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Introduction to Radically Open Dialectical Behavior Therapy (RO-DBT), San Antonio. TX

Location San Antonio, TX Date 14 Sep 2018Trainer Lori Prado, LMHC, LPC-S & Hope Arnold, LCSWCo-Host Center for Dialectical and Cognitive Behavioral Therapies & Eating Recovery Center San Antonio

Course Objectives

Self-control, the ability to inhibit competing urges, impulses, or behaviors is highly valued by most societies. However, excessive self-control has been linked to social isolation, aloof interpersonal functioning, maladaptive perfectionism, constricted emotional expressions, and difficult-to-treat mental health problems, such as anorexia nervosa, obsessive compulsive personality disorder and refractory depression.

The aim of this workshop is to introduce clinicians to the theoretical foundations and new skills underlying Radically Open-Dialectical Behavior Therapy (RO DBT) for disorders of overcontrol (Lynch, 2018). RO DBT is fully manualized and supported by three randomized controlled trials (RCTs) for refractory depression, two open-trials targeting adult Anorexia Nervosa, and one non-randomized trial targeting treatment resistant overcontrolled adults.

While resting on many of the core principles of standard DBT, the therapeutic strategies in RO-DBT are often substantially different. For example, RO-DBT contends that emotional loneliness represents the core problem for overcontrol, not emotion dysregulation. The biosocial theory for overcontrol posits that heightened threat sensitivity and diminished reward sensitivity transact with early family experiences emphasizing “mistakes as intolerable” and “self-control as imperative” to result in an overcontrolled coping style that limits opportunities to learn new skills and exploit positive social reinforcers. A novel thesis linking the communicative functions of emotional expression to the formation of close social bonds will be introduced, as well as new skills emphasizing receptivity, self-enquiry and flexible responding. New approaches designed to activate a neurobiological-based social-safety system, signal cooperation, and encourage genuine self-disclosure will be introduced using slides, handouts, video clips, and role plays.

Learning Objectives

Upon completion of this one-day training, participants will be able to:

  1. Explain a new biosocial theory for OC
  2. Describe the RO-DBT treatment structure
  3. Describe new RO-DBT treatment strategies designed to enhance willingness for self-inquiry and flexible responding.
  4. Describe the RO-DBT treatment hierarchy
  5. Describe a novel treatment mechanism positing open expression = trust = social connectedness
  6. List examples of strategies designed to improve pro-social cooperative signaling via activation of the parasympathetic nervous system’s social-safety system

For an example of the typical training schedule please click here

Target audience: Apart from a professional qualification in a mental health or related field (e.g. psychology, psychiatry, social work, mental health nursing) there are no further prerequisites for the course. Previous training in standard DBT is not a requirement for attending RO DBT courses.

The introductory training is at intermediate training level (e.g., post-doctoral level training for psychologists).

Conflicts of interest: We don’t receive any direct commercial support for our training company Radically Open Ltd. However, Dr. Thomas Lynch, the RO DBT treatment developer and chief RO DBT trainer, receives royalty fees for the RO DBT Textbook and Skills Manual from New Harbinger publishers. He is married to Mrs Erica Smith-Lynch, co-owner and director or Radically Open Ltd.

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Travel Information

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