What brought me to pursue DBT-LBC Certification?
“DBT was not on my radar until after I was out of grad school. I’m not even sure it was covered in any of my graduate classes, and if it was, it was brief. However, I was fortunate enough to land my internship at New Hanover County’s Behavioral Health hospital where my then, supervisor and now longtime friend and DBT mentor, Jane St. John was running a DBT partial hospital.
Immediately this style of therapy made sense to me. Help our patients change their behaviors while also helping them accept who they are, and the way things are. All while validating them. There was also this convergence of everything I learned about in grad school all bundled into one therapy modality: Freud’s theories of how history effects our patients today, Rogers unconditional positive regard for our patients, Skinner’s behavioral change theories, Ellis’s irreverence and focus on current behaviors.
We have a running joke in our office that DBT is if Skinner and Rogers had a child and Ellis was the uncle that would come over and baby sit from time to time. During my internship, I was also fortunate enough to have Jane encourage me to go to a weeklong training with Dr. Linehan in 2004 at the New England Education Institute.
After internship I took an adjunct teaching position for a year or two, then received a card in the mail from Jane one day that she left the hospital and started her own practice. She was wanting to offer DBT to the greater Wilmington community (I was in!!!).
I joined Jane’s practice, Delta Behavioral Health in Wilmington, NC. I helped her with traditional weekly skills groups and helped her start up a DBT outpatient partial hospital program, and then later, an Intensive Outpatient program. Jane and I ran groups, saw individual clients, and started taking on interns to train in DBT. Delta has since grown from the 2 of us to about 10 DBT clinicians working in all these settings: outpatient (traditional DBT), weekly skills groups, helping run the PH and IOP programs & DBT-PE. Numerous interns that have also gone on to PhD programs, other sites, etc. I’ve noticed over the years that DBT has not only helped the patients that come through our clinic, but it has changed my life through using the skills myself.
One of the biggest compliments I think I’ve ever received from a mentor was when Jane said to me one day, “the reason you do well with DBT is that you live the skills.” As per many of us have probably thought at some point in our DBT journey, “If I would have only known these skills when I was younger!!!”
As any diligent researcher and aspiring academic, I wanted to know if the DBT in PH and IOP we were doing was actually helping. So, after multiple DEAR MANs and Jane’s approval, I started collecting data on out of the PH and then later the IOP program. At this time only 1 person had published anything on DBT in either of these settings (they will show up later in this story). Me, Jane and others that have come through Delta also started attending ABCT and ISITDBT on a regular basis to present our research as well as enhance our DBT by learning from the best. I also found out at this time that I am more of a DBT nerd than I ever thought I would be. I remember a number of times at conferences with some of my fellow Delta clinicians (who’s names I will not mention to protect their nerdom confidentiality) conferences being like “that’s Melanie Harned, or Alan Fruzzetti, or I rode in the elevator with Marsha Linehan!!!”
Fast forward 10 years of doing DBT, collectively as a team we did the 10-day B-Tech intensive in 2014 with Dr. DuBose and Dr. Ritschel (guess who was the first to publish on DBT in IOP!!!). During this training is when DBT certification was first mentioned. I think that year they were rolling out certification for the B-Tech trainers. Since most of my DBT experience was in a PH program I was always a little reluctant and unsure if I was “doing real DBT”. Yes, I had a case load of individual clients that I did DBT with; did diary cards, chain analysis, coaching phone, consultation team, ran weekly DBT groups, read every DBT book I could find, but in the back of my mind I was asking myself, “are you REALLY doing it right?”. So, what better way to answer that question then to consult the experts. In 2017, I attended another DBT training with Dr. Ritschel and at lunch full of self-doubt I was asking her questions about certification. And like any good DBT clinician she suggested opposite action and to apply, while also being very validating. So, I did and completed my certification last fall.
