Podcast
Questions and Answers
What is one of the primary goals of consultation meetings among DBT therapists?
What is one of the primary goals of consultation meetings among DBT therapists?
- To conduct individual therapy sessions
- To determine client eligibility for programs
- To share information and enhance treatment (correct)
- To teach new therapeutic techniques to clients
What should therapists avoid during DBT skills training sessions?
What should therapists avoid during DBT skills training sessions?
- Explaining the rationale behind skills
- Interrupting skills training for individualized feedback
- Encouraging clients to discuss individual issues
- Mixing their roles as skills trainers and therapists (correct)
How often should DBT therapists meet for consultation according to the guidelines?
How often should DBT therapists meet for consultation according to the guidelines?
- Monthly
- Daily
- Weekly (correct)
- Bi-weekly
What role do skills trainers sometimes hold in addition to their training duties?
What role do skills trainers sometimes hold in addition to their training duties?
Which of the following is emphasized during DBT skills training sessions?
Which of the following is emphasized during DBT skills training sessions?
What is a significant risk if communication between DBT providers and skills trainers is poor?
What is a significant risk if communication between DBT providers and skills trainers is poor?
What is vital for maintaining the effectiveness of DBT according to the provided guidelines?
What is vital for maintaining the effectiveness of DBT according to the provided guidelines?
What is one function of the skills trainers during the consultation meetings?
What is one function of the skills trainers during the consultation meetings?
What is the purpose of clients bringing up crises in DBT skills training?
What is the purpose of clients bringing up crises in DBT skills training?
Why is consistency and conformity between treating agents noted as useful in DBT skills training?
Why is consistency and conformity between treating agents noted as useful in DBT skills training?
What is a key component missing when DBT skills training is conducted outside of the standard DBT framework?
What is a key component missing when DBT skills training is conducted outside of the standard DBT framework?
What method may skills trainers utilize more heavily when individual therapists are not present?
What method may skills trainers utilize more heavily when individual therapists are not present?
What may be emphasized more when DBT skills training lacks an individual therapist component?
What may be emphasized more when DBT skills training lacks an individual therapist component?
What aspect of DBT skills training is enhanced by the weekly meetings among treatment teams?
What aspect of DBT skills training is enhanced by the weekly meetings among treatment teams?
What can be a consequence of clients focusing heavily on crises during DBT skills training?
What can be a consequence of clients focusing heavily on crises during DBT skills training?
During DBT, what may clients' primary providers take into account when planning individual treatment?
During DBT, what may clients' primary providers take into account when planning individual treatment?
What is the main purpose of DBT skills training?
What is the main purpose of DBT skills training?
Why is consultation between therapists essential in DBT?
Why is consultation between therapists essential in DBT?
What should an individual therapist avoid during crisis interventions?
What should an individual therapist avoid during crisis interventions?
In what situation might a skills trainer offer individual consultations?
In what situation might a skills trainer offer individual consultations?
What role does the DBT consultation team play?
What role does the DBT consultation team play?
What is the role of skills training in DBT when addressing suicidal behaviors?
What is the role of skills training in DBT when addressing suicidal behaviors?
What is critical for the success of DBT skills training?
What is critical for the success of DBT skills training?
How should therapists handle crisis calls during DBT skills training?
How should therapists handle crisis calls during DBT skills training?
What is a key consideration for non-DBT therapists when referring clients to DBT skills training?
What is a key consideration for non-DBT therapists when referring clients to DBT skills training?
In which scenario is an exception to the policy of referring to DBT skills training made?
In which scenario is an exception to the policy of referring to DBT skills training made?
What should individual therapists be advised regarding crisis calls?
What should individual therapists be advised regarding crisis calls?
What misconception might non-DBT therapists have about DBT skills trainers?
What misconception might non-DBT therapists have about DBT skills trainers?
What is a requirement for a client to effectively use DBT skills in everyday life?
What is a requirement for a client to effectively use DBT skills in everyday life?
What can happen if a non-DBT therapist underestimates the role of DBT skills trainers?
What can happen if a non-DBT therapist underestimates the role of DBT skills trainers?
What should DBT skills trainers ideally be trained in?
What should DBT skills trainers ideally be trained in?
What is a potential issue with giving clients DBT skills handouts?
What is a potential issue with giving clients DBT skills handouts?
What is the main focus of the consultation-to-the-patient strategy?
What is the main focus of the consultation-to-the-patient strategy?
Why might some individual psychotherapists refuse to incorporate skills coaching into therapy?
Why might some individual psychotherapists refuse to incorporate skills coaching into therapy?
What issue can arise when therapists insist on making clinical decisions during a crisis?
What issue can arise when therapists insist on making clinical decisions during a crisis?
What challenge is mentioned regarding crisis clinics that staff volunteers?
What challenge is mentioned regarding crisis clinics that staff volunteers?
How can skills trainers adapt their approach to help clients facing difficulties in using new skills?
How can skills trainers adapt their approach to help clients facing difficulties in using new skills?
What is a commonly experienced misconception among clients with therapists who do not take after-hours calls?
What is a commonly experienced misconception among clients with therapists who do not take after-hours calls?
What does the experience in the clinic suggest about individual therapists and skills groups?
What does the experience in the clinic suggest about individual therapists and skills groups?
What can occur if therapists do not prioritize skills coaching for their clients?
What can occur if therapists do not prioritize skills coaching for their clients?
What is the primary responsibility of the individual provider for a client in DBT skills training?
What is the primary responsibility of the individual provider for a client in DBT skills training?
What should be provided to manage client clinical emergencies?
What should be provided to manage client clinical emergencies?
What document is necessary for a client to participate in the DBT Skills Training Program?
What document is necessary for a client to participate in the DBT Skills Training Program?
What is one of the responsibilities of the primary provider during DBT skills training sessions?
What is one of the responsibilities of the primary provider during DBT skills training sessions?
What must the primary individual provider agree to maintain for their client?
What must the primary individual provider agree to maintain for their client?
In which situation would the primary provider need to ensure immediate intervention?
In which situation would the primary provider need to ensure immediate intervention?
Which of the following is NOT a responsibility of the primary provider in DBT skills training?
Which of the following is NOT a responsibility of the primary provider in DBT skills training?
What role does coaching play in the context of skills training similar to basketball?
What role does coaching play in the context of skills training similar to basketball?
Flashcards
DBT Consultation Team Meetings
DBT Consultation Team Meetings
Regular meetings between DBT therapists to share information and ensure adherence to DBT principles.
DBT Consultation Team Strategies
DBT Consultation Team Strategies
Strategies used in DBT to ensure effective collaboration between individual therapists and skills trainers.
Skills Trainer as Individual Therapist
Skills Trainer as Individual Therapist
When skills trainers also act as individual therapists or case managers for some of their clients.
Keeping Roles Clear in DBT
Keeping Roles Clear in DBT
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Communication between DBT Providers
Communication between DBT Providers
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Enhancing DBT Treatments
Enhancing DBT Treatments
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Reviewing DBT Skills Focus
Reviewing DBT Skills Focus
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Skills Trainers Teaching Team Members
Skills Trainers Teaching Team Members
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Collaboration between skills trainer and primary provider
Collaboration between skills trainer and primary provider
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Weekly meetings between therapists and skills trainers
Weekly meetings between therapists and skills trainers
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Consultation-to-the-ÂÂpatient strategies in DBT
Consultation-to-the-ÂÂpatient strategies in DBT
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Standard DBT
Standard DBT
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Skills training
Skills training
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DBT skills training outside standard DBT
DBT skills training outside standard DBT
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DBT smartphone coaching apps
DBT smartphone coaching apps
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Crises management
Crises management
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DBT Skills Training Focus
DBT Skills Training Focus
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As-Needed Phone Coaching/Crisis Intervention
As-Needed Phone Coaching/Crisis Intervention
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DBT Consultation Team
DBT Consultation Team
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Skills Trainers' Role in Suicidal Crises
Skills Trainers' Role in Suicidal Crises
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Inter-Therapist Consultation in DBT
Inter-Therapist Consultation in DBT
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Individual Consultation Sessions in DBT
Individual Consultation Sessions in DBT
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Individual Therapists' Roles in Suicidal Crises
Individual Therapists' Roles in Suicidal Crises
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DBT Skills Trainer
DBT Skills Trainer
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Individual Therapist
Individual Therapist
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High-Risk Suicidal Behavior
High-Risk Suicidal Behavior
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Unintended Reliance on Skills Trainer
Unintended Reliance on Skills Trainer
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Skills Trainer Lacking Full DBT Training
Skills Trainer Lacking Full DBT Training
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Skills Trainer Relying on Individual Therapist
Skills Trainer Relying on Individual Therapist
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Coaching with DBT Materials
Coaching with DBT Materials
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Coaching on DBT Skills in Everyday Life
Coaching on DBT Skills in Everyday Life
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Are Individual Therapists Required to Provide Skills Coaching?
Are Individual Therapists Required to Provide Skills Coaching?
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What Happens When Individual Therapists Don't Take After-hours Calls?
What Happens When Individual Therapists Don't Take After-hours Calls?
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Individual Therapists and Crisis Situations
Individual Therapists and Crisis Situations
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How Can Skills Coaches Address the Concerns of Individual Therapists?
How Can Skills Coaches Address the Concerns of Individual Therapists?
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Why Some Therapists May Resist Skills Coaching
Why Some Therapists May Resist Skills Coaching
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The Client's Perspective on Skills Training
The Client's Perspective on Skills Training
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Maintaining Clear Boundaries in DBT
Maintaining Clear Boundaries in DBT
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Consultation-to-the-Patient Strategy
Consultation-to-the-Patient Strategy
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Ongoing Individual Therapy
Ongoing Individual Therapy
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Primary Therapist's Role
Primary Therapist's Role
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Primary Provider Agreement
Primary Provider Agreement
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Crisis Plan
Crisis Plan
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Applying DBT Skills
Applying DBT Skills
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Therapist Availability
Therapist Availability
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Backup Provider
Backup Provider
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Collaboration between Therapists
Collaboration between Therapists
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Study Notes
Consultation Between DBT Providers and Skills Trainers
- Communication between individual DBT providers and skills trainers is crucial.
- Clear expectations and frequent review are essential to avoid hinderance of treatment.
- DBT consultation team strategies ensure therapists adhere to the framework of DBT.
- Weekly consultation meetings review current skills focus, potentially training other team members on needed skills.
- Common language regarding skill application decreases confusion. Consistency, although not a core value in DBT, can be beneficial.
- Meetings address issues individual clients may have with applying skills or interacting in group settings.
- Providers consult with trainers, considering this information while planning treatment.
- Consultation with clients is essential, ensuring client awareness and consent to therapist collaboration.
When the Primary Provider is a Skills Trainer
- Skills trainers may also be individual therapists or case managers for some clients.
- Pharmacotherapists may act as skills trainers.
- Clear role separation when teaching skills versus managing crises is paramount.
- Focusing on skill learning is more effective than focusing on crises.
DBT Skills Training outside Standard DBT
- Modifying standard DBT may be necessary when there's no individual provider component.
- Alternative coaching methods like phone, text, or email are used, highlighting greater emphasis on coaching apps.
- Additional individual consultations for group members may be needed, especially during severe distress.
Clarifying Individual Therapists' versus Skills Trainers' Roles in Suicidal Crises
- Standard DBT treatment includes individual therapy, skills training, phone coaching, and a consultation team.
- Reduction of suicidal behaviors isn't the primary focus in DBT skills training.
- Skills training focuses on generalizable skills applicable to various life issues.
- Discussion of self-injury, substance use, and other severely dysfunctional behaviors isn't typically addressed during skills training.
- Individual therapists are typically responsible for crisis management.
- Training or experience with suicidal crisis management isn't always guaranteed for skills trainers.
- Prioritization and clear communication are vital when clients are highly suicidal, and potential crisis needs must be evaluated before referral to skills training group.
Managing Working with Clients of Non-DBT Individual Therapists
- Collaborative agreements are needed to manage clients of non-DBT therapists in DBT treatment.
- Individual therapists must take responsibility for crisis management, with skills trainers needing to act as liaisons during crises.
- It is essential that the individual therapist is contacted and able to respond to crises.
- The individual therapist will provide consultation for the client to support day-to-day living.
- Skills trainers are not responsible for crisis calls.
When Individual Psychotherapists Do Not Incorporate Skills Coaching into Psychotherapy
- Some therapists may not incorporate skills coaching due to specific therapeutic approaches or interpretations.
- Clients may be instructed to seek additional coaching from other sources.
- Skills trainers need to help clients with any trouble in applying learned skills into daily living.
- Additional skills training sessions can help address challenges clients face in applying these skills and finding helpful coping methods.
DBT Skills Training in Other Settings
- Staff members in inpatient units can learn behavioral skills to provide coaching to clients.
- Weekly skills consultation meetings can assist clients.
- In residential treatments and settings, it's beneficial to provide advanced skills groups.
- Skills generalization is enhanced with involvement of family members in learning skills.
- Strategies for integrating skills into ongoing therapy are applicable across different therapeutic approaches.
- Recognizing and understanding the skill associated with the challenge is often needed.
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