Jennifer Sayrs, PhD., a DBT – LBC Certified Clinician, is the Executive Director and co-founder of the Evidence Based Treatment Center of Seattle (EBTCS). As part of her role there, she serves as the director of the DBT Center, which is one of the first DBT programs in the nation to be certified by the Linehan Board of Certification. She is the co-author of the new book DBT Teams: Development and Practice, written with the DBT treatment developer, Dr. Marsha Linehan. Dr Sayrs was kind enough to answer three questions for us regarding her recent book, as well as her thoughts on the value of DBT – LBC Certification.
Q. One of your latest publications is the Guildford Practice Series book DBT Teams: Development and Practice, co – authored by Marsha Linehan. As part of my preparing for certification, I often found myself scouring pieces of other texts for insight into how to establish and successfully maintain Consultation Teams. Having an entire text devoted to Consultation Team is exciting! What made you decide to take on this challenge?
A: DBT teams are so important in making sure therapists continue to provide effective DBT even when the going gets tough. DBT clients present with multiple, complicated, long-standing problems that at times can be quite frightening and frustrating. When therapists are faced with fear, frustration, burnout, or any number of other challenges, it is easy to stray from the treatment and respond ineffectively. The team’s job is to watch for these problems and offer support and guidance. I truly don’t think it’s possible to do effective DBT without a “community of therapists” providing DBT.
I have provided many trainings in DBT, both in workshops and in our clinic. In doing so, I realized there were many aspects of team that were not written down anywhere. I have learned so much about what works (and what really doesn’t work!) from my experiences running my own team and being on teams with Marsha Linehan. I approached Marsha and suggested we put all of our experiences and insight in writing, so others can benefit. We agreed that writing a manual for creating and running a DBT team would be an important element in helping therapists improve their skill in DBT as well as their treatment outcomes. We spent many hours talking through which elements of our teams’ structure are necessary, what makes our teams run well, what disrupts their effectiveness, and what “school of hard knocks” lessons we could share with others. The result was this book!
Q: Another of your contributions to the field of DBT researchers and clinicians alike is your serving as guest editor on the Special Series on Behavioral Assessment in DBT Cognitive and Behavioral Practice. The issue highlights the crucial role of ongoing behavioral assessment while both learning and practicing the treatment to fidelity. For a DBT clinician working towards fidelity standards, what advice might you lend on staying awake to drifting from the model?
A: At times, it can be nearly impossible to detect when one has drifted from the model. It is so easy to be influenced by the client and other factors, and therefore make unhelpful or non-strategic decisions in therapy sessions. There are many strategies for managing this, including getting high-quality training, continuing one’s education on an ongoing basis, and staying up to date with developments in the field. Perhaps even more importantly, I would recommend utilizing one’s team. Developing a culture of vulnerability in team, where providers can share their mistakes and trust they will receive help rather than judgment or reprimands, helps to make sure missteps are discussed and the treatment can get back on track. Marsha always asked us, “Do you want to look good or be good?” In other words, are you willing to risk a little embarrassment to talk through mistakes and improve your skill? When doing DBT, the stakes can be high; clients often engage in high-risk behaviors, making it more important to provide the most precise, effective, compassionate treatment possible. This translates into telling all of my teammates every time the treatment I provide is not moving smoothly forward, even when I don’t want to!
Q: In the theme of constantly evolving and shaping ourselves as DBT clinicians, I love the idea of training oneself to attain certification standards. In your work with supervising, training, and consulting with DBT clinicians at all levels of training, what are your thoughts on the potential value of DBT- LBC Certification standards?
