Foreword, Charles R. Swenson
Introduction
1. Suicidal Behaviors in Adolescents: Who Is Most at Risk?
2. What Do We Know about Effective Treatments for Suicidal
Adolescents?
3. Dialectical Behavior Therapy: Treatment Stages, Primary Targets,
and Strategies
4. DBT Program Structure: Functions and Modes
5. Dialectical Dilemmas for Adolescents: Addressing Secondary
Targets
6. Assessing Adolescents: Suicide Risk, Diagnosis, and Treatment
Feasibility
7. Orienting Adolescents and Families to Treatment and Obtaining
Commitment
8. Individual Therapy with Adolescents
9. Including Families in Treatment
10. Skills Training with Adolescents
11. Assessing Progress, Running a Graduate Group, and Terminating
Treatment
12. Program Issues
Appendix A. Mindfulness Exercises for Adolescents
Appendix B. Walking the Middle Path Skills: Lecture and Discussion
Points
Appendix C. Handouts for Walking the Middle Path Skills
Alec L. Miller, PsyD, is Cofounder and Clinical Director of
Cognitive and Behavioral Consultants, White Plains and New York,
New York, and Clinical Professor of Psychiatry and Behavioral
Sciences at Montefiore Medical Center/Albert Einstein College of
Medicine, Bronx, New York. Dr. Miller served for over 20 years as
Professor of Clinical Psychiatry and Behavioral Sciences, Chief of
Child and Adolescent Psychology, Director of the Adolescent
Depression and Suicide Program, and Associate Director of
Psychology Training at Montefiore Medical Center. He is a
scientific advisor to the American Foundation of Suicide Prevention
and the National Educational Alliance of Borderline Personality
Disorder, a Fellow of the American Psychological Association, and
past Chair of the International Society for the Improvement and
Training of DBT. He has published numerous peer-reviewed journal
articles, book chapters, and books on topics including DBT,
adolescent suicide, childhood maltreatment, and borderline
personality disorder. He is the coauthor of DBT Skills in Schools,
DBT Skills Manual for Adolescents, and Dialectical Behavior Therapy
with Suicidal Adolescents. He has conducted over 400 lectures and
workshops around the world, training thousands of mental health
professionals in DBT.
Jill H. Rathus, PhD, is Professor of Psychology at Long Island
University Post, where she directs the DBT scientist-practitioner
training program within the clinical psychology doctoral program.
She is also Co-Director and Co-Founder of Cognitive Behavioral
Associates, a group private practice in Great Neck, New York,
specializing in DBT and cognitive-behavioral therapy (CBT). Her
clinical and research interests include DBT, CBT, adolescent
suicidality, intimate partner violence, anxiety disorders, and
assessment. Dr. Rathus has developed and conducted programs in DBT
for adolescents and adults as well as males referred for intimate
partner violence, and has received foundation and university
funding to study, adapt, and develop assessment tools for DBT. She
has published numerous peer-reviewed articles and chapters on DBT,
adolescent suicide, couple therapy, intimate partner violence,
personality disorders, assessment, and anxiety disorders. She is
the coauthor of books including DBT Skills in Schools, DBT Skills
Manual for Adolescents, and Dialectical Behavior Therapy with
Suicidal Adolescents.
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.
"An excellent, practical book on a very difficult-to-treat and
neglected population: teens with multiple and severe psychiatric
disorders, mood dysregulation, and recurrent suicidal and/or
self-harming behaviors. This book is recommended for students,
psychologists, social workers, psychiatric residents,
psychiatrists, and other professionals dealing with mental health
issues in teenagers. Also, this book is an outstanding resource for
researchers evaluating the efficacy of Dialectical Behavior Therapy
for teenagers."--Boris Birmaher MD, University of Pittsburgh
Medical Center
"This book offers the latest thinking on core elements of DBT while
illustrating important strategies specific to treating adolescents.
The authors' skill and expertise with this population shine, making
this an essential manual for DBT practitioners and administrators
working with adolescents."--André Ivanoff, PhD, Columbia University
School of Social Work
"An outstanding text for graduate courses focused on
cognitive-behavioral therapy and evidence-based approaches for
youth. I have utilized this book in my graduate course on
Adolescent Clinical Psychology and with advanced practicum students
providing therapy services to youth at risk for self-harm
behaviors. The book is well organized and provides a thorough
review of the theoretical foundations of DBT. The chapters on
skills training and the pragmatics of running groups are helpful
resources for all practitioners, especially in combination with the
appendices that provide detailed descriptions of the group
activities, discussion points, and handouts."--Mary Louise Cashel,
PhD, Associate Professor and Director of Clinical Training,
Department of Psychology, Southern Illinois University
Carbondale
"Outstanding. This book represents a major contribution to the
prevention of adolescent suicide. It is extensively detailed to
inform clinicians about the applications of this effective
psychosocial treatment for adolescents who present with specific
risk factors. Written by pioneering developers of DBT, this book is
essential reading for mental health professionals at every level of
experience and training."--Cynthia R. Pfeffer, MD, Department of
Psychiatry, Weill Medical College of Cornell University "This book
is extremely relevant for therapists working with adolescents who
engage in suicidal and other high-risk behaviors. In addition to
providing an efficacious and easily understood manualized approach
for this population, it offers many valuable tips for building a
strong therapeutic alliance with this challenging
population."--Lynn Ponton, MD, University of California, San
Francisco "Humane, practical, and erudite. The authors, through
their dialectical approach, provide a theoretical framework that
allows for an efficient, realistic, and parsimonious approach to
the core difficulties in multiple health-risk behaviors in youth.
Most important, they provide clear guidelines as to how therapists
should conduct themselves to be maximally effective with these
challenging adolescents, and how to cope with the emotional demands
of work with this population. What the reader will learn is that
DBT is more than a set of skills and techniques--it is a way of
understanding and conceptualizing human behavior. This book should
be read by every professional who works with multiproblem
teens."--David A. Brent, MD, Division of Child and Adolescent
Psychiatry and Services for Teens at Risk, University of Pittsburgh
School of Medicine -
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