DBT Skills Training Manual

"DBT skills are useful not only for individuals who suffer from persistent emotion regulation difficulties, but also for individuals in extreme circumstances and people who have ordinary problems. This updated manual provides the 'flexibility within fidelity' in teaching these skills that practitioners and treatment adopters need. New, improved, expanded, and much clearer skills--they're all here! Skills trainers and their clients will benefit from Linehan and her colleagues' decades of systematic research and time spent developing, testing, and refining these skills, empowering practitioners to confidently offer multiple ways of understanding and practicing new behavior. Experienced skills trainers will notice the evolved richness and depth, while the explanations and teaching points will provide new trainers and students with an excellent foundation for skills training with both adults and adolescents. Providing a solid evidence-based foundation for core clinical training curricula, this manual and the accompanying volume of handouts and worksheets will be essential across the mental health disciplines."--Andre Ivanoff, PhD, Columbia University School of Social Work "Mental health professionals--whether or not they use DBT as their major therapeutic orientation--will find the second edition of Linehan's skills training manual and its companion volume of client worksheets and handouts invaluable. Skills such as mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance should be part and parcel of any therapist's repertoire. The manual clearly spells out the theoretical basis and rationale for emphasizing these skills and provides a detailed account of how to use the patient material. Especially useful are descriptions of troubleshooting common problems. Therapists are sometimes at a loss to figure out how to help clients with complex problems; these books can significantly help us improve our effectiveness."--Judith S. Beck, PhD, President, Beck Institute for Cognitive Behavior Therapy "Linehan's pioneering work has guided many--myself included--to incorporate mindfulness into compassionate clinical care in a structured format. The second edition of Linehan's DBT skills training manual and the companion volume of handouts and worksheets reflect two additional decades of wisdom and innovation, further bolstering these indispensable resources."--Zindel V. Segal, PhD, Departments of Psychology and Psychiatry, University of Toronto-Scarborough, Canada "DBT is a proven evidence-based treatment that combines the best of our science with the knowledge and compassion of Marsha Linehan--an exceptional researcher and clinician whose innovative work has advanced the field and shifted many individuals from lives of suffering to lives of hope. These outstanding second editions offer guidance on how to implement DBT skills training, while providing the tools needed to deliver this state-of-the-art treatment. They will stand as the authoritative guides for teaching DBT skills, partnering with clients to build lives worth living, and helping us to address our national and international priorities of saving millions of lives lost to suicide worldwide. These 'must-have' books belong on the shelves of every clinician and will be valuable course texts."--Joan Rosenbaum Asarnow, PhD, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles "I used DBT Skills Training Manual, Second Edition, as a text in my graduate course on cognitive-behavioral/empirically supported therapies. The inclusion in one volume of relevant theory, examples, and pragmatic instructions for implementation is most useful for the classroom. It is a state-of-the-art work that is affordable, well designed, and readable, and will be practical for students long after graduate school. I could also see it serving as an instrumental training resource for interns in out

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor Emeritus of Psychology and Director Emeritus of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the University of Louisville Grawemeyer Award for Psychology and the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master.

I. An Introduction to DBT Skills Training 1. Rationale for Dialectical Behavior Therapy Skills Training 2. Planning to Conduct DBT Skills Training 3. Structuring Skills Training Sessions 4. Skills Training Treatment Targets and Procedures 5. Application of Fundamental DBT Strategies in Behavioral Skills Training Part I Appendices II. Teaching Notes for DBT Skills Modules 6. General Skills: Orientation and Analyzing Behavior 7. Mindfulness Skills 8. Interpersonal Effectiveness Skills 9. Emotion Regulation Skills 10. Distress Tolerance Skills Index