Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings

This influential work has now been substantially revised with over 60% new material reflecting over a dozen years of research and clinical advances. Leading experts describe innovative ways to use dialectical behaviour therapy (DBT) in a wide range of real-world clinical and community settings. The volume provides wise guidance on setting up, running, and evaluating a comprehensive DBT program. It also presents adaptations designed to meet the needs of particular client populations as time- and cost-effectively as possible. Vivid case examples illustrate diverse applications of DBT for helping adults, adolescents, and children reduce suicidal and self-harming behaviour; overcome complex, multiple challenges; and build a life worth living.

New to this edition of Dialectical Behavior Therapy in Clinical Practice:

• Presents current best practices for making DBT more efficient and accessible while maximising program fidelity.
• Chapters on additional populations, including persons with posttraumatic stress disorder and preadolescent children.
• Chapters on additional settings, including milieu-based programs, university counselling centers, and middle and high schools.
• Chapters on pharmacotherapy, promoting employment and self-sufficiency, training and supervision, and DBT beyond Stage 1.

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Table of Contents

Foreword, Marsha M. Linehan

I. Overview and Getting Started with DBT

1. Overview of DBT, Kelly Koerner, Linda A. Dimeff, & Shireen L. Rizvi
2. Adopt or Adapt?: Fidelity Matters, Kelly Koerner, Linda A. Dimeff, Charles R. Swenson, & Shireen L. Rizvi
3. Evaluating Your DBT Program, Shireen L. Rizvi, Maria Monroe-DeVita, & Linda A. Dimeff

II. Applications across Settings

4. Implementing Standard DBT in an Outpatient Setting, Linda A. Dimeff, Kim Skerven, Andrew White, Shelley McMain, Katherine Anne Comtois, Cedar R. Koons, Soonie A. Kim, Sharon Y. Manning, & Elisabeth Bellows

5. DBT in Milieu-Based Programs, Charles R. Swenson, Suzanne Witterholt, & Juliet Nelson

6. Applications of DBT in a School-Based Setting, Elizabeth T. Dexter-Mazza, James J. Mazza, Alec L. Miller, Kelly Graling, Elizabeth Courtney-Seidler, & Dawn Catucci

7. DBT in University Counseling Centers, Jacqueline Pistorello & Carla D. Chugani sample

8. DBT in Juvenile Justice Programs, Debra M. Bond, Jesse Homan, & Bradley Beach

9. Comprehensive DBT Forensic and Correctional Programs: Orchids, Not Dandelions, Robin A. McCann & Elissa M. Ball

III. Applications across Populations

10. DBT—Accepting the Challenges of Employment and Self-Sufficiency, Katherine Anne Comtois, Lynn Elwood, Jenna Melman, & Adam Carmel

11. DBT for Individuals with Borderline Personality Disorder and Substance Use Disorders, Linda A. Dimeff, Shelley McMain, Jennifer H. R. Sayrs, Chelsey Wilks, & Marsha M. Linehan

12. Treating Posttraumatic Stress Disorder during DBT: Applying the Principles and Procedures of the DBT Prolonged Exposure Protocol, Melanie S. Harned & Sara C. Schmidt

13. DBT and Eating Disorders, Lucene Wisniewski & Debra L. Safer

14. DBT beyond Stage 1: An Overview of Stages 2, 3, and 4, Cedar R. Koons

15. An Overview of DBT for Preadolescent Children: Addressing Primary Treatment Targets, Francheska Perepletchikova & Donald Nathanson

16. DBT for Adolescents, Alec J. Miller, Jill H. Rathus, Elizabeth T. Dexter-Mazza, Chad S. Brice, & Kelly Graling

17. DBT with Families, Alan E. Fruzzetti, Luciana G. Payne, & Perry D. Hoffman

IV. Special Topics

18. Training and Supervision in Outpatient DBT Programs, Jesse Homan, Jennifer H. R. Sayrs, & Travis L. Osborne

19. Pharmacotherapy Guidelines for Treating Stage 1 DBT Patients, Elisabeth P. Bellows, W. Maxwell Burns, & Chelsy R. Wilks

"I am so pleased to see the second edition of this excellent work, which has been a much-tapped resource on my bookshelf over the years! The second edition shares all the excellent qualities of the first—it is theoretically sound, clinically relevant, engaging, and written by preeminent DBT clinicians and researchers. The book covers an even broader diversity of settings and client groups in which DBT is applied, thoroughly showcasing all that we have learned about the treatment in the last decade. Clinicians will find much of value, whether they are at the start of their DBT journey or have worked in the field for a while and want to review and update their programs and practices."
- Michaela A Swales, PhD, Consultant Clinical Psychologist and Professor in Clinical Psychology, North Wales Clinical Psychology Program, Bangor University, UK

"Superbly edited by Dimeff, Rizvi, and Koerner, the second edition of this seminal work is a DBT tour de force. Building on the strong foundation of the first edition, the volume includes nine new chapters related to cutting-edge clinical delivery of DBT. The contributors are a veritable who’s who of DBT science, training, and clinical practice. Marsha Linehan has fundamentally revolutionized our understanding and treatment of suicidal risk, self-harm behaviors, and complex case presentations. This second edition is a worthy testament to Linehan's vision and genius and will prove to be an invaluable resource for students and providers of DBT around the world."
- David A Jobes, PhD, ABPP, Professor of Psychology & Director, Suicide Prevention Laboratory, The Catholic University of America