Radically Open Dialectical Behavior Therapy Blended Learning Course – Level 3 Houston TX, 6-8 October 2022


The goal of this in-person workshop is to consolidate your learning from Levels 1 and 2, to deepen your knowledge and to practice, practice, practice!

Entry Requirement: you must have completed Levels 1 and 2 as far as is currently available (i.e. Level 2 Part 12) before attending this workshop. Places are limited so we will check your progress and cancel your registration if you have not met this requirement.

Registration deadline: 30 September 2022

Title Range Discount
Group Discounts 5 - 9 10%
Group Discounts 10 - 14 12.5%
Group Discounts 15 + 15%
SKU: L3-HO-6Oct22 Category:

Workshop description

The goal of Level 3 of the Radically Open Dialectical Behavior Therapy Blended Learning course is to consolidate your learning from Levels 1 and 2, to deepen your knowledge and to practice, practice, practice! The workshop will be very interactive via practical exercises and role-plays so full audience participation is expected.

Level 3 will cover the following topics (for a complete list of Learning Objectives, scroll down):

  • Self-Enquiry
  • Orientation and Commitment
  • Disguised Demands
  • OC Subtypes
  • Teasing
  • Alliance Ruptures & Repairs
  • RO Skills Class
  • Managing Maladaptive Behavior in class
  • Targeting
  • Chain Analysis
  • Solution Analysis
  • Micro-Supervision

Content Level and Entry Requirements: this in-person workshop is at the intermediate level; you must have completed Levels 1 and 2 of the Radically Open Dialectical Behavior Therapy Blended Learning course.

Target Audience: Clinicians with a professional qualification in a mental health related field (e.g. psychology, psychiatry, social work, mental health nursing, dietitian).

Conflicts of interest: We don’t receive any direct commercial support for our training company RO DBT Online B.V. 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 of RO DBT Online B.V. and Radically Open Ltd.

Method of Delivery: this is a 3-day in-person workshop. Full participation is expected, including role-plays, self-enquiry practices and demonstrations. You are expected to attend all three days from start to finish.

Accessibility: If you have any questions, need help or want to discuss accessibility issues, please contact support@radicallyopen.net

18 CE credits


You will receive a certificate of completion listing 18 CE credits provided you attend the workshop from start to finish and complete the required CE evaluation form. We will track attendance each day. No exceptions will be made so please make sure you are present for the entire duration of the workshop and arrange your travel accordingly.

ACE and APA credit is not awarded for break times.

You will have one week to complete the evaluation form in order to receive your certificate, which can be downloaded from your online account once you have completed the evaluation form and your attendance has been verified by an administrator.

NOTE: if you want your professional license number to be added to your certificate, please add this to your Bio on your online profile page or send your license number to support@radicallyopen.net.

Location & Training Schedule


The training will take place at the Children’s Assessment Center

Workshop Schedule (see below for estimated break times)

Day 1: 08:30 – 17:30

  • Orientation & Commitment, Self-Enquiry and Outing One-Self, Disguised Demands, OC Subtypes, Teasing and Alliance Ruptures

Day 2: 08:30 – 17:30

  • RO Skills Class, Managing Homework Review, Managing Maladaptive Behaviors in Class

Day 3: 08:30 – 16:00

  • Treatment Targeting, Chain and Solution Analyses


Time Activity
08:30-09:00 Registration – Sign-in
09:00-10:00 Teaching
10:00-10:10 Short break
10:10-11:10 Teaching
11.10-11.30 Coffee Break
11:30-12:30 Teaching
12:30-13:30 Lunch Break
13:30-14:45 Teaching
14:45-14:55 Short break
14:55-16:10 Teaching
16:10-16:30 Coffee break
16:30-17:30 Teaching

Note: on Day 3 we aim to end at 16:00 and will skip the last coffee break and teaching section


J. Nicole Little & Kristen Fritsinger

Instructor Bio's

Nicole Little, PhD, is a registered clinical counsellor in British Columbia (#7412, B.C.A.C.C.). She is a senior RO-DBT trainer and supervisor and regular RO DBT blog contributor and is currently co-authoring a RO-DBT workbook. In addition to working in provincial mental health as an eating disorders therapist, she maintains a private practice where she focuses on treating anxiety and depression. Nicole has been featured as an outstanding clinician for youth in Insights Magazine in regard to her work with sexual and gender identity diversity. In 2014 she received the inaugural Vance Peavey Award for Counselling Excellence and has been the recipient of the prestigious Social Sciences and Humanties Council of Canada scholarship (2006).  Nicole was a much loved instructor in post-secondary for many years but now dedicates her teaching energy to RO-DBT. When not counselling or teaching, she spends her time volunteering in the realm of pet therapy or pretending she knows what is growing in her garden.

Kristen Fritsinger, MSW, LICSW, is a licensed independent clinical social worker in private practice in Minneapolis, Minnesota.  Her graduate training emphasized clinical social work, primarily mental health.  She spent 12 years working with adults who have serious and persistent mental illness, with a range of diagnoses.  In 2004, she joined and became a partner at DBT Associates, which was one of the first outpatient standard DBT clinics in Minnesota. It was also the first outpatient clinic in Minnesota providing RO DBT.

