Kelly Wilson describes the interplay of the ACT processes as a kind of dance where the client leads. 

How is RO-DBT different from DBT?

Developed by Marsha Linehan, PhD, Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). Radically Open-Dialectical Behavior Therapy (RO-DBT) builds upon this work. This new therapy is a breakthrough, transdiagnostic approach (developed by Dr. Thomas Lynch) that helps clients with extremely difficult-to-treat overcontrol (OC) disorders such as anorexia nervosa, chronic depression, and obsessive-compulsive personality disorder (OCPD).

If you are already familiar with DBT, check out the main differences between Radically Open DBT and traditional DBT below.

Research shows that gender and sexual minorities experience more mental health problems than their heterosexual cis-gender (when assigned sex at birth matches gender identity) counterparts. Here are some best practices that I have found beneficial while working with clients within these communities and for myself as a sexual minority:

The following is an example of how Matthew Skinta, PhD, ABPP, used ACT principles to reduce suffering and promote resilience when working clinically with Neil, a twenty-one-year-old gay Indian-American college student who presented with symptoms consistent with major depressive disorder.

Matt is presenting on cognitive defusion and the other ACT processes at ACT BootCamp in San Diego on February 16 - 19.

Here is Matt on how he uses cognitive defusion with clients and personally:

ACT BootCamp Praxis CET

In an important sense, you leave something at BootCamp. You discover some personal baggage—problematic beliefs, habits, ways of relating—and you let it go. After 4 days and 32 hours of training, here is what I left in Tampa:

ACT BootCamp is a 4-day, live intensive training that is designed to familiarize clinicians with the core concepts of Acceptance and Commitment Therapy (ACT). ACT is not a set of techniques as much as it is a set of processes you can detect and change.

Jason Lillis, PhD, is assistant professor of research at the Alpert Medical School of Brown University, and a clinical psychologist at the Miriam Hospital in Providence, RI.

In acceptance and commitment therapy, defusion was originally called “deliteralization” because when we have thoughts—especially compelling ones—we tend to take them literally. We assume that they adequately capture reality, and then we behave accordingly. When we “fuse” with our thoughts, we buy into them hook, line, and sinker.

The following is an interview with Gareth Holman, PhD, a psychologist, trainer, and writer living in Seattle, Washington. He is the lead trainer for online functional analytic psychotherapy (FAP) trainings and works closely with the Center for the Science of Social Connection at the University of Washington to develop FAP research and trainings. He is author of the forthcoming book FAP Made Simple: A Guide to Therapeutic Relationships from New Harbinger Publications.


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