoral fellowship under the direction of Dr. Marsha Linehan at the Behavioral Research and Therapy Clinics at the University of Washington.

Dr. Harned currently works as a psychologist at the VA Puget Sound Health Care System, is on the faculty of the Departments of Psychiatry and Psychology at the University of Washington, and is a trainer and consultant for Behavioral Tech, LLC.  Dr. Harned has previously worked as the Research Director of Dr. Linehan’s Behavioral Research and Therapy Clinics at the University of Washington (2006-2018), Director of Research and Development for Behavioral Tech, LLC (2014-2017), and Director of Behavioral Tech Research, Inc. (2013-2016). Dr. Harned’s research focuses on the development and evaluation of a protocol to treat PTSD during DBT as well as methods of disseminating and implementing this and other evidence-based treatments into clinical practice.

Dr. Harned has published numerous journal articles and book chapters and she regularly lectures and leads trainings both nationally and internationally. She is licensed as a psychologist in the state of Washington.

Lauren Jackson, Psy.D.

Lauren Jackson, Psy.D., is a Psychologist at the Tibor Rubin VA Medical Center where she also served as the former Program Manager for General Outpatient Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) Services, former Chief of Psychology and former Assistant Chief of Psychology.  She is a certified Consultant/Trainer and Diplomat for the Academy of Cognitive Therapy (ACT) where she trains clinicians in the application of case-conceptualization driven CBT with patients presenting with complex mental health needs.  Dr. Jackson was awarded her Psy.D. in clinical psychology from Pepperdine University where she worked under the mentorship of renown PTSD researcher Dr. David Foy and studied the relationship between Veteran PTSD and health-related outcomes resulting in premature mortality.  She completed her Internship at the Durham VA Medical Center and went on to complete her Postdoctoral Fellowship at Harbor UCLA in the Adult CBT/DBT Program.  Dr. Jackson spent the first years of her career at Harbor UCLA and went on to become a Clinical Instructor for the UCLA Geffen School of Medicine.  While at Harbor UCLA, Dr. Jackson served as the Associate Project Lead for the roll-out of CBT and DBT across the Los Angeles Department of Mental Health (LA DMH).   In this role, she trained psychologists, psychiatrists, social workers and graduate students in CBT and DBT treatment models.  During this time, she was given special recognition by being named LA DMH’s 2012 “Rising Star in Psychology” as well as “Supervisor of the Year” by the Harbor UCLA Department of Psychiatry.  Dr. Jackson transitioned into the VA system in 2014 where she has continued her work as a CBT and DBT clinician, researcher and trainer.  In the VA, she has gone on to receive special recognition for her efforts in program development and clinical care. She has continued to lecture and provide ongoing consultation to VA hospitals across Southern California regarding the implementation of CBT and DBT.   Dr. Jackson has been certified by the Center for the Treatment and Study of Anxiety as a Prolonged Exposure (PE) therapist and has also been intensively trained in both DBT and the Cognitive Behavioral Analysis System of Psychotherapy (CBASP) for chronic depression.  Dr. Jackson has presented at multiple international conferences including the International Society of Traumatic Stress Studies (ISTSS), the Association for Behavioral and Cognitive Therapies (ABCT), and the International Society for the Improvement and Teaching of Dialectical Behavior Therapy (ISITDBT). Her current research interests include clinician implementation of gun safety counseling when working with high-risk individuals, evaluating treatment outcomes for individuals with co-occurring BPD and PTSD, as well as evaluating trainer, clinician and client factors that impact the dissemination of CBT.

 

Patrik Karlsson, LCSW

Patrik Karlsson is a Licensed Clinical Social Worker and currently works as a Behavioral Health Manager with both clinical and administrative duties at Kaiser Permanente in Northern California. He helped establish the master’s level clinical training program and served as its director for 10 years, the Dialectical Behavioral Program in 2007, and the McFarlane Multifamily Group Program for the SPMI population.  Patrik graduated from the University of Southern California in 1999 with a Master’s in Social Work and has worked in various clinical settings including community counseling center, emergency departments, forensic residential rehabilitation, and outpatient psychiatric clinics. He has also taught for the Harm Reduction Coalition. He currently manages licensed therapists as part of the Adult Generalist team in outpatient psychiatric at Kaiser Permanente. Patrik manages a small private practice. Clinical interests include Dialectical Behavior Therapy, CBT for Psychosis, Prolonged Exposure Therapy, and Harm Reduction Psychotherapy, and providing clinical training for psychology and social work students.

Julie Orris, Ph.D.

Dr. Orris is a licensed clinical psychologist and the Clinical Director at CBT California where she oversees clinical staff, supervises trainees, and provides consultation and training to CBTC staff and other professionals.  She trains and supervises students from Pepperdine and Alliant as well as postdoctoral fellows from Harbor UCLA.  Dr. Orris is on faculty at University of California Irvine where she provides consultation and training to residents, fellows, and clinical staff in the department of Psychiatry. She regularly provides trainings to outside professionals and community agencies in Dialectical Behavior Therapy. Dr. Orris also provides clinical services to adults and adolescents in the Newport Beach location of CBTC. Dr. Orris is a DBT-Linehan Board of Certification, Certified Clinician.  

