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RO DBT for Overcontrol, Perfectionism and Rigid Behaviors

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About the Event

Cognitive Behavior Institute is excited to welcome Kristen Fritsinger, MSW, LICSW, for a live interactive webinar on: RO DBT for Overcontrol, Perfectionism and Rigid Behaviors

Date: 01/18/2023
Time: 10am-1pm EST
Location: online
Cost: $19.99
Level: Introductory
Credit Hours: 3 Clinical CEs

Radically Open Dialectical Behavior Therapy (RO DBT) is a treatment for patients who suffer from emotional and behavioral over-control. Some clients lack emotional control and need interventions designed to enhance emotional and behavioral control; others, for whom RO DBT is designed, require interventions designed to relax rigid or inflexible control (Baudinet et al., 2020; Baudinet et al., 2021). RO DBT has been researched over the past 25 years for patients with chronic depression or anorexia nervosa (Cini et al., 2018). Research results suggest that it is effective in these, and other, hard-to-treat groups such as Autism Spectrum Disorders and Obsessive Compulsive Personality Disorder (Lynch et al., 2020).

75 minutes Live Teaching
15 minutes Question and Answer opportunity
75 minutes Live Teaching
15 minutes Question and Answer opportunity

*Program does not include breaks

Learning Objectives:

  1. Participants will define the problem of overcontrol according to the four core deficits and the biosocial theory for overcontrol
  2. Participants will describe what Radical Openness is (and is not)
  3. Participants will describe the RO-DBT treatment hierarchy and modes of treatment
  4. Participants will evaluate whether RO DBT might be a suitable treatment for your clients

Instructor Bio:
 Kristen Fritsinger, MSW, LICSW, is a licensed independent clinical social worker in private practice in Minneapolis, Minnesota. Her graduate training emphasized clinical social work, primarily mental health. She spent 12 years working with adults who have serious and persistent mental illness, with a range of diagnoses. In 2004, she joined and became a partner at DBT Associates, which was one of the first outpatient standard DBT clinics in Minnesota. It was also the first mental health clinic in Minnesota providing RO DBT. Kristen and her spouse became owners of DBT Associates in 2019.

Kristen is intensively trained in RO DBT, is a certified RO DBT supervisor and trainer and is a member of the Adolescent Steering Committee. She provides individual RO DBT therapy to adolescents and adults, in addition to co-facilitating a RO DBT skills training class for adults and a class for adolescents. She is a member of the RO DBT US Senior Clinician team and was the first RO clinician in the US to become certified as a supervisor and intensive trainer.

Kristen is an adjunct faculty member at the University of St. Thomas for the master’s level social work program. She has a passion for teaching and RO DBT. Her other loves are running with her golden retriever, gardening, camping, rock climbing with her daughter, sharing music with her son, and chilling out on Friday nights with her spouse.

Course bibliography:
Baudinet, J., Simic, M., Griffiths, H., Donnelly, C., Stewart, C., & Goddard, E. (2020). Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series. J Eat Disord, 8(1), 68.

Baudinet, J., Stewart, C., Bennett, E., Konstantellou, A., Parham, R., Smith, K., Hunt, K., Eisler, I., & Simic, M. (2021). Radically open dialectical behaviour therapy adapted for adolescents: a case series. BMC Psychiatry, 21(1), 462.

Caspi, A. (2000). The child is father of the man: Personality continuities from childhood to adulthood. Journal of Personality and Social Psychology, 78(1), 158-172.

Chapman, B. P., & Goldberg, L. R. (2011). Replicability and 40-year predictive power of childhood ARC types. Journal of Personality and Social Psychology, 101(3), 593-606.; 10.1037/a0024289.supp (Supplemental)

Chen, E. Y., Segal, K., Weissman, J., Zeffiro, T. A., Gallop, R., Linehan, M. M., Bohus, M., & Lynch, T. R. (2015). Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study. Int J Eat Disord, 48(1), 123-132.

Cini, E., Hodes, M., Moncrieff-Boyd, J., Gray, A., Eekelaar, C., Cartwright, G., & Cutinha, D. (2018). A Service Evaluation Comparing Group CBT-E and Group RO-DBT in a Cohort of Inpatient Adolescents with Anorexia Nervosa.

Clark, L. A. (2005). Temperament as a Unifying Basis for Personality and Psychopathology. Journal of Abnormal Psychology, 114(4), 505-521. (Toward a Dimensionally Based Taxonomy of Psychopathology)

Cornwall, P. L., Simpson, S., Gibbs, C., & Morfee, V. (2021). Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: effectiveness in people with autism spectrum disorders. BJPsych Bulletin, 45(3), 146-153.

Davidson, R. J., & Irwin, W. (1999). The functional neuroanatomy of emotion and affective style. Trends in Cognitive Sciences, 3(1), 11-21.

Eisenberg, N., Fabes, R. A., Guthrie, I. K., & Reiser, M. (2000). Dispositional emotionality and regulation: Their role in predicting quality of social functioning. Journal of Personality and Social Psychology, 78(1), 136-157.