DBT certification not only assures me that I am offering effective DBT, but it allows patients that come through our clinic to know they are getting adherent DBT as well. This has also motivated other clinicians in our office to consider getting certified and a couple of them have already started the process. While it does take a lot of work to achieve this certification, it is one that allows you and your patients to know they are getting DBT the way Dr. Linehan intended it. I have had countless patients come in for intakes and tell me they’ve “done DBT before” only to find out someone handed them some skills handouts and most of the other parts of DBT were missing.
I wanted to make sure that what I was doing was in line with Dr. Linehan’s vision.
mexico drug stores pharmacies: mexican pharma – mexico pharmacies prescription drugs
reputable mexican pharmacies online
rybelsus https://rybelsus.tech/# buy semaglutide online
Rybelsus 7mg
buy semaglutide pills: semaglutide online – semaglutide tablets
buy semaglutide online cheapest rybelsus pills buy semaglutide pills
https://rybelsus.shop/# buy semaglutide pills
http://ozempic.art/# ozempic generic
ozempic Ozempic without insurance ozempic online
rybelsus pill: semaglutide tablets – buy rybelsus online
buy ozempic: buy cheap ozempic – buy cheap ozempic
buy cheap ozempic: buy ozempic – ozempic cost
rybelsus pill semaglutide cost rybelsus cost
https://rybelsus.shop/# buy semaglutide pills
ozempic cost: ozempic generic – ozempic cost
semaglutide tablets rybelsus coupon cheapest rybelsus pills
buy rybelsus online: rybelsus pill – buy rybelsus online
rybelsus coupon: semaglutide cost – buy rybelsus online
ozempic generic ozempic coupon buy cheap ozempic
buy cheap ozempic: buy ozempic pills online – ozempic coupon
https://rybelsus.shop/# semaglutide cost
buy rybelsus online: buy semaglutide pills – buy rybelsus online
ozempic generic: ozempic – buy ozempic pills online
Ozempic without insurance ozempic generic buy ozempic
https://ozempic.art/# buy cheap ozempic
https://ozempic.art/# Ozempic without insurance
ozempic online: buy cheap ozempic – buy cheap ozempic
buy semaglutide pills semaglutide cost buy semaglutide pills
http://rybelsus.shop/# cheapest rybelsus pills
semaglutide tablets: semaglutide tablets – rybelsus pill
http://rybelsus.shop/# rybelsus coupon
ozempic online Ozempic without insurance ozempic generic
https://ozempic.art/# Ozempic without insurance
buy cheap ozempic buy ozempic pills online ozempic cost
https://ozempic.art/# ozempic cost
https://rybelsus.shop/# semaglutide online
semaglutide tablets semaglutide tablets buy semaglutide pills
https://ozempic.art/# ozempic coupon
пин ап официальный сайт: пин ап казино зеркало – пин ап казино вход
https://pinupaz.bid/# pin up casino
пин ап зеркало пин ап официальный сайт pin up зеркало
pin up: pin-up bonanza – pin up casino
пин ап казино зеркало: pin up – пин ап вход
pin up зеркало пин ап официальный сайт пин ап официальный сайт
пин ап казино: pin up kz – пинап кз
пин ап казахстан: пин ап казино вход – пинап кз
пин ап казино онлайн https://pinupru.site/# пин ап казино вход
пин ап
pin up az: pin up casino – pin-up casino giris
пин ап казино зеркало пинап казино пин ап казино зеркало
pin-up casino giris: pin up 306 – pin up az
пинап кз https://pinupkz.tech/# pin up kz
пин ап казино
http://pinupturkey.pro/# pin up giris
pinup az: pin up 306 – pinup az
пин ап казино онлайн https://pinupru.site/# пин ап официальный сайт
пин ап кз
pin up kz пинап кз пин ап кз
