Learn and Earn Over Lunch Series


Training 12pm-1pm PST | See below for dates, topics and recordings of past events.

  • Introduction to Behavioral Activation Core Skills, Ajeng Puspitasari, LP, PhD
  • A Primer on DBT Behavior Chain Analysis for Eating Disorders: the DBT Multi-Function Tool, Charlotte W. Thomas, LCSW

Wednesday, October 13th, 2021 | Introduction to Behavioral Activation Core Skills

Behavioral Activation (BA) is an evidence-based psychotherapeutic intervention for depression that has been demonstrated to be cost-effective and parsimonious. Studies showed that BA could be learned by clinicians with and without extensive psychotherapy experiences within a short period of time. Its effectiveness has been studied across different psychological and medical co-morbidities, cultures, and clinical settings. While BA can be delivered as a single intervention, many interventions, such as DBT and ACT, include BA as part of the therapeutic strategy.

Dr. Puspitasari is a Clinical Psychologist whose research and clinical work focus on the dissemination and implementation of BA across different clinical settings.

Learning Objectives | By the conclusion of this event, participants will be able to:

  1. List four core BA skills.
  2. List strategies to address barriers to activation.
  3. List BA strategies to manage rumination.

Instructor | Ajeng Puspitasari, LP, PhD is a clinical psychologist whose work focuses on evidence-based psychotherapies (EBPs) for adults with serious mental illness, which include Behavioral Activation (BA), Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT). Currently, she is a clinical director for an intensive outpatient program at Mayo Clinic Department of Psychiatry and Psychology and an Assistant Professor at Mayo Clinic Alix School of Medicine. She is board certified through the American Board of Professional Psychology (ABPP) with a specialty in Behavioral and Cognitive Psychology. As a scientist practitioner, Dr. Puspitasari’s research focuses on the dissemination and implementation of EBPs in diverse behavioral health settings. She has done EBP training, supervision, and consultation across the United States and Internationally. In collaboration with Drs. Steven Hayes and Stefan Hofmann, she serves as a co-president for the Process-Based Therapy (PBT) Special Interest Group within the Association of Contextual Behavioral Science (ACBS) that focuses on the advancement of PBT in research, clinical practice, and education. She currently serves in the Diversity, Equity, and Inclusion (DEI) committee at Mayo Clinic and spearheads the initiative to create a more inclusive work environment for physicians, allied health staff, and learners to facilitate retention and promotion of diverse talents to leadership. She is excited to continue her commitment to anti-racist and DEI work to create a more affirming environment within behavioral health for patients, clinicians, and allied health staff. Outside of work, she enjoys traveling and spending time with her husband (Angga) and two children (Aria and Bumi), cooking, and photography.


Wednesday, November 3rd, 2021 | A Primer on DBT Behavior Chain Analysis for Eating Disorders: the DBT Multi-Function Tool

Behavior Chain Analysis (BCA) is an irreplaceable multi-function tool in the DBT-clinician tool belt.  Well-run BCAs gift clients and therapists with insight into the inner workings of thought-emotion-action cascades, help clients build mastery in pattern recognition, signal effective interventions to attempt “next time”, and reinforce willingness to make significant behavioral changes.  Naturally this powerful strategy is layered in complexity and at the same time must be conducted and completed within a matter of minutes. We will first provide an overview of the construction of an effective BCA followed by deeper exploration of its use for specific eating disorder behaviors. 

Learning Objectives | By the conclusion of this event, participants will be able to:

  1. List the main components of a well-constructed Behavior Chain Analysis for eating disorder behavior.
  2. Describe the difference between a BCA and a Missing Links Analysis.

Instructor | Charlotte W. Thomas, LCSW is a licensed clinical social worker in the state of Oregon with professional interests in treating eating disorders and associated issues including borderline personality disorder, depression and anxiety. She has provided services to individuals, teens, adults, families, and groups. At Portland DBT Institute, Charlotte is the Program Manager for the Pathways to Mindful Eating (PME) program and provides direct service to clients, supervision to staff, and serves on the management board for the clinic helping to inform general clinic policy. Her unique oversight of the PME program has resulted in the creation of an Intensive Outpatient Program for eating disorders and cross clinic integration of competencies related to treating complex clients presenting with eating disorder behaviors. In addition, Charlotte trains clinics and individuals nationally on DBT, program development, eating disorders, and evidence-based practice.



Chasing Your Tail in Treatment: When OCD is Missed

*Note: This recording is not eligible for CE credits.*



Portland DBT Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6326.
Programs that do not qualify for NBCC credit are clearly identified. Portland DBT Institute is solely is responsible for all aspects of the programs.

Questions about the Learn and Earn Series?
Please contact our Community Relations Liaison,
Brianna Johnson, at (503) 290-3297 or bjohnson@pdbti.org

Our Intention. We want to live by our values. Doing what we can to share evidence-based practices with others matters to us. It’s what we strive for – in how we care for our clients train our colleagues. Each seminar you receive from us will first be tested by our own healthcare providers to ensure the content is clear, directly relevant to clinical practice, and fresh. We are proud of the specialty services we offer at Portland DBT Institute, including our IOP offerings, and want to share them with you. 

PDBTI’s Current and New Intensive Outpatient Services

Who We Treat: We treat complex, severe multi-diagnostic individuals, including those who are suicidal, engage in self-harm behaviors and may also have borderline personality disorder (BPD).

Our Services: We are a full-fidelity DBT program certified by the DBT-Linehan Board of Certification and are led by DBT experts. We are accustomed to treating challenging behaviors – often those that have interfered with success in other ED programs. We offer a range of services to accommodate the needs of those we serve – from DBT Enhanced Skills Training Groups and standard (“full-program”) comprehensive DBT to Intensive Outpatient services. To ensure everyone’s safety, all PDBTI services are currently and exclusively offered via telehealth.

Eating Disorder IOP. Our 12-week ED-IOP program meets every weekday from 8:00am to Noon via telehealth and includes: twice-daily structured meals, comprehensive DBT skills training, weekly DBT individual therapy, 24/7 as-needed phone coaching, nutrition therapy, weekly vitals/weight oversight with our Nurse Practitioner, and medication management (when indicated).

Adult DBT IOP. Beginning July 1, 2021, the eight-week Adult DBT IOP will meet four days weekly (M, W, Th, F) from Noon to 3:00pm. The program includes intensive immersion in DBT skills training, weekly DBT individual therapy, 24/7 as-needed phone coaching, and as-needed medication management. Members are expected to complete two or more rotations through this IOP, as needed.

Teen and Family IOP. Beginning September 1, 2021, we will launch an eight-week Teen and Family IOP. Our Teen and Family DBT IOP offers all of the components of standard outpatient DBT in a more intensive format – three days a week (M, W ,Th) from 4:00pm to 7:00pm. In addition to group sessions, teens meet weekly with an individual therapist for an hour, and with their parents and a DBT family therapist twice monthly for one hour. Individual and family therapy sessions will be scheduled at mutually convenient times. Our Teen and Family DBT IOP also includes the following as-needed services: DBT coaching calls (outside program hours) and medication management.

Questions about the Learn and Earn Over Lunch Series or about our Services?
Please contact our Community Relations Liaison,
Brianna Johnson, at (503) 290-3297 or bjohnson@pdbti.org.