A: I deeply believe certification is an essential development in DBT. I have had many, many clients come into our clinic saying they have already received DBT and it didn’t work – only to discover they were taught only a few skills and never received the full treatment. I am not opposed to therapists providing only certain components of DBT when that is all that is needed! But for the clients with severe, long standing emotion dysregulation, and all the very challenging problems that come with such dysregulation, clients often desperately need more than a subset of the skills. And these same clients have no way to evaluate what treatment they are being provided. Certification is a way to communicate to clients that they are receiving a treatment that is supported by evidence and has a strong chance of helping them. Certification also ensures therapists have the training, experience, supervision, and support to treat clients with intense, high-risk problems. As the popularity of DBT has dramatically increased over the years, this method of confirming clients are actually getting DBT has become all the more essential.
Keep on writing, great job!
Hi there, I simply couldn’t leave your website without saying that I appreciate the information you supply to your visitors. Here’s mine Article Star and I cover the same topic you might want to get some insights about Rice.
This is top-notch! I wonder how much effort and time you have spent to come up with these informative posts. Should you be interested in generating more ideas about Airport Transfer, take a look at my website FQ6
An excellent read that will keep readers – particularly me – coming back for more! Also, I’d genuinely appreciate if you check my website UY8 about Airport Transfer. Thank you and best of luck!
As someone still navigating this field, I find your posts really helpful. My site is 57N and I’d be happy to have some experts about Adsense like you check it and provide some feedback.
Hey, I enjoyed reading your posts! You have great ideas. Are you looking to get resources about SEO or some new insights? If so, check out my website Article Sphere
As someone still navigating this field, I find your posts really helpful. My site is UY5 and I’d be happy to have some experts about Thai-Massage like you check it and provide some feedback.
buying prescription drugs in mexico: buying from online mexican pharmacy – pharmacies in mexico that ship to usa
buying prescription drugs in mexico
rybelsus price https://rybelsus.tech/# cheap Rybelsus 14 mg
cheap Rybelsus 14 mg
semaglutide online rybelsus coupon rybelsus pill
https://rybelsus.shop/# cheapest rybelsus pills
buy ozempic: ozempic coupon – ozempic online
ozempic online: buy ozempic pills online – buy cheap ozempic
http://rybelsus.shop/# semaglutide cost
semaglutide online buy semaglutide pills rybelsus price
buy ozempic pills online: ozempic generic – ozempic
http://ozempic.art/# buy ozempic pills online
rybelsus coupon: rybelsus cost – semaglutide online
http://rybelsus.shop/# buy rybelsus online
buy rybelsus online rybelsus cost cheapest rybelsus pills
rybelsus pill: semaglutide cost – rybelsus price
http://ozempic.art/# Ozempic without insurance
Ozempic without insurance: buy ozempic – ozempic generic
http://rybelsus.shop/# cheapest rybelsus pills
Ozempic without insurance: ozempic online – Ozempic without insurance
ozempic coupon ozempic generic buy ozempic pills online
https://ozempic.art/# ozempic coupon
Ozempic without insurance: ozempic online – buy ozempic
ozempic coupon Ozempic without insurance buy ozempic pills online
ozempic: Ozempic without insurance – ozempic cost
http://ozempic.art/# buy ozempic pills online
rybelsus coupon: rybelsus coupon – rybelsus cost
https://rybelsus.shop/# semaglutide tablets
