40 Hours | 40 CEs

This self-paced training program on Dialectical Behavior Therapy (DBT) Implementation is presented by Michele Galietta, PhD.

This comprehensive training is designed specifically for individual therapists or skills trainers who are members of an intensively trained DBT team, but have not completed Intensive training themselves. It is meant to assist teams that have hired new staff or experienced turnover by allowing newer team members to get trained in the standard content of DBT.

This program includes training in Skills DBT. The DBT Skills Training program is an excellent means of training new team members and milieu/line staff, and strengthening existing team members’ skills. This self-paced online training program focuses on Skills Training in Dialectical Behavior Therapy (DBT). Dialectical Behavior Therapy (DBT) is a comprehensive cognitive behavioral treatment that is increasingly being used in a variety of health settings.  Comprehensive DBT has been found to have great practical utility for the reduction of violence and self-harm. DBT Skills are an essential component of comprehensive DBT and some evidence suggests that skills alone, with case management may efficacious for less acute individuals as well. The primary focus of this course will be the content and delivery of the skills component of DBT with emphasis on relevant adaptations for forensic clients (e.g., substance abuse, skills for reducing violence & obsessional thinking).

Throughout the course, didactic presentation with relevant case examples will alternate with participant practice of DBT skills. This course will contain discussion of strategies for successful implementation and interactive discussion with participants about potential application of DBT Skills to their settings/populations. Participants will learn how to apply and teach the effective DBT skills of Core Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation. Participants will also learn how to apply and teach the effective DBT skills of Core Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation.

This program includes Forensic Applications of Dialectical Behavior Therapy (DBT) training. Dialectical Behavior Therapy is a comprehensive cognitive behavioral treatment originally developed for women with chronic suicidality and borderline personality disorder. Since the 1990s, DBT has been subjected to numerous clinical trials, and been adapted for a variety of populations including adolescents and forensic inpatients and outpatients. DBT has been found to have great practical utility for the reduction of violence and self-harm in forensic settings.

This program will provide participants with a thorough introduction to standard DBT, as well as specific adaptations and strategies useful with a variety of adult and juvenile forensic settings (e.g., jails/prisons, forensic hospitals, juvenile justice settings, probation.) DBT can reduce problem behaviors in individual clients, and also functions to stabilize the milieu by employing eastern principles of acceptance and compassion paired with careful application of behaviorism. The course will discuss comprehensive DBT in forensic settings, and the research supporting this intervention.

The following texts are required for this training program:

  • Linehan, M. M. (2014). DBT Skills Training Manual (2nd ed.). New York, NY: Guilford.
  • Linehan, M. M. (2014). DBT Skills Training Handouts and Worksheets (2nd ed.). New York, NY: Guilford.

Learning Objectives

Upon completion of this course you will be able to:

  • Describe an introduction to DBT

  • Describe salient features of the research behind DBT

  • Describe adaptations of DBT for specialized settings and populations

  • Describe the structure of DBT

  • Describe bio-social theory of DBT

  • Describe the therapist and client agreements in DBT

  • Describe the assumptions of clients and therapy in DBT

  • Describe the therapist and client agreements in DBT

  • Describe the modes of DBT and their Function

  • Describe the modes and functions for their DBT Program

Presented By

Michele Galietta, PhD

Dr. Michele Galietta is Associate Professor of Psychology at John Jay College of Criminal Justice, City University of New York where she served as Director of the Clinical Psychology Ph.D. Program from 2005-2013. Dr. Galietta is a researcher and clinician specializing in the training, adaptation and dissemination of empirically-supported treatments to community and forensic/correctional settings.

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  • Intended Audience

    This self-paced course is intended for mental health and other allied professionals.

  • Experience Level

    This self-paced course is appropriate for beginner, intermediate, and advanced level clinicians.

  • CE / CPD Credit

    APA, ASWB, CPA, NBCC Click here for state and other regional board approvals.

