
4 Levels of TBT-S Training
See below

Level 1: Introduction
Level 1 TBT-S: Introduction
Goal:
Introduce psychologists, social workers, MH therapists, educators, and graduate students to an eating disorder temperament-based therapy grounded in temperament-based research: Temperament Based Therapy with Support (TBT-S). This is a core TBT-S training Level1.
Description:
- Step 1 toward Certified TBT-S Practitioner.
- Core foundational training introducing professionals to a temperament-based treatment approach for eating disorders.
- For medical, psychologists, social workers, mental health providers, dietitians and educational professionals.
- Level 1 does not require clinical licensure.
- Offered in a 6-hour, one-day, face-to-face training, or by
- Recorded asynchronous distant learning, (online videos) accessible to view any time. 8 hours of videos must be completed to prepare for Level 2.
-
- Videos can be purchased individually for TBT-S Level 1 or in a bundle format of all 14 videos. All videos must be completed for continuing education credit and completion of online Level 1.
- Quizzes follow each online video training and is required if seeking continuing education credits.
- As an enhanced method of learning, online video quizzes are scored by hand.
- One question is allowed to be missed per video.
- If more questions are missed, the professional will be instructed on which question(s) missed, what to do and how to retake the quiz. This is required if applying for CE credits.
- The fee is the same for both face-to-face and the bundle of recorded asynchronous distant learning formats.
- CE credits for psychology and social work are provided if requirements are completed.
- Both face-to-face and recorded asynchronous distant learning trainings provide handouts.
- If a professional clinician is working toward "TBT-S Certified Practitioner" status, then all Level 1 quizzes must be taken and passed successfully.
- A "Confirmation of Completion" is provided when Level 1 requirements are met, or
- A “Certificate of Attendance/Credit” is provided for those who seek continuing education credits.
The TBT-S Training Institute, [2313], is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: [3.14.2-25-3.14.2026]. Social workers completing this course receive 6 clinical continuing education credits.
CE credits in psychology pending.

Level 2: Application
Level 2 TBT-S Training: Application
Goal:
Apply current neurobiological eating disorder temperament-based research and TBT-S experiential clinical intervention tools into multiple treatment levels of care and cultures for eating disorders and comorbid trait-based illnesses.
Description:
- Step 2 toward Certified TBT-S Practitioner.
- An experiential 3-day face-to-face training for professionals. (Not offered virtually).
- Focused on how, when, where and why to apply temperament-based research into interactive structured interventions.
- Provides a temperament treatment foundation to augment ongoing therapies.
- Focuses on practicing TBT-S clinical tools and experiential interventions for all levels of care.
- Level 2 does not require clinical licensure but does require a person to be in a professional medical, psychological, social work, dietitian or other mental health profession or to be in a graduate practicum/internship.
- 18 CE credits if complete requirements.
- A " Confirmation of Attendance” will be provided at the end of the training, or
- A " Confirmation of Credit/Attendance” will be provided for those who complete requirements for continuing education credits in social work or psychology.
There are two versions:
- Child/adolescent addressing adolescent development and how TBT-S builds upon family therapy.
- Adult TBT-S Training (18 yrs. and above). This includes tools for Severe-and-Enduring Anorexia Nervosa.
Prerequisites:
Successful completion of Level 1
The TBT-S Training Institute, [2313], is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: [3.14.2-25-3.14.2026]. Social workers completing this course receive 18 clinical continuing education credits.
Psychology CE credits pending approval.

Level 3: Integration
Level 3 TBT-S Training: Integration
Goal:
Group consultation on how to integrate Temperament Based Therapy with Support (TBT-S) into clinical practice modules ranging from outpatient to residential care for clients of all ages with eating disorders to fill treatment gaps in ongoing eating disorder therapies.
Description:
- Step 3 toward become a "Certified TBT-S Practitioner."
- Four live virtual 2-hour consultation sessions in a group of 5-8 professional clinicians (totaling 8 hours).
- 8 CE credits in social work and psychology (pending) are provided if participants register for this option and requirements are met.
- Level 3 required clinical licensure in a professional medical, psychological, social work, dietitian or other mental health profession or to be in a graduate practicum/internship.
- State and province board and legal requirements require having liability insurance, or one's clinical program or educational site covers liability
- A "Confirmation of Completion" is awarded.
Prerequisites:
Successful completion of Levels 1 & 2.
The TBT-S Training Institute, [2313], is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: [3.14.2-25-3.14.2026]. Social workers completing this course receive 8 clinical continuing education credits.
CE credits in psychology pending

Level 4: Supervision
Level 4 TBT-S: Individualized Supervision:
Goal:
Individualized observation and supervision for psychologists, social workers, MH therapists, educators applying, integrating and synthesizing TBT-S philosophy and principles in their own treatment or educational context.
Description:
- This is the final step of TBT-S training for individuals seeking to be a “Certified TBT-S Practitioner.
- Licensure is required for clinicians who want to be certified as a TBT-S Practitioner.
- A copy of graduate diploma.
- A copy of licensure.
- Proof of liability insurance.
- This is a “practicum experience” to assess competencies and fidelity of clinician application and integration of Temperament Based Therapy with Support (TBT-S) for clients of all ages, gender and culture.
- Supervision in two formats:
- If a practitioner is not planning to implement a 5-day TBT-S treatment program, then five hours of one-on-one hourly individual supervision synthesizing all components from TBT-S Levels 1-3 is required; and/or
- If a practitioner is planning to implement a 5-day TBT-S treatment program for adolescents or adults, then the first TBT-S treatment week needs to be planned and directly supervised by a Certified TBT-S Trainer, in order to ensure integration of TBT-S practice components and quality and consistency of the TBT-S treatment approach.
- Individuals receive “practicum” supervision to demonstrate TBT-S treatment integration of TBT-S modules being integrated into treatment outpatient through inpatient treatment settings in one of three ways:
- Live observation.
- Recorded video of cases.
- Roleplay cases.
- Supervised is offered for professionals to demonstrate integration of TBT-S clinical and client tools into treatment modules for outpatient through day hospital settings ranging.
- Supervision of TBT-S treatment may range from hourly outpatient settings through residential.
Two versions of Level 3 and 4:
- Child/adolescent (children through 17 years old) addressing adolescent development and how TBT-S builds upon family therapy.
- Adult (18 yrs. and above). This includes tools for Severe-and-Enduring Anorexia Nervosa.
Prerequisites:
- Successful completion of Levels 1, 2, 3.
Certified TBT-S Practitioner!
A Certified TBT-S Practitioner diploma is awarded!
Goal:
Receive a confirmation of success training and treatment application in Temperament Based Therapy with Support for eating disorders.
Action:
The successful passing of a final written, open-book exam is required.
Description:
- This confirms that a licensed practitioner is thoroughly trained in current research on a temperament-based treatment approach that augments ongoing therapies in eating disorders.
- Certified TBT-S Practitioners are qualified to train other clinicians/staff in their own practice/department/hospital
- Certified TBT-S Practitioners are not qualified to provide public TBT-S trainings. That is reserved for further training, for "Certified TBT-S Trainers."
Supplemental TBT-S Trainings
Additional TBT-S Trainings are being developed to enhance a temperament-based approach in ongoing eating disorder therapies and adhere to the TBT-S philosophy and principles:
- Young adult application with developmental framework: 1 day add-on to child/adolescents or adult trainings.
- Clinician meal support addressing patient traits: ½ day training.
- How, when and why to include support persons: ½ day training
- Dietary training for RDNs from a temperament/trait basis (TBD: ranging from 1-2 days of training).
More information to come in 2025!