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MED-DBT 4-Day Intensive Live Training: Treating Multidiagnostic Eating Disorders Using MED-DBT

About this event

Eating disorders are complex, high-risk neurobiological illnesses associated with significant morbidity and mortality. While first-line treatments such as CBT-E and FBT are effective for many individuals, a substantial subset of patients present with multidiagnostic profiles that include chronic emotion dysregulation, suicidality, self-injury, trauma, medical instability, and entrenched eating disorder behaviors. These individuals often cycle through levels of care, are described as “treatment resistant,” and experience care as coercive, invalidating, or unsafe.

The MED-DBT (Multidiagnostic Eating Disorder - Dialectical Behavior Therapy) model was developed in response to this gap. MED-DBT is a comprehensive, DBT-consistent, medically anchored adaptation designed specifically for individuals with eating disorders and co-occurring psychiatric and physical conditions. The model integrates DBT philosophy, behavioral science, medical risk management, and eating disorder–specific neurobiology to support safety, collaboration, and sustained engagement without relying on coercion or oversimplified recovery narratives.

This 4-day live intensive training provides clinicians with an in-depth, practice-oriented introduction to the MED-DBT model as outlined in the MED-DBT text. Participants will learn how to assess fit, organize treatment, target effectively, manage medical risk, address ambivalence and anosognosia, and apply core DBT strategies within the unique clinical realities of eating disorder care. Emphasis is placed on fidelity to DBT principles while addressing the ethical, clinical, and systemic complexities that arise when working with high-risk eating disorder presentations.

The training blends didactic teaching with clinical examples, case discussion, and applied decision-making. Participants will leave with a clear conceptual framework, shared language, and practical guidance for implementing MED-DBT within outpatient team-based settings.
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  • Lucene Wisniewski, PhD, FAED
    Dr. Wisniewski is an internationally recognized leader in eating disorder treatment and Dialectical Behavior Therapy (DBT), with almost 30 years of clinical, research and training experience. An Adjunct Assistant Professor of Psychological Sciences at Case Western Reserve University, Dr. Wisniewski has taught hundreds of workshops and continuing education seminars around the world and has authored numerous articles in peer-reviewed journals and invited book chapters. Dr. Wisniewski has pioneered the use of DBT in the treatment of multi-diagnostic eating disorders (MED) and is a sought-after authority on this empirically founded method of treatment, providing consultation and training to clinics around the globe. She is the co-author of the MED-DBT Treatment Manual to be published in 2025 with Guilford Press. Dr. Wisniewski has earned some of the highest awards and accreditations in the field. She has been elected fellow by the Academy for Eating Disorders (AED), where she has served on the board of directors and as the co-chair of the borderline personality disorder special interest group. In 2013 the AED awarded Dr. Wisniewski the Outstanding Clinician Award to acknowledge her leadership in the field and her commitment to providing the best solutions for those with eating disorders. In 2023, she was recognized as Association for Behavioral and Cognitive Therapies (ABCT) Champion for her exceptional dedication, influence, and social impact through the promotion of evidence-based psychological interventions. In 2024 Dr. Wisniewski was honored with the Fulbright Specialist Award, through which she served at Comenzar de Nuevo AC, a non-profit eating disorder facility in Monterrey, Mexico. Dr. Wisniewski is the founder and Chief Clinical Officer of the Center for Evidence Based Treatment (www.cebtohio.com), which offers therapy, training, and consultation in evidence-based approaches to mental health conditions via traditional and teletherapy platforms.
    Sessions
    • MEDDBT1 : Foundations: Fit, Framework, and the MED-DBT Lens
    • MEDDBT2 : Targeting What Matters: Safety, Hierarchy, and Medical Risk
    • MEDDBT3 : Motivation Without Coercion: Commitment, LWL, and Contingencies
    • MEDDBT4 : Doing the Work: Change Strategies and Ending Well
  • Anita Federici, Ph.D, C.Psych, FAED
    Dr. Anita Federici is a Clinical Psychologist and Owner of The Centre for Psychology and Emotion Regulation. She serves an Adjunct Faculty position at York University and is a distinguished Fellow of the Academy for Eating Disorders (AED). She is the co-author of the MED-DBT Treatment Manual (to be published in 2025 with Guilford Press). From 2019 - 2022, Anita served as the Co-Chair for the Suicide and DBT Special Interest Group (SIG) for the AED and currently sits on the SIG Oversight Committee with AED. In 2019, she was awarded Business Woman of the Year by the Meridian Women of Excellence Committee for her outstanding contributions to the community and to the province. In 2020, she was awarded the ‘Outstanding individual" by The Bulimia and Anorexia Nervosa Association. Anita has had a considerable impact on the field through her leadership, advocacy work, and expertise. She has provided more than 400 lectures, workshops, and invited talks on eating disorders, DBT, and MED-DBT, and greatly values her work with experts by experience. She has developed a robust training program, a wide network of allied health professionals, and a treatment centre in an underserved and rural region of Ontario. Her passion for inspiring and invigorating hope for clients and clinicians is at the heart of her work. Known for her engaging and authentic style of training, Anita has become a highly sought-after consultant. She works extensively on an international level with hospitals and community organizations offering team training, implementation support, and program development with a special focus on creating differential care pathways for clients who do not respond to traditional treatment approaches. Her work has been presented at international conferences and published in peer-reviewed journals and invited book chapters. Her co-authored book on MED-DBT will be available through Guilford Publishers in 2025.
    Sessions
    • MEDDBT1 : Foundations: Fit, Framework, and the MED-DBT Lens
    • MEDDBT2 : Targeting What Matters: Safety, Hierarchy, and Medical Risk
    • MEDDBT3 : Motivation Without Coercion: Commitment, LWL, and Contingencies
    • MEDDBT4 : Doing the Work: Change Strategies and Ending Well

