A vital tool for clinicians to help identify and manage therapy-interfering behavior using a dialectical behavior therapy framework.

Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy. While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet—perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses—problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone. RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness—such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder. Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book—along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)—provides everything you need to understand and implement this exciting new treatment in individual therapy—including theory, history, research, ongoing studies, clinical examples, and future directions.

"Phone coaching is an important aspect to dialectical behavior therapy. In this book, the author focuses on why we do it, how to make it effective, and ways to avoid common pitfalls. The book gives clinicians clear principles and practical guidance on how to approach this aspect of treatment. For new coping strategies to make a difference in clients' lives, clients need to use and practice them in everyday situations. Phone coaching is designed to help clients do just this. Regardless of your treatment approach, therefore, the principles and strategies in this book will give you new ways to help clients learn and apply effective coping skills to learn more about themselves, manage stress, improve relationships, and work toward important goals"--

Therapy-interfering behavior (TIB) is a key treatment target in dialectical behavior therapy (DBT), second only to suicidal thinking and self-harm. This wise, engaging book gives clinicians everything they need to assess, understand, and address TIB both in clients and in themselves. Therapists learn how to orient clients to TIB and work with it effectively whenever it shows up, using a combination of validation, contingency management, and dialectics. Packed with clinical examples, dialogues, and practical tips, the book discusses the full range of DBT contexts, from individual therapy to skills class, phone coaching, and consultation teams.

Dialectical Behavior Therapy with Adolescents is an essential, user-friendly guide for clinicians who wish to implement DBT for adolescents into their practices. The authors draw on current literature on DBT adaptation to provide detailed descriptions and sample group-therapy formats for a variety of circumstances. Each chapter includes material to help clinicians adapt DBT for specific clinical situations (including outpatient, inpatient, partial hospitalization, school, and juvenile-detention settings) and diagnoses (such as substance use, eating disorders, and behavioral disorders). The book’s final section contains additional resources and handouts to allow clinicians to customize their treatment strategies.

Machine generated contents note: 1. The Basics of the Chain Analysis 2. Guidelines for Client Orientation and Collaboration for Chain Analyses 3. Getting to Know the Target Behavior: Assessing a Problem the First Time 4. Keeping the Client Engaged (and You Too!) 5. Incorporating Solutions into Chains 6. When a Behavior Isn't Changing 7. Chains on Thoughts, Urges, and Missing Behaviors 8. Chain Analyses in Consultation Teams, Skills Training, and Phone Coaching References Index.

Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for--and shown to be effective with--clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies. See also Dialectical Behavior Therapy in Clinical Practice, Second Edition: Applications across Disorders and Settings, edited by Linda A. Dimeff, Shireen L. Rizvi, and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.