Kristen is intensively trained in RO-DBT, is a certified RO DBT supervisor and trainer and is a member of the Adolescent Steering Committee. She provides individual RO-DBT therapy to adolescents and adults, in addition to co-facilitating a RO-DBT skills training class for adults and a class for adolescents.  She is a member of the RO-DBT US senior clinician team and was the first RO clinician in the US to become certified as a supervisor and intensive trainer.

Michael Maslar & Heidi Petracco

Instructor Bio's

Michael Maslar, PsyD, is Director of Mindfulness and Behavior Therapies at the Family Institute at Northwestern University. He is trained in Radically Open Dialectical Behavior Therapy, standard Dialectical Behavior Therapy, Prolonged Exposure Treatment, and other behavioral and mindfulness based therapies, and works with adolescents, adults, couples ad families. His interests and expertise include working with disorders of over and undercontrol, depression, anxiety, PTSD, alternative lifestyles, and spirituality.

Heidi Petracco, MSW, LCSW, BCD is a Senior Clinician and Trainer in Radically Open DBT (RO DBT). She was first intensively trained in RO DBT in 2017 by treatment developer Dr. Thomas Lynch and provides RO DBT full-time to adolescents, adults and families in an outpatient practice setting in Tampa, Florida. Heidi continues to enrich her knowledge, professional and personal practice of Radical Openness through ongoing participation in RO DBT intensive trainings, senior clinician retreats, supervision, consultation teams and daily self-enquiry practice.

Currently Heidi contributes to the RO DBT professional community through blog writing, expert consultation, one-day trainings, conference presentations, co-developing a RO DBT Family Skills manual, and is on an international leadership committee, along with Maudsley Hospital and other RO practitioners, exploring RO DBT treatment adaptations for adolescents.

Learning Objectives

At the end of this Level 3 course, you will be able to

  1. Use self-enquiry to identify any energy you experience and ask yourself ‘What is there to learn?’
  2. List the most important topics to be covered during the Orientation and Commitment phase of the treatment
  3. Role-play the OC Self-Identification script.
  4. Differentiate between typical overcontrolled and undercontrolled suicidal behavior.
  5. Demonstrate the ability to block story telling
  6. Role-play the bio-social theory of overcontrol script.
  7. Identify valued goals for yourself and your clients
  8. Dramatize the metaphors from the key mechanism of change script.
  9. Demonstrate ‘outing yourself’ to enhance social connectedness.
  10. Role-play the pushback and don’t-hurt-me scripts from the skills manual
  11. Identify your own subtype using the OC Subtype Rating Scale.
  12. Use therapeutic teasing as a way to provide feedback to your client without getting too heavy handed about it.
  13. Role-play the alliance rupture protocol.
  14. Use self-enquiry to identify any barriers within yourself that are stopping you from having fun while delivering skills classes.
  15. Use the “Oh…My Gosh!” universal signal of openness and humorous vulnerability to lighten things up
  16. Evaluate your use of heat-on and heat-off strategies to shape clients’ behavior in class.
  17. Use the skills manual to teach your clients RO skills.
  18. Use the handouts and worksheets from the skills manual to review your clients’ homework.
  19. Apply RO strategies to re-engage a classroom that has gone quiet or is less talkative.
  20. Demonstrate how to bring the class back to a client who is not participating in ‘participating without planning’ exercises.
  21. Modify a client’s behavior from a Don’t Hurt-Me response to re-engagement with the class.
  22. Use the RO DBT protocol and principles for managing Personal Attacks in class
  23. Demonstrate how to help a client go through their homework assignment when they have not completed it before coming to class
  24. Apply the RO DBT protocol for managing requests to pass during homework review.
  25. Demonstrate the use of ‘Therapeutic Induction of Social-Responsibility’ when clients’ in-class behavior is negatively impacting the learning of others.
  26. Identify treatment targets based on the five OC themes using the eight steps for individualizing treatment targets.
  27. Identify maladaptive social signals that occur in session, and use the eight steps for in-session targeting to address these in treatment.
  28. Explain why and when you and your client should demonstrate social signals to one another.
  29. Identify the social signalling target for the chain analysis based on the diary card.
  30. Role-play conducting a chain analysis
  31. Identify coping skills for your clients to prevent future occurrences of maladaptive social-signals and to live a ‘life worth sharing’.
  32. Role-play teaching skills as solutions for maladaptive social signaling behaviors

Terms and Conditions

Refunds, cancellations and grievances

Registration fees (minus administration costs of $20 + additional credit card charges if applicable) will be refunded to participants who contact us in writing or via email to Roelie Hempel postmarked no less than 1 month before the training begins. No refunds will be made thereafter.

The place may be deferred to the following training, but no refund will be made in case of cancellation for the deferred training.

A colleague may be substituted at no extra charge if we are notified at least ten business days before the training.

Please email support@radicallyopen.net if you would like to report a problem or see our grievance procedure.