Over the last 20 years, RO DBT was tested in randomized studies at Duke University and around the world, being funded by the National Institute of Health and other top health organizations. And the results have been astonishing for clients across diagnoses.

Clients who had chronic depression saw their symptoms improve over a few months… after struggling with these feelings for several years.

Clients with anxiety that didn’t respond to other evidence-based treatments reported feeling less anxious after using RO DBT. And it’s even been effective for treating clients with other issues connected to overcontrol like anorexia nervosa.

Available now

Level 1 On-Demand Topics

The first level of the RO DBT Blended Learning programme consists of 6 online modules (scroll down this page to see the full list with learning objectives for each module):

  • RO DBT: a new evidence-based treatment
  • Social Bonds and Self-Control
  • The Biosocial Theory for Disorders of Overcontrol
  • The RO DBT Neuroregulatory Model
  • Assessing Overcontrol
  • Introduction to Treatment Structure and Targeting

Each module ends with a quiz. To obtain a certificate of completion, all quizzes must be passed with 80%

Course Instructor: Dr. Thomas Lynch, RO DBT Treatment Developer

Continuing Education Hours: 8


Level 1 On-Demand

Additional Information

Entry Requirements: Apart from a professional qualification in a mental health or related field (e.g. psychology, psychiatry, social work, mental health nursing) there are no further prerequisites for the course. Previous training in standard DBT is not a requirement for the RO DBT intensive.

Recommended Reading Materials:

  1. Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol (T. Lynch, 2018; published by New Harbinger)
  2. The Skills Training Manual for Radically Open Dialectical Behavior Therapy: A Clinician’s Guide for Treating Disorders of Overcontrol (T. Lynch, 2018; published by New Harbinger)

These books will be used throughout the training as reference works. You will be able to download the referenced book sections from the lesson materials if you do not (yet) own the textbook or skills manual.

Certificate/Letter of Completion: Once you have completed all the Level 1 course, you will receive a certificate of completion stating the number of CE instructional hours.

Accreditation: we are in the process of applying for accreditation for this course from the American Psychological Association.

Conflicts of interest: We don’t receive any direct commercial support for our training companies Radically Open Ltd and Radically Open Blended Learning. However, Dr. Thomas Lynch, the RO DBT treatment developer and chief RO DBT trainer, receives royalty fees for the RO DBT Textbook and Skills Manual from New Harbinger publishers. He is married to Mrs Erica Smith-Lynch, co-owner and director or Radically Open Ltd.

Level 1 On-Demand

What you will learn

  • Module 1: Radically Open Dialectical Behavior Therapy (RO DBT) for Disorders of Overcontrol

    • Recognize the importance of applying treatments that match individual clients’ styles of coping to improve clinical outcomes.

    • Appraise the need for new treatments for clients with an overcontrolled style of coping that has remained largely unrecognized to date.

    • Evaluate the efficacy of RO DBT for clients with an overcontrolled style of coping.

  • Module 2: Social Bonds and Self Control: How Overcontrol Creates Problems in Our Lives

    • Recognize the importance of feeling part of a tribe for mental and physical well-being and apply this knowledge to understanding the impact of the lack of feelings of belonginess for overcontrolled individuals.

    • Compare and explain the differences between overcontrolled and undercontrolled bio-temperament and how these impact perception and emotion regulation strategies in social situations

  • Module 3: Bio-Social Theory for Disorders of Overcontrol: How Overcontrol Develops

    • Integrate the three components of the bio-social theory for disorders of overcontrol into your case formulization of clients.

    • Communicate and teach the bio-social theory for disorders of overcontrol to your clients early on in treatment.

  • Module 4: The RO DBT Neuroregulatory Model: Start with Biotemperament

    • Understand how our neural substrates are linked to social signaling and apply this knowledge to reverse the process by using body postures and facial expressions to activate neural substrates linked to social safety and reward.

    • Integrate the neuroregulatory model with the bio-social theory for overcontrolled disorders to better understand why overcontrolled clients have trouble activating their social safety system.

    • Apply the Big Three +1 Skill to activate social safety within yourself and teach this skill to your clients whenever tension is present

  • Module 5: Assessing Overcontrol: Evaluating If RO DBT is Right for Your Clients

    • Compare and assess the social signaling styles of overcontrolled and undercontrolled clients.

    • Understand the common errors and assumptions made when assessing overcontrol and apply this knowledge to your own assessment procedures.

    • Use the Assessing Styles of Coping Word-Pair List to assess your own coping style.

    • Use the OC Trait Rating scale to assess the degree of ‘OC caseness’ of overcontrolled clients.

    • Compare and understand the differences between the two subtypes of overcontrol.

  • Module 6: Treatment Structure & Targeting: Pulling It All Together

    • Describe and apply the RO DBT treatment structure to your own practice

    • Understand the importance of RO therapeutic sequencing strategies

    • Describe the RO individual treatment target hierarchy including the five OC social signaling themes

    • Apply the bio-social theory to a case example

    • Use the five social signaling themes to organise a client’s maladaptive behavior in preparation of treatment targeting

    • Understand how to use the skills manual to select appropriate treatment interventions

Level 1 of the Online RO DBT Blended Learning programme

Breakthrough Treatment Techniques for Overcontrolled Personality Disorders, Eating Disorders, and Chronic Depression and Anxiety.


The entire learning programme

The RO DBT Blended Learning programme

The RO DBT Blended Learning programme is the equivalent of the RO DBT Intensive Training course, but delivered via on-demand webinars and live webinars or one 3-day in-person workshop.

The RO DBT Blended Learning programme consists of 3 levels:
Level 1: 6 On-demand webinars explaining the basics of RO DBT.
Level 2: 20+ On-demand webinars going into more detail about how to deliver RO DBT effectively.
Level 3: Live webinars or in-person workshop teaching specific RO DBT skills

All three levels will need to be completed in succession to obtain an RO DBT Clinician Certificate.