pin up kz: pin up – pin up
pin up зеркало: пин ап официальный сайт – pin up
пин ап кз http://pinupkz.tech/# pin up казино
pin up kz
http://pinupkz.tech/# пин ап кз
пин ап казино вход пин ап казино пин ап зеркало
https://amoxil.llc/# amoxicillin pharmacy price
https://gabapentin.auction/# neurontin prescription
amoxicillin 875 mg tablet: amoxicillin cheapest price – how much is amoxicillin prescription
rybelsus cheap Rybelsus 14 mg Buy semaglutide pills
https://gabapentin.auction/# neurontin 300mg caps
ivermectin cost in usa: buy stromectol online – buy ivermectin cream
amoxicillin 500mg over the counter amoxicillin 500 mg brand name where can i buy amoxicillin online
https://gabapentin.auction/# buy neurontin online no prescription
https://zithromax.company/# zithromax 500mg
https://semaglutide.win/# rybelsus cost
zithromax price south africa
neurontin prescription cost: neurontin 300 mg buy – price of neurontin
rybelsus cost rybelsus cost Buy semaglutide pills
https://semaglutide.win/# Rybelsus 14 mg price
http://semaglutide.win/# rybelsus cost
zithromax online
http://stromectol.agency/# how much is ivermectin
http://zithromax.company/# zithromax for sale usa
buy amoxicillin without prescription: buy amoxil – can we buy amoxcillin 500mg on ebay without prescription
generic amoxicillin cost amoxicillin 500mg buy online uk how much is amoxicillin
http://stromectol.agency/# ivermectin india
https://zithromax.company/# order zithromax over the counter
zithromax z-pak
800mg neurontin order gabapentin neurontin 200 mg tablets
ivermectin 1 topical cream: minocycline 100mg pills – minocycline 100 mg tablet
http://amoxil.llc/# can you buy amoxicillin over the counter canada
http://semaglutide.win/# order Rybelsus for weight loss
https://semaglutide.win/# rybelsus cost
zithromax antibiotic
where can i buy zithromax capsules zithromax canadian pharmacy zithromax online no prescription
https://amoxil.llc/# amoxicillin 500 coupon
neurontin discount: gabapentin best price – neurontin 2018
http://semaglutide.win/# Buy semaglutide pills
buy cheap generic zithromax
https://stromectol.agency/# minocycline interactions
https://semaglutide.win/# Semaglutide pharmacy price
neurontin pills for sale order gabapentin neurontin gel
where can i get amoxicillin: Amoxicillin For sale – amoxicillin generic
https://amoxil.llc/# buy amoxicillin online no prescription
http://stromectol.agency/# buy minocycline 50 mg for humans
zithromax 250mg
minocycline 100 mg pills online buy stromectol online ivermectin cream
https://gabapentin.auction/# neurontin drug
neurontin 400 mg tablets: order gabapentin – neurontin 800 mg pill
https://amoxil.llc/# amoxicillin 50 mg tablets
https://semaglutide.win/# Semaglutide pharmacy price
how much is zithromax 250 mg
minocycline 50 mg tablets [url=http://stromectol.agency/#]stromectol price[/url] ivermectin malaria
minocycline 100mg without doctor: stromectol best price – ivermectin ireland
https://semaglutide.win/# semaglutide
where can i buy zithromax medicine
can you buy zithromax over the counter buy zithromax z-pak online zithromax without prescription
Rybelsus 14 mg: Buy compounded semaglutide online – Semaglutide pharmacy price
https://semaglutide.win/# Semaglutide pharmacy price
where can i get zithromax
rybelsus generic Rybelsus 14 mg rybelsus generic
http://gabapentin.auction/# neurontin generic brand
https://amoxil.llc/# amoxicillin order online
semaglutide: Buy semaglutide pills – Rybelsus 7mg
http://zithromax.company/# zithromax tablets
where to buy zithromax in canada
