Doing Dialectical Behavior Therapy: A Practical Guide

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. Cover Halftitle page Series Page Title page Copyright Dedication About the Author Series Editor’s Note Foreword Preface Acknowledgments Contents ONE Tools for Tough Circumstances The Core Problem of Pervasive Emotion Dysregulation How DBT Treats Pervasive Emotion Dysregulation TWO Navigating to a Case Formulation and Treatment Plan Step 1: Assess Using Stages and Treatment Targets Step 2: Look for Patterns of Controlling Variables for Each Primary Target Step 3: Use Task Analysis to Generate Mini‐Treatment Plans for Key Common Links A Pretreatment Conversation: Manny THREE Change Strategies Orienting and Micro‐Orienting Didactic Strategies Commitment Strategies Self‐Monitoring: The DBT Diary Card Behavioral Chain Analysis and Insight Strategies Solution Analyses Case Example: Michael Four CBT Change Procedures as Used in DBT FOUR Validation Principles and Strategies Understanding Invalidation’s Role in Emotion Dysregulation The Effects of Accurate, Precise Validation What to Validate How to Validate How to Use Validation to Strengthen Emotion Regulation Case Example: Lara FIVE Dialectical Stance and Strategies Dialectical Stance Dialectically Balancing Strategies Case Example: Yvette SIX Assess, Motivate, and Move Assess: Locate Where We Are Motivate Move toward the Client’s Goals Case Example: Karrie SEVEN The Individual Therapist and the Consultation Team Purpose and Format of DBT Consultation Teams How the DBT Consultation Team Treats the Therapist How Therapists Apply DBT to Themselves References Index