Targeting, Case Formulation and Treatment Planning
“Using theory to guide analysis and solutions”

December 16-17, 2019
8:30am to 4:00pm
Trainer: Josh Smith

Dialectical Behavior Therapy (DBT) is now considered the treatment of choice for suicidal individuals with Borderline Personality Disorder.  It has numerous Randomized Control Trials published and consistently shows its effectiveness in treating the multi-disordered, substance dependent, suicidal BPD individual.  When treating this type of client, one thing that can be challenging for the therapist is identifying which behavior amongst many they need to prioritize in treating over others.  One of the components in DBT that might be responsible for DBT’s empirical base is the way it structures the session (what behaviors are prioritized in treating) and the way it identifies the controlling variables that drive the client’s maladaptive behaviors through the use of a behavioral chain analysis.  Based on what the information shows during this behavioral chain analysis, DBT will use a set of theories to help guide the therapist and client in developing a strong case formulation.  Part of the DBT Certification process is to learn how to develop a specific case formulation on a Stage 1 client in DBT.  This training will teach attendees what behaviors are prioritized in treating, how to develop a case formulation and how to develop specific treatment plans to help treat the controlling variables that seem to give rise to and maintain the function of the client’s maladaptive behaviors.  Individuals who attend this training should already have a basic knowledge of the theory behind DBT.  It will contain lecture, audio of a real session, and role-plays to demonstrate the concepts that will be presented.  Come prepared for a high energy and highly experiential training.
  • Developing the initial treatment plan…Balancing Stage 1 Target Behaviors and the client’s “life-worth-living” goals
  • Developing an individualized diary card based on current target hierarchy
  • What behaviors take top priority in individual sessions?
  • Review of the behavioral chain analysis
  • Using the Biosocial Theory and Behavioral Theories of Change to guide our analysis
  • Secondary Targets…looking at Borderline Personality Disorder as a “dialectical failure”
  • Task analysis and developing “mini-treatment plans”…powerful solutions to “break the chain”!
  • “Dragging out new behavior”…teach, model, rehearse and feedback
  • Identify 3 classes of Quality of Life Interfering Behavior to help prioritize target behavior
  • Explain the 4 Behavioral Theories of Change
  • Identify the 6 secondary targets and how to identify them in session
  • Identify at least 3 skills to teach a client to treat each secondary target
  • Utilize target hierarchies, biosocial theory, behavioral theories of change and secondary targets to develop a DBT Case Conceptualization
  • Learn how to develop “mini-treatment plans” that treat controlling variables
Early Bird (30 days before)     $299   
Standard                                    $350
Student                                      $250
Daily Agenda
8:30am – 9:00am – Registration and Coffee
9:00am – 12:00pm – Morning Session
12:00pm – 1:00pm – Lunch Break, provided
1:00pm – 4:00pm – Afternoon Session with snacks provided
4:00pm – Adjourn
Target Audience and Practice Level
This training is specifically targeted to Intermediate and Advanced level social workers, counselors, psychologists, marriage and family therapists, psychiatrists, case managers and nurses.
This training has been approved for continuing education credits by the Association of Social Work Boards (ASWB), 400 South Ridge Parkway, Suite B, Culpeper, VA 22701.  Social Workers will earn 12 CEUs for the successful completion of this course.  No partial credits will be awarded.  To earn the allotted CEUs, Social Workers will need to be in full attendance.  For all other professions, please check with your individual board to seek approval for CEUs regarding this event.