Adult Cognitive Behavior Therapy/Dialectical Behavior Therapy

Lisa Bolden, Psy.D. , Janice Jones, Ph.D. , Lynn McFarr, Ph.D.                   Track Supervisors

Nature of Setting and Population Served

Externs rotate between both inpatient and outpatient settings including the Cognitive Behavioral Therapy Clinic in Adult Outpatient Psychiatry Clinic, and the Acute Inpatient Unit (8 West). Externs provide cognitive behavioral therapies to adults in both individual and group formats.  All settings are interdisciplinary and patients are seen for empirically supported treatments.

Direct/Indirect Services

The externship aims to familiarize the extern with four evidence based treatments, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Analysis System of Psychotherapy (CBASP) and Acceptance and Commitment Therapy (ACT). The externship is divided into two six-month rotations.

  • The Inpatient rotation provides the extern with intensive CBT training with the severely and persistently mentally ill.  Externs lead inpatient and outpatient groups primarily using Acceptance and Commitment Therapy and CBT for patients with psychoses.  Externs also typically carry 2  individual CBT patients, 2 DBT patient and 2 CBASP patients in the outpatient clinic while they are on the 8 West Inpatient rotation.
  • The second six-month rotation is in the CBT Clinic in the Adult Outpatient Clinic.  Externs typically carry 2 individual CBT patients, 2 DBT patients, and 2 CBASP patients.  Externs also lead 2-3 outpatient CBT-DBT groups including CBASP for chronic depression, DBT skills training group, ACT for chronic pain, CBT groups for insomnia, behavioral activation and anxiety disorders.

For both rotations, externs have the opportunity to serve on committees for multiple local and international CBT organizations.

Additionally, externs develop a group research project to complete for the year. For the past several years, the projects have been reported at national and international conferences. Several are in preparation for publication.

Supervision and Training 

Primary supervision is provided by licensed clinical psychologists or postdoctoral fellows.  Required courses include the CBT course, the DBT team consultation and the CBT case conference.  The extern will be provided several required trainings at the beginning of the year including: a three day required training in DBT, a one day training in CBASP, and a one day training in Acceptance and Commitment Therapy.  Opportunities for other seminars and courses are available.

Required Days

Externs are required to be on site a minimum of 20 hours a week.  Required days are Mondays and Wednesday all day. Attendance is required at Mindfulness (Mondays 9:00-9:30), Research Meeting (Monday 9:30-10:30), the Advances in Cognitive Therapy (Mondays 10:30-12), the DBT Group Skills Supervision (Mondays 1-1:30), the DBT Case Consultation Team meeting (Mondays 1:30-3:00), and the CBT Case Conference (changes yearly).  For individual DBT patients, the extern must make themselves available (within their limits) for supervised between-session phone coaching for their DBT patients.

Additional information

Students applying for this position may have had previous psychotherapy experience providing direct services to adults. Completion of a course in CBT is preferable, but not required. Must have a distinct interest in Cognitive Behavioral Therapies.