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DBT (R) Skills Training Handouts and Worksheets, Second Edition


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Table of Contents

Introduction to This Book
General Skills: Orientation and Analyzing Behavior
General Handouts: Orientation Handouts; Handouts for Analyzing Behavior
General Worksheets: Orientation Worksheet; Worksheets for Analyzing Behavior
Mindfulness Skills
Mindfulness Handouts: Handouts for Goals and Definitions; Handouts for Core Mindfulness Skills; Handouts for Supplementary Mindfulness Skills
Mindfulness Worksheets: Worksheets for Core Mindfulness Skills; Worksheets for Supplementary Mindfulness Skills
Interpersonal Effectiveness Skills
Interpersonal Effectiveness Handouts: Handouts for Goals and Factors That Interfere; Handouts for Obtaining Objectives Skillfully; Handouts for Building Relationships and Ending Destructive Ones; Handouts for Walking the Middle Path
Interpersonal Effectiveness Worksheets: Worksheets for Goals and Factors That Interfere; Worksheets for Obtaining Objectives Skillfully; Worksheets for Building Relationships and Ending Destructive Ones; Worksheets for Walking the Middle Path
Emotion Regulation Skills
Emotion Regulation Handouts: Handouts for Understanding and Naming Emotions; Handouts for Changing Emotional Responses; Handouts for Reducing Vulnerability to Emotion Mind; Handouts for Managing Really Difficult Emotions
Emotion Regulation Worksheets: Worksheets for Understanding and Naming Emotions; Worksheets for Changing Emotional Responses; Worksheets for Reducing Vulnerability to Emotion Mind; Worksheets for Managing Really Difficult Emotions
Distress Tolerance Skills
Distress Tolerance Handouts: Handouts for Crisis Survival Skills; Handouts for Reality Acceptance Skills; Handouts for Skills When the Crisis Is Addiction
Distress Tolerance Worksheets: Worksheets for Crisis Survival Skills; Worksheets for Reality Acceptance Skills; Worksheets for Skills When the Crisis Is Addiction

About the Author

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor Emeritus of Psychology and Director Emeritus of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the University of Louisville Grawemeyer Award for Psychology and the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master.


"DBT skills are useful not only for individuals who suffer from persistent emotion regulation difficulties, but also for individuals in extreme circumstances and people who have ordinary problems. This updated manual provides the 'flexibility within fidelity' in teaching these skills that practitioners and treatment adopters need. New, improved, expanded, and much clearer skills--they're all here! Skills trainers and their clients will benefit from Linehan and her colleagues' decades of systematic research and time spent developing, testing, and refining these skills, empowering practitioners to confidently offer multiple ways of understanding and practicing new behavior. Experienced skills trainers will notice the evolved richness and depth, while the explanations and teaching points will provide new trainers and students with an excellent foundation for skills training with both adults and adolescents. Providing a solid evidence-based foundation for core clinical training curricula, the manual and accompanying volume of handouts and worksheets will be essential across the mental health disciplines."--Andre Ivanoff, PhD, Columbia University School of Social Work

"Linehan's pioneering work has guided many--myself included--to incorporate mindfulness into compassionate clinical care in a structured format. The second edition of Linehan's DBT skills training manual and the companion volume of handouts and worksheets reflect two additional decades of wisdom and innovation, further bolstering these indispensable resources."--Zindel V. Segal, PhD, Departments of Psychology and Psychiatry, University of Toronto-Scarborough, Canada

"Skills such as mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance are invaluable for those working to overcome complex problems. DBT offers an especially effective way to learn these skills. I highly recommend this book of worksheets and handouts and the companion manual for therapists."--Judith S. Beck, PhD, President, Beck Institute for Cognitive Behavior Therapy

"DBT is a proven evidence-based treatment that combines the best of our science with the knowledge and compassion of Marsha Linehan--an exceptional researcher and clinician whose innovative work has advanced the field and shifted many individuals from lives of suffering to lives of hope. These outstanding second editions offer guidance on how to implement DBT skills training, while providing the tools needed to deliver this state-of-the-art treatment. They will stand as the authoritative guides for teaching DBT skills, partnering with clients to build lives worth living, and helping us to address our national and international priorities of saving millions of lives lost to suicide worldwide. These 'must-have' books belong on the shelves of every clinician and will be valuable course texts."--Joan Rosenbaum Asarnow, PhD, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles

"Since its introduction to the literature over two decades ago, Marsha M. Linehan's skills training manual has revolutionized the treatment of individuals with borderline personality disorder, and also the practice of psychotherapy in general. Now in a second edition, the manual and accompanying volume of handouts and worksheets provides clinicians, educators, students, and patients with a resource that can guide even novice clinicians to become more effective and knowledgeable in treating our field's most challenging cases. Of interest to the psychoanalytically informed reader, the second edition has elaborated DBT's attention to interpersonal concerns, with robust consideration of interpersonal dynamics replacing the approach to enhancing effectiveness presented in the prior edition."--Lois W. Choi-Kain, MD, MEd, Director, Adult Borderline Center and Training Institute, and Program and Medical Director, Gunderson Residence, McLean Hospital; Department of Psychiatry, Harvard Medical School

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