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Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings [Hardcover]

Linda A. Dimeff Phd , Kelly Koerner PhD , Marsha M. Linehan PhD ABPP
4.5 out of 5 stars  See all reviews (11 customer reviews)

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Book Description

August 14, 2007 1572309741 978-1572309746 1

First developed to treat suicidal individuals with borderline personality disorder, dialectical behavior therapy (DBT) has since been adapted to a range of settings and populations. This practical book--edited by close collaborators of DBT originator Marsha M. Linehan--presents applications for depression, substance dependence, eating disorders, psychosis, suicidal and assaultive behaviors, and other complex problems. Leading contributors, including Linehan herself, describe how to implement this evidence-based treatment with adults, adolescents, couples and families, and forensic clients. Issues in establishing and maintaining an effective DBT program are also addressed. Over a dozen reproducible worksheets and forms can be downloaded and printed in a convenient 8 1/2" x 11" size.

See also Doing Dialectical Behavior Therapy: A Practical Guide, by Kelly Koerner, which demonstrates DBT techniques in detail. 

Frequently Bought Together

Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings + Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) + Skills Training Manual for Treating Borderline Personality Disorder
Price for all three: $109.04

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Editorial Reviews


"Learning DBT changed my life. DBT concepts and skills take my clinical work to a completely new level. I urge clinicians who are eager to learn more about DBT, and how to adapt it to their clinical setting, to read this book. Contributors are leading DBT practitioners and researchers, and their work in this volume expands and extends this amazing therapy."--Jacqueline B. Persons, PhD, Director, San Francisco Bay Area Center for Cognitive Therapy

"This book is a great resource for anyone and everyone interested in using DBT. Written by accomplished clinician-researchers, it tackles situational pragmatics and the thorny issues of program fidelity. It is well organized, lucidly written, and easily digested. Students of cognitive-behavioral therapies will learn a great deal from this text, as will seasoned clinicians, including those thinking of starting a DBT program. Like DBT itself, the volume is thoughtful, provocative, and oriented toward real-world problem solving."--Robert L. Trestman, PhD, MD, Departments of Medicine and Psychiatry and Director, Center for Correctional Mental Health Services Research, University of Connecticut Health Center

"Dimeff and Koerner have assembled an excellent group of authors to translate DBT theory into real-word practice. Each chapter details the process for using DBT with specific populations and deals with the day-to-day issues confronting practitioners. This is an excellent text for graduate instructors who want to teach evidence-based practices to their students, as well as for clinicians who have longed for practical advice on how to start and maintain a successful DBT program. It is also an excellent guidebook for payors who need to understand what a DBT program should look like and how to assess its value."--George Smart, LICSW, Vice-President of Clinical Operations, Massachusetts Behavioral Health Partnership

"When I first heard Marsha Linehan speak on DBT, I felt that she had saved me 20 years of figuring things out on my own. This book leads the next wave, bringing the accumulated practical wisdom of several 'first adopters' of DBT who have successfully adapted this principle-based, flexible approach to unique settings and populations. Those wishing to develop services for patients with multiple problems can jump-start their fledgling programs and avoid common pitfalls, all the while staying true to the empirical base of the treatment."--Elizabeth B. Simpson, MD, Director, Dialectical Behavior Therapy Program, Massachusetts Mental Health Center

"DBT is one of the most important advances in clinical practice in the last two decades. What began as a specific intervention for borderline personality disorder is in the process of evolving into a major approach that can be applied to a wide range of patients across multiple settings. This book impressively demonstrates this evolution, providing a resource that will be of value to therapists and students alike. I highly recommend it."--Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University

"Each chapter is written by individuals who have extensive first-hand experience implementing and operating DBT successfully in the setting about which they are writing—and the experience shows."--Psychiatric Services
(Psychiatric Services 2007-08-16)

"I like this book. It meets its stated design and purpose....Its first chapter offers a clear overview of DBT. More important, its second chapter is a gold mine of practical information about whether to adopt the full (and quite extensive) DBT protocol and components, or whether to adapt elements of the philosophy or components to one's particular setting or client population. The costs and benefits are clearly laid out and often tabled....Each chapter is consistent in its format and sections, and the book is formatted in an attractive and very readable style....The coeditors have made careers of consulting and training very widely across different populations and settings. Their own practical experience shows through not only in their own chapters but also in those of the other authors in this edited volume....The final chapter on evaluating your DBT program is also written in such a simple, practical, and user-friendly way that it goes a long way toward encouraging even the most research-averse clinician or administrator to evaluate his or her work as a clinical scientist. This is a text to be used by clinicians, administrators, and students alike. It does what it advertises in its title. It clearly and practically offers guidelines for applying dialectical behavior therapy in clinical practice as it is applied across a range of disorders and settings. Well done!"--PsycCRITIQUES
(PsycCRITIQUES 2007-08-16)

