Invited Clinical Grand Round

Chair:

Judith S. Beck, Ph.D., President/Clinical Professor, Beck Institute for Cognitive Behavior Therapy/University of Pennsylvania

Panelists:

Jill Rathus, Ph.D., Co-Director, Cognitive Behavioral Associates

Lisa W. Coyne, Ph.D., Assistant Professor, Harvard Medical School

Participants earn 1.5 continuing education credits

Categories: Treatment- CBT, Treatment – Other

Keywords: ACT (Acceptance & Commitment Therapy), CBT, DBT (Dialectical Behavior Therapy)

Moderate level of familiarity with the material.

A young adult client, appropriately disguised for confidentiality, will be presented. This client will be co-morbid (e.g., with a personality disorder) or treatment refractory. Demographics, diagnosis, and other information, including a specific problem or goal the “client” wants to work on will be reviewed. 5 minutes. Then three clinicians in turn, representing CBT, DBT, and ACT, will conceptualize the client, describe a general treatment plan, and do a roleplay addressing the identified problem/goal. 25 minutes each. Finally, the panelists will comment on or ask questions about each other’s work, followed by questions and answers with the audience. 10 minutes.

At the end of this session, the learner will be able to:

• Describe how a CBT clinician might conceptualize a client.
• Describe how a DBT clinician might conceptualize a client.
• Describe how an ACT clinician might conceptualize a client.
• Describe how a CBT clinician uses a conceptualization to plan treatment.
• Describe how a DBT clinician uses a conceptualization to plan treatment.
• Describe how an ACT clinician uses a conceptualization to plan treatment.

Recommended Readings:

Beck, J. S. (2021). Cognitive behavior therapy: Basics and beyond (3rd ed.). Guilford Press.

Gloster, A.T., Walder, N., Levin, M.E., Twohig, M.P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181-192.

Miller, A. L., Rathus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. Guilford Press.