The Expanded Dialectical Behavior Therapy Skills Training Manual

DBT for Self-Help and Individual and Group Treatment Settings
2nd Edition
Pages: 278
ISBN: 9781683730460
Item Number: 8661

$32.24You save $10.75 (25.01%)


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.

This book is coil-bound.

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


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


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