rybelsus pill semaglutide online buy rybelsus online
buy rybelsus online: buy semaglutide pills – cheapest rybelsus pills
http://ozempic.art/# buy ozempic
semaglutide cost: rybelsus coupon – rybelsus cost
ozempic online ozempic ozempic coupon
rybelsus pill: rybelsus cost – rybelsus pill
http://rybelsus.shop/# cheapest rybelsus pills
ozempic online: ozempic coupon – ozempic
cheapest rybelsus pills rybelsus coupon buy rybelsus online
rybelsus cost: semaglutide online – semaglutide cost
http://ozempic.art/# buy ozempic
https://ozempic.art/# buy ozempic
buy ozempic pills online: Ozempic without insurance – ozempic coupon
buy ozempic pills online ozempic online buy ozempic
http://rybelsus.shop/# rybelsus pill
https://rybelsus.shop/# rybelsus cost
ozempic cost: ozempic – buy cheap ozempic
rybelsus pill rybelsus pill rybelsus pill
https://rybelsus.shop/# buy semaglutide pills
Ozempic without insurance ozempic cost buy ozempic pills online
https://ozempic.art/# ozempic online
https://ozempic.art/# ozempic
semaglutide online: buy semaglutide online – rybelsus cost
rybelsus coupon buy semaglutide online rybelsus price
http://ozempic.art/# ozempic cost
http://pinupaz.bid/# pin up azerbaijan
pin up kz pin up kz пин ап
пин ап: пин ап казино зеркало – пин ап казино вход
pin up pin up зеркало пин ап зеркало
https://pinupru.site/# пин ап казино зеркало
pin up kz: пин ап казахстан – пин ап кз
пинап казино http://pinupkz.tech/# pin up
пин ап казино онлайн
pin up casino: pin up bet – pin up guncel giris
pin-up casino giris pin up azerbaijan pinup az
пинап казино: pin up казино – пинап казино
pin up казино: пин ап – пин ап казино зеркало
пинап кз http://pinupturkey.pro/# pin-up casino giris
пин ап казино онлайн
пин ап казино: pin up казино – пин ап казино зеркало
pin up aviator pin up giris pin up casino guncel giris
pin up казино https://pinupkz.tech/# пин ап казино
pin up казино
pin up: pin up зеркало – pin up казино
https://pinupaz.bid/# pinup az
пин ап казахстан https://pinupkz.tech/# pin up казино
пин ап казино вход
пин ап казахстан: pin up казино – пин ап кз
пин ап вход пин ап зеркало пин ап казино вход
pin up казино https://pinupaz.bid/# pin up
pin up
http://pinupturkey.pro/# pin up guncel giris
pin-up bonanza: pin-up casino – pin up
pin-up casino pin up guncel giris pin-up casino
пин ап казино вход http://pinupaz.bid/# pin up casino
пин ап казино вход
pin up guncel giris: pin-up casino – pin up giris
https://pinupru.site/# пин ап
pin up зеркало пин ап казино вход pin up казино
amoxicillin 500 mg capsule: amoxil best price – amoxicillin 775 mg
https://semaglutide.win/# order Rybelsus for weight loss
neurontin generic cheapest gabapentin neurontin 300mg
http://semaglutide.win/# Rybelsus 14 mg price
https://amoxil.llc/# amoxicillin buy no prescription
where to buy ivermectin: cheapest stromectol – stromectol ivermectin tablets
buy rybelsus Rybelsus 7mg rybelsus generic
https://zithromax.company/# zithromax online no prescription
https://gabapentin.auction/# neurontin 800mg
how to get zithromax
rybelsus generic: rybelsus generic – semaglutide
amoxicillin azithromycin cheapest amoxil cost of amoxicillin prescription
https://semaglutide.win/# rybelsus
https://gabapentin.auction/# neurontin 600mg
https://gabapentin.auction/# cost of neurontin 800 mg
buy zithromax online with mastercard
https://semaglutide.win/# rybelsus
order minocycline 100mg online buy minocycline 100mg ivermectin 3 mg
zithromax online usa no prescription: zithromax 500mg price in india – zithromax online no prescription
http://zithromax.company/# where to get zithromax over the counter
https://gabapentin.auction/# generic neurontin
https://gabapentin.auction/# neurontin 800 mg pill
zithromax capsules australia
can i buy amoxicillin over the counter in australia cheapest amoxil amoxicillin without prescription
