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Radically Open DBT for Disorders of Overcontrol
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When: Wednesday, October 25, 2017
8:30 AM - 4 PM
Where: Quest Conference Center
8405 Pulsar Place
Columbus, Ohio  43240
United States
Contact: Carolyn Green

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6 CE for psychologists

6 CE for social workers, counselors and marriage & family therapists

Doors opens at 8 a.m... Workshop will run from 8:30 a.m. to 4 p.m.

Registration Information:

Continental breakfast, lunch and snacks are included.

Registration deadline is October 23, 2017.

Cost: $150 OPA Members; $180 Non-OPA Members; $100 Students (No CE)


Program Description:

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 19 years of research, two NIMH funded randomized controlled trials (RCTs) with refractory depression, an open-trial with adult anorexia nervosa, and a large ongoing multi-site RCT (http://www.reframed.org.uk) the aim of this workshop is to introduce clinicians to the theoretical foundations and new skills underlying Radically Open-Dialectical Behavior Therapy (RO-DBT) for disorders of overcontrol (treatment manual pending; Guilford Press).  

While resting on many of the core principles of standard DBT, the therapeutic strategies in RO-DBT are often 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 heightened threat sensitivity and diminished reward sensitivity transact with early family experiences emphasizing “mistakes as intolerable” and “self-control as imperative” to result in an overcontrolled coping style that limits opportunities to learn new skills and exploit positive social reinforcers. A novel thesis linking the communicative functions of emotional expression to the formation of close social bonds will be introduced, as well as new skills emphasizing receptivity, self-enquiry and flexible responding. New approaches designed to activate a neurobiological-based social-safety system, signal cooperation, encourage genuine self-disclosure, practice loving-kindness, and change unhelpful envy/bitterness will be introduced using slides, handouts, video clips, and role plays. 


Learning Objectives – Attendees 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 the RO-DBT treatment hierarchy
  • Describe a novel treatment mechanism positing open expression = trust = social connectedness 
  • List examples of strategies designed to improve pro-social cooperative signaling via activation of the parasympathetic nervous system’s social-safety system

About the Speakers:
Nate Tomcik, PhD
is a certified introductory trainer for Radically Open Dialectical Behavior Therapy and is the Director of Outpatient Behavioral Health at the Columbus VA. He received his PhD in Clinical Psychology from the University of Tennessee in 2005 and completed his postdoctoral work in community mental health, specializing in dual diagnosis treatment of adults and adolescents in underserved communities. He has been working within the VA to promote person centered and recovery oriented mental health care for the last 10 years. His primary research and clinical interests involve the dissemination of evidence based behavioral health treatment in integrated service delivery systems.

Jimmy Portner, LISW-S, LICDC-CS, BCD
is the Intensive Treatment Division Director at the Columbus Ohio Veterans Administration. He specializes in the training, implementation and clinical supervision of the following Evidence Based Practices (EBP); Integrated Dual Diagnosis Treatment (IDDT), Assertive Community Treatment (ACT), Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), and Dialectical Behavior Therapy (DBT).
Mr. Portner is a certified introductory trainer for the emerging EBP, Radically Open-DBT. He has been practicing RO-DBT since 2014. He serves as an adjunct professor for the OSU College of Social Work where he received both his Bachelors and Master’s degrees in Social Work.

Key Literary References:

  • Lynch, T.R., Whalley, B., Hempel, R.J., Byford, S., Clarke, P., Clarke, S., Kingdon, D. , O’Mahen, H., Russell, I. T., Shearer, J., Stanton, M., Swales, M., Watkins, A. and Remington, B. (2015). Refractory depression – Mechanisms and Evaluation of radically open Dialectical behaviour therapy (RO-DBT) [REFRAMED]: protocol for randomised trial. BMJ Open, 5, e00885. doi:10.1136/bmjopen-2015-008857
  • Lynch, T.R., Hempel, R.J., Dunkley, C. (2015). Radically Open-Dialectical Behavior Therapy for Disorders of Over-Control: Signaling Matters. American Journal of Psychotherapy, 69(2), 141-162. 
  • Lynch, T.R., Gray, K.L.H., 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., & Cheavens, J. S. (2008). Dialectical behavior therapy for comorbid personality disorders. Journal of Clinical Psychology, 64(2), 154-167.
  • Lynch, T. R., Cheavens, J. S., Cukrowicz, K. C., Thorp. S., 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, 131-143.

Questions? Contact OPA at 614.224.0034

The Ohio Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists: OPA maintains responsibility for the program and its content.
Disclaimers/Cancellation and Refund Policy: Attendees needing to cancel must do so in writing before 7 business days prior to the event and will be subject to a $30 service charge. ALL CANCELLATIONS WILL BE SUBJECTED TO THIS SERVICE CHARGE. No refunds will be given for cancellations received less than 8 days prior to the event. The planners and sponsors of this event are committed to providing accurate and up-to-date information. However, they are not responsible for changes, additions or deletions to the services, but will work toward accommodating the needs of the attendees.

Conflict of Interest Statement: As an APA-approved sponsor of continuing education, the Ohio Psychological Association (OPA) is committed to the identification and resolution of potential conflicts of interest in the planning, promotion, delivery, and evaluation of continuing education as is consistent with concepts outlined in the APA Ethical Principles of Psychologists and Code of Conduct. Information regarding financial support, in-kind support or possible conflicts of interest will be included in promotional materials and can be accessed by contacting the Ohio Psychological Association Central Office. 
Photo Consent: Registration and attendance at OPA events constitutes an agreement by the registrant to OPA for use of the attendee’s image in photographs.
Continuing Education Credit Policies: Those individuals wanting CE credits must sign and complete the Workshop Evaluation Form and return the form to OPA at the end of each workshop as instructed. OPA guidelines state that a participant may arrive no more than 10 minutes late or leave more than 10 minutes early to receive credit for a program. No partial credit will be given. The workshop planners will make every effort to ensure that each workshop begins and ends promptly at its designated time.
Continuing Education Credits for Social Workers and Counselors:  The Ohio Psychological Association is approved by the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board to offer continuing education to counselors and social workers. The approval number is RCS070608.
Certificates of Attendance will be distributed at the end of the workshop to all pre-registered participants who meet the criteria specified above.