Farabaugh, A., Mischoulon, D., Yeung, A., Alpert, J., Matthews, J., Pava, J., & Fava, M. (2002). Predictors of stable personality disorder diagnoses in outpatients with remitted depression. J Nerv Ment Dis, 190(4), 248-256.

Friborg, O., Martinussen, M., Kaiser, S., Overgard, K. T., Martinsen, E. W., Schmierer, P., & Rosenvinge, J. H. (2014). Personality disorders in eating disorder not otherwise specified and binge eating disorder: a meta-analysis of comorbidity studies. J Nerv Ment Dis, 202(2), 119-125.

Gilbert, K., Perino, M. T., Myers, M. J., & Sylvester, C. M. (2020). Overcontrol and neural response to errors in pediatric anxiety disorders. Journal of Anxiety Disorders, 72, 102224.

Gross, J. J. (2007). Handbook of emotion regulation. Guilford Press.

Isaksson, M., Ghaderi, A., Ramklint, M., & Wolf-Arehult, M. (2021). Radically open dialectical behavior therapy for anorexia nervosa: A multiple baseline single-case experimental design study across 13 cases. Journal of Behavior Therapy and Experimental Psychiatry, 71, 101637.

Kendler, K. S., Prescott, C. A., Myers, J., & Neale, M. C. (2003). The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Archives of General Psychiatry, 60(9), 929-937. 10.1001/archpsyc.60.9.929

Keogh, K., Booth, R., Baird, K., Gibson, J., & Davenport, J. (2016). The Radical Openness Group: A controlled trial with 3-month follow-up. Practice Innovations, 1(2), 129.

Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry, 51(1), 8-19.

Krueger, R. F. (1999). Personality traits in late adolescence predict mental disorders in early adulthood: a prospective-epidemiological study. Journal of personality, 67(1), 39-65.

Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.

Little, J. N., & Codd, R. T., III. (2020). Radically Open Dialectical Behavior Therapy (RO DBT) in the treatment of perfectionism: A Case Study. Journal of Clinical Psychology, 76(11), 2097-2108.

Lynch, M. P. (2004). True to life: Why truth matters. MIT Press.

Lynch, T. R. (2018a). Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol. New Harbinger, an imprint of Context Press.

Lynch, T. R. (2018b). The Skills Training Manual for Radically Open Dialectical Behavior Therapy. New Harbinger, an imprint of Context Press.

Lynch, T. R., Cheavens, J. S., Cukrowicz, K. C., Thorp, S. R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with co‐morbid personality disorder and depression: a dialectical behavior therapy approach. International Journal of Geriatric Psychiatry, 22(2), 131-143.

Lynch, T. R., Gray, K. L., Hempel, R. J., Titley, M., Chen, E. Y., & O'Mahen, H. A. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: feasibility and outcomes from an inpatient program. BMC Psychiatry, 13, 293.

Lynch, T. R., Hempel, R. J., Whalley, B., Byford, S., Chamba, R., Clarke, P., Clarke, S., Kingdon, D. G., O'Mahen, H., Remington, B., Rushbrook, S. C., Shearer, J., Stanton, M., Swales, M., Watkins, A., & Russell, I. T. (2020). Refractory depression - mechanisms and efficacy of radically open dialectical behaviour therapy (RefraMED): findings of a randomised trial on benefits and harms. British Journal of Psychiatry, 216(4), 204-212.

Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J. (2003). Dialectical behavior therapy for depressed older adults: A randomized pilot study. American Journal of Geriatric Psychiatry, 11(1), 33-45.

Markon, K. E., Krueger, R. F., & Watson, D. (2005). Delineating the Structure of Normal and Abnormal Personality: An Integrative Hierarchical Approach. Journal of Personality and Social Psychology, 88(1), 139-157.

Martinussen, M., Friborg, O., Schmierer, P., Kaiser, S., Overgard, K. T., Neunhoeffer, A. L., Martinsen, E. W., & Rosenvinge, J. H. (2017). The comorbidity of personality disorders in eating disorders: a meta-analysis. Eat Weight Disord, 22(2), 201-209.

Steklis, H., & Kling, A. (1985). Neurobiology of affiliative behavior in nonhuman primates. In M. Reite & T. Field (Eds.), The Psychobiology of Attachment and Separation (pp. 93-134). Academic Press.

Swinbourne, J., Hunt, C., Abbott, M., Russell, J., St Clare, T., & Touyz, S. (2012). The comorbidity between eating disorders and anxiety disorders: prevalence in an eating disorder sample and anxiety disorder sample. Aust N Z J Psychiatry, 46(2), 118-131.

Cognitive Behavior Institute, #1771, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Cognitive Behavior Institute maintains responsibility for this course. ACE provider approval period: 6/30/2022-6/30/2025. Social workers completing this course receive 3 clinical continuing education credits.

Cognitive Behavior Institute, LLC 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-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program. Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

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