Eating Disorder patients who suffer from multiple Axis I and II diagnoses, especially those that include suicidal or self-harm behaviors, tend to be a conceptual and practical treatment conundrum, often leading to therapist burnout and to patient drop out. Dialectical Behaviour Therapy (DBT), originally designed to treat chronically suicidal patients suffering from Borderline Personality Disorder, is a treatment that has been applied to multi-diagnostic, difficult-to-treat patients such as these. DBT offers strategies to address prioritizing multiple treatment targets, including those that can be life threatening in patient with eating disorders as well as prioritizing behaviors that can interfere with treatment and subsequently contribute to patient drop out and therapist burn out. Several studies have demonstrated that using DBT with those diagnosed with an eating disorder is both efficacious and effective.
In this workshop, participants will learn how relevant aspects of DBT have been adapted for those with eating disorders, including adaptations of the biosocial model, diary cards, and targets in stage one treatment. A focus will be placed on applying DBT individual treatment strategies to those diagnosed with eating disorders, including how to conduct a chain analysis on ED behaviors, how to apply commitment strategies with ED individuals, and how to utilize dialectical strategies in individual treatment. Using lecture, case examples, small group exercises and role plays, participants will have the opportunity to practice and observe DBT individual treatment strategies for those diagnosed with an eating disorder.
- Use a hierarchy to decide which behaviors should be addressed first during an individual therapy session with a complex ED patient.
- Identify and target therapy interfering and therapy destroying behaviors in complex ED patients.
- Understand the use of contingency management in the treatment of complex ED patients.
Who is this training intended for:
This training is primarily intended for mental health professionals with comprehensive (or similar) training in DBT who encounter client with eating disorders within their DBT practice. A firm familiarity with DBT concepts and practice is expected.
- This is an intermediate to advanced level training.
- There are no pre-requisites for this training
- This training has not previously been offered in New Zealand
You will be expected to have read the standard DBT texts:
- Linehan, M. M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
- Linehan, M. M. (2014). DBT Skills Training Manual (Second Edition). New York: Guilford Press.
Dr Lucene Wisniewski, PhD, FAED
Lucene Wisniewski, PhD, FAED, is the owner and founder of Lucene Wisniewski, PhD, LLC, and DBTOHIO, as well as an Adjunct Assistant Professor of Psychological Sciences at Case Western Reserve University. From 2006-2014, she served as Clinical Director and co-founder of the Cleveland Center for Eating Disorders, a comprehensive eating disorder treatment program offering evidenced based care. Wisniewski served as the Chief Clinical Integrity Officer of the Emily Program, a multi-state eating disorder program from 2014-2017. Her research and clinical interests center around program development and using empirically founded treatments to inform clinical practice. She provides workshops on the CBT and DBT treatment of eating disorders internationally and publishes in peer reviewed journals as well as invited book chapters. Dr. Wisniewski has been elected fellow, has served on the board of directors, and as the co-chair of the Borderline Personality Disorder special interest group of the Academy for Eating Disorders (AED). In 2013 the AED awarded Dr. Wisniewski the Outstanding Clinician Award to acknowledge her contribution to the field of eating disorder treatment.
9.00am until 4.30pm daily. Sign in from 8.15am on the first day.
Sign in from 8.15am on the first day. Free parking at venue. Lunch and tea/coffee refreshments provided.