Agreement to Maintain Confidentiality of Clinical Information and Restrictions to Copying Workshop Content
By attending this workshop I agree to the following:
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Therapeutic Frameworks for Depressed and Suicidal
Teens, Young Adults and their Parents:
Spotlight on Attachment Based Family Therapy (ABFT) and Dialectical Behavior Therapy for Adolescents and their Parents (DBT-A)
Whether you are a new or experienced clinician, working in private practice or community mental health settings, no question asked of a teen or young adult can more evoke suspended breath than this one: "have you been thinking about killing yourself"? Similarly when working with the parents of depressed and suicidal youth, your role in helping them to navigate their child's possibly life threatening emotions and behaviors can keep you up at night and make you feel alone.
In this on-line, interactive program, PCFINE welcomes two expert teachers and clinicians who have devoted most of their careers to applying and training other clinicians to use two treatment models for working with this population of youth and their parents: Attachment Based Family Therapy (ABFT) and Dialectical Behavior Therapy for Adolescents (DBT-A).
Guy Diamond, PhD, the co-creator of Attachment Based Family Therapy (ABFT) will teach us about this brief, emotion-focused, trauma-informed family therapy model specifically developed for adolescent depression and suicide. Attachment theory provides the theoretical framework and many of the clinical targets for ABFT. The manual is structured and flexible, aiming to help therapists get to underlying interpersonal challenges quickly and deeply. Extensive research has helped to define this approach as one of the few empirically supported family therapy models for internalizing disorders. Dr. Diamond’s teaching will include slides and video examples of the treatment process in action.
Judith Mintz, PhD, the Director of Clinical Services at the McLean 3East Residential Dialectical Behavior Therapy Program for Adolescents (DBT-A) will teach about this specialized treatment program for suicidal adolescents, young adults and their parents. The DBT-A framework grows from an acknowledgement that parents of teens who engage in repeated suicide attempts and self-injurious behaviors are themselves part of an emotionally exhausted caregiving system. Struggling to be emotionally responsive to their distressed teens, parents find themselves destabilized which in turn exacerbates their child’s distress.
Dr. Mintz will review the specific family interventions that have been designed to involve parents in their child’s treatment process and to enhance parents’ caregiving capacities in order to increase emotion regulation and to reduce behavioral dyscontrol and reactivity for parents and child alike. She will share clinical case examples from her work at the McLean 3East Adolescent DBT Residential Program.
Finally, Drs. Diamond and Mintz will highlight some of the ways that ABFT and DBT-A converge and others that distinguish one from the other. There will be ample opportunities for audience participation throughout the day.
EDUCATIONAL OBJECTIVES
At the conclusion of this program, the participants will be able to:
1) Explain how attachment theory provides the theoretical and clinical foundation for ABFT
2) Describe the purpose of the five-treatment-task structure of ABFT’s clinical model
3) Describe some of the micro, in-session clinical skills needed to facilitate ABFT
4) Describe the “Biosocial Theory” of Borderline Personality Disorder in Dialectical Behavior Therapy for Adolescents (DBT-A), and how this theory is shared with patients and parents in educating them about the disorder and treatment process
5) Explain the “transactional” nature of emotional dysregulation and how this process is connected to behaviors such as suicide attempts and self-harm
6) Provide examples of some of the evidence-based strategies and interventions used in DBT-A to enhance parents’ capacities to manage their own stress while more effectively parenting their Vulnerable child
7) Describe some of the ways that ABFT and DBT-A differ from each other
Guy Diamond, PhD is a Professor Emeritus at the University of Pennsylvania School of Medicine and was Associate Professor at Drexel University in the College of Nursing and Health Professions until he retired in 2023. At Drexel, he was the Director of the Center for Family Intervention Science (CFIS). His primary work has been in the area of youth suicide prevention and treatment research. On the treatment side, he has focused on the development and testing of Attachment Based Family Therapy (ABFT, especially for teens struggling with depression and suicide. ABFT has now been applied to children and young adults, LGBTQ youth and adults, and adopted in clinics all over the world. It is used as a transdiagnostic approach to patient mental health and ruptures in family attachment. Dr. Diamond is now President of the ABFT International Training Institute which disseminates this model around the world.
