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    A Brief Introduction To RO DBT - Copyfor Rita

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    Ruslan Izmailov
    This document invites the recipient to a meeting about Radically Open DBT (RO DBT) featuring a case presentation and introduction. RO DBT is a new treatment that targets disorders involving over-control such as chronic depression, anorexia nervosa, and obsessive-compulsive personality disorder. The presentation will compare RO DBT to Dialectical Behavior Therapy (DBT) and discuss how the therapist's style differs between the two approaches.

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    A Brief Introduction To RO DBT - Copyfor Rita

    Uploaded by

    Ruslan Izmailov
    58 views23 pages
    This document invites the recipient to a meeting about Radically Open DBT (RO DBT) featuring a case presentation and introduction. RO DBT is a new treatment that targets disorders involving over-control such as chronic depression, anorexia nervosa, and obsessive-compulsive personality disorder. The presentation will compare RO DBT to Dialectical Behavior Therapy (DBT) and discuss how the therapist's style differs between the two approaches.

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    A brief introduction to RO DBT - Copyfor Rita

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    This document invites the recipient to a meeting about Radically Open DBT (RO DBT) featuring a case presentation and introduction. RO DBT is a new treatment that targets disorders involving over-control such as chronic depression, anorexia nervosa, and obsessive-compulsive personality disorder. The presentation will compare RO DBT to Dialectical Behavior Therapy (DBT) and discuss how the therapist's style differs between the two approaches.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views23 pages

    A Brief Introduction To RO DBT - Copyfor Rita

    Uploaded by

    Ruslan Izmailov
    This document invites the recipient to a meeting about Radically Open DBT (RO DBT) featuring a case presentation and introduction. RO DBT is a new treatment that targets disorders involving over-control such as chronic depression, anorexia nervosa, and obsessive-compulsive personality disorder. The presentation will compare RO DBT to Dialectical Behavior Therapy (DBT) and discuss how the therapist's style differs between the two approaches.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 23
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    Some of the key takeaways are that RO DBT is a new treatment approach targeting disorders involving over-control, and it was introduced in this document. DBT and RO DBT share some similarities but also have some differences.

    RO DBT is a new evidence-based treatment approach targeting a spectrum of disorders involving over-control such as chronic depression, anorexia nervosa, obsessive-compulsive personality disorder, treatment-resistant anxiety, autism spectrum disorder, and maladaptive perfectionism.

    Some differences mentioned between DBT and RO DBT include that there are significant differences according to Tanya. However, they also share some similarities like avoidance often being mentioned in DBT handouts. They also have similar structures for treatment delivery with groups, individual sessions, and consultation/supervision.

    Dear

    You are invited to the next meeting of the Victorian Borderline Personality Disorder
    (BPD) network:

    A BRIEF INTRODUCTION TO RADICALLY OPEN DBT (RO DBT)


    and case vignette
    .

    Wednesday, 26 June 2019

    A BRIEF INTRODUCTION TO
    RADICALLY OPEN DBT (RO DBT)
    and case vignette
    .

    Wednesday, 26 June 2019

    By

    Anna Banfai, Clinical Psychologist and


    Tanya Gilmartin, Clinical Psychologist
    A BRIEF
    INTRODUCTION
    TO
    RADICALLY
    OPEN DBT
    PART A: CASE PRESENTATION/VIGNETTE

    ANNA BANFAI
    2019
    A CASE PRESENTATION

    • From DBT to Radically Open DBT?


    CASE PRESENTATION -
    STRUCTURE
    • First: Couple counselling
    • Then a gap
    • Then 1:1 therapy, initially DBT-based
    • Then became more aware of over-control issues and
    existence of RO DBT resources
    SLIDES DELETED:

    • Details of case work are not available for distribution


    COUPLE THERAPY

    • Fruzetti, A: High-conflict Couple


    • A Dialectical Behaviour Therapy Guide to Finding Peace, Intimacy &
    Validation
    • Published: 3rd December 2006
    ISBN: 9781572244504
    Number Of Pages: 200

    • https://www.booktopia.com.au/high-conflict-couple-fruzzetti-
    a/prod9781572244504.html?source=pla&gclid=EAIaIQobChMIw7-
    So5b34gIVDyQrCh3B4ArZEAQYASABEgKIG_D_BwE
    LESSONS LEARNT

    • For a high-conflict couple who both have some SEVERE


    OUT OF CONTROL BEHAVIOURS, referred for couple-
    counselling in private practice, it is important that they have
    some Distress Tolerance and Emotion Regulation skills
    individually.
    • If their 1:1 therapists are not involved in working with them
    on the above, COUPLE COUNSELLING will be slow and
    pains-taking but may progress or fail.
    RADICALLY OPEN DBT

    • I first hear it exists in late 2018, read online, share info


    WHAT IS RO DBT?