Buy compounded semaglutide online: semaglutide – Rybelsus 14 mg price
http://gabapentin.auction/# neurontin 400 mg
https://gabapentin.auction/# 600 mg neurontin tablets
where can i buy zithromax capsules
brand neurontin 100 mg canada gabapentin price 300 mg neurontin
http://stromectol.agency/# ivermectin 3mg dose
order stromectol: cheapest stromectol – order minocycline 50mg
http://gabapentin.auction/# how much is neurontin
https://semaglutide.win/# rybelsus price
zithromax 500mg over the counter
buy neurontin gabapentin best price neurontin 330 mg
https://gabapentin.auction/# neurontin pills
Rybelsus 14 mg: Rybelsus 14 mg – order Rybelsus for weight loss
https://zithromax.company/# zithromax tablets
https://zithromax.company/# can you buy zithromax online
https://semaglutide.win/# buy semaglutide online
buy generic zithromax online
amoxicillin 500mg capsules Amoxicillin For sale cost of amoxicillin
Semaglutide pharmacy price: Buy semaglutide pills – Buy compounded semaglutide online
https://semaglutide.win/# rybelsus
http://semaglutide.win/# Rybelsus 7mg
neurontin 1000 mg gabapentin price neurontin 300 mg price
https://amoxil.llc/# amoxicillin 500mg price canada
zithromax prescription
where to get zithromax over the counter: zithromax for sale us – order zithromax over the counter
http://zithromax.company/# buy zithromax no prescription
buy amoxicillin online cheap amoxil best price over the counter amoxicillin canada
https://amoxil.llc/# amoxicillin no prescription
zithromax
rybelsus price: semaglutide – cheap Rybelsus 14 mg
cheap Rybelsus 14 mg Rybelsus 7mg semaglutide
http://amoxil.llc/# amoxicillin for sale online
zithromax 250
https://stromectol.agency/# ivermectin 0.5% brand name
ivermectin 50: order stromectol – ivermectin brand
topical ivermectin cost stromectol best price stromectol ivermectin
https://gabapentin.auction/# neurontin cap
http://zithromax.company/# where can i get zithromax
how to buy zithromax online
http://stromectol.agency/# ivermectin 3mg for lice
order Rybelsus for weight loss: semaglutide – rybelsus cost
zithromax online usa no prescription zithromax for sale zithromax 500
https://gabapentin.auction/# neurontin 800 mg
buy zithromax online
buy prescription drugs from india: Online medicine order – cheapest online pharmacy india
medicine in mexico pharmacies: purple pharmacy mexico price list – п»їbest mexican online pharmacies
https://drugs24.pro/# ed symptoms
buy prescription drugs from india
mexican rx online mexican mail order pharmacies best online pharmacies in mexico
natural ed pills http://indianpharmdelivery.com/# reputable indian pharmacies
mexico drug stores pharmacies: buying prescription drugs in mexico online – purple pharmacy mexico price list
viagra without doctor prescription amazon: ed dysfunction – doctors for erectile dysfunction
overcoming ed ed meds online without doctor prescription best price for generic viagra on the internet
ed drugs over the counter http://indianpharmdelivery.com/# reputable indian online pharmacy
buy medicines online in india: best online pharmacy india – best online pharmacy india
ed remedies that really work: natural cures for ed – new ed treatments
https://mexicanpharm24.pro/# buying prescription drugs in mexico
indian pharmacy online
prescription drugs online without do i have ed cvs prescription prices without insurance
best online drugstore: buy anti biotics without prescription – pharmacy drugs
viagra without doctor prescription http://indianpharmdelivery.com/# top 10 online pharmacy in india
erectyle dysfunction: natural drugs for ed – medicines for ed
Great post! I learned something new and interesting, which I also happen to cover on my blog. It would be great to get some feedback from those who share the same interest about Thai-Massage, here is my website UQ8 Thank you!
