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The COVID\u201019 outbreak forced a rapid adaptation to online delivery, which largely mirrored face\u2010to\u2010face programmes using videoconferencing technology. This study aimed to elicit and describe the experiences and learning of therapists involved in providing high\u2010fidelity DBT programmes via the Australian DBT Institute, which established an online delivery platform called DBT Assist\u2122 prior to the COVID\u201019 pandemic. The report conforms with the consolidated criteria for reporting qualitative research (COREQ). Seven therapists were interviewed. Data were transcribed and analysed thematically. Delivering skills training online, either exclusively or in hybrid form (with face\u2010to\u2010face individual therapy), was acceptable and even preferable to therapists and clients. It was considered safe, the programme was associated with few non\u2010completers, and it improved the accessibility of DBT to those who might otherwise not be able to engage in a face\u2010to\u2010face programme. Skills training utilized a \u2018flipped\u2010learning\u2019 approach which improved the efficiency of online delivery. Other unique and helpful features of the online programme were described. The best outcomes associated with online DBT are likely to be achieved through careful adaptation to the online environment in accord with the principles of DBT rather than mirroring face\u2010to\u2010face processes. Further research is required to determine the efficacy of online therapy relative to face\u2010to\u2010face, and who might be best suited to different modes of delivery.<\/jats:p>","DOI":"10.1111\/inm.13039","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T05:20:35Z","timestamp":1656998435000},"page":"1405-1416","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["High fidelity dialectical behaviour therapy online: Learning from experienced practitioners"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4304-5431","authenticated-orcid":false,"given":"Richard","family":"Lakeman","sequence":"first","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9205-2331","authenticated-orcid":false,"given":"John","family":"Hurley","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6947-3840","authenticated-orcid":false,"given":"Katrina","family":"Campbell","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3503-4617","authenticated-orcid":false,"given":"Claudia","family":"Hererra","sequence":"additional","affiliation":[{"name":"Australian DBT Institute  Gold Coast Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Leggett","sequence":"additional","affiliation":[{"name":"Mid North Coast Local Health District  Port Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Tranter","sequence":"additional","affiliation":[{"name":"Mid North Coast Local Health District  Port Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-4741","authenticated-orcid":false,"given":"Peter","family":"King","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Australian Government. 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