Dialectical behavior therapy (DBT) is expressly designed for - and shown to be effective with - clients with serious, multiple problems. Filled with vivid clinical illustrations, this volume provides an accessible introduction to DBT and demonstrates the nuts and bolts of implementation. Kelly Koerner is an experienced DBT clinician and trainer and longtime collaborator of the therapy's originator, Marsha M. Linehan. In straight-talking language, Koerner shows therapists of any orientation how to integrate the concepts and techniques of DBT into their work with emotionally dysregulated clients.
The book presents a roadmap for understanding and treating self-destructive behavior, including suicidality, and helping clients develop the crucial capacity to regulate their emotions. Koerner explains the DBT approach to case formulation, offering guidance for prioritizing therapeutic goals and creating an individualized treatment plan. Extensive sample dialogues reveal what the core strategies of DBT -- behavior change, validation, and dialectical strategies -- look like in action. Concrete suggestions are provided for dealing with common challenges, such as how to offer validation and acceptance in the midst of emotional dysregulation. Focusing on the moment-to-moment process of therapy, Koerner identifies specific things the therapist can say and do to keep the relationship strong while moving urgently for change. The book also discusses the critical importance of DBT peer consultation teams for therapists doing this demanding work.
Clear and practical, this is an essential guide for clinical psychologists, social workers, counselors, and psychiatrists, both experienced DBT therapists and those seeking new ideas for addressing tough-to-treat problems.
Table of Contents
Foreword, Marsha M. Linehan
1. Tools for Tough Circumstances
2. Navigating to a Case Formulation and Treatment Plan
3. Change Strategies
4. Validation Principles and Strategies
5. Dialectical Stance and Strategies: Balancing Acceptance and Change
6. Assess, Motivate, and Move: Getting the Most from Each Interaction
7. The Individual Therapist and the Consultation Team
Kelly Koerner, PhD, is Founder and Creative Director of the Evidence-Based Practice Institute, where she explores how technology can be used for learning and collaboration to help practitioners get better clinical outcomes. She is an expert clinician, clinical supervisor, and trainer in DBT, with specialized training in many other evidence-based treatments. She has served as Director of Training for Marsha M. Linehan’s research investigating the efficacy of DBT for suicidal and drug-abusing individuals with borderline personality disorder; Creative Director at Behavioral Tech Research, where she developed e-learning and other technology-based methods to disseminate evidence-based practices; and Co-Founder and first CEO of Behavioral Tech, a company that provides training in DBT. Dr. Koerner is a Clinical Faculty member at the University of Washington and maintains a small clinical consulting practice in Seattle.