Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem 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 sample dialogues. 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.
PHOTOCOPY RIGHTS: The Publisher grants individual book purchasers nonassignable permission to reproduce selected materials in this book for professional use. For details and limitations, see copyright page.
KEY FEATURES: * Outstanding potential: shows how DBT, a proven nondrug therapy for suicidal adults, can be adapted to help adolescents. * From coauthor Marsha Linehan, bestselling author of Skills Training Manual for Treating Borderline Personality Disorder (ISBN 0-89862-034-1). * Suicide is the third leading cause of death among teens: treatments are needed and therapists are eager to use DBT with this population. * Highly practical: includes cases, handouts, sample dialogues, and clinical advice. * * Features a completely new DBT skills training module specifically for troubled teens and their families.
AUDIENCE: Mental health practitioners who treat multiproblem adolescents and their families, including clinical psychologists, psychiatrists, and clinical social workers.
COURSE USE: May serve as a text in graduate-level courses and clinical practica.
CONTENTS: 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, Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY; Jill H. Rathus, PhD, Department of Psychology, Long Island University-C.W. Post Campus, Brookville, NY; and Marsha M. Linehan, PhD, Department of Psychology, University of Washington, Seattle
CRITICAL ACCLAIM '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
Industry Reviews
'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, USA" '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, USA" '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, USA" 'A humane, practical, and erudite guide. 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/m-/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, USA"
