by Alec L. Miller, Jill H. Rathus, and Marsha M. Linehan
Filling a tremendous need, this highly practical book adapts the proven techniques of Dialectical Behavior Therapy (DBT) to treatment of multi-problem adolescents at highest risk for suicidal behavior and self-injury.
Filling a tremendous need, this highly practical book adapts the proven techniques of Dialectical Behavior Therapy (DBT) to treatment of multi-problem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sampleialogues. Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for "Walking the Middle Path," a completely new DBT skills training module for adolescents and their families.
"Clinicians with and without expertise in dialectical behavior therapy (DBT) will find this book useful because it covers topics ranging from basic principles to details of session content, to treatment protocol modifications for this specialized population....The attention given to the role of families in this book is a feature that is not available in general DBT books....This book's greatest strength is the practical format in which information is presented. The chapters that outline treatment protocols provide detailed information about session process and content. Many practical figures, tables, and checklists are included. The addition of reproducible handouts and checklists that can actually be used in therapy is an added bonus. There is also an appendix of mindfulness exercises that most clinicians will find helpful....A comprehensive and practical book....This book will certainly help to facilitate future research because it provides the comprehensive structure necessary for those who will go on to conduct clinical trials."
-Journal of the American Academy of Child and Adolescent Psychiatry
"This is an exciting and very important book that fills a need in the behavioral literature....The book is clearly written, full of examples and may represent the most comprehensive explanation of dialectical behavior therapy yet written. This book would be a valued addition to any advanced graduate level psychology or social work course in behavior therapy targeting adolescence or where suicidality is part of the curriculum. This book will also be a valued addition to any psychiatry residency or fellowship aligned with an adolescent treatment program. Given the importance of this book, its potential contribution and the high level of need of this targeted population, the price is a bargain!"
-Child & Family Behavior Therapy
"This outstanding 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 dialectical behavior therapy (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, Department of Psychiatry, University of California, San Francisco
"An excellent, practical book on a very difficult-to-treat and neglected population....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 DBT for teenagers."
-Boris Birmaher, MD, Department of Psychiatry, University of Pittsburgh Medical Center
346 Pages, Size: 7" x 10"
Foreword, Charles R. Swenson
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
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