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Dialectical Behavior Therapy: Treating the Multi-Problem Adolescent

Michael Hollander

July 26 - 30, 2010
Cape Cod, MA

About the Presenter 

Michael Hollander, Ph.D., is an Instructor of psychology in the Department of Psychiatry at Harvard Medical School and he serves on the teaching faculty in the Department of Child Psychiatry at Massachusetts General Hospital. Dr. Hollander is Director of Training for McLean Hospital’s continuum of adolescent DBT services; he is the Director of their DBT Day Program and senior consultant for their Adolescent Acute Residential and Partial Program. He has also served as Director of Adolescent Services at Two Brattle Center in Cambridge, MA and as a Psychological Consultant to the Germaine Lawrence School in Arlington, MA.

Dr. Hollander is a nationally recognized expert in the treatment of adolescents and their families and he has developed an expertise in individual and group therapies, especially in the use of Dialectical Behavior Therapy (DBT) with teenagers. The author of Helping Teens Who Cut: Understanding and Ending Self-Injury, he has a strong interest in treating adolescents who engage in self-injurious behavior. Dr. Hollander is a Trainer for Behavioral Tech in Seattle, WA and travels the country teaching DBT to clinicians. A gifted teacher, Dr. Hollander is a recipient of the Teacher of the Year Award from the Mass General/McLean Hospital Child Psychiatry Residency Program.

Symposium Description

Clinicians who work with multi-problem adolescents are frequently challenged by the complex clinical presentations of adolescents who are often difficult to engage and keep in treatment. This symposium is designed for professionals who have a working knowledge of Dialectical Behavior Therapy and who work with adolescents and families in a wide range of treatment contexts. Participants will learn how to apply the theory, principles, functions and modes of comprehensive DBT to working with high-action adolescents and their families.

SYMPOSIUM SCHEDULE

Monday

  • An overview of DBT
  • Pre-treatment and commitment stage
  • Strategies of engaging adolescents
  • Orienting adolescents and parents to DBT treatment
  • Helping adolescents and their parents understand the bio-social theory
  • Getting commitment from adolescents and their parents

Tuesday

  • Structuring the treatment - Targets and individual therapy
  • Functions of Targets: Managing disagreements about target behaviors, special problems in targeting adolescent behaviors
  • Individual therapy: Keeping adolescents and the therapist engaged, organizing the session, issues around consultation to the patient vs. environmental interventions, diary cards, chain analysis

Wednesday

  • Working with parents
  • Issues of confidentiality
  • Privacy vs. secrecy
  • What to do when parents are unwittingly reinforcing dysfunctional behavior
  • What to do when adolescents are reinforcing dysfunctional behavior
  • What is DBT family therapy
  • Essential skills for parental survival

Thursday

  • Skills groups and skills coaching
  • Review of the skills
  • Structuring adolescent skills groups
  • Skills group targets
  • Role of the leader and co-leader
  • The multifamily skills group, parent skills group
  • Skills coaching: Getting teens to access coaching, what does coaching look like, skills coaching for parents

Friday

  • Consultation teams
  • Special problems: Managing suicidal behavior, understanding NSSI, eating disorders and substance  use
  • Developing a conceptual framework for adapting DBT into diverse clinical settings and schools
 
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