https://indianpharmdelivery.com/# cheapest online pharmacy india
india online pharmacy
ed pumps best otc ed pills cheap erectile dysfunction pills online
mexico drug stores pharmacies: mexican pharmaceuticals online – mexican drugstore online
canadian pharmacy: best male enhancement – viagra without a doctor prescription
india online pharmacy india pharmacy indian pharmacy online
https://mexicanpharm24.pro/# buying prescription drugs in mexico online
top 10 pharmacies in india
vacuum therapy for ed https://drugs24.pro/# buy medication online
medication from mexico pharmacy: purple pharmacy mexico price list – medicine in mexico pharmacies
natural ed medications: prescription drugs without doctor approval – best male enhancement
prescription drugs without doctor approval canada ed drugs ed symptoms
treatments for ed https://indianpharmdelivery.com/# indian pharmacy paypal
http://drugs24.pro/# ed vacuum pumps
Online medicine order
mexican online pharmacies prescription drugs mexico drug stores pharmacies mexican mail order pharmacies
prescription meds without the prescriptions http://drugs24.pro/# mexican pharmacy without prescription
top 10 pharmacies in india indian pharmacies safe buy prescription drugs from india
http://indianpharmdelivery.com/# buy medicines online in india
india pharmacy
http://paxlovid1st.shop/# paxlovid buy
best ed supplements
minocycline brand name: stromectol fast delivery – minocin 50 mg for scabies
paxlovid price: buy here – buy paxlovid online
https://paxlovid1st.shop/# buy paxlovid online
erectile dysfunction medication
http://stromectol1st.shop/# ivermectin 18mg
india pharmacy mail order
Paxlovid buy online: paxlovid shop – п»їpaxlovid
buy clopidogrel online: clopidogrel – generic plavix
buy semaglutide online rybelsus price buy semaglutide online
http://paxlovid1st.shop/# paxlovid covid
legal to buy prescription drugs without prescription
ivermectin pills canada: stromectol 1st shop – stromectol price uk
minocycline for acne: minocycline 50 mg tablets for human – ivermectin virus
https://stromectol1st.shop/# ivermectin where to buy for humans
reputable indian online pharmacy
https://clopidogrel.pro/# Plavix generic price
medication online
Cost of Plavix without insurance clopidogrel bisulfate 75 mg buy clopidogrel bisulfate
Paxlovid over the counter: paxlovid for sale – Paxlovid buy online
semaglutide: rybelsus price – rybelsus.icu
https://stromectol1st.shop/# ivermectin oral solution
best ed drug
paxlovid generic shop buy paxlovid online
http://stromectol1st.shop/# stromectol order online
online shopping pharmacy india
Paxlovid over the counter: buy here – paxlovid pharmacy
paxlovid for sale: buy here – paxlovid buy
http://paxlovid1st.shop/# paxlovid for sale
ways to treat erectile dysfunction
Semaglutide pharmacy price rybelsus generic rybelsus generic
п»їpaxlovid: check this – buy paxlovid online
https://stromectol1st.shop/# cost of ivermectin 3mg tablets
india online pharmacy
https://rybelsus.icu/# buy rybelsus
online drug store
rybelsus price: rybelsus cost – rybelsus price
good price Semaglutide pharmacy price order Rybelsus
ivermectin lotion: stromectol 1st – stromectol uk
minocycline indications: buy online – ivermectin generic cream
http://paxlovid1st.shop/# paxlovid cost without insurance
erectile dysfunction medications
rybelsus generic rybelsus rybelsus generic
http://stromectol1st.shop/# minocycline 50 mg tablets online
top online pharmacy india
Paxlovid over the counter: paxlovid price – Paxlovid over the counter
http://rybelsus.icu/# buy semaglutide online
ed vacuum pumps
Clopidogrel 75 MG price: clopidogrel – plavix best price
paxlovid pharmacy check this paxlovid pharmacy
Plavix generic price: п»їplavix generic – cheap plavix antiplatelet drug
https://stromectol1st.shop/# stromectol 3 mg tablet price
top 10 online pharmacy in india
rybelsus: rybelsus.icu – rybelsus
good price semaglutide more