1. DBT Teams: An Introduction
2. DBT Team Tasks and Roles: Who Does What?
3. The DBT Team Leader
4. The Structure of the DBT Team: The Agenda
5. Therapy for the Therapist
6. Responding to Problems in the DBT Team
7. Suicide Risk and the DBT Team
8. Starting a DBT Team
Reproducible Handouts
References
Index
Jennifer H. R. Sayrs, PhD, ABPP, has served as a research
therapist on three of Marsha Linehan's dialectical behavior therapy
(DBT) clinical trials and as DBT adherence coder on several trials.
As a trainer for Behavioral Tech, she provides a wide range of DBT
workshops in the United States and around the world. She is
Director of the DBT Center at the Evidence Based Treatment Centers
of Seattle (EBTCS), where she provides DBT to adults, adolescents,
and families. The DBT Center was one of the first DBT teams in the
nation to be awarded Program Certification by the DBT–Linehan Board
of Certification. Dr. Sayrs is also a founding member and Executive
Director of EBTCS. She is a board member of the American Board of
Cognitive and Behavioral Psychology, a specialty board of the
American Board of Professional Psychology.
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. Before retiring in 2019, she devoted her
career to developing and evaluating evidence-based treatments for
populations with high suicide risk and multiple, severe mental
disorders. Dr. Linehan is the 2025 recipient of the Lifetime
Achievement Award from the American Foundation for Suicide
Prevention. Her contributions to suicide research and clinical
psychology research have also been recognized with the University
of Louisville Grawemeyer Award for Psychology, the Career/Lifetime
Achievement Award from the Association for Behavioral and Cognitive
Therapies, 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. Dr. Linehan was
featured in TIME Great Scientists: The Geniuses and Visionaries Who
Transformed Our World. She is founder of the Linehan
Institute and is a Zen master.
"In my experience, the team is the least focused-on and yet most
critical component of the delivery of DBT. Working with clients
with extremely challenging conditions can lead to burnout,
helplessness, despair, and resignation. It is the role of the team
to prevent that from happening--and teams need to adhere to the
protocols and principles of DBT in order to function effectively.
Sayrs and Linehan's book is clear, compassionate, methodical, and
comprehensive. It provides essential practices for all consultation
teams, whether newly formed or well established."--Blaise Aguirre,
MD, Medical Director, 3East Dialectical Behavior Therapy program,
McLean Hospital; Department of Psychiatry, Harvard Medical
School
"A fabulous book. The principles and strategies for implementing a
DBT team described in this volume are useful for all
psychotherapists. Teams help prevent and address burnout, reduce
drift, and promote learning, so that therapists can take their
skills to the highest level. The list of team agreements alone is
worth the price of the book! It includes items like: 'Be willing to
call out the "elephant in the room" when others do
not.'"--Jacqueline B. Persons, PhD, Director, Oakland Cognitive
Behavior Therapy Center
"It takes a village to really do DBT, yet creating that village is
far from easy. Nothing in graduate or medical school prepared most
of us to get emotionally vulnerable with peers, help colleagues
find their way when they’re therapeutically lost, or speak directly
about concerns that a particular patient is getting worse and not
better. This book distills decades of experimentation and thinking
about how to develop and sustain strong, vibrant DBT teams. Highly
accessible, it breaks down the 'whats' and 'how-tos' of
consultation teams into easy-to-follow steps and strategies. Each
chapter concludes with practical exercises. Innovations include
expanded team agreements and a thoughtful set of dialectical
dilemmas for team leaders, as well as numerous clever team
practices developed at the authors’ respective clinical
settings."--Linda A. Dimeff, PhD, Director, Portland DBT Institute;
Chief Scientific Officer and President, Evidence-Based Practice
Institute, Seattle, Washington
"A 'must have' for every DBT therapist and every DBT program. Sayrs
and Linehan spell out in specific detail how to add the key
treatment element that sets DBT apart from other therapies for
extremely vulnerable populations. Finally, the guidebook we have
been waiting for on how to set up effective teams and clarify the
roles of the participants, how to run teams in ways that truly make
a difference, and what to do when problems arise. It's all here,
including reproducible forms, examples of what to say (and what not
to say), and practice exercises. Your team will run better and you
will be a better team member if you read and apply what is in this
book."--Joan C. Russo, PhD, President, DBT–Linehan Board of
Certification
"This book shows how to accomplish the central task of the DBT
consultation team--providing 'therapy for the therapist.' It is a
comprehensive manual that is both deeply insightful and genuinely
practical. Sayrs and Linehan describe the tools with which a group
of DBT therapists create, structure, and conduct a consultation
team; define meeting agendas and stick to them; balance dedication
and rigor with vulnerability and flexibility; solve sticky and
stubborn intrateam problems; and help each other with the
ever-looming predicaments of suicide. The examples of problematic
team functioning, with solutions brought from the authors’ own
teams, are invaluable. This book is a brilliant synthesis, written
in a straightforward manner by the best minds in DBT and studded
with pearls of wisdom. It should be required reading for DBT
newcomers and advanced clinicians alike."--Charles R. Swenson, MD,
Department of Psychiatry, University of Massachusetts Medical
School
"Practical and radically genuine, like a private DBT seminar
tailored to the difficult and exhilarating work of DBT teams. I
appreciate the clear guidelines and refreshingly straightforward
advice and examples. Offering principles, not rules, this book is
endlessly adaptable to the many settings where DBT is delivered and
taught, and especially when exposure to traumatic content increases
the risks of vicarious trauma and burnout. I will be pulling this
book off the shelf often and will encourage all my colleagues and
the students rotating through our program to read and use
it."--Kathryn Kieran, MSN, Director of Nursing Operations, Hill
Center for Women, McLean Hospital, Belmont, Massachusetts -
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