This second edition is the most comprehensive and readable DBT manual available with more skills than any other DBT book on the market.
Beyond updates to the classic skills modules, clients and therapists will be enriched by added modules that include Dialectics, Cognitive Modification, Problem-Solving, and Building Routines as well as all-new, much-needed modules on addictions and social media.
Designed for DBT therapists, eclectic and integrative therapists, and as a self-help guide for people interested in learning DBT skills, the straightforward explanations and useful worksheets contained within make DBT skills learning and practice accessible and practical for both skills groups and individual users.
Table of Contents
About the Authors xiii
Preface xiv
Acknowledgments xvi
About This Book: An Orientation for Therapists xvii
What’s New in This Edition xix
Getting Started: Learning the Foundations of DBT Skills Training and Programs 1
DBT Programs and Therapists: A Brief Introduction DBT Skills: An Orientation for Clients
Your Life Vision (LV)
Worksheet: Life Vision: Big Picture DBT Beliefs About Skills Training Common DBT Program Expectations
The Diary Card: Monitoring What Is Important Diary Card Instructions
Worksheet: Standard Diary Card Worksheet: Blank Diary Card The Basics of Behavior
Using Behavior and Solution Analysis to Create Change Visual Behavior and Solution Analysis
Worksheet: Visual Behavior and Solution Analysis Worksheet: Behavior and Solution Analysis: Short Form Worksheet: Behavior and Solution Analysis: Long Form
Module 1: Dialectics 33
Introduction to Dialectics Dialectical Principles
Dialectics Worksheet 1: Conflicts 1
Dialectics Worksheet 2: Conflicts 2 Dialectics Worksheet 3: Exercises Dialectics Applied to Other Skills
Module 2: Mindfulness 47
Introduction to Mindfulness Myths About Mindfulness States of Mind
The Path to Wise Mind (WM)
Focus on Nonjudgmental Stance (NJS) Focus on One-Mindfulness (OM) Mindfulness Worksheet 1: Sticky Judgments Mindfulness Exercises
Mindfulness Worksheet 2: Daily Practice
Mindfulness Worksheet 3: 10 Days to a 10-Minute Meditation Practice Mindfulness Worksheet 4: Maintain Your Meditation Practice
Module 3: Distress Tolerance 71
Introduction to Distress Tolerance Distress Tolerance: Guidelines for Use
Distress Tolerance Worksheet 1: Crisis and Safety Plan Distract with ACCEPTS
Distress Tolerance Worksheet 2: Activities Self-Soothe (SS)
Distress Tolerance Worksheet 3: Self-Soothe Application IMPROVE the Moment
Pros and Cons (P&C)
Pros and Cons (P&C) Example
Distress Tolerance Worksheet 4: Pros and Cons Grounding Yourself (GY)
Radical Acceptance (RA)
Distress Tolerance Worksheet 5: Radical Acceptance Everyday Acceptance (EA)
Willingness (W)
Distress Tolerance Worksheet 6: Skills Practice TIP
Module 4: Emotion Regulation 99
Introduction to Emotion Regulation Well-Being
PLEASED (PL)
Focus on Nutrition and Exercise
Emotion Regulation Worksheet 1: PLEASED 1
Emotion Regulation Worksheet 2: PLEASED 2 Sleep Routine
Build Mastery (BM)
Emotion Regulation Worksheet 3: Build Mastery Model of Emotions
Emotion Regulation Worksheet 4: Feelings Model Basic Emotions and Their Opposites
Emotions on a Continuum
Changing Your Relationship to Emotions
Mindfully “Hold” Emotions to Soothe and Reduce Suffering Build Positive Experience (BPE)
Emotion Regulation Worksheet 5: Build Positive Experience Attend to Relationships (A2R)
Emotion Regulation Worksheet 6: Attend to Relationships Mood Momentum (MM)
Opposite to Emotion (O2E)
Emotion Regulation Worksheet 7: Opposite to Emotion
Do your A-B-Cs: Accumulate Positives, Build Mastery, and Cope Ahead Your Emotions and Your Body: Discovering the Connection
Module 5: Interpersonal Effectiveness 135
Introduction to Interpersonal Effectiveness Interpersonal Effectiveness Dialectics FAST (F)
Interpersonal Effectiveness Worksheet 1: Values Application 1 Interpersonal Effectiveness Worksheet 2: Values Application 2 Interpersonal Effectiveness Worksheet 3: Values Conflict Application GIVE (G)
Listening (L) VALIDATION (V)
What Validation is Not DEAR MAN (DM)
DEAR MAN: Alternative: ASSERT DEAR MAN: Factors to Consider Your DEAR MAN Bill of Rights Conflict Resolution
Interpersonal Intensity
Interpersonal Effectiveness Worksheet 4: DEAR MAN Application Making Friends
TRUST (T) and Relationships Boundaries
Definitions and Types of Boundaries BOUNDARY (BO)
Interpersonal Effectiveness Worksheet 5: BOUNDARY Application
Module 6: Cognitive Modification 173
Introduction to Cognitive Modification REASON (RE)
Cognitive Modification Worksheet 1: Dialectical Shifts
Cognitive Modification Worksheet 2: REASON and Shifting Thoughts
Module 7: Problem-Solving 183
Introduction to Problem-Solving Basic Principles of Problem-Solving Using SOLVED (SO)
Problem-Solving Worksheet 1: SOLVED
Module 8: Addictions 189
Introduction to Addictions
Addictions Worksheet 1: Addictions Checklist Abstinence Holiday (AH)
Additions Worksheet 2: Abstinence Holiday Dialectical Abstinence
Dialectical Abstinence Versus Harm Reduction Frequent Dialectical Tensions With Addictions Clear Mind
Two Steps to Wise Mind/Clear Mind
Nonjudgmental Stance (NJS), Self-Acceptance, and Change One Moment at a Time
Bridge-Burning (BB) Building New Bridges
Additions Worksheet 3: Bridge-Burning Urge-Surfing (US): Ride the Wave
Emotions, Thoughts, and Situations That Trigger Addictive Behavior Observing and Describing the Effects of Addictive Behavior
Additions Worksheet 4: Describing the Consequences of Addictive Behaviors Cycle of Emotions and Ineffective/Addictive Behaviors
Mental Illness and the Ineffective/Addictive Behavior Cycle Observing and Describing a Process of Relapse
Opposite to Emotion With Urges for Addictive Behavior: U-Turn Addictions Worksheet 5: Opposite to Emotion and the U-Turn Using DEAR MAN to Refuse Addictive Behaviors
Using Interpersonal Effectiveness to Address Resentments Addictions Worksheet 6: Resentments
Using Interpersonal Effectiveness to Make Amends Addictions Worksheet 7: Making Amends
Module 9: Building a Satisfying Life 229
Introduction to Building a Satisfying Life Using ROUTINE (RO)
Everyday Care
Building a Satisfying Life Worksheet 1: Activities List
Building a Satisfying Life Worksheet 2: My Routines and Schedule Building a Satisfying Life Worksheet 3: Small Routines
Module 10: Social Media 241
Introduction to Social Media MEDIA (ME)
Other Suggestions
Therapist and Program Resources 245
Teaching DBT Skills: Methods and Styles Developing Skills in the Face of Barriers Other Skills Training Tips
Clinical Policies, Contingencies, and Related Forms
Appendices 285
Master Skills List
Source Citations for Modules and Skills Other Resources
Bibliography
