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Psychiatry Residency Training Program
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Syllabi and Readings
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DBT Orientation & Syllabus

Orientation to the UW DBT Residency Training Program

The DBT Residency Training Program is open to psychology and psychiatry residents, post-doctoral fellows, and faculty at the University of Washington. To accommodate different levels of interest, the program is built into three levels of training:

  • a Workshop that is an introduction to DBT
  • a Seminar, which provides the didactic material of the treatment, and
  • Clinical Training, which provides supervised clinical experience with DBT

You can choose to do any level but

  • you need to attend the workshop to attend the seminar and
  • you must have completed or be enrolled in the seminar to participate in the clinical training.

1) The 2-day DBT WORKSHOP will be held on July 19th and July 26th at Harborview Research and Training Building from 9-5pm (two sequential Saturdays).

  • Day 1 will focus on the theory and structure of DBT and an overview of treatment strategies.
  • Day 2 will focus on behavioral analysis, commitment, and crisis strategies with an emphasis on effective initial sessions with a DBT client.
  • The workshop is taught by Kate Comtois, Ph.D.

2) The DBT SEMINAR will be weekly on Wednesday evenings from 6:30-8:00pm at Harborview Research and Training Building from July 30th through December 17th.

  • Will cover all the theoretical underpinnings and major strategies of DBT as well as DBT applications with adolescents and inpatients.
  • The seminar requires weekly reading, homework, and a final exam.
  • It is taught by a number of faculty with DBT expertise.

3) CLINICAL TRAINING: Supervised individual and group therapy opportunities will be available to a LIMITED number of trainees (i.e., residents, fellows, faculty) for the 2003-4 year.

Critical Points about clinical training in DBT:

  • Trainees with clients will need to have an identified psychotherapy supervisor approved by Dr. Comtois.
  • Due to a shortage of supervisors, supervision slots will be on a first come + best follow through basis so please let Dr. Comtois know and keep after her if you want a slot.
  • It is very likely that we cannot include everyone who applies this year (which is different than past years).
  • Training includes conducting individual DBT therapy or skills training on a current rotation or LTCC. There is also a skills training group run by the trainees, which your individual clients can attend, and/or you can co-lead.
  • To participate in clinical training you need to attend the weekly trainee consultation group. The consultation group meets from 5:30-6:30pm at Harborview Hall 2HH-14 on Wednesdays (i.e., hour before seminar). The first meeting for 2003-4 will be on July 23rd.
  • If you are seeing a patient, you are expected to audio- or videotape. The consult group will listen/watch part of a tape each week as time permits, rotating among the group.
What to do next

1) If you are interested in any level of the training, please e-mail Kate Comtois at to let her know what you are interested in (i.e. workshop, seminar, and/or clinical training) and how serious your interest is at this point (i.e. possible, probable, definite, can't live without it).


WORKSHOP (Saturdays, 9am-5pm Harborview R & T building Rm. 117/121)
Date Speaker Content Reading Due This Date
Kate Comtois Introduction to DBT theory , structure, and major strategies Text Ch. 14
(Optional: Ch. 5-6)
7/27 Kate Comtois Specific concepts and strategies related to DBT with a difficult client including orientation, commitment, suicide intervention, and observing limits Text Ch. 14, 15, & pg. 281-291 (Optional: Ch. 9-10)
SEMINAR (Wednesday, 6:30-8:00pm. Harborview R & T Building Rm. 109/113)
Date Speaker Content Reading Due This Date
7/30   Skills Training and Distress Tolerance Text pg. 329-343 plus Skills Training Manual on Distress Tolerance
8/6   Mindfulness and Mindfulness Practice Skills Training Manual on Mindfulness and Distress Tolerance
8/13   Interpersonal Skills Skills Manual Ch. 1-6 & Skills Training Manual on Interpersonal Skills
8/20   Secondary Targets Text Ch. 5
8/27   Behavioral Analysis II and Solution Analysis Text Ch. 4-6 and pg. 250-265 & 275-281
9/3   Contingency Management and Observing Limits Don't Shoot the Dog and Text Ch. 10
9/10   Targeting and Linking to Goals Text pg. 97-98, 173-186, 276-278,
& 289-290
9/17   Cognitive Modification Text pg. 358-370
9/24   Other Change Strategies Rest of Text Ch. 9
10/1   Exposure Text pg. 343-358, Foa & Rothbaum
Ch. 9-10, Foa & Wilson, Ch. 7-8
10/8   Case Formulation I Text Ch. 1-3 and Koerner & Linehan
10/15   Validation II Text Ch. 8 and Linehan, 1997
10/22   Emotion Regulation Skills Text pg. 329-343 plus Skills Training Manual on Emotion Regulation
10/29   Inpatient DBT Swenson et al.
11/5   Dialectical Strategies Text Ch. 7
11/12   Case Management Strategies Text Ch. 13
11/19   Stylistic Strategies Text Ch. 12
11/26   Thanksgiving Week - NO CLASS
12/3   Case Formulation II Written case formulation prepared for class
12/10   Adolescent BPD Rathus & Miller
12/17   Final Review of Material Finish Text, Skills Manual, & Articles

Four books have been ordered by the U Bookstore at South campus Center and should be in soon: Cognitive Behavioral Therapy for Borderline Personality Disorder (Text), Skills Training Manual for Treating Borderline Personality Disorder, The Miracle of Mindfulness, and Don't Shoot the Dog. Copies of the other articles and chapters will be provided.

The DBT seminar is outside of the required didactic series for psychology and psychiatry residents and fellows. Attendance does not count toward required didactics.

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560