minocycline 100 mg otc buy stromectol online minocycline 50 mg acne
buy zithromax without presc: buy zithromax z-pak online – zithromax 1000 mg pills
viagra without a doctor prescription https://drugs24.pro/# male erectile dysfunction
the best ed pill best ed pills at gnc buy prescription drugs without doctor
http://mexicanpharm24.pro/# mexican online pharmacies prescription drugs
Online medicine home delivery
medicine in mexico pharmacies: buying from online mexican pharmacy – mexican mail order pharmacies
male enhancement products: ed in young men – what causes ed
cheap medication http://drugs24.pro/# treatment for ed
treat ed drugs that cause ed ed medications comparison
ed symptoms: online prescription for ed meds – the canadian drugstore
best india pharmacy: india pharmacy – online shopping pharmacy india
https://indianpharmdelivery.com/# online shopping pharmacy india
top 10 online pharmacy in india
mexico drug stores pharmacies medication from mexico pharmacy mexican mail order pharmacies
india pharmacy: top 10 pharmacies in india – cheapest online pharmacy india
ed treatment pills: herbal remedies for ed – prescription drugs without doctor approval
indian pharmacy online best online pharmacy india Online medicine home delivery
http://mexicanpharm24.pro/# mexican online pharmacies prescription drugs
cheapest online pharmacy india
reputable indian pharmacies: india pharmacy – mail order pharmacy india
buy ed pills online: pills erectile dysfunction – homepage
indianpharmacy com online pharmacy india buy medicines online in india
http://mexicanpharm24.pro/# reputable mexican pharmacies online
pharmacy website india
buy prescription drugs from india: buy prescription drugs from india – best online pharmacy india
foods for ed ed treatment natural erectile dysfunction treatment
best ed drug http://drugs24.pro/# ed medicine online
http://drugs24.pro/# real viagra without a doctor prescription usa
top 10 pharmacies in india
top 10 online pharmacy in india best online pharmacy india pharmacy website india
pet meds without vet prescription http://mexicanpharm24.pro/# п»їbest mexican online pharmacies
mexico drug stores pharmacies medicine in mexico pharmacies mexico drug stores pharmacies
carprofen without vet prescription http://indianpharmdelivery.com/# top 10 pharmacies in india
http://mexicanpharm24.pro/# medication from mexico pharmacy
buy prescription drugs from india
https://stromectol1st.shop/# ivermectin lotion for scabies
buy prescription drugs from india
Clopidogrel 75 MG price: Plavix generic price – buy plavix
buy paxlovid online: paxlovid price – paxlovid cost without insurance
http://rybelsus.icu/# rybelsus.icu
canadian drugs
paxlovid india: check this – paxlovid covid
minocycline 50mg tablets: order stromectol – dynacin minocycline
https://clopidogrel.pro/# Clopidogrel 75 MG price
how to fix ed
https://stromectol1st.shop/# minocycline medication
buy prescription drugs from india
rybelsus cost rybelsus generic rybelsus price
http://rybelsus.icu/# rybelsus price
male erectile dysfunction
paxlovid cost without insurance: shop – paxlovid price
п»їpaxlovid: best price on pills – Paxlovid over the counter
paxlovid cost without insurance paxlovid shop п»їpaxlovid
https://stromectol1st.shop/# ivermectin 1
reputable indian pharmacies
http://stromectol1st.shop/# ivermectin buy canada
sexual dysfunction in men
Cost of Plavix on Medicare: generic pills – plavix medication
plavix medication: best price on generic – Clopidogrel 75 MG price
https://stromectol1st.shop/# minocycline 50 mg