"A pragmatic volume that discusses current advances in dialectical behavioral therapy and presents practical applications for a wide range of complex problems....An excellent resource for clinicians....It is an excellent introduction to the important advances in clinical practice."--Bulletin of the Menninger Clinic
(Bulletin of the Menninger Clinic 2010-10-17)

"The authors of this edited text make compelling arguments for the use of DBT across the many treatment settings. The text is easy to read and would be relevant to those practitioners unfamiliar with DBT as well as those who may already be quite conversant with the approach. Many of the chapters feature reproducible handouts for use with clients. Given the comprehensive nature of this text, it would be a useful addition to any counseling professional's library, and it is an absolute must for any practitioner interested in DBT or as a useful addition to an advanced counseling theories course....An invaluable reference for any practitioner who is interested in learning more about DBT."--The Family Journal
(The Family Journal 2007-08-16)

"Endorsed by Marsha Linehan, this timely and very useful book is aimed explicitly at current or aspiring DBT practitioners seeking to adopt or adapt the approach for working with various diagnostic groups in either hospital or community settings, including those working with people with substance use disorders. The editors, Linda Dimeff and Kelly Koerner, both experienced DBT consultants and practitioners, succeed in achieving their overarching goal of presenting a concise set of information about the applications of DBT that draws on the first-hand clinical experience of clinicians and programme directors to inform practitioners and highlight ways to avoid or, alternatively, to overcome creatively common pitfalls and problems....This book is highly recommended and is likely to find an appreciative audience among practitioners seeking to understand DBT and its clinical applications."--Drug and Alcohol Review
(Drug and Alcohol Review 2007-08-16)

"The well-organized nature of this book is immediately apparent....This is a well-written, practical book for clinicians seeking to expand their knowledge and use of DBT....This book will help to enrich the clinician's delivery of DBT with practical advice from authors with nearly two decades of experience....5 Stars!"--Doody's Review Service
(Doody's Review Service 2007-08-16)

About the Author

Linda A. Dimeff, PhD, is Chief Scientific Officer at Evidence-Based Practice Institute, Inc.; Institute Director at Portland DBT Institute; and Clinical Faculty in the Department of Psychology at the University of Washington. Since 1994, Dr. Dimeff has collaborated closely with Marsha M. Linehan to develop and evaluate an adaptation of DBT for substance-dependent individuals with borderline personality disorder; to produce DBT training materials for clinicians; and to train, consult, and supervise clinicians in their practice of DBT. She has worked with public and private sector systems throughout the world in their efforts to implement DBT. Dr. Dimeff is a recipient of the Cindy J. Sanderson Outstanding Educator Award from the International Society for the Improvement and Teaching of DBT.

Kelly Koerner, PhD, is a clinical psychologist and an expert clinician, clinical supervisor, and trainer in DBT. She is Creative Director of the Evidence-Based Practice Institute, which provides online communities and continuing education for practitioners who strive to combine science and compassion in their work. Dr. Koerner has served as Director of Training for Marsha Linehan’s research investigating the efficacy of DBT for suicidal and drug-abusing individuals with borderline personality disorder, Creative Director for Behavioral Tech Research, Inc., and cofounder and first CEO of Behavioral Tech, LLC, a company that provides training in DBT. She is on the clinical faculty in the Department of Psychology at the University of Washington and maintains a consulting and psychotherapy practice in Seattle.

