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Extended Training in DBT

Extended Training in DBT.

The 'Extended Training in DBT' provides 60 hours of training and includes an online exam and Masterclass, leading to Level 4 APT-Accreditation in DBT if completed successfully. The Association for Psychological Therapies is a leading provider of accredited DBT training courses in the UK and Ireland. Attend as an individual or we can bring the training to your own organisation for a fixed, all-inclusive fee.

Executive Summary:

APT has been providing training in DBT since 2003, during which time we have seen the popularity, areas of use, and influence of the approach grow steadily to point it is at today. This extended training in DBT is the most comprehensive training in DBT we provide, and has inbuilt APT accreditation to Level 4 for those who complete the relevant exams and Masterclass successfully.

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People who attend this course normally fall into one of two categories:

1. Groups of professionals who see patients in 1:1 treatment settings, have a significant degree of clinical skill, and wish to become proficient in DBT applied to a range of conditions such as personality disorders, depression, anxieties, etc.

2. 'Whole teams' (either in primary or secondary care settings) seeking to develop a unified level of proficiency in DBT and possibly establish a full DBT service comprising (a) professionals delivering 1:1 sessions, (b) professionals delivering skills training groups, and (c) a Consult service to ensure adherence to the model, address specific difficulties, maintain professionals' enthusiasm etc.

The professional affiliations of people attending this course include: mental health/psychiatric nurses, social workers, occupational therapists, clinical psychologists, psychiatrists, and others working in a variety of settings including: Adult Mental Health, Children and Adolescents, personality disorder and challenging behaviour facilities, and Substance Misuse.

The Rationale:

The development of our Extended Training in DBT provides you with 60 hours training spread over a maximum of 6 months.

The way the system works is this: the first module covers 'key skills'; Module two teaches how to run DBT Skills Training Groups, and Module three (which can be taken in two parts if required) is the Masterclass, where work is discussed, cases are presented and discussed, videos are studied, and the application of DBT to different presentations is examined.

Course 1: 'DBT Essentials' (3 days) covering:

The first section covers Validation, Metaphors, Problem Solving, and Contingency management…



Relentless problem solving.

Contingency management.

The second section overviews Skills training, in Mindfulness. Interpersonal Effectiveness, Emotion Regulation, Distress Tolerance, and Walking the Middle Path.


Interpersonal Effectiveness.


Distress tolerance.

Walking the Middle Path.

Other skills of DBT.

Accreditation: This course gives you Level 1 APT accreditation and qualifies you to sit the online exam to acquire Level 2 APT accreditation.

Course 2: Running DBT Skills-Development Groups (3 days):

Course two lasts 3 days and is all about teaching delegates how to run skills development groups. These are an important part of becoming proficient in DBT, the rationale being that patients need not only to be motivated, gain insights and knowledge etc, but usually also need to acquire skills in:

This course is therefore all about coaching and practice. Every delegate will be expected to run such a group at least once (possibly jointly with another delegate), and will receive constructive feedback on their performance, and time to re-practice. The aim is to return every delegate to their workplace proficient in running DBT Skills Training Groups.

Linehan has some excellent patient-handouts for all these topics, photocopiable from the Skills Training Manual for Treating Borderline Personality Disorder. Every delegate is therefore given a copy of this manual or the similar manual by Rathus and Miller, as part of the course, so they can legitimately copy those handouts.

Accreditation: This course uprates your APT Level 2 accreditation to APT Level 3.

Course 3: The Masterclass (4 days):

There is relatively little lecturing in this course, and delegates are nevertheless expected to substantially develop both their knowledge and their skills during the course of this four days.

Delegates have the opportunity to do several things:

Finally, projects designed to demonstrate delegates' ability to apply their knowledge, are available at extra cost. These are for completion at work over the following 6-12 months, and are up to 4,000 words long, describing the treatment of a patient with a DBT-applicable condition.

Accreditation: This course uprates your APT Level 3 accreditation to APT Level 4 and enables you to consider whether you want to additionally undertake a demanding project to work on after the course (for Level 5 accreditation if successful).


