Helping Clients Heal from Self-Harm: A DBT Approach for Teens
A client tells you they have been cutting. What happens in the next ten seconds matters more than anything else you do in that session, because there is a good chance they have told someone before and watched it go badly. Some of them have been discharged by a previous therapist for saying it out loud.
Sheri Van Dijk is direct about why that keeps happening. Most clinicians will meet self-harm and very few training programs teach anyone what to do about it, which leaves practitioners improvising at the worst possible moment. The therapists who end the work are usually not being careless. They are being honest that they do not know how, and the client hears abandonment either way. So she starts with your own response, on the basis that everything after it depends on that.
Three hours on what non-suicidal self-injury is and is not, what actually drives it, and the DBT skills that reduce it. She works through assessment properly, including the questions that get you a real answer, an experiential avoidance model of the behaviour, and how to explain it to a young person and their family in a way that neither blames nor minimises. The material is pitched at older teens and young adults, and it transfers to adult clients with the language changed.
You’ll walk away with
- A way to respond in the first moments of a disclosure that builds trust instead of confirming what the client already expects
- A working distinction between NSSI and other self-destructive behaviours, and why the definition changes what you do next
- The assessment questions worth asking, including how to ask to see the injuries and why it is done matter-of-factly rather than with visible concern
- An explanation of the behaviour that a young person and their parents can both follow, without anyone being blamed for it
- The experiential avoidance model of self-harm, and what it tells you about which skills are likely to help this client
- The reasons people give when you ask, and a way to offer options to a client who genuinely does not know their own
- DBT skills chosen specifically for this behaviour, rather than the whole curriculum handed over at once
- A method for building commitment to stopping in a client who is not yet sure they want to
- A clear read on risk and protective factors, including what social contagion explains and, more usefully, what it does not
- Judgement about when self-harm is historical rather than current, and how to avoid making it the focus when the client has already moved past it
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 3 learning hours
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
Course Content
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This course includes:
- Lessons 2
- Topics 2
- Duration 3 hours
- Quizzes 1
- Language English