Radically Open DBT for Disorders of Overcontrol Workshop (1 Day)

Participants will be given access to a range of materials following their attendance at the RO-DBT one day workshop. 2023 Workshop locations include Singapore, Brisbane and Melbourne.

Early Bird Rate until January 1st 2023!

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Workshop

Self-control, the ability to inhibit competing urges, impulses, or behaviors is highly valued by most societies. However, excessive self-control has been linked to social isolation, aloof interpersonal functioning, maladaptive perfectionism, constricted emotional expressions, and difficult-to-treat mental health problems, such as anorexia nervosa, obsessive compulsive personality disorder and refractory depression.

Based on 30 years of research, 11 published clinical trials including two NIMH-funded Randomized Controlled Trials (RCT) and one multi-site RCT for refractory depression, and several open trials for anorexia nervosa and autism spectrum disorders, the aim of this workshop is to introduce clinicians to the theoretical foundations, treatment strategies and new skills underlying Radically Open-Dialectical Behavior Therapy (RO-DBT) for disorders of overcontrol (Lynch, 2018 ).

Whilst sharing behavioral and dialectic roots with DBT, the therapeutic strategies in RO-DBT are substantially different. For example, RO DBT contends that emotional loneliness represents the core problem for overcontrol, not emotion dysregulation. The biosocial theory for overcontrol posits that temperamental biases for heightened threat sensitivity and diminished reward sensitivity transact with early family experiences to result in an overcontrolled coping style leading to social ostracism – secondary to low openness and social signalling deficit. A novel thesis linking the communicative functions of emotional expression to the formation of close social bonds will be introduced, as well as new clinical skills linking treatment targeting to social signalling deficits. New approaches designed to activate a neurobiological-based social-safety system, signal cooperation, and encourage genuine self-disclosure will be introduced using slides, handouts, video clips, and role plays.

Workshop Learning Objectives

Upon completion of this one-day training, participants will be able to:

Explain a new biosocial theory for OC

Describe the RO-DBT treatment structure

Describe new RO-DBT treatment strategies designed to enhance willingness for self-inquiry and flexible responding.

Describe a novel treatment mechanism positing open expression = trust = social connectedness

Describe the RO-DBT treatment hierarchy
List examples of strategies designed to improve pro-social cooperative signaling via activation of the parasympathetic nervous system’s social-safety system

Workshop Schedule

8.30 am – 8.45am: Registration

8.45 am – 9.45 am: Overview of RO-DBT – an empirically based treatment

9.45 am – 10.45 am: The problem of too much self-control

10.45 am – 11.00 am: Morning Tea Break

11.05 am – 12.30 pm: The neuroregulatory model and bio-social theory

12.30 pm – 1.15pm: Lunch Break

1.15 pm – 2.15 pm: Signalling matters and Radical Openness

2.15 pm – 3.15 pm: Assessing overcontrol

3.15 pm – 3.30 pm: Afternoon Tea Break

3.30 pm – 4.30 pm: Treatment Structure, overview of RO skills and an example of targeting OC maladaptive behavior

Delivered in partnership between Radically Open Ltd & Australian DBT Institute

Facilitated by Dr. Sophie Rushbrook

Clinical Psychologist & Endorsed Trainer and Supervisor in RO-DBT

Dr Rushbrook is a Consultant Clinical Psychologist who is the Head of the Intensive Psychological Therapy Service in Dorset. This is a tertiary service for adults with severe and complex difficulties in the community who are, or have been, suicidal and/or self harming. This service has been given a Beacon status in the UK since 2001. An award provided to services that make a significant difference to modernising the NHS. Dr Rushbrook also has a private company and carries a clinical and supervisory caseload, from around the world.

In over twenty five years of mental health clinical work, Sophie has seen clients with a broad spectrum of difficulties including eating disorders, OCD, PTSD, treatment resistant depression and anxiety. She has extensive experience dealing with suicidal behaviour with overcontrolled and undercontrolled clients.

Dr Sophie Rushbrook was the Clinical Site Lead at the Dorset site for the multi-centre REFRAMED trial that tested the efficacy and mechanisms of RO DBT for treatment refractory depression with comorbid overcontrolled personality disorders. She has been intensively trained and worked under supervision of the treatment developer of RO DBT (Professor Lynch) since 2011. As a clinician on the pilot site Sophie was the first clinician to see individual patients and co-facilitated the first skills class.

Dr Sophie Rushbrook was one of the first clinicians to be endorsed as a supervisor and trainer and has been supervising RO-DBT therapists since 2015. She has delivered a number of intensive trainings, including with Professor Tom Lynch.

Dr Sophie Rushbrook is a Consultant Clinical Psychologist and a member of the British Psychological Society. She is an accredited practitioner with the Association of Cognitive Analytic therapy, an accredited practitioner with BTech in Dialectical Behaviour Therapy, an accredited practitioner with EMDRIA Europe and registered with the Health Professions Council.

In preparation for your workshop attendance in either Singapore, Brisbane or Melbourne, participants have FREE access to a 1-hour webinar from Dr. Thomas Lynch, RO DBT treatment developer and former Senior DBT Trainer!

Learning Objectives At the end of this lesson you will be able to:

Explain why undercontrolled clients will likely benefit more from DBT and overcontrolled clients will likely benefit more from RO DBT based on the core problems of the clients and primary treatment targets of each treatment.
Apply your new knowledge of the differences between undercontrolled and overcontrolled clients and DBT and RO DBT to client assessment and treatment allocation within your clinical practice.

Pre-Workshop Materials and Webinar!

This content remains the copyrighted material of Radically Open Ltd

RO-DBT developed by Thomas Lynch, PhD

www.radicallyopen.net

Thomas R. Lynch, PhD, is Professor Emeritus in the School of Psychology at University of Southampton. He was the Director of the Duke Cognitive Behavioral Research and Treatment Program at Duke University (USA) from 1998-2007. Dr Lynch is the treatment developer of Radically Open-Dialectical Behaviour Therapy (RO-DBT)—a new transdiagnostic treatment approach informed by 20+ years of clinical research.

He is the author of the RO-DBT treatment manual titled “Radically Open- Dialectical Behaviour Therapy for Disorders of Overcontrol” as a well as the RO DBT Skills Training Manual (2018; Context Press).

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To have input from carers, consumers, peers, our own experiences and research to provide an informed basis for our education, CPD and therapy programs.

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Australian DBT Institute
Centre for Mental Health Education
Essentia Health Clinics
Online DBT Skills Groups

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CMHE Academy

PO Box 7370 Brighton VIC 3186

Brighton, Vic Tel: 03 9046 8588
Gold Coast, Qld Tel: 07 5647 3438
Email: [email protected]

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Radically Open DBT for Disorders of Overcontrol Workshop (1 Day)

Participants will be given access to a range of materials following their attendance at the RO-DBT one day workshop. 2023 Workshop locations include Singapore, Brisbane and Melbourne.

Early Bird Rate until January 1st 2023!

Delivered in partnership between Radically Open Ltd & Australian DBT Institute

The Missing Dialectic Webinar

Pre-Workshop Materials and Webinar!