First developed to treat suicidal individuals with borderline personality disorder, dialectical behavior therapy (DBT) has since been adapted to a range of settings and populations. This practical book-edited by close collaborators of DBT originator Marsha M. Linehan-presents applications for depression, substance dependence, eating disorders, psychosis, suicidal and assaultive behaviors, and other complex problems. Leading contributors, including Linehan herself, describe how to implement this evidence-based treatment with adults, adolescents, couples and families, and forensic clients. Issues in establishing and maintaining an effective DBT program are also addressed. Special features include over a dozen reproducible worksheets and forms.
"Learning DBT changed my life. DBT concepts and skills take my clinical work to a completely new level. I urge clinicians who are eager to learn more about DBT, and how to adapt it to their clinical setting, to read this book. Contributors are leading DBT practitioners and researchers, and their work in this volume expands and extends this amazing therapy."
-Jacqueline B. Persons, PhD, Director, San Francisco Bay Area Center for Cognitive Therapy
"When I first heard Marsha Linehan speak on DBT, I felt that she had saved me 20 years of figuring things out on my own. This book leads the next wave, bringing the accumulated practical wisdom of several 'first adopters' of DBT who have successfully adapted this principle-based, flexible approach to unique settings and populations. Those wishing to develop services for patients with multiple problems can jump-start their fledgling programs and avoid common pitfalls, all the while staying true to the empirical base of the treatment."
-Elizabeth B. Simpson, MD, Director, Dialectical Behavior Therapy Program, Massachusetts Mental Health Center
"Each chapter details the process for using DBT with specific populations and deals with the day-to-day issues confronting practitioners. This is an excellent text for graduate instructors who want to teach evidence-based practices to their students, as well as for clinicians who have longed for practical advice on how to start and maintain a successful DBT program. It is also an excellent guidebook for payors who need to understand what a DBT program should look like and how to assess its value."
-George Smart, LICSW, Vice-President of Clinical Operations, Massachusetts Behavioral Health Partnership
"DBT is one of the most important advances in clinical practice in the last two decades. What began as a specific intervention for borderline personality disorder is in the process of evolving into a major approach that can be applied to a wide range of patients across multiple settings. This book impressively demonstrates this evolution, providing a resource that will be of value to therapists and students alike. I highly recommend it."
-Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University
1. Overview of Dialectical Behavior Therapy, Kelly Koerner and Linda A. Dimeff
2. Adopt or Adapt?: Fidelity Matters, Kelly Koerner, Linda A. Dimeff, and Charles R. Swenson
3. Implementing Standard Dialectical Behavior Therapy in an Outpatient Setting, Kathryn A. Comtois, Cedar R. Koons, Soonie A. Kim, Sharon Y. Manning, Elisabeth Bellows, and Linda A. Dimeff
4. Dialectical Behavior Therapy on Inpatient Units, Charles R. Swenson, Suzanne Witterholt, and Martin Bohus
5. Implementing Dialectical Behavior Therapy in Residential Forensic Settings with Adults and Juveniles, Robin A. McCann, André Ivanoff, Henry Schmidt, and Bradley Beach
6. Dialectical Behavior Therapy for Individuals with Borderline Personality Disorder and Substance Dependence, Shelley McMain, Jennifer Sayrs, Linda A. Dimeff, and Marsha M. Linehan
7. Dialectical Behavior Therapy and Eating Disorders, Lucene Wisniewski, Debra Safer, and Eunice Chen
8. Dialectical Behavior Therapy with Families, Alan E. Fruzzetti, Daniel A. Santisteban, and Perry D. Hoffman
9. Dialectical Behavior Therapy for Adolescents, Alec L. Miller, Jill H. Rathus, Anthony P. DuBose, Elizabeth T. Dexter-Mazza, and Arielle R. Goldklang
10. Dialectical Behavior Therapy for Depression with Comorbid Personality Disorder: An Extension of Standard Dialectical Behavior Therapy with a Special Emphasis on the Treatment of Older Adults, Thomas R. Lynch and Jennifer S. Cheavens
11. Dialectical Behavior Therapy for Assertive Community Treatment Teams, Sarah K. Reynolds, Randy Wolbert, Gwen Abney-Cunningham, and Kimberly Patterson
12. Evaluating Your Dialectical Behavior Therapy Program, Shireen L. Rizvi, Maria Monroe-DeVita, and Linda A. Dimeff
About the Editors:
Linda A. Dimeff, PhD, is Chief Scientific Officer for Behavioral Tech Research, Inc., an organization devoted to the dissemination of evidence-based practices. She is also on the clinical faculty in the Department of Psychology at the University of Washington. She collaborated with Marsha Linehan in the development of an adaptation of DBT for substance-dependent individuals with borderline personality disorder, and they are currently coauthoring a book on this treatment. Dr. Dimeff currently has eight dissemination research grants through the National Institutes of Health. She has published widely in the areas of addictive behaviors, DBT, and dissemination, and has provided extensive training, supervision, and consultation to treatment providers affiliated with large public-sector systems in their implementation of DBT, as well as to individuals in private practice.
Kelly Koerner, PhD, is a clinical psychologist and an expert clinician, clinical supervisor, and trainer in DBT. She is Creative Director of the Evidence-Based Practice Institute, which provides online communities and continuing education for practitioners who strive to combine science and compassion in their work. Dr. Koerner has served as Director of Training for Marsha Linehan.s research investigating the efficacy of DBT for suicidal and drug-abusing individuals with borderline personality disorder, Creative Director for Behavioral Tech Research, Inc., and cofounder and first CEO of Behavioral Tech, LLC, a company that provides training in DBT. She is on the clinical faculty in the Department of Psychology at the University of Washington and maintains a consulting and psychotherapy practice in Seattle.