buying pills online
minocycline 100 mg over the counter: buy online – ivermectin pills
buy rybelsus: buy rybelsus – rybelsus generic
https://stromectol1st.shop/# ivermectin 5ml
buy medicines online in india
dynacin minocycline stromectol fast delivery minocycline for uti
http://rybelsus.icu/# cheaper
prescription drugs
buy semaglutide online: rybelsus.icu – order Rybelsus
ivermectin lotion 0.5: stromectol 1st shop – ivermectin brand name
buy clopidogrel online plavix price antiplatelet drug
http://stromectol1st.shop/# ivermectin 1 cream
indian pharmacy
Buy semaglutide: semaglutide – Buy semaglutide
https://clopidogrel.pro/# Clopidogrel 75 MG price
cialis without a doctor’s prescription
stromectol without prescription: best price shop – minocycline pac
Paxlovid buy online check this paxlovid buy
Paxlovid buy online: buy here – paxlovid cost without insurance
https://rybelsus.icu/# order Rybelsus
cialis without doctor prescription
https://stromectol1st.shop/# minocycline 50mg pills online
top 10 pharmacies in india
Semaglutide pharmacy price good price Buy semaglutide
order stromectol: stromectol shop – buy ivermectin canada
plavix best price: check clopidogrel pro – Cost of Plavix without insurance
paxlovid for sale check this Paxlovid over the counter
paxlovid india: paxlovid price – paxlovid buy
https://stromectol1st.shop/# ivermectin 1 cream
top online pharmacy india
where can i buy stromectol: stromectol shop – ivermectin 400 mg brands
paxlovid india buy here paxlovid generic
Plavix 75 mg price: check clopidogrel pro – Plavix 75 mg price
http://stromectol1st.shop/# stromectol lotion
indian pharmacy
ivermectin 500mg: stromectol 1st – ivermectin 0.1
https://1winrussia.online/# 1xbet официальный сайт
пин ап
пин ап кз: пин ап кз – пин ап казино
pin up casino: pin up casino – pin-up
1хбет: 1xbet – 1хбет
pin-up: pin-up – pin up
canl? casino: canl? casino siteleri – casino sitesi
https://1winindia.tech/# пинап
пинап кз
pin up casino pin up azerbaycan pin-up
1хставка: 1xbet – 1xbet официальный сайт
h?zl? casino: canl? casino siteleri – en iyi casino siteleri
guvenilir casino siteleri: guvenilir casino siteleri – slot casino siteleri
https://1winci.icu/# пин ап
пин ап казино вход
slot casino siteleri: canl? casino siteleri – en iyi casino siteleri
canl? casino: canl? casino – casino siteleri
1xbet скачать 1xbet зеркало 1xbet официальный сайт
pin up azerbaycan: pin up casino – pin up
пин ап казино: пинап кз – пинап кз
1xbet официальный сайт: 1хставка – 1хбет
guvenilir casino siteleri: en iyi casino siteleri – en iyi casino siteleri
casino siteleri: canl? casino – casino oyunlar?
http://1winbrasil.win/# pin up
пинап
casino siteleri dunyan?n en iyi casino siteleri en iyi casino siteleri
пин ап зеркало: пин ап вход – пин ап
pin up: пин ап кз – пинап
пин ап: пинап – пин ап кз
https://1winindia.tech/# пинап казино
pin up kz
pin up: pin-up – pin up 306
1xbet: 1хставка – 1хставка
casino sitesi cazino casino sitesi
пин ап казино вход: пин ап казино вход – пинап казино
пин ап казино вход: пинап казино – пин ап
1xbet зеркало 1хставка 1xbet скачать
1xbet зеркало: 1xbet официальный сайт – 1хставка
pin-up casino giris: pin up 306 – pin-up casino giris
пин ап: пин ап зеркало – пин ап вход
пин ап официальный сайт: пин ап – пин ап официальный сайт
best drug for ed: ed men – cheap erectile dysfunction pills
indian pharmacy online: india online pharmacy – cheapest online pharmacy india
http://mexicanpharm1st.com/# medicine in mexico pharmacies