Rajita Sinha, Ph.D.

Rajita Sinha, Ph.D., is the Foundations Fund Endowed Professor in Psychiatry, Neuroscience and in Child Study at the Yale University School of Medicine. She is a licensed Clinical Psychologist and Clinical Neuroscientist, Chief of the Psychology Section in Psychiatry and Co-Director of Education for the Yale Center for Clinical Investigation (home of Yale’s NIH supported Clinical Translational Science Award). She is a trained DBT expert in BPD and addiction co-morbidity, with specific expertise in mindfulness-based therapies including mindfulness-based stress reduction. She is the founding director of the Yale Interdisciplinary Stress Center that focuses on understanding the neural and biobehavioral processes linking stress, emotion dysregulation, trauma and resilient versus vulnerable coping mechanisms that promote neuropsychiatric diseases such as alcoholism, other substance abuse, PTSD and other chronic diseases. Her lab also develops and tests novel treatments to address these processes to prevent addiction relapse risk and improve addiction treatment outcomes. Her research has been supported by a series of NIH funded research projects continuously for over 20 years and she has published over 275 scientific peer reviewed publications in these areas. She currently serves on the US National Institutes of Health’s (NIH) Expert Scientific Panel for the NIH Common Fund’s Science of Behavior Change program and has also served as a member of the NIH/NIAAA Advisory Council.  She has presented at numerous national and international conferences, and her work is widely cited. She has been featured as an expert on stress, trauma, emotion dysregulation and its effects on memory, cognition, emotion and health behaviors for numerous news outlets including the HBO Documentary Films, Dr. OZ Show, NBC Nightly News, CNN Health, Wall Street Journal and USA Today to name a few. She conducts workshops, lectures and retreats on stress management, self-care for the stressed professional and for senior executives, and on ways to reduce stress and build resilience to enrich and enhance work, family and life.

Alison Tebbett-Mock, Ph.D.

Alison Tebbett-Mock, Ph.D. is a psychologist and an Assistant Professor of Psychiatry at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell at Northwell, Zucker Hillside Hospital in Queens, New York.  She is currently the DBT Team leader for their acute-care adolescent psychiatric inpatient unit, and she also provides treatment to adolescent inpatients and their families, supervises and teaches psychology and psychiatry trainees, and conducts research.  Dr. Tebbett-Mock earned her Ph.D. in clinical psychology with a specialization in child clinical psychology in 2013 at St. John’s University, NY.  She completed an APA accredited internship and fellowship in the child track at North Shore Long Island Jewish Medical Center (now known as Northwell), Zucker Hillside Hospital.  Dr. Tebbett-Mock is dedicated to implementing and disseminating empirically-based treatments for youth and their families.  She has specialized interests in DBT, trauma specific CBTs, and milieu interventions.  She is a member of the American Psychological Association, the APA Division 53 Society of Clinical Child and Adolescent Psychology, and the Association of Behavioral and Cognitive Therapy

Maureen Zalewski, Ph.D.

Maureen Zalewski, Ph.D., is an associate professor at the University of Oregon. She is currently conducting a NIMH 5 year RCT on DBT Skills for mothers with BPD who have 3 year old children. More broadly her work focuses on a) child development in the context of having a parent with mental health disorders, b) quality of parenting while having a mental health disorder and c) leveraging adult psychotherapy, such as DBT to better serve adult clients who are also parents as a means of preventing future mental health disorders in their children. She received her PhD in child clinical psychology from the University of Washington and while there, completed 2+ years of DBT practicum with Dr. Linehan.  

ISITDBT EXHIBITORS

Exhibiting at the 2019 ISITDBT annual conference will put you in touch with hundreds of DBT practitioners, providers, students, and leaders in the field. Each year the conference is bustling with new ideas and enthusiasm as the DBT community comes together to learn, gather ideas, and shop. Our conference is growing and this year we are willing to offer a few spots to exhibit materials that may be relevant to the conference.

The exhibits will be right outside from the main conference room ensuring that all of the attendees will see the exhibition booths. Please send us an e-mail at isit@isitdbt.net if you are interested in showcasing your products at our conference.

Each exhibition proposal will be reviewed on a case-by-case basis, and approval will pend on the ISIT board and ABCT review, as well as space limitations. The cost will be $250 + costs required for set up for each exhibit and space will be assigned based on board approval.

ISITDBT 2019 ACCREDITATION AND CONTINUING EDUCATION

ISTDBT typically offers Continuing Education credits for alcohol and drug abuse counselors (NAADAC – the Association for Addiction Professionals), nurses (AMA PRA Category 1 Credits™), psychologists (American Psychological Association), and certified social workers, marriage and family therapists, and mental health counselors (NASW). Stay tuned for more information on our continuing education offerings.

ISITDBT 2019 HOTEL

The 2019 ISITDBT Conference will be held at the

  • Hyatt Regency Atlanta, Peachtree St NE, Atlanta, GA 30303

You can book a room directly with this hotel at their website.

 

You may also wish to book a room at the other ABCT-affiliated hotel, the Atlanta Marriott Marquis, Peachtree Center Ave NE, Atlanta GA 30303

You can book a room directly with this hotel at their website. 

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