Extended Dynamic Interpersonal Therapy (e-DIT)
About this course
Dynamic Interpersonal Therapy (DIT) is a semi-structured, IAPT-approved brief (16 sessions) psychodynamic therapy for mood disorder. Initial studies of DIT suggest its effectiveness with individuals in primary care with symptoms of anxiety and depression. The protocol was designed on the basis of the work of the Expert Reference Group on clinical competencies, which identified key components drawn from manualized psychoanalytic/dynamic therapies with an evidence base. The extended DIT (e-DIT) training is now being offered for counsellors and psychologists working in IAPT who do not meet these psychodynamic competencies. Within the 20 face-to-face teaching days and close clinical supervision of 3-4 cases, you will be taught the required competencies to deliver DIT effectively.
This course is an extended (20-day) version of the 5-day Dynamic Interpersonal Therapy (DIT) course and is based on the approved extended national curriculum for DIT training.
The training consists of:
- Pre-course on-line training and reading
- 20 x face-to-face teaching days
- Supervision on 4 training cases (trainees will be allocated a supervisor and will have remote supervision in groups or 2 or 3)
Face-to-face teaching will take place on the following dates and you will need to ensure you are available for all of the twenty teaching days:
- 1st - 5th April 2019
- 26th April 2019
- 10th May 2019
- 24th May 2019
- 3rd June 2019
- 5th July 2019
- 13th Sept 2019
- 4th Oct 2019
- 8th Nov 2019
- 22nd Nov 2019
- 6th Dec 2019
- 24th Jan 2020
- 7th Feb 2020
- 21st Feb 2020
- 6th March 2020
- 20th March 2020
Who is this course suitable for and how to apply?
This course is a postgraduate certificate for IAPT employees based in one of the four regions of England (North, Midlands and East, London or South). A Diploma level qualification in counselling (not necessarily psychodynamic) or a psychology doctorate degree (clinical, counselling, health or forensic) is the minimum entry requirement. Applicants will need to have a full BACP, UKCP or HCPC registration as part of their core qualification.
There is no requirement for experience of personal psychodynamic psychotherapy although this would be preferable and we would encourage you to access this during the training.
Applicants will need to be employed in an IAPT service based in England (North, Midlands and East, London and the South). Training and supervision places are fully funded for selected members of IAPT teams who meet the requirements although this does not include transportation and accommodation costs for out-of-London applicants. Applicants will need to commit to completing the on-line pre-training, 20 days of face-to-face training and weekly supervision of 3-4 training cases. We will also ask you to complete a contract with your employer, agreeing to the terms of the training.
Applicants who meet the following criteria will be prioritised:
- Applicant will be an IAPT counsellor without an existing recognised NICE therapy training (such as IPT, CfD, CBT, CTfD, BCT or EMDR)
- Applicant will have access to appropriate cases during the training
- Applicant will be employed in the service on substantive, paid contract, at least two days per week
- Applicant will have access to local supervision in DIT within the service to embed practice during and beyond training
- There is at least one qualified IAPT DIT therapist already in the applicant's service for peer support and practice development
- If there isn't already at least one qualified IAPT DIT therapist in the applicant's service the applicants needs to commit to have a clear arrangement in place for join up with a neighboring service where this is in place, for peer support and practice development.
Deadline for applications: 28th February 2019
Aims of course
The training provides a basic introduction sufficient to enable participants to begin practicing this manualized treatment with supervision. The course includes presentation of theories and techniques, observation of live role-plays, discussion and formulation of specific cases.
Training structure and method
Each of the 20 training days will be divided into four sessions; generally, each morning and afternoon will include 50% active learning time (mainly by videotaped role-plays). Thus, each didactic presentation will be practised through role-plays in which the two trainees play the patient and therapist and also watch the video-recording of the role-play. Experiential exercises in the form of role-play and responsive interaction with video content will form a core component of training in order to link teaching material to clinical context and interpersonal experience.
Some points will be best illustrated through watching a video clip, from which therapeutic techniques can be individually rated by each participant, with the ratings and observations then discussed in a larger group.
It is expected that much of the 20 days’ face-to-face teaching will be concerned with clinical skills. The theoretical basis will be assumed on the basis of previously presented materials or prior attendance at other courses in which basic psychodynamic theory has been covered. An assessment of this component will be a part of the programme and will be a per-condition of attendance at the practical clinical element of the course.
There will be four components to the assessment:
- Theoretical basis of DIT. This will be delivered in advance of the course through online podcasts and prescribed reading. The content of this component will be based on the initial chapters of the DIT manual, which will not be covered as part of the training. Satisfactory completion of this component is essential for progression. This is evaluated by a multiple choice questionnaire, which has to be completed by mid-March 2019.
- Knowledge of DIT. This will be assessed after the first half of the programme, which covers sessions I.1–I.3 and II.1–II.3, by a mixture of role-play and clinical videos. There will be a further requirement of submission of a clinical log. Satisfactory completion of this component is essential for progression.
- Intervention with DIT. This will be assessed at the end of the training by the same method as for component 2 and will cover the remaining sessions of teaching. Satisfactory completion of this component is essential for progression.
- Clinical experience. Trainees will present logs and video records of their supervised clinical experience of three cases treated with DIT.
Please note, Peter Fonagy and Mary Target will each teach a masterclass on this training in mentalising and attachment theory respectively; Alessandra Lemma will deliver a half-day masterclass.
The training will be delivered by Deborah Abrahams, with additional input provided by other DIT trainers and supervisors. Supervisors will be allocated to trainees, with attention given to available times and geographic location. Supervision will be delivered face-to-face or remotely in small groups or individually.