Each course may be studied separately if required. For example, a group may start by just attending Course One. Then a little later, they may decide to sit the online exam. Then to attend Course Two. Later again they may decide to attend the Masterclass and possibly even work on a project. This way a group can gradually enhance its level of APT-Accreditation.

Note: Because of the case material likely to be discussed, you must have a professional qualification which insists upon patient confidentiality, to attend this course.

Assessment and Accreditation:

DBT Accreditation: Level 4

To obtain APT's DBT Accreditation Level 4, delegates must attend all the taught days, and pass the associated online exam.

View more details about APT's DBT Accreditation

The overall design is meant to be demanding, but it is also designed to be interesting, relevant, and enjoyable. It is intended that delegates feel that the course is demanding, but also rewarding.

Booking this training is easy.

Option 1: Bring the course to your organisation:

We bring this 10-day course to your own organisation for a fixed, all-inclusive fee of £15,350 plus VAT and up to 15 people can attend.

To book, call (UK) 0116 241 8331, or click the button:

Book this course for us to bring to you

Option 2: Attend the course as an individual:

Attend this 10-day course on the following dates:

Venue: College Court, Knighton Road, Leicester, LE2 3UF. (Leicester is in the centre of England, approximately 1 hour by train from London, Sheffield, and Birmingham.)

Cost: £1,400 plus VAT per person and the fee covers: tuition, workbook, lunch and refreshments each day, registration on the APT database, certificate of APT-Accreditation, and a copy of Marsha M. Linehan's DBT Skills Training Manual Handouts and Worksheets, or similar.

To book, call (UK) 0116 241 8331, or click the button:
Book to attend this course in Leicester

Option 3: 'Train the Trainer':

If you or a colleague are a senior professional (e.g. consultant psychologist) and have a talent for communication and teaching, then you are welcome to apply to become an APT-accredited tutor. You could then tutor the course - or your chosen course from it - in your own organisation, under license.

This is not only a highly appropriate use of senior professionals, but it also saves your organisation the tutor-component of the fee (around 50%) each time you run it or your chosen course.

To see the full benefits of this and to see whether you are eligible, click the button:

Check eligibility criteria

Share this course with your colleagues:

NICE guidelines relevant to this course:

Borderline personality disorder: recognition and management (CG78)  ❯

APT Accreditation

As a bona fide APT event, this course automatically has accreditation from The Association for Psychological Therapies. This means (i) that it contains the right amount of relevant information for its duration, and (ii) the information is presented in an engaging way, and in a way that will make it likely to be used after the course. APT verifies the accreditation by publishing the delegates' average ratings of relevance and presentation-quality for all its accredited courses. The accreditation is given value by over 100,000 professionals having attended APT courses.

DBT Courses and Resources

DBT Training Courses  ❯

DBT Essentials  ❯

Running DBT Skills-Development Groups  ❯

The DBT Masterclass  ❯

Extended Training in DBT  ❯

DBT-A: DBT for Adolescents  ❯

DBT Accreditation  ❯

DBT Awards  ❯

DBT Centres of Excellence  ❯

What is DBT?  ❯

How to become a DBT therapist  ❯


Feedback Ratings

Feedback Ratings.

We continuously monitor the quality of our training by obtaining feedback on the two key scales of relevance and presentation from every course delegate. Below are the average ratings for the last ten runnings of this course.

Average Presentation rating: 97%

Average Relevance rating: 98%

*These statistics were last updated in September 2018

Written Feedback

Written Feedback.

APT prides itself on the feedback we receive about our courses. Below are just some of the great comments the Extended Training in DBT course has received.

“Oh my goodness... where to start... Hard work, thought provoking but ultimately very inspiring. The tutor's style of delivery brought to life the previous 6 days of training and enabled me to visualise how a DBT service might work with our partners in NPS. She also gave me confidence in myself to take these skills forward into my everyday practice. Thanks!"

“Once again, thank you for really fantastic training. The examples you provide are always so thought provoking and relevant. Invaluable experience of actually running a group. Thanks very much"

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