Judith Mintz, PhD is the Director of Clinical services at the McLean 3East Residential BT program for Adolescents where she has worked for the past 17 years. She is a supervising psychologist and has trained several Post-Doctoral Fellows in the program. For several years, she was one of the co-leaders of the parent skills group, and currently is a co-leader in psycho-educational groups for parents learning to manage stress related to their child’s mental health challenges. In addition to her work at McLean, Dr. Mintz has a private practice in Arlington and Cambridge, MA.
REFERENCES:
Diamond, G., Kodish, T., Ewing, E. S. K., Hunt, Q. A. & Russon, J. M. (2022). Family processes: Risk, protective and treatment factors for youth at risk for suicide. Aggression and Violent Behaviors, 64, 101586.
Diamond, G.S., Diamond G. & Levy, S. (2021). Attachment-based family therapy: Theory, clinical model, outcomes, and process research. Journal of Affective Disorders, 294, 286–295. https://doi.org/10.1016/j.jad.2021.07.005
Fruzzetti, A. E., Payne, L. G., & Hoffman, P. D. (2021). “DBT with families” in L.A. Dimeff, S. L. Rizvi, & K. Koerner (Eds.), Dialectical behavior therapy in clinical practice: Applications across disorders and settings (2nd ed.). The Guilford Press pp. 366-387.
Fruzzetti, A.E. and Payne, L.G. (2020).“Assessment of Parents, Couples, and Families in Dialectical Behavior Therapy.” Cognitive and Behavioral Practice, 27(1), 39-49.
Rathus, J., Campbell, B., Miller, A. and Smith, H. (2015). Treatment Acceptability Study of Walking the Middle Path, a New DBT Skills Module for Adolescents and their Families. American Journal of Psychotherapy, 69(2), 163-178.
Stern, R., King, A., & Diamond, G. (2022). Repairing attachment in families with depressed adolescents: A task analysis. Journal of Clinical Psychology.
https://doi.org/10.1002/jclp.23399
PARTICIPANTS:
This program is open to all PCFINE members, other interested mental health professionals and students. It is intended for those with a beginner, intermediate or advanced level of knowledge and experience.
CANCELLATION POLICY:
Full refund if notice of cancellation is received by March 1, 2025.
CONTINUING EDUCATION:
Psychologists – The Psychodynamic Couple and Family Institute of New England (PCFINE) is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. PCFINE maintains responsibility for this program and its content. Attending the full day will fulfill 6 hours of CE credit. Please note: No partial credit can be given. You must arrive within 10 minutes of the start time and stay up until 10 minutes of the end time to receive CE credit. Participants from states other than Massachusetts will need to file with their respective licensing boards. PCFINE will issue a certificate of attendance to those who complete the seminar, but this issuance does not guarantee CEU acceptance by boards other than APA and NASWMA.
Social Workers, Licensed Mental Health Counselors, and Licensed Marriage and Family Therapists may call 781-449-8365 or email pcfine1934@gmail.com for CE information.
PCFINE is committed to non-discrimination and will conduct all activities in strict conformity with the American Psychological Association’s Ethical Principles for Psychologists. If you believe that a violation of ethics has occurred during the program, or have any other complaints or questions, please contact Justin Newmark, Ph.D. at pcfine1934@gmail.com.
There is no commercial support for this program nor are there any relationships between the CE sponsor, presenters, workshop content, research, grants, or other funding that could reasonably be construed as a conflict interest.
REGISTRATION
Last day for registration is Thursday, December 5, 2024.
PCFINE Member Non-Member Grad Student/Equity*
Early Bird to 11/18/24 $160 Early Bird to 11/18/24 $190 $50*
After 11/18/24 $190 After 11/18/24 $220
*The Equity Registration rate is intended for participants who identify as belonging to racial or ethnic groups with historical barriers to access, and/or participants who work with low-income individuals or those who have also endured historical barriers to access.
