TBT-S Training Institute

Recommended reading: Temperament Based Therapy with Support by: Hill, L., Wierenga, C., & Peck, S. Cambridge University Press, 2022.

Objectives: 

Outcome objectives:

1. Describe what temperament is in relation to personality.
2. Describe the role of the three biological components that encompass temperament: genes, neurobiological structure/responses and traits.
3. Identify four temperament traits common among people with anorexia nervosa.
4. Participate in 1 TBT-S experiential treatment tools that metaphorically explains the neurobiological dynamics of common brain responses among those with eating disorders.
5. Identify three areas of the brain that respond differently for persons with anorexia nervosa (AN) or bulimia nervosa compared to non-AN or BN.
6. Practice explaining to patients (a training partner) research findings of neurobiological responses of persons with ED in relation to anxiety or interoception, or reward/punishment or decision making.

• 3-day face-to-face training for psychologists, social workers, MH, medical and dietary professionals.
• Support persons not eligible.
• Focus on application and practice of TBT-S clinical tools and experiential interventions.
• Clinicians are coached on how, when, why and where TBT-S tools could be applied to augment ongoing therapies.
• The Institute expects providers to have their own state/province graduate education, and if practicing,  liability insurance,
• 18 CE credits if complete requirements (pending May 2025).
• A " Confirmation of Completion will be provided at the end of the training.

1. Child/adolescent addressing adolescent development and how TBT-S builds upon family therapy.
2. Adult TBT-S Training (18 yrs. and above). This includes TBT-S for Severe-and-Enduring Anorexia Nervosa.

1. Practice taking the TBT-S intervention tool  titled “Adolescent Trait Profile Checklist.” for adolescents and parents
2. Practice how to interpret the Trait Profile Checklist tool with ED clients and their family members.
3. Explain the TBT-S parenting framework for supporting children and adolescents
4. Employ 4 TBT-S interventions
5. Teach parent tools to support effective parenting in recovery from an eating disorder.
6. Introduce the behavioral contract as a primary intervention for child/adolescent support
7. Construct a personalized behavioral based plan by  supporting parents to set rules and contingencies
8. Try on the “Anxiety sculpt” tool
9. Practice how to use and explain the Anxiety Sculpt TBT-S tool to ED clients and their family members
10. Try on the “Landmine” TBT-S intervention tool.
11. Practice how to use and explain the TBT-S tools with ED clients and their family members.
12. Try on “Wire-Rewire” TBT-S intervention tool
13. Practice how to use and explain “Wire-Rewire”  TBT-S tool with ED clients and their family members.
14. Facilitate peer-to-peer support interventions and associated TBT-S tools, including “Ask the Expert”.
15. Practice how to lead the activity to integrate clients’ productive trait expressions

Objectives for Adult treatment:

1. Explain and discuss how TBT-S intervention tools are being integrated into clinicians’ practice via clinicians’ case examples or case questions.
2. Identify how TBT-S is being applied to augment ongoing eating disorder therapeutic interventions such as cognitive behavioral therapy- enhanced.
3. Identify potential problems when applying TBT-S into clinical settings.
4. Identify successes that have occurred when integrating TBT-S into clinical settings.
5. Practice taking the TBT-S intervention tool titled “Trait Profile Checklist.”
6. Practice how to interpret the Trait Profile Checklist tool with ED clients and their support persons.
7. Try on the TBT-S Toolbox intervention.
8. Practice how to explain the TBT-S tools with ED clients and their support persons.
9. Try on each step of the TBT-S treatment plan as a treatment intervention, titled SEAN Behavioral Agreement.
10. Practice how to apply this tool in treatment plans and treatment intervention with ED clients and their support persons.
11. Try on the “Brain Wave” TBT-S intervention tool.
12. Practice how to use and explain the Brain Wave TBT-S tool to ED clients and their support persons
13. Try on the “Landmine” TBT-S intervention tool.
14. Practice how to use and explain the TBT-S tools with ED clients and their support persons.
15. Try on “Wire-Rewire” TBT-S intervention tool
16. Practice how to use and explain “Wire-Rewire” TBT-S tool with ED clients and their support persons.
17. Try on “Meet the Expert” TBT-S intervention tool with clients and a different client’s support persons.
18. Practice how to lead the activity to integrate clients’ productive trait expressions

• Four live 2-hour sessions of small group discussion virtually (8 hours and maximum of 8 people).
• Bring your case examples to discuss how TBT-S is being integrated into your practice.
• Professional clinical, medical, dietary and other trained mental health workers, or university faculty, are eligible. 
• Supports are not eligible for TBT-S Level 3.
• 8 CE credits if complete requirements (Pending May 2025).
• 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" will be provided.

1. Child/adolescent addressing adolescent development and how TBT-S builds upon family therapy.
2. Adult TBT-S Training (18 yrs. and above). This includes tools for Severe-and-Enduring Anorexia Nervosa.

• Individuals receive face-to-face or virtual supervision.
• Clinicians are supervised while integrating TBT-S clinical and client tools and modules into outpatient through day hospital settings.
• # of supervision, practicum  hours currently being determined.
• Required for clinicians who want to be certified as a TBT-S Treatment provider.
• Two types of supervision: child/adolescents and/or adults.