    • A new evidence-based treatment targeting a spectrum of


    disorders involving OVER-CONTROL
    RO DBT – A TRANS-DIAGNOSTIC
    TREATMENT FOR
    Chronic Depression
    Anorexia Nervosa
    Obsessive-compulsive PD – has four or more features
    Treatment-resistant Anxiety
    ASD
    Maladaptive Perfectionism
    RO DBT 2019

    • 2 tests included in my intro training booklet:

    Styles of Coping Word-Pairs (Lynch, 2015):


    Under-Control:
    Over-Control:
    O-C TRAIT RATING SCALE -VERSION 3
    (SERETIS ET AL, 2015)

    • Low Affiliation Needs


    • Emotion Expression Inhibition
    • High detail-focus processing
    • Negative emotionality
    • Low positive
    • “High moral certitude
    THERAPIST STYLE?

    • I read that RO DBT therapists complete rating scales:

    ❖Helpful to understand personal biases smuggled into work


    O-C: inadvertently sanction avoidance
    U-C: learn to back off, slow down, take “heat off”

    ❖Outing ourselves = demonstration of valuing of different styles


    THERAPIST STYLE?

    • Therapist completes questionnaires


    • Relating style: much more o-c than u-c
    • Share with client?
    • Yes, in broad brush-strokes, especially as some self-
    disclosure had already been done
    IMPLEMENTATION IN CLINICAL
    PRACTICE
    By practicing radical openness and self-inquiry

    ❖ Therapists became more flexible and open


    ❖ Therapists learn about own social signaling
    ❖ Therapists feel professionally liberated and are helped in their own
    personal lives
    ❖ In consultation teams: self-inquiry replaces mindfulness

    Hempel at al, 2018


    WITNESSING HOW DBT STARTED
    IN MELBOURNE AND AUSTRALIA
    • Books published in 1993
    • First training in Melbourne in 1999
    • Modified programs, to suit needs of individuals AND fit in
    with treatment centres, settings – incl. evidence-based!
    • Now widely available in the private sector, not so widely in
    public mental health.
    WITNESSING HOW RO DBT
    STARTING IN MELBOURNE
    • Books published 2018
    • Introductory course end of 2018 – about ??50 of us?
    • INTENSIVE COURSE Early 2019 – in Sydney!!!
    Information: Tanya Gilmartin/Melbourne DBT Centre
    DISCOVERIES: FIVE O-C THEMES –
    ALREADY DISCUSSED

    Inhibited and disingenuous emotion:


    Hyper-detailed, focused and cautious behaviour
    Rigid and rule-governed behaviour:
    Aloof and distant style of relating:
    High social comparison and bitterness:
    DBT VS RO DBT?

    • Significant differences - Tanya

    • Similarities, too: avoidance often mentioned in DBT


    handouts
    • Similarities in structure of treatment delivery:
    groups + 1:1
    + Consultation/supervision (adherence)
    LESSONS LEARNT

    • Differentiate between U-C and O-C


    • There is a treatment for both!
    • Therapists?
    REFERENCES

    • Thomas R. Lynch: Radically Open DBT: Theory and Practice


    for Treating Disorders of Overcontrol. Context Press, 2018.
    • Thomas R Lynch: The Skills Training Manual for RO DBT: A
    Clinician’s Guide for Treating Disorders of Overcontrol.
    Context Press, 2018.
    • radicallyopen.net
    • radically open dbt
    DBT RESOURCES

    For individuals:
    • Don't Let Your Emotions Run Your Life: How Dialectical
    Behavior Therapy Can Put You in Control
    • by
    • Scott E. Spradlin (Goodreads Author),
    + Linehan books (2015, 2nd Ed)
    + Spectrum book on BPD available from Spectrum
    DBT-BASED
    COUPLE-COUNSELLING RESOURCE
    • Fruzetti, A: High-conflict Couple
    • A Dialectical Behaviour Therapy Guide to Finding Peace,
    Intimacy & Validation
    • Published: 3rd December 2006
    ISBN: 9781572244504
    Number Of Pages: 200

    • https://www.booktopia.com.au/high-conflict-couple-fruzzetti-
    a/prod9781572244504.html?source=pla&gclid=EAIaIQobChMI
    w7-So5b34gIVDyQrCh3B4ArZEAQYASABEgKIG_D_BwE

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