PDBTI Training Registration

Whoops, this form is expired! Go here to register for an upcoming training:

Are you registering for an individual or a group?
Group registration available for groups of 3 or more. All others please use the individual registration form.
- Individual Registration
- Group Registration

Group Registration
Group Registration: Please select the event you would like to register your team for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
Agency
Please tell us the name of the agency or group that you are registering. If you are registering a group that is in private practice, please specify "Private Practice."
Primary Group Contact*
Please add the name of the primary contact responsible for registering your group.
First Last
Primary Group Contact Phone Number
Primary Group Contact Email Address*
Enter Email Confirm Email

Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
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Primary Group Contact Email Address

Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
Please enter the number of attendees you are registering.*
Group registration requires a team of 3 or more.
Please enter a number greater than or equal to 3.
Please list all attendees, including the primary contact if they are attending.
To add each additional individual, please use the plus sign on the right.
First name Last name Email address Degree / Licensure Direct contact number
Total
$0.00

Individual Registration
Training Registration*
Please Choose Standard or Student registration. Only students currently pursuing degrees in social work or mental health are eligible for Student Registration.
- Standard Registration
- Student Registration
Standard Registration: Please select the events you would like to register for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
Student Registration: Please select the events you would like to register for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
Total
$0.00
Attendee Name*
First Last
Please identify attendee's degree and/or licensure.
- PhD
- PsyD
- MD
- RN
- LCSW
- LPC
- MSW
- MFT
- LMFT
- CADC I
- CADC II
- QMHP
- MA
- BA
- Other
Please list atendee's licensure.
Note: Your selections will follow your name on your training completion certificate. Example: Jane Doe, LPC, CADC II
Agency
Affiliation
Attendee Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Extension
Attendee's Email*
Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
Enter Email Confirm Email

Coupon Code
Registration Total
$0.00
Billing*
Please select how you or your team will be paying for registration. All team payments must be paid as a single transaction.
- Pay now by credit card
- Invoice and pay by check
Credit Card
Card Details
Cardholder Name
Training registrations will not be guaranteed until payment is received in full.*
Payments by check are due 10 days prior to training.
- I understand
Administrator Responsible for Invoicing
First Last
Administrator Phone
Please add the phone number of the manager, supervisor, or financial administrator responsible for invoicing.
Administrator Email
Please add the email of the manager, supervisor, or financial administrator who will receive the invoice.
Billing Address
Same as attendee address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about us?*
- Previous Training
- Mailchimp Mailing List
- Facebook
- LinkedIn
- Instagram
- ACCBO Website
- Current Employer
- Colleague
- Web Search
- DBT-L Listserv
- Other
If you chose "other" please tell us more
May we add you to our email list?
- Yes
- No
Questions / Comments
CANCELLATIONS AND REFUNDS: A $60.00 handling fee will be deducted upon cancellation. Refund requests by fax or email must be received two weeks before the start date.*
- I understand
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If you are experiencing technical difficulties completing this form or would like to register by phone, please contact our Training Department, 503-290-3295 or training@pdbti.org.

DBT Training Calendar

(Free CE Hour) Addressing Therapy Interfering Behavior in Clinical Practice
December 11, 2024
Esme A.L. Shaller, PhD

(Exclusive Half-Day) DBT and SPACE Training for Parents of Multi-Diagnostic Young Adults: Expanding on Acceptance and Change
December 13, 2024
Amy Kalasunas, LPCC-S, NCC, DBT-LBC

(Free CE Hour) Preparing Adolescents for Life Beyond Treatment: The Role of Skills Building in Residential Care and Post-Discharge Outcomes
January 8, 2025
Brad Simpson, DSW, LCSW

DBT in a Nutshell: Treating Multi-Diagnostic, Complex Individuals
January 16-17, 2025
Leah Smart-Gordon, LCSW, DBT-LBC

Maximizing Individual Therapy in DBT: Moving Beyond Life Threatening Behavior
January 30-31, 2025
Andrew White, PhD, ABPP, DBT-LBC

Dialectical Behavior Therapy for Psychosis
February 7, 2025
Maggie Mullen, LCSW, DBT-LBC

Diving into DBT Skills
February 27-28, 2025
Claudia Avina, PhD

DBT in a Nutshell for Adolescents and Caregivers
March 6 - 7, 2025
April Sobieralski, PsyD, DBT-LBC

(EXCLUSIVE) Introduction to DBT Next Steps
March 21 & April 18, 2025
Adam Carmel, PhD, DBT-LBC
Katherine Comtois, PhD, MHP, DBT-LBC

Optimizing Eating Disorder Treatment with DBT
May 8-9, 2025
Dean Malec, PhD

Diving into DBT Skills for Adolescents and Caregivers
May 15-16, 2025
Jamie Bedics, PhD

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First name	Last name	Email address	Degree / Licensure	Direct contact number