CE Info

Earn up to 20 CE Credit Hours

Before the event, you will receive an email from CE-Go with access to the virtual event. After the event, you will receive access to your evaluation and continuing education certificate via a personalized "attendee dashboard" link, hosted on the CE-Go website. This link and access to the virtual event will be sent to the email account you used to register for the event.

Upon accessing the CE-Go "attendee dashboard", you will be able to:

  • Complete evaluation forms for the event
  • Download your continuing education certificate in a PDF format

If you have any questions or concerns regarding the CE-Go platform, please contact CE-Go at 888-498-5578 or by email at support@ce-go.com Please Note: Emails for this event will come from "support@ceactivities.com".

If you have any continuing education related questions, please contact your event organizer.

Please make sure to check your spam/junk folder in case those emails get "stuck". We'd also suggest "Allowlisting" support@ceactivities.com. This tells your email client that you know this sender and trust them, which will keep emails from this contact at the top of your inbox and out of the junk folder.

Continuing Education Credit Hours are available from the following organizations

Virtual

American Psychological Association
Center for Evidence Based Treatment is approved by the American Psychological Association to sponsor continuing education for psychologists. Center for Evidence Based Treatment maintains responsibility for this program and its content.
National Board of Certified Counselors
Center for Evidence Based Treatment, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7697. Programs that do not qualify for NBCC credit are clearly identified. Center for Evidence Based Treatment, LLC, is solely responsible for all aspects of the programs.

Event Learning Objectives

  • Describe the rationale, theoretical foundations, and clinical indications for MED-DBT, including how and why it differs from standard DBT and first-line eating disorder treatments.
  • Assess treatment fit and readiness for MED-DBT, including identifying appropriate candidates, contraindications, and common pitfalls in assessment and pre-treatment.
  • Apply the adapted MED-DBT biosocial theory to conceptualize eating disorder behaviors in the context of biotemperament, neurobiology, invalidating environments, and diet culture.
  • Use the MED-DBT target hierarchy to prioritize treatment goals, including determining when eating disorder behaviors constitute life-threatening (T1), therapy-interfering (T2), or quality-of-life–interfering (T3) targets.
  • Identify and manage eating disorder–related medical risk within scope of practice, including collaboration with medical providers, interpretation of clinical data, and use of consultation-to-the-client strategies.
  • Implement MED-DBT–specific adaptations to phone coaching, including the next-meal/next-snack rule and strategies to support eating, medical stability, and skill generalization without reinforcing risk behaviors.
  • Apply commitment strategies to address ambivalence and anosognosia.
  • Facilitate Life Worth Living (LWL) discussions that are collaborative, non-coercive, and responsive to the unique challenges of eating disorder recovery.
  • Use collaborative contingency management strategies to modify reinforcing patterns that maintain eating disorder behaviors while preserving autonomy and therapeutic alliance.
  • Conduct behavior chain analyses and missing links analyses specific to eating disorder behaviors, including restriction, purging, avoidance, and treatment non-adherence.
  • Adapt DBT skills teaching for eating disorder populations, addressing medical safety, weight bias, diet culture, and neurobiological constraints while maintaining DBT fidelity.
  • Describe the structure and function of MED-DBT consultation teams, including strategies to reduce clinician burnout, manage polarization, and maintain adherence to the model.
  • Plan for endings, transitions, and movement beyond Stage 1, including decisions about treatment extension, higher levels of care, and readiness for trauma-focused work.
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MED-DBT 4-Day Intensive Live Training: Treating Multidiagnostic Eating Disorders Using MED-DBT
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$1,130.00
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  • CE Hours
    20
  • Type
    Live Interactive Webinar
  • Date
    September 15 - 18, 2026

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