Product Details

  • Hardcover: 363 pages
  • Publisher: The Guilford Press; 1 edition (August 14, 2007)
  • Language: English
  • ISBN-10: 1572309741
  • ISBN-13: 978-1572309746
  • Product Dimensions: 10.1 x 7.4 x 1.2 inches
  • Shipping Weight: 1.8 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (11 customer reviews)
  • Amazon Best Sellers Rank: #132,892 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews
31 of 33 people found the following review helpful
5.0 out of 5 stars Very helpful text! June 24, 2008
I am a clinician with 14 years of experience successfully applying Dialectical Behavior Therapy with many, many clients in a variety of settings. This long-awaited book is very welcome, as it is written by many of the leaders in DBT who have made thoughtful, adherent modifications to standard DBT so that it can be used with a variety of clients and in a variety of clinical settings. Each of the clinicians contributing to this text outlines the specifics of their adaptations, saving the rest of us the trouble of "reinventing the wheel." Thank you so much for compiling such a wealth of information from so many accomplished clinicians! Beverly Long, PsyD, Licensed Psychologist
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18 of 19 people found the following review helpful
5.0 out of 5 stars Just what I've been waiting for! June 25, 2008
Any clinician working in an inpatient, outpatient, residential, or ACT team who sees adults, adolescents or families and who is looking to consider implementing a research-proven treatment that works will find something helpful to guide them in this book. Having worked in DBT since the mid-1990's, I can see how this book would have helped me immensely to look at what to consider when starting or adapting a DBT program. Thanks for a useful guide full of insights from the experts in each of these areas. I knew Linda and Kelly were working on this book for a while and couldn't wait to see what all the experts they were able to bring together could contribute to a compilation like this. They have pulled together the best. Very useful.
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23 of 26 people found the following review helpful
5.0 out of 5 stars The One you should Read -First- May 13, 2009
If I had my druthers (which I rarely do, but let's say I did), I'd have the therapist on the doorstep of training for this "Cadillac" meta-therapy read Dimeff & Koerner -before- moving on to Linehan's -Cognitive-Behavioral Treatment of Borderline Personality Disorder-. That'll seem odd to the rigid linearist, of course, but here's my argument: Linehan's original text was published 16 years ago. A lot has happened since then. And a good deal of what has happened is right here in these 375 odd pages.

-DBT in CP- is not strictly a how-to, though it is that. It's a guide to the -application- of Linehan's empirically proven combination of psychodynamic, behavioral and cognitive therapies, every bit as much as it is a revelation of what has been accomplished with DBT since it hit the bricks in the early `90s.

(DBT is, after all, the "bomb" at the current moment, and unless or until the addition of data from the neuropsychological school either moves DBT "up" a few more notches or replaces it with something better - which is tough to believe, and I am -not- a certified DBT therapist, by the way -- -DBT in CP- is the state-of-the-art-as-it-is-(almost)-now.)

Okay; off my soapbox for DBT as what everyone -ought- to be doing out there in therapyland, and onto why you ought to plunk down your forty odd bucks:

Dimeff and Koerner have assembled a platoon of pretty experienced people and they have compelled them to write to a tight format just why, when, where, what and how (in pretty much that order) DBT is useful for group inpatient, incarceration, co-morbid substance abuse, eating disorder, family support, adolescent, older adult, and community mental health end usage.
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19 of 24 people found the following review helpful
5.0 out of 5 stars Manual's ARE boring but this theraphy WORKS! June 22, 2008
In response to the first (and only) review written, I write my own personal review. Manuals are manuals but this theraphy works and works well! I'm a patient and going through these skill classes now. I am telling you, I haven't felt this great in years!!! I've been suffering with PTSD and Depression for almost five years. This theraphy literally has saved my life and given me my life back. Don't kabash this book because it's a boring manual; read it and learn it if you're a worthy mental health professional because this stuff works! P.S. I'm glad my doctor read these manuals and workbooks ;)
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14 of 18 people found the following review helpful
2.0 out of 5 stars DBT in Clinical Practice March 31, 2009
I was disappointed in this book because it does not give practical application methods and focuses more on research based information.
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5 of 6 people found the following review helpful
5.0 out of 5 stars DBT--Adapt or Adopt? August 18, 2009
It's written by "the little Marshas" with the preface from Marsha Marsha, so there you go. No further word necessary. We had been doing a pilot at our agency using an adaptation, with very specific criteria for the client demographic, and we certainly did not refer to this group as DBT(!!!). There's a chapter on how to present your findings, there's a chapter on whether or not to use 'real DBT', there's a chapter to help you consider a substance abuse DBT, use with various other situations. It's just such a time saver. All the work done ahead of time, all the references, so you can get to the real stuff and dig in. Thank you, thank you, Drs. Dimeff & Koerner. I've read many of Dr. Dimeff's articles. I wish my agency would do the REAL DBT so I could attend your intensive trainings!
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