Citizen of the Galaxy

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. Cover Half Title Page Title Page Copyright Dedication About the Author Acknowledgments Contents Part I. Background 1. The Development and Foundations of DBT PE 2. The Target Population Part II. Stabilization and Preparation 3. Setting the Stage for DBT PE in Pretreatment 4. Achieving Safety, Stability, and Skills in Stage 1 5. Building Motivation for DBT PE 6. Determining Readiness for DBT PE 7. Preparing to Start DBT PE Part III. The DBT PE Protocol 8. Session 1 9. Session 2 10. Joint and Family Sessions 11. Session 3 12. Intermediate Sessions (Sessions 4+) 13. The Final Session Part IV. Troubleshooting and Tailoring Treatment 14. Troubleshooting Problems 15. Targeting Specific Trauma-Related Emotions 16. Working with Different Trauma Types 17. Treating Diverse Populations Part V. Next Steps 18. Stage 3 and Beyond Appendix A. DBT PE Client Handouts Appendix B. Therapist Forms Appendix C. Session Checklists Appendix D. Potential Screening and Outcome Monitoring Measures References Index "A history of trauma is the norm rather than the exception among individuals receiving dialectical behavior therapy. Given the pervasiveness of trauma among individuals receiving DBT, it is critical that DBT therapists have the ability to effectively treat PTSD. Indeed, many DBT clients will not be able to fully reach their life worth living goals until PTSD has been resolved. The treatment described in this book is designed to provide a structured method of integrating PTSD treatment into DBT for the many clients who need such treatment. The treatment combines an adapted version of prolonged exposure therapy for PTSD, called the DBT Prolonged Exposure protocol (DBT PE), with standard DBT"-- Provided by publisher