RO DBT for Overcontrol, Perfectionism and Rigid Behaviors (January 2025)

Radically Open Dialectical Behavior Therapy (RO DBT) is a treatment for patients who suffer from emotional and behavioral over-control. Some clients lack emotional control and need interventions designed to enhance emotional and behavioral control; others, for whom RO DBT is designed, require interventions designed to relax rigid or inflexible control (Baudinet et al., 2020; Baudinet et al., 2021). RO DBT has been researched over the past 25 years for patients with chronic depression or anorexia nervosa (Cini et al., 2018). Research results suggest that it is effective in these, and other, hard-to-treat groups such as Autism Spectrum Disorders and Obsessive Compulsive Personality Disorder (Lynch et al., 2020).

Date

1/29/2025 10:00AM - 1:00PM EST

Instructors

Kristen Fritsinger, MSW, LICSW

Cost

$35.00

Credit Hours

3 Clinical CEs

Course Overview

Learning Objectives

Participants will define the problem of overcontrol according to the four core deficits and the biosocial theory for overcontrol.
Participants will describe what Radical Openness is (and is not).
Participants will describe the RO-DBT treatment hierarchy and modes of treatment.
Participants will evaluate whether RO DBT might be a suitable treatment for your clients.

Course Bibliography

Baudinet, J., Simic, M., Griffiths, H., Donnelly, C., Stewart, C., & Goddard, E. (2020). Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series. J Eat Disord, 8(1), 68. https://doi.org/10.1186/s40337-020-00338-9

Baudinet, J., Stewart, C., Bennett, E., Konstantellou, A., Parham, R., Smith, K., Hunt, K., Eisler, I., & Simic, M. (2021). Radically open dialectical behaviour therapy adapted for adolescents: a case series. BMC Psychiatry, 21(1), 462. https://doi.org/10.1186/s12888-021-03460-3

Caspi, A. (2000). The child is father of the man: Personality continuities from childhood to adulthood. Journal of Personality and Social Psychology, 78(1), 158-172. https://doi.org/10.1037/0022-3514.78.1.158

Chapman, B. P., & Goldberg, L. R. (2011). Replicability and 40-year predictive power of childhood ARC types. Journal of Personality and Social Psychology, 101(3), 593-606. https://doi.org/10.1037/a0024289 10.1037/a0024289.supp (Supplemental)

Chen, E. Y., Segal, K., Weissman, J., Zeffiro, T. A., Gallop, R., Linehan, M. M., Bohus, M., & Lynch, T. R. (2015). Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study. Int J Eat Disord, 48(1), 123-132. https://doi.org/10.1002/eat.22360

Cini, E., Hodes, M., Moncrieff-Boyd, J., Gray, A., Eekelaar, C., Cartwright, G., & Cutinha, D. (2018). A Service Evaluation Comparing Group CBT-E and Group RO-DBT in a Cohort of Inpatient Adolescents with Anorexia Nervosa. https://doi.org/10.13140/RG.2.2.21687.83362

Clark, L. A. (2005). Temperament as a Unifying Basis for Personality and Psychopathology. Journal of Abnormal Psychology, 114(4), 505-521. (Toward a Dimensionally Based Taxonomy of Psychopathology)

Cornwall, P. L., Simpson, S., Gibbs, C., & Morfee, V. (2021). Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: effectiveness in people with autism spectrum disorders. BJPsych Bulletin, 45(3), 146-153. https://doi.org/10.1192/bjb.2020.113

Davidson, R. J., & Irwin, W. (1999). The functional neuroanatomy of emotion and affective style. Trends in Cognitive Sciences, 3(1), 11-21. https://doi.org/10.1016/S1364-6613(98)01265-0

Eisenberg, N., Fabes, R. A., Guthrie, I. K., & Reiser, M. (2000). Dispositional emotionality and regulation: Their role in predicting quality of social functioning. Journal of Personality and Social Psychology, 78(1), 136-157. https://doi.org/10.1037/0022-3514.78.1.136

