CITI Individual Application

DBT CITI Prerequisites

All team members should read both the book and the skills manual prior to the first day of the Part I session.

Cognitive-Behavioral Treatment of Borderline Personality Disorder 1st Edition
by Marsha M. Linehan, PhD, ABPP
DBT Skills Training Manual, Second Edition
by Marsha M. Linehan, PhD, ABPP

DBT CITI Individual Application

Please select your DBT CITI Team
- Portland DBT Institute
- Catholic Guardian Services
- Main Line Health
- All 4 Youth
- Children's Home of Northern Kentucky
- NARA
Name
First Last
Please list your name and licensure exactly as you would like to see it on your completion certificate.
Example: Jonathan Doe, LPC, CADC II
Job Title
- Counselor
- Nurse
- Psychiatrist
- Social Worker
- Psychologist
- Occupational/Vocational Therapist
- Other
Other Job Title
Year Graduated
Area of Study
Theoretical orientation(s) of your training
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone
Work Phone Extension
Fax Number
Personal Phone*
For schedule change notification and other urgent updates
Email*
May we add you to our email list?
Information will not be shared with third parties
- Yes, please
- No, thank you
Do you have any food sensitivities/ allergies? If so, what are they?
CITI team name
Name of DBT Team Leader:
Please name the member of your team participating in training who will be designated as team leader.
First Last
Members of training/treatment team applying for DBT CITI
Length of time team has been together, and population working with.
Training in DBT
Check all that apply
- Read Dr. Linehan’s skills training manual (All participants must read before attending)
- Will read Dr. Linehan’s skills training manual before commencing the training (All participants must read before attending)
- Read Dr. Linehan’s articles/book chapters
- Read Dr. Linehan’s treatment manual (All participants must skim before attending)
- Attended a DBT study group at my current agency or past workplace
- Attended a 1/2 day DBT workshop
- Attended a full day DBT workshop
- Attended a 2 day DBT workshop
- Received DBT consultation(s)
- Conducted DBT interventions yourself
Please describe any DBT consultations you have received.
Please describe the DBT interventions that you have conducted yourself.
Please give a brief description of your experience learning and applying behavioral therapy.
Please give a brief description of your experience practicing mindfulness, mindfulness based practices, and/or delivering mindfulness based therapies
In your current or past clinical work, have you taught behavioral skills and/or psycho-educational materials to clients?
If yes, please give a clinical example
Scheduling
The intensive training lasts from 8:30 am to 5:00 pm each day and on some evenings there will be homework assignments. In addition, it will not be possible to answer pages or phone calls during the training or leave for other job responsibilities. Arrangements need to be made to meet these requirements. Will you arrange:
Coverage of outside responsibilities so you can come at 8:30 am, stay until 5:00 pm, and do up to 30 min of homework on some evenings?
- Yes
- No
Coverage for your work so you will not have to leave or take calls during the training?
- Yes
- No
CITI Planning and Development
As described above, people have a lot of reasons to learn DBT – from an inherent interest in the treatment, borderline personality disorder, or suicide to a desire to reduce burnout, meet expectations of supervisors, or try something new. The following questions are designed to help plan the training and will not be used as a basis for your team’s acceptance. There are no right or wrong answers!
What are your primary and personal goals for learning DBT?
What problems do foresee in participating in and completing DBT CITI?
What plans do you have to overcome the aforementioned problems? Please also indicate whether you have discussed these potential barriers with your team.
Additional Comments

Resources While You Wait

We, like you, feel so frustrated and sad about the length of… Read more >
Post-Doctoral Positions at PDBTI for 2022

We are actively recruiting three psychologist residents to join our team in… Read more >
Managing Emotions with Mindfulness – A Conversation with Cedar Koons

A Fit for Joy episode featuring one of Portland DBT Institute’s training… Read more >
Recording of Learn and Earn Over Lunch – Chasing Your Tail in Treatment: When OCD is Missed

We are happy to offer a recording of PDBTI’s September Learn and… Read more >

CITI Individual Application

Scheduling

CITI Planning and Development

DBT Training Calendar

News & Updates

Resources While You Wait

Post-Doctoral Positions at PDBTI for 2022

Managing Emotions with Mindfulness – A Conversation with Cedar Koons

Recording of Learn and Earn Over Lunch – Chasing Your Tail in Treatment: When OCD is Missed

Get Started With Us

DBT-LBC Certified Clinicians

Join Our Mailing List!