Post-traumatic stress disorder(PTSD) often occurs as part of a complex array of diagnoses and behaviors within the same individual. This can create significant confusion on the part of providers as to which diagnoses or behaviors to address and in what order. Dialectical Behavior Therapy offers a staged approach to treatment, and a hierarchy of targets within each stage. A variety of protocols within this treatment guide providers through the process of treatment as targets resolve or recur.
While DBT has long been a go-to treatment for highly dysregulated clients with PTSD during the first year of treatment, a new development makes a specialized prolonged exposure protocol available much earlier in the process. This presentation will review inclusionary and exclusionary criteria, the process of treatment over time, and data related to DBT and DBT-PE for PTSD.

Learning Objectives:

  • Describe general inclusionary and exclusionary criteria for DBT and DBT-PE
  • List the criteria required to determine if a program offers comprehensive DBT
  • Articulate the major points of studies that have examined the outcomes associated with DBT and DBT-PE for individuals with PTSD

Slides in PDF Format




Ronda Oswalt Reitz, Ph.D., is the Coordinator for DBT Services for the Missouri Department of Mental Health. In this role she is charged with the implementation, support, and evaluation of DBT programming in public mental health settings state wide. Previous clinical and administrative work led her to develop comprehensive DBT in community mental health, inpatient, and juvenile detention facilities. Additionally, Dr. Reitz specializes in the training and development of DBT teams and programs in intensive outpatient and forensic settings. Dr. Reitz is experienced in providing training and consultation to mental health providers at all training levels and in diverse settings across the United States.

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