medicine in mexico pharmacies: buying prescription drugs in mexico online – medicine in mexico pharmacies
top 10 pharmacies in india indianpharmacy com Online medicine home delivery
buy medicines online in india: indian pharmacies safe – world pharmacy india
https://indianpharm1st.com/# top 10 pharmacies in india
pharmacy website india: best india pharmacy – best india pharmacy
Online medicine order: pharmacy website india – indian pharmacy paypal
http://indianpharm1st.com/# indianpharmacy com
mexico drug stores pharmacies: buying prescription drugs in mexico – purple pharmacy mexico price list
muse for ed: natural help for ed – cure for ed
purple pharmacy mexico price list best online pharmacies in mexico medicine in mexico pharmacies
canadian drug: erectyle dysfunction – muse for ed
http://drugs1st.store/# herbal ed treatment
erectile dysfunction medication: ed meds online without doctor prescription – ed drugs over the counter
mexico drug stores pharmacies: mexico drug stores pharmacies – reputable mexican pharmacies online
mexican drugstore online buying from online mexican pharmacy mexican mail order pharmacies
http://mexicanpharm1st.com/# purple pharmacy mexico price list
drugs online: drug pharmacy – best online drugstore
ed trial pack: non prescription ed pills – ed medications list
buying prescription drugs in mexico online: mexican pharmaceuticals online – reputable mexican pharmacies online
http://mexicanpharm1st.com/# п»їbest mexican online pharmacies
https://pinup-az.bid/# pinup
pin up casino
https://pinupzerkalo.fun/# пинап казино
https://pinup-az.bid/# pin-up casino giris
pinup bet and casino
пинко пин ап пинко
sweet bonanza tr: sweet bonanza – sweetbonanzatr.pro
https://pinup-az.bid/# pin-up casino giris
http://pinup-az.bid/# pin-up casino giris
pin up casino
pin up zerkalo: пинап казино – пин ап казино
pin up: pinup-az bid – pin up casino
pin-up casino giris pin-up casino giris pin up 306
Пин Ап Казино Официальный Сайт: пинап – пин ап 634
http://pinup-az.bid/# pin-up
пин ап зеркало: pinco – пинко
https://pinup-az.bid/# pinup-az bid
pin up win
Пин Ап Казино Официальный Сайт в России: пин ап вход – пин ап зеркало
pin-up: pin up casino – pin-up
пинап Пин Ап Казино Официальный Сайт пин ап 634
https://pinupzerkalo.fun/# pinco
pin up casino
Пин Ап Казино Официальный Сайт в России: Официальный Сайт – пин ап вход
http://pinupzerkalo.fun/# пин ап зеркало
пин ап: пин ап казино – бонусы пин ап
http://biznes-fabrika.kz/# пинап казино
pin up win
пин ап казино пин ап вход пинко
пин ап казино: пин ап казино – пин ап вход
sweet bonanza nas?l oynan?r: sweet bonanza tr – sweetbonanzatr.pro
http://pinupzerkalo.fun/# Пин Ап Казино Официальный Сайт в России
Пин Ап Казахстан: Пин Ап Казино Официальный Сайт – пины
http://pinupzerkalo.fun/# Официальный Сайт
pin up win
pinup az: pin up azerbaycan – pin up azerbaycan
sweetbonanzatrpro: sweet bonanza oyna – sweet bonanza oyna
пинко пин ап казино пинап казино
http://pinup-az.bid/# pin-up casino giris
pin up win
sweet bonanza nas?l oynan?r: sweet bonanza nas?l oynan?r – sweet bonanza oyna
Rybelsus: semaglutide online – semaglutide online
buy amoxil online: amoxil – cheap
top-rated pills: Compare Prices – amoxil 1st shop
https://semaglutide.ink/# Rybelsus
stromectol delivery usa: good price – stromectol
https://semaglutide.ink/# rybelsus price
compare the best prices: gabapentin pro – licensed gabapentin
buy gabapentin: licensed gabapentin – involves multisystem
https://gabapentin1st.pro/# compare the best prices
Compare Prices: amoxil online – buy amoxil online