DBT CITI PT II 2024 Attestation Form

"*" indicates required fields

Participation Statement*

I participated in the training, DBT CITI PT II with Andrew White, PhD, ABPP on the following dates April 2, 9, 16, 30, May 7, 14, 21, 28, June 4, 11, 18, 25, 2024 from 3:00pm-5:00pm PT. Please accept this as verification that I participated in the event in its entirety.

I participated in the entire DBT CITI Pt II Training

I did NOT participant every day of DBT CITI Pt II Training

If not all, please mark what dates you DID attend

April 2, 2024

April 9, 2024

April 16, 2024

April 30, 2024

May 7, 2024

May 14, 2024

May 21, 2024

May 28, 2024

June 4, 2024

June 11, 2024

June 18, 2024

June 25, 2024

Name

First Last

Profession/Discipline:

On the line below, please enter your full name and licensure, EXACTLY as you would like it to appear on your CE certificate.*

Example: Jane Doe, PhD, CADC I

Email address where you would like your CE certificate delivered.*

Can we send you information about upcoming trainings?

Yes

Signature*

By signing below, I verify that I attended this event in its entirety.

DBT Training Calendar

(Free CE Hour) Metaphors for Teaching and Practicing Dialectics as a Skill
June 11, 2025
Andrea Gold, PhD
Jesse Finkelstein, PsyD

(EXCLUSIVE) Doing DBT with LGBTQ+ Clients
June 20, 2025
Colleen Sloan, PhD

Diving into DBT Skills
June 26-27, 2025
Leah Smart-Gordon, LCSW, DBT-LBC

(Free CE Hour) Treating PTSD in Dialectical Behavior Therapy: The DBT Prolonged Exposure Protocol
July 9, 2025
Melanie Harned, PhD, ABPP, DBT-LBC

(EXCLUSIVE) DBT and Chronic Pain: A Dialectical Workshop on Treating Sensory Dysregulation
July 11, 2025
Deborah Barrett, PhD, LCSW

(EXCLUSIVE) Incorporating Loved Ones into DBT Treatment: Strategies and Skills for Effective Sessions and Enhanced Relationships
July 18, 2025
Tali Wigod, PsyD, DBT-LBC

(EXCLUSIVE) Acceptance and Commitment Therapy for Moral Injury (ACT-MI): An Experiential Approach to Exploring Meaning while Holding Moral Pain
July 25, 2025
Lauren M. Borges, PhD
Jacob K. Farnsworth, PhD

(Free CE Hour) How to Think Like an Adherence Coder: The DBT AC-I in Practice
August 13, 2025
Sara Schmidt, PhD, DBT-LBC

DBT in a Nutshell: Treating Multi-Diagnostic, Complex Individuals
August 21-22, 2025
Jason Fritts, LCSW, DBT-LBC

DBT for People with Substance Use Disorders
September 11-12, 2025
Dorian Hunter, PhD, DBT-LBC

(Intensive Training) DBT CITI Part I
October 6-8 & 14-15, 2025
Andrew White, PhD, ABPP, DBT-LBC
Ashley Maliken, PhD, DBT-LBC

DBT in a Nutshell for Adolescents and Caregivers
October 16-17, 2025
Tali Wigod, PsyD, DBT-LBC

(EXCLUSIVE) Dialectics can be Challenging and Freeing: Tools for Teaching and Applying Dialectics
December 12, 2025
Andrea Gold, PhD

See More

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