The first step in any training is for us to share information as a group. I begin by engaging the the group, asking about the kinds of clients they see, the challenges they face in their clinical work, the areas in which they feel skilled and comfortable, and any areas in which they find themselves frustrated and could use some additional skills. That conversation gives me the opportunity to join with the group, acknowledge the strengths they have already developed, and offer new skills that might be helpful.
When I ask groups about their familiarity with CT/CBT, I often hear that many people in the room know about CT/CBT, and that some integration of the skills is already happening. However, I almost always begin with the basics of CT, and that information either reinforces or re-defines those initial building blocks. From there, we cover the cognitive model, case conceptualization, cognitive and behavioral interventions, and case conceptualization-driven intervention. By the end of workshop training, everyone in the room shares a common language and common understanding of CT/CBT and has concrete suggestions for ways to apply the information with their clients.
TRAININGS IN COGNITIVE BEHAVIORAL THERAPY
Although the trainings I provide have common elements, they are tailored to the needs of each group. This tailoring of core material is similar to the way we deliver cognitive behavioral therapy with clients, by individualizing the delivery of the material to fit each unique situation. Below is a description of the main components of a typical course of CBT training, followed by examples of tailoring. I invite you to contact me so that we can talk about how I can tailor training to your needs.
Consultation can set these trainings apart from the typical weekend workshop, by providing ongoing support for using the new skills with actual clients. The supported application of knowledge helps therapists to actually use what they learned in training, providing a platform for successful attempts, fine-tuning around challenges, and solving problems. During consultation, trainees apply the learning from the workshop with their clients, and receive support in ongoing consultation and selecting, planning, and evaluating interventions. Consultation may take place in person or remotely (e.g., phone, Skype), and provides continuity in working week to week with clients.
The CBT workshop and consultation plan can be modified to fit the needs of any group. Many groups may choose to have only a workshop, and then provide peer support for each other after the workshop ends. Others may suppliment this plan with a few meetings with me, or with periodic on-call consultation.
Workshops are always modified to fit the needs of the training group. For example, I have provided tailored CBT workshops to groups including:
services for children and adolescents
services for adults
milieu settings (e.g., support staff in an inpatient setting, residential setting, school, ACT team)
services for specific presenting problems (e.g.,addictions, depression, anxiety, externalizing or acting out behavior, trauma, pervasive developmental disorders, criminal behavior, parenting challenges, and more)
various treatment settings (e.g.,schools, forensic, inpatient settings, housing for the chronically homeless)
I will gather information about your group and your needs prior to planning the training, so that my approach best fits the needs of the clinicians. I can then create an individual plan for your group and get your feedback on how well it might fit your needs.