• course Info
  • Content
  • Ce Approvals
  • Policies

Tailoring DBT for Autistic Clients

CE Hours 5

About this course

Many Autistic people struggle with emotion recognition and regulation, suicidality, and self-harm. In a society that often invalidates their traits, Autistic people experience chronic traumatic invalidation and shame, and may respond with masking and camouflaging that is reinforced by societal norms and some treatments. Masking and camouflaging can further contribute to emotion dysregulation and elevated suicide risk. Guided by its biosocial theory and assumptions about clients and therapy, DBT is well-positioned to help Autistic individuals pursue their goals. Recent research has suggested that DBT skills training can help Autistic people, and other research is exploring modifications that may increase accessibility, increase effectiveness, and prevent unintentional harm. The presenters combine lived experience of being Autistic with intensive training and professional experience providing DBT to Autistic clients. They introduce neurodiversity affirming therapy, describe traits of Autistic clients that call for tailoring DBT, and describe ways to tailor DBT to help Autistic clients move toward their goals.

Learning Objectives

  • Identify the difference between the deficit-based model versus the neurodiversity model in understanding and serving Autistic clients.
  • Identify 2 specific ways to convey neuro-humility through their communication with clients.
  • List two traits of many autistic people that may call for modifications to standard DBT.
  • List two general things to tailor to make their own practice more accessible for Autistic clients.
  • Identify four specific ways that they can modify the DBT skills training modules in their practice to increase efficacy for autistic clients.

Learning Levels

  • Intermediate

Target Audience

Therapists

Course Instructor(s)

  • Amara Brook, PhD, ABPP

    Amara Brook, PhD, ABPP (they/them) is a licensed psychologist and Director at Flow Neurodiversity Affirming Psychological Services (flowps.com), a private practice serving clients in California and all PSYPACT states. They are also Clinical Assistant Professor of Psychology in the Department of Psychiatry and Behavioral Sciences at the University of Nevada, Reno School of Medicine. Their passions are helping people understand themselves through psychological assessment and reach their goals using Dialectical Behavior Therapy (DBT) tailored to be optimally effective for their neurotype and other dimensions of diversity. They have particular interest in autism and ADHD. They frequently provide training and consultation to other clinicians around the world, helping them understand neurodivergent people and learn how to provide neurodiversity-affirming assessment and therapy. Recently, they were a guest on Charlie Swenson’s “To Hell and Back” DBT podcast discussing autism, neurodiversity, and ways of tailoring DBT to help Autistic clients reach their life-worth living goals. Dr. Brook received their bachelor's degree from Harvard, PhD from the University of Michigan, and advanced clinical training from CSPP. They have completed numerous advanced trainings in Psychological Assessment, DBT, and CBT and are Board Certified in Behavioral & Cognitive Psychology through the American Board of Professional Psychology (ABPP). In the past, Dr. Brook served as Director of Postdoctoral Training, Supervisor, DBT Team Coordinator, and Embedded Psychologist in Emergency Medicine at Kaiser Santa Clara. They also provided clinical services at VA medical centers, and schools. They were also a psychology professor at Santa Clara University and taught a graduate-level DBT course there.

  • Rachel Leah Kraus, LCSW-C

    Rachel Leah Kraus, LCSW-C (she/her) is licensed clinical social worker in private practice (www.krauspsychotherapy.com) serving clients virtually throughout the state of Maryland for therapy and throughout the United States for executive function coaching. She works from a DBT-informed approach and has a special interest in working with clients who have a borderline and/or OCD diagnosis on top of an Autistic, ADHD, or AuDHD neurotype utilizing a neurodiversity affirming approach. Rachel received her bachelor's degree in Psychology (Ecopsychology) from Mount Holyoke College and her Master's in Social Work from the University of Maryland School of Social Work. She is a Social Work board approved supervisor through the State of Maryland. Rachel has participated in numerous advanced trainings in DBT, been providing DBT informed treatment since 2008 in various contexts including schools, residential treatment facilities, hospitals, and community mental health clinics before transitioning exclusively to private practice. She currently provides consultation to clinicians around the country and leads several consultation groups where she teaches clinicians skills on how to utilize the neurodiversity affirming approach when interacting with clients.

