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Extended Training in DBT

Extended Training in DBT.

'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. This 10-day course is from the Association for Psychological Therapies (APT), a leading provider of accredited Dialectical Behavior Therapy (DBT) training courses.

It is the only DBT training that is APT-accredited and also gives you access to APT’s relevant downloadable resources for use post-course. The course is available for teams and individuals and can be attended face-to-face or online.

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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 5 for those who complete the relevant exams and projects successfully.

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 behavior 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 12 months.

The way the system works is this: the first course covers 'key skills'; course two teaches how to run DBT Skills Training Groups, and course 3 (which can be taken in two parts if required) is the Masterclass, where projects are set and 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):

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 module 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):

Module 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 module 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 module uprates your APT Level 2 accreditation to APT Level 3.

Course 3: The Masterclass (4 days):

The major teaching techniques on this course are case presentation and discussion, video-presentations, and reflective exercises, so delegates are expected to substantially develop both their knowledge and their skills during the four days.

Delegates have the opportunity to do several things:

What this course will do for you:


Each course may be studied separately if required. For example, a group may start by just attending Course One (DBT Essentials). Then a little later, they may decide to sit the online exam. Then to attend Module Two (Running DBT Skills-Development Groups). Later again they may decide to attend course 3 (The DBT Masterclass) and then 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 5

To obtain APT's DBT Accreditation Level 5, delegates must attend all the taught days, pass the associated online exam, and also obtain at least a pass mark (50%) in a set written project.

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...

Booking Options...

 for individuals or small groups

 for teams and organizations

For individuals or small groups:

Option 1: Online Live course:

a live event hosted online via Zoom. (And you don’t even have to have your own Zoom account.)

A live and interactive online course, ask questions, make your observations, ‘Chat’ to other delegates. Open for you to attend from your home or workplace. Choose from one of the following dates to attend:

Course 1: DBT Essentials or DBT for Adolescents (3-days)

  7-9 October 2024
  23-25 April 2025 ~ DBT-A
  7-9 May 2025
  6-8 October 2025

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

  5-7 June 2024 Fully Booked
  18-20 November 2024
  9-11 June 2025
  17-19 November 2025

Course 3: The DBT Masterclass (4-days)

  20-23 January 2025
  19-22 January 2026

Price: $1,925 USD per person. The fee covers: tuition, PDF workbook, certification, registration, and accreditation. Times: 10am - 4pm (ET) daily, including 45 minutes for lunch.

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For teams and organizations:

Option 1: Face-to-Face Onsite course:

We bring the course and tutor to you, for an all-inclusive fee.

Price: $30,700 (plus tutor travel and accommodation expenses) for a group of up to 15 people. Extra delegates: $2,050 per person. 

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Option 2: Online Live and Exclusive course:

Live and interactive online course, delivered via Zoom or Teams* exclusively for your team or organization.

Price: $20,355* for a group of up to 15 people (price includes a workbook for every delegate, posted to one address, or a PDF version can be provided). Extra delegates $1,300 per person. 

*We standardly deliver courses via Zoom (which is recommended). If you would prefer to use Microsoft Teams, there is an additional charge of $130 USD per day.

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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 modules from it - in your own organization, under license.

his is not only a highly appropriate use of senior professionals, but it also saves your organization the tutor-component of the fee each time you run it or your chosen modules (50% of the 'Online Live and Exclusive' fee, regardless of whether the course is held face-to-face or online).

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

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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 150,000 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  ❯

APT's Accreditation of DBT Practitioners  ❯

DBT Awards  ❯

DBT Centres of Excellence  ❯

What is DBT?  ❯


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, which are updated periodically.


Presentation: 96%

Relevance: 96%

Online Live

Presentation: 95%

Relevance: 96%

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 visualize 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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