Course Preview


  • 1


    • Review Before Proceeding

  • 2

    1. Introduction to Dialectical Behavior Therapy (DBT)

    • Introduction to DBT

    • Structure of DBT Skills Training Example

    • Quiz #1a

    • DBT Research

    • Quiz #1b

    • DBT Theory

    • DBT with Emotion Regulation Deficits

    • Quiz #1c

    • DBT Structure

    • Quiz #1d

    • DBT Inpatient Adaptation

    • Quiz #1e

    • DBT Stages of Treatment

    • Quiz #1f

    • DBT Skills Group

    • Quiz #1g

  • 3

    2. DBT Skills Training

    • DBT Skills Introduction - Part 1

    • Quiz #2a

    • DBT Skills Introduction - Part 2

    • Quiz #2b

    • Orienting

    • Core Mindfulness Skills

    • Quiz #2c

    • Distress Tolerance - Part 1

    • Quiz #2d

    • Distress Tolerance - Part 2

    • Homework Review: Half Smile

    • Middle Path Skills

    • Middle Path Skills: Dialectics - What is it?

    • Middle Path Skills - What's Typical for Adolescents?

    • Quiz #2e

    • Emotion Regulation

    • Emotion Regulation Handouts

    • Why Bother?

    • Quiz #2f

    • Interpersonal Efffectiveness

  • 4

    3. Assessment and Management of Suicidal Clients

    • Mindfulness Activity & Homework

    • Risk Assessment

    • Quiz #3a

    • Risk Factors

    • Quiz #3b

    • Behavioral Chain Analysis

    • Quiz #3c

    • BCA Practice 1

    • BCA Practice 2

  • 5

    4. Validation, Commitment, Targeting, and the First 4 Sessions

    • Mindfulness Activity & Homework

    • Validation and Commitment Introduction

    • DBT Case Formulation Steps - Adolescent

    • Quiz #4a

    • Validation

    • Quiz #4b

    • Validation Exercise 1

    • Validation Exercise 2

    • Commitment Strategies

    • Quiz #4c

    • Commitment Practice

    • Mindfulness Practice and Homework Review

    • Structure of DBT Therapy

    • Targeting Exercise

    • Targeting Exercise Key

    • Quiz #4d

    • Targeting Exercise 2

    • Targeting Using a Diary Card

    • Adolescent Diary Card

    • ITM Skills Diary Card

    • Instructions for Diary Card

    • Quiz #4e

    • Diary Card Exercise

    • Case Formulation

    • Quiz #4f

    • The First Four Sessions

    • Quiz #4g

    • Orienting to the Treatment

    • Quiz #4h

    • Agenda Setting Exercise

  • 6

    5. Behavioral Principles in DBT

    • Mindfulness Practice & Homework Review

    • Behavioral Principles of DBT - Introduction

    • Quiz #5a

    • Didactic Strategies

    • Understanding Behavior: Definitions

    • Quiz #5b

    • Reinforcement and Punishment

    • Quiz #5c

    • Shaping and Extinction

    • Quiz #5d

    • Getting Rid of a Behavior You Don't Like

    • Quiz #5e

    • Mindfulness and Chain Practice

    • Homework Review

    • Cognitive Strategies: Restructuring

    • Quiz #5f

    • Exposure

    • Quiz #5g

    • Communication Strategies and Protocol for Treatment Interfering Behavior

    • DBT in the Milieu

    • Egregious Behavior Protocol

  • 7

    6. Skills, Coaching, Crisis Calls, and Putting it All Together

    • Mindfulness & Homework Review

    • Risk Review

    • Quiz #6a

    • Coaching - Telephone & In-vivo

    • Coaching Exercise and Discussion - Part 1

    • Coaching Exercise and Discussion - Part 2

    • Dealing with Crises

    • Quiz #6b

    • Dealing with Crises Exercise

    • Mindfulness Activity & Homework

    • Consultation Team: The Backbone of DBT

    • Consultation Team - Part 2

    • Putting it All Together

    • Quiz #6c

  • 8


    • Instructions

    • Evaulation

    • Submission Verification

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