Disclosure

Both presenters were paid consultants on a research study (PI: Alana McVey, University of Washington) testing ways to improve effectiveness of DBT for Autistic clients. Both presenters are also in contract with Guilford Press writing manual on tailoring DBT for Autistic clients, and will eventually receive royalties after this manual is published.

References

  • Brook, A., Kraus, R.L., Chaney, C, & Swenson, C. (2024). Increasing Effectiveness of DBT for Autistic clients. DBT Bulletin, 8(1), 4-9.
  • Keenan, E. G., Gurba, A. N., Mahaffey, B., Kappenberg, C. F., & Lerner, M. D. (2024). Leveling up dialectical behavior therapy for autistic individuals with emotion dysregulation: clinical and personal insights. Autism in Adulthood, 6(1), 1-8.
  • Phillips, M. D., Parham, R., Hunt, K., & Camp, J. (2024). Dialectical behaviour therapy outcomes for adolescents with autism spectrum conditions compared to those without: findings from a seven-year service evaluation. Advances in Autism.
  • Shatto, E.H., Troyer, K., & Copeland, K. (2024). Conceptualizing Autism-Affirming, Full-Scale DBT (DBT-AA). DBT Bulletin, 8(1), 16-22.
  • Bemmouna, D., Coutelle, R., Weibel, S., & Weiner, L. (2022). Feasibility, acceptability and preliminary efficacy of dialectical behavior therapy for autistic adults without intellectual disability: a mixed methods study. Journal of autism and developmental disorders, 52(10), 4337-4354.
  • Ritschel, L. A., Guy, L., & Maddox, B. B. (2022). A pilot study of dialectical behaviour therapy skills training for autistic adults. Behavioural and Cognitive Psychotherapy, 50(2), 187-202.

CE Process Info

Content

  • Welcome!
    1 parts
    • Welcome
  • Slides
    1 parts
    • Tailoring DBT for Autistic Clients Training Slides
  • Mindfulness
    2 parts
    • Mindfulness Practice Invitation
    • Mindfulness: Can you make it to the end?
  • Neurodiversity, Ableism, Trauma, and Neurohumility
    3 parts
    • Neurodiversity and Ableism
    • Marsha on Shame
    • Trauma and Neurohumility
  • Why DBT May Help and Existing Evidence
    1 parts
    • Why DBT May Help and Existing Evidence
  • Autistic Traits that Call for Tailoring DBT
    5 parts
    • Autistic Traits That Call for Tailoring: Overview
    • Autistic Traits That Call for Tailoring: Social Communication and the Double Empathy Problem
    • Autistic Traits That Call for Tailoring: Stimming, SPINs, Structure, and PDA
    • What is PDA?
    • Autistic Traits That Call for Tailoring: Sensory, Alexithymia, Masking, and Dialectical Dilemmas
  • Tailoring DBT for Autistic Clients: The ASCENT Model
    1 parts
    • Introducing the ASCENT Model
  • General Principles of Tailoring and What to Tailor
    1 parts
    • Overview of Specifics to Tailor
  • Assessing for What to Tailor
    2 parts
    • Assessment - Intro and Rating Scales
    • Assessment - Qualitative Questions and Observations
  • Collaborative Treatment Planning
    1 parts
    • Collaborative Treatment Planning
  • Tailoring Individual Therapy
    6 parts
    • Tailoring IT: Overview and Goal Setting
    • Tailoring IT: Space including Sensory and Stimming
    • Tailoring IT: SPINs and Structure
    • Tailoring IT: Communication
    • Tailoring IT: Executive Functioning and Diary Cards
    • Tailoring IT: Chain and Expanded Missing Link Analyses
  • Tailoring Coaching
    1 parts
    • Tailoring coaching
  • Tailoring Consultation Team
    1 parts
    • Tailoring consultation team
  • Tailoring Skills Training: Overview and Orientation
    6 parts
    • Tailoring skills training: Intro
    • Tailoring skills training: Goals
    • Tailoring skills training: Options
    • Tailoring skills training: Guidelines
    • Tailoring skills training: Assumptions
    • Tailoring skills training: Biosocial model
  • Tailoring Skills Training: Mindfulness
    2 parts
    • Tailoring skills training: Mindfulness - Overview and Wise Mind
    • Tailoring skills training: Mindfulness - Other Skills
  • Tailoring Skills Training: Distress Tolerance
    6 parts
    • Tailoring skills training: Distress Tolerance - Intro and STOP
    • Tailoring skills training: Distress Tolerance - TIPP
    • Mammalian Dive Reflex Heartrate Demonstration
    • Tailoring skills training: Distress Tolerance - Self-reg with 8 Sens Systems, Co-reg, and RA
    • Demonstrating Radical Acceptance using Lord of the Rings
    • Tailoring skills training: Willingness vs willfulness
  • Tailoring Skills Training: Emotion Regulation
    4 parts
    • Tailoring skills training: Emotion Regulation - Part 2
    • Tailoring skills training: Emotion Regulation - Part 1
    • Marsha on the Function of Emotions
    • Tailoring skills training: Emotion Regulation - PLEASES
  • Tailoring Skills Training: Interpersonal Effectiveness
    3 parts
    • Tailoring skills training: Interpersonal Effectiveness - Intro through GIVE
    • Tailoring skills training: Interpersonal Effectiveness - Mindful Masking
    • Tailoring skills training: Interpersonal Effectiveness - Balanced FAST
  • Summary
    2 parts
    • Summary
    • Additional Learning Opportunities and Contact Information
  • Reading
    1 parts
    • Brook_Kraus_Chaney_Swenson_2024_Increasing_Effectiveness_of_DBT_for_Autistic_Clients
  • American Psychological Association (APA)

