Training & Supervision

​Dr. Fleck has served as a therapy supervisor and consultant for some of the most rigorous training clinics in the country, including Dr. Linehan's Behavioral Research & Therapy Clinic (BRTC) at the University of Washington, the Department of Psychiatry at Stanford Medical Center, and the VA Palo Alto Healthcare System. She provides the same caliber of consultation that clinicians receive in these competitive programs to providers through one-on one-consultation, lectures, and workshops.
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​Caroline is a gifted speaker and a phenomenal educator. She knows DBT inside out, and makes the approach come alive in an accessible, hands-on practical, and genuine manner. She easily engages a large group with diverse needs, insuring that everyone from the beginning trainee to the advanced practitioner walks away with new learning and increased passion and enthusiasm for their work.

Sanno Zach, PhD
​DBT Program Director

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As a teacher, Dr. Fleck is outstanding! Her vast knowledge of psychotherapeutic principles and commitment to an evidence-based approach ensure that her content is always cutting edge. Dr. Fleck also has a special knack for sprinkling fun into her presentations; her ability to package complex topics into digestible, memorable concepts has a way of making her classes not just highly effective, but really enjoyable.

Alexander Clarke, MD
Former Stanford Psychiatry Resident

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​Psychotherapy Consultation ​

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​Dr. Fleck consults with individual providers one-on-one and in small groups. Consultations are provided in person, by phone, or via videoconferencing. Common consultation topics include:  

Case Consultation:

Review your most difficult cases and get feedback on how to refine your case conceptualizations, incorporate different interventions, and manage risk. 

Cognitive-behavioral treatment administration:

​Ensure adherence and success in administering cognitive behavioral therapies ranging from PE to DBT. ​
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Challenging Stagnation:

Get a fresh perspective on your cases, re-evaluate contingencies, and effectively target therapy interfering behavior.
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​I was fortunate to have Caroline as my clinical supervisor at the BRTC. She has a keen eye for case conceptualization, and a knack for teaching clinical concepts in a way that’s very engaging, relatable, and relevant. I also appreciated how warm, supportive, and genuine Caroline was as a supervisor. Working with her was definitely a valuable, formative experience for me.

Janie Jun, PhD
Former UW graduate student

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​Seminars & Workshops

​Dr. Fleck works with training programs around the country to provide workshops and seminars on various topics. Presentations range from one hour seminars to two day workshops. Some presentation titles are listed below. For more details, or to arrange for a seminar or workshop at your institution, please email.​
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Areas of Expertise

• Crisis and risk management
• Setting and observing limits
• Differential diagnosis
• ​Cognitive-Behavioral Therapies
• Case conceptualization​​

Workshops

• Dialectical Behavior Therapy - Just Do It
• Behavior Therapy - Just Do it
• Helping Parents Help Their Teens
• Mindfulness for the Modern Age

Seminars

• Crisis & Risk Management
• Chain Analysis
• Case Conceptualization
• Practicing What You Preach
• From Learning to Shaping

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​Caroline is an expert, and provides some of the most dynamic and engaging seminars I've ever seen. She brings complex concepts to life with metaphors and stories from her own experience, making them easy to remember and apply later. Her style is radically genuine, open, flexible, and professional.

Katie Fracalanza, PhD
Assistant Professor, Stanford University

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Schedule with Dr. Fleck

Private Practice Consulting

​Please note: Consultation and educational services do not constitute therapy.
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