Farabaugh, A., Mischoulon, D., Yeung, A., Alpert, J., Matthews, J., Pava, J., & Fava, M. (2002). Predictors of stable personality disorder diagnoses in outpatients with remitted depression. J Nerv Ment Dis, 190(4), 248-256. https://doi.org/10.1097/00005053-200204000-00006

Friborg, O., Martinussen, M., Kaiser, S., Overgard, K. T., Martinsen, E. W., Schmierer, P., & Rosenvinge, J. H. (2014). Personality disorders in eating disorder not otherwise specified and binge eating disorder: a meta-analysis of comorbidity studies. J Nerv Ment Dis, 202(2), 119-125. https://doi.org/10.1097/NMD.0000000000000080

Gilbert, K., Perino, M. T., Myers, M. J., & Sylvester, C. M. (2020). Overcontrol and neural response to errors in pediatric anxiety disorders. Journal of Anxiety Disorders, 72, 102224. https://doi.org/https://doi.org/10.1016/j.janxdis...

Gross, J. J. (2007). Handbook of emotion regulation. Guilford Press.

Isaksson, M., Ghaderi, A., Ramklint, M., & Wolf-Arehult, M. (2021). Radically open dialectical behavior therapy for anorexia nervosa: A multiple baseline single-case experimental design study across 13 cases. Journal of Behavior Therapy and Experimental Psychiatry, 71, 101637. https://doi.org/https://doi.org/10.1016/j.jbtep.2...

Kendler, K. S., Prescott, C. A., Myers, J., & Neale, M. C. (2003). The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Archives of General Psychiatry, 60(9), 929-937. 10.1001/archpsyc.60.9.929

Keogh, K., Booth, R., Baird, K., Gibson, J., & Davenport, J. (2016). The Radical Openness Group: A controlled trial with 3-month follow-up. Practice Innovations, 1(2), 129.

Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry, 51(1), 8-19. https://doi.org/10.1001/archpsyc.1994.03950010008...

Krueger, R. F. (1999). Personality traits in late adolescence predict mental disorders in early adulthood: a prospective-epidemiological study. Journal of personality, 67(1), 39-65. https://doi.org/10.1111/1467-6494.00047

Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press. http://search.ebscohost.com/login.aspx?direct=tru...

Little, J. N., & Codd, R. T., III. (2020). Radically Open Dialectical Behavior Therapy (RO DBT) in the treatment of perfectionism: A Case Study. Journal of Clinical Psychology, 76(11), 2097-2108. https://doi.org/https://doi.org/10.1002/jclp.2306...

Lynch, M. P. (2004). True to life: Why truth matters. MIT Press. http://search.ebscohost.com/login.aspx?direct=tru...

Lynch, T. R. (2018a). Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol. New Harbinger, an imprint of Context Press.

Lynch, T. R. (2018b). The Skills Training Manual for Radically Open Dialectical Behavior Therapy. New Harbinger, an imprint of Context Press.

Lynch, T. R., Cheavens, J. S., Cukrowicz, K. C., Thorp, S. R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with co‐morbid personality disorder and depression: a dialectical behavior therapy approach. International Journal of Geriatric Psychiatry, 22(2), 131-143.

Lynch, T. R., Gray, K. L., Hempel, R. J., Titley, M., Chen, E. Y., & O'Mahen, H. A. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: feasibility and outcomes from an inpatient program. BMC Psychiatry, 13, 293. https://doi.org/10.1186/1471-244x-13-293

Lynch, T. R., Hempel, R. J., Whalley, B., Byford, S., Chamba, R., Clarke, P., Clarke, S., Kingdon, D. G., O'Mahen, H., Remington, B., Rushbrook, S. C., Shearer, J., Stanton, M., Swales, M., Watkins, A., & Russell, I. T. (2020). Refractory depression - mechanisms and efficacy of radically open dialectical behaviour therapy (RefraMED): findings of a randomised trial on benefits and harms. British Journal of Psychiatry, 216(4), 204-212. https://doi.org/10.1192/bjp.2019.53

Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J. (2003). Dialectical behavior therapy for depressed older adults: A randomized pilot study. American Journal of Geriatric Psychiatry, 11(1), 33-45.

Markon, K. E., Krueger, R. F., & Watson, D. (2005). Delineating the Structure of Normal and Abnormal Personality: An Integrative Hierarchical Approach. Journal of Personality and Social Psychology, 88(1), 139-157. https://doi.org/10.1037/0022-3514.88.1.139

Martinussen, M., Friborg, O., Schmierer, P., Kaiser, S., Overgard, K. T., Neunhoeffer, A. L., Martinsen, E. W., & Rosenvinge, J. H. (2017). The comorbidity of personality disorders in eating disorders: a meta-analysis. Eat Weight Disord, 22(2), 201-209. https://doi.org/10.1007/s40519-016-0345-x

Steklis, H., & Kling, A. (1985). Neurobiology of affiliative behavior in nonhuman primates. In M. Reite & T. Field (Eds.), The Psychobiology of Attachment and Separation (pp. 93-134). Academic Press.

Swinbourne, J., Hunt, C., Abbott, M., Russell, J., St Clare, T., & Touyz, S. (2012). The comorbidity between eating disorders and anxiety disorders: prevalence in an eating disorder sample and anxiety disorder sample. Aust N Z J Psychiatry, 46(2), 118-131. https://doi.org/10.1177/0004867411432071

Approvals

Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 3 clinical continuing education credits.

Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program.

Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

Course Schedule

Course Date	Course Start Time	Course End Time	Timezone
1/29/2025	10:00AM	1:00PM	EST

Course Agenda

Course Event Day or Date	Course Agenda Time Block	Course Content Covered
DAY 1	75 minutes	Live Teaching
DAY 1	15 minutes	Question and Answer opportunity
DAY 1	75 minutes	Live Teaching
DAY 1	15 minutes	Question and Answer opportunity

Frequently Asked Questions

Questions about Zoom and Webinars

What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

What time will the webinar begin and in what time zone? Please see the event page on https://www.cbicenterforeducation.com/ for information about the webinar, such as the start time. In addition, when registrants receive the email for the event, the date and time of the event is included.

When will I receive the link to attend the webinar? After you’ve signed up for the event through our website, you will receive an automated email from Blue Sky. At the bottom of this email is a blue button labeled “Join” that you can click on the day of the event. Or log in directly to your Blue Sky account and join from there.

Why can’t I get into the webinar? Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard-lined business-grade internet when presenting.

What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

Will there be a recording? No, there will not be a recording or replay.

Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a
video.

Questions about the Event

Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. If slides are being shared, they will be uploaded as a document within the course in Blue Sky and can be downloaded and printed as necessary. We are unable to respond to emails asking for the slides ahead of the presentation.

Questions about the Survey

When will I receive my course evaluation survey? Following the completion of the event, the survey will be unlocked and located within the course.

You must complete the survey within 14 calendar days following the event if you would like to receive a CE certificate.

We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.

Questions about Continuing Education & Certificates

What is the criteria for receiving CE? If you attend the whole webinar and complete the course evaluation survey, we will issue you the CE that you are eligible for.

How many suicide and ethics CE's will be issued? Please see the event page on https://www.cbicenterforeducation.com/for information about the training, including how much continuing education is offered and what type.

Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of the licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website https://www.cbicenterforeducation.com/for approvals that apply for each specific training.

Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones and technical difficulties).

When will I receive my CE certificate? Upon completion of the event and survey, your certificate will immediately be available.

How will I receive my CE certificate? Your CE certificate will be available through your Blue Sky account and will also be directly sent to your email associated with your Blue Sky account. It will automatically be accessible to you once all previous criteria have been met.

I filled out the wrong email address or misspelled my name on my account registration. How do I get a new certificate? In the registration, it asks for the participant to fill out
their name, licensure, and license number. These fields automatically populate within our certificates. PLEASE NOTE: Any requested changes to the email entered after
registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the
change fees. Please reach out to info@cbicenterforeducation.com

Questions about Accommodation

How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs
and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function.

For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

Additional Questions

I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at info@cbicenterforeducation.com.

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