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Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) [Hardcover]

Kelly Koerner , Marsha M. Linehan
4.8 out of 5 stars  See all reviews (33 customer reviews)

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Book Description

December 2, 2011 1462502326 978-1462502325 1
Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for--and shown to be effective with--clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies.

See also Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings, edited by Linda A. Dimeff and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.

Frequently Bought Together

Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) + The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation & ... Tolerance (New Harbinger Self-Help Workbook) + Skills Training Manual for Treating Borderline Personality Disorder
Price for all three: $77.56

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Editorial Reviews

Review

"This superb book finds the true dialectic between sophisticated writing and a 'how-to' approach. It is a 'must' for the shelves of every DBT therapist and those interested in the approach. Koerner is to be commended for this major contribution to the field."--Perry D. Hoffman, PhD, President, National Education Alliance for Borderline Personality Disorder

"An incredibly useful book showing you how to work with difficult-to-treat clients. The presentation of DBT is crystal clear and highly practical, including