DBT Skills Training Groups: Distress Tolerance

Can be taken as an individual course or as a part of:

Approved by the British Psychological Society for the purposes of Continuing Professional Development (CPD).

1 day 9:30am – 4:30pm 7 CPD hours

Course Brief

This practical one-day course can be taken independently or as part of the BPS Approved Certificate in Dialectical Behaviour Therapy (DBT). Taught by highly qualified DBT practitioners, this course will give you the essential set of skills for running Distress Tolerance Skills Training Groups with your clients.

This one day training is both a stand-alone training module as well as one of the four skills training modules that form part of the BPS Approved Certificate in Dialectical Behaviour Therapy.

This module covers the six areas of DBT Distress Tolerance Skills Training that typically runs over a six week period. The aim of these is to provide clients with a menu of skills that are learnt and practiced in order to handle short term emotional crises where arousal is extreme and overwhelming.

Techniques covered include:

  • STOP (Stop, Take a step back, Observe, Proceed mindfully)
  • TIPP (Temperature, Intense exercise, Paced breathing, Progressively relax muscles)
  • ACCEPTS (Activities, Contributions, Comparisons, Emotions, Pushing away, Thoughts, Sensations)
  • SELF SOOTHE (with five senses)
  • IMPROVE the moment (from Imagery through to Encouragement)
  • Pros and Cons (of acting on impulses)

BPS Approved Certificate in Dialectical Behaviour Therapy:

Module 1: Dialectical Behaviour Therapy: Two-Day Introductory Course

Module 2: DBT Skills Training Groups (STG):

Module 3: Assessed casebook assignment, consult group attendance, reports and test

SDS Accreditation in DBT, Level 1 (Foundation) is the level of accreditation you obtain by attending the SDS’ DBT Introductory Course (2 days) via live training or live/recorded webcast.

This level of accreditation gives you a Certificate of Attendance, as well as access to the course materials and other resources, and enables you to state in your CV that you have SDS Accreditation in DBT Level 1 (Foundation).

Your accreditation currently lasts for 3 years, after which you cannot make the above statements and access course resources.

This level of accreditation is renewable by sitting an online refresher course or attending a live course/webcast.

SDS Accreditation in DBT, Level 2 (Advanced Assessed Academic Competence) means you have undertaken training as in Level 1, completed all training courses within the Module 2 of DBT Certificate and also passed the online exam.

This level of accreditation gives you a Certificate of Completion with Advanced Assessed Academic Competence, as well as access to the course materials and other resources. It also enables you to state in your CV that you have SDS Accreditation in DBT Level 2 (Advanced Assessed Academic Competence) and can use qualification, DBTAccred. (AAAC) in your title.

Your accreditation currently lasts for 3 years, and is renewable by sitting an online refresher or attending a live course/webcast. Successful completion of the online refresher, which includes the associated exam, maintains your SDS Level 2 Accreditation.

SDS Accreditation in DBT, Level 3 (Clinical Proficiency) requires completion of the Module 2 of the Certificate in DBT plus a Module 3:

Assessed casebook assignment, consult group attendance, reports and test

Participants will be asked over a period of subsequent 6-24 months following Module 2 to:

  • Take on at least one individual DBT client
  • Provide part of a videoed session with a client demonstrating the use of at least three commitment building strategies during the commitment phase
  • Deliver at least one complete cycle of a DBT skills training group (confirmatory reference required)
  • Attend consult group regularly with monthly reports to the course tutor*
  • Complete assigned reading
  • Complete a DBT casebook*
  • Prepare a presentation of the casebook*

The course tutor will provide UNLIMITED email support during the 6 month period.

Casebooks forwarded for marking to SDS at least 14 days before meeting the course tutor again.

The meeting with the course tutor will cover feedback on casebook, consult group reports and video submission.

This level of accreditation gives you a Certificate of Completion with Clinical Proficiency, as well as access to the course materials and other resources. It also enables you to state in your CV that you have SDS Accreditation in DBT Level 3 (Clinical Proficiency) with Assessed Academic and Clinical Competence and use the qualification, DBTAccred. (CP) in your title.

Also at this level you can gain Access to SDS’ Network of Qualified DBT Practitioners.

Your accreditation currently lasts for 3 years, and is renewable by undertaking the Level 3 refresher components discussed individually with the course tutor.

*Format of these to be provided on signing up.

Course Tutor

Marie Wassberg
Accredited CBT Therapist

Marie Wassberg qualified as a CBT therapist at Goldsmiths University, London, 2003. She is registered with the HCPC and Accredited with BABCP in the UK. Marie has Diploma in Dialectical Behaviour Therapy (DBT), gained in 2010, where she trained with Dr Elizabeth Malmquist and Dr Anita Linnér (Sweden), as well as with Professor Alan Fruzzetti and Professor Jill Rathus (USA). She is also trained in Trauma Focused-CBT, including Supervisor training; Prolonged Exposure; and DBT for Schools (STEPS-A). Marie has been part of developing many DBT-informed programmes in different settings, mainly for children, adolescents and families, but also for young adults (18-25), both in Sweden and in England. In 2018 Marie offered support and DBT-informed training to a group of mothers in Mexico.