    CE Learning Systems, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. CE Learning Systems maintains responsibility for this program and its content.

  • New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

    CE Learning Systems, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0072.

  • New York State Education Department's State Board for Psychology (NYSEDPSY)

    CE Learning Systems dba CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0016.

  • New York State Education Department's State Board for Marriage and Family Therapy (NYSEDMFT)

    CE Learning Systems dba CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Marriage and Family Therapy as an approved provider of continuing education for licensed marriage and family therapists #MFT-0045.

  • New York State Education Department's State Board for Social Work (NYSEDSW)

    CE Learning Systems SW CPE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #0060.

FAQs

  • Target Audience
    This educational activity is intended for therapists and practitioners who have some training in DBT and would like to learn how to tailor DBT to be more effective and affirming for Autistic clients.
  • Course Completion
    To complete the course, review the course objectives, then watch the videos, read the article, and lastly complete an evaluation. Your certificate will be available to download immediately when you complete the evaluation.
  • Can I ask questions of the presenters?
    Yes! The presenters offer group and individual consultations . Consultation group: https://www.divergentdbt.com/store/p2/clinician-dbt-training.html#/ Individual consultation: flowps.com or krauspsychotherapy.com
Tailoring DBT for Autistic Clients
You Have Completed This course
$250
You are enrolled
  • CE Hours
    5
  • Type
    Self-Paced
  • Publication Date
    Dec 14th, 2024

Reset password


Reset your password by providing your email below





Next

We sent a reset password link to the email address you provided.


{{reset.email}}


If you do not see the email, try checking your junk or spam folder.


If you don't receive a link in the email you provided, please click the button below to resend the verification email.

Resend

Please wait {{timer}} seconds to resend



Next

Sign in


Enter your email to get started.




Next

Sign in


Good news! Your email is associated with an account. Enter your password or click here to reset it




Login

Thanks for signing up!


We sent an verification email to the address you provided. Please check your email to verify your email address.


{{signup.email}}


If you do not see the email, try checking your junk or spam folder.


If you don't receive a link in the email you provided, please click the button below to resend the verification email.



Resend

Please wait {{timer}} seconds to resend

Sign up




Sign up

Shopping Cart


Items
Price
Remove
  • {{ item.name }}

    {{ item.credit_hours }} Credits
    {{ item.coupons.map((c)=> c.code).join(', ') }}
    ${{ item.totals.price }}
    ${{ item.totals.total_price }}
Apply


Cart is empty

Thank you for your purchase


To access the course content, click the button below. Enrolled courses may be accessed at any time by going to your Account and clicking Courses


Go to Course

Thank you for your purchase

To access your courses, please click the button below. Enrolled courses may be accessed at any time by going to your Account and clicking either Events or Courses


My Account

Payment

{{$store.state.payment.paymentErrorMessage }}
Pay now