Clinical Applications for DBT of Teens and Young Adults

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Charles Jacob, PhD Related seminars and products

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Charles Jacob, PhD, is a psychologist, research scientist, and author with over 20 years of clinical experience conducting and overseeing the delivery of mental health services to individuals with severe mood and personality disorders. He is a recognized expert in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI) and has delivered workshops, seminars, and courses on these topics at universities and institutions throughout the world. He has held numerous academic positions, and currently works as a research associate for a Washington DC-based consulting firm. He is a past president of the ACA’s Pennsylvania branch and has been a featured interviewee on several episodes of NPR’s The Pulse.

Dr. Jacob completed his PhD in the counseling ed program at the Pennsylvania State University followed by a year of postgraduate training at the Center for Cognitive Therapy at Penn. He was a Fulbright Specialist through the US Department of State, is certified in DBT and is an Evergreen Certifications approved CBT-C consultant.

 

Speaker Disclosures:
Financial: Charles Jacob maintains a private practice and has employment relationships with U.S. Department of Commerce/Department of Labor and the Pennsylvania State University. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Charles Jacob is a member of the American Counseling Association.

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Objectives

1. Identify the post-COVID-19 trends in mental health challenges that are prevalent among teens and young adults.
2. Differentiate between therapeutic approaches for adolescents and young adults versus adults.
3. Examine the relevance of foundational components of Dialectical Behaviour Therapy (DBT), including mindfulness, distress tolerance, emotional regulation, interpersonal effectiveness, and validation, for young clients.
4. Evaluate the limitations of using DBT with adolescents and young adults.
5. Choose DBT skills, including mindfulness and emotional regulation, to manage distress in young clients.
6. Use DBT-informed safety and assessment tools to address self-destructive behaviours in teens and young adults.

Outline

• Statistics and trends in the U.S.
• Anxiety and depression post Covid-19
• 12-25 year olds vs adults in therapy
  • How therapy differs
  • Is there a “right” way to work with young clients?
• Three valuable strategies for improved client engagement

• Why DBT is a good option for young people
• The core components of DBT
  • Mindfulness
  • Distress tolerance
  • Emotional regulation
  • Interpersonal effectiveness
  • Validation
• DBT as evidence-based practice
  • History and development
  • Hierarchy and stages of treatment
• Dialectics: the balance of acceptance and change
  • Acceptance-oriented skills
  • Change-oriented skills
  • Examples and case studies
• Limitations of the research and potential risks

• Adapting sessions for adolescents: “DBT-A” Group Therapy
• Tips for an effective and receptive group culture
• DBT skills in action
• Individual therapy
• Elicit-Provide-Elicit model for disseminating skills
• Behaviour and solution analysis strategies
• Understand irreverence

• De-mystify mindfulness
  • A gateway skill & soothing technique
  • Build up the “mindfulness muscle”
  • Make wise mind make sense!
  • Self-care and avoid internal judgment
• Practical strategies to foster present-moment awareness
  • The perfect mindfulness “sales pitch” to use with young clients
  • In-session mindfulness activities and homework assignments

• The neuroscience of emotions in teens
• Valuable tools & skills to recognise, monitor, and manage intense emotions
  • TIP: Temperature, intense exercise, Progressive Relaxation
  • Wise Mind ACCEPTS – develop a skills resource
  • Distraction skills
  • Self-soothing skills
• Build positive experiences to combat negative emotions

• How to explain a SUDs rating
• Outline the challenges of exposure and response prevention
• The radical acceptance “sales pitch”
• Tips to help teens recognise that all intense emotions pass with time
• Rating scales to monitor emotions and experience self-efficacy
• Use of routines and activities to make distress less intense and more manageable

• Empower adolescents to recognise what behaviours they can control (namely: their own)
• Reframe the classic DBT acronyms: DEAR MAN, FAST, and GIVE
• Validate others to engage more effectively
• Boundary-building skills
• Step-by-step guide to crafting an effective “empathy statement”

• Need-to-know statistics and trends
• Safety and suicide assessment tools
• Safety planning strategies and examples
• Bridge-burning strategies for adolescent clients

Target Audience

• Counsellors
• School Counsellors
• Psychologists
• Psychotherapists
• Social Workers
• School Social Workers
• Art Therapists
• Marriage & Family Therapists
• Addiction Counsellors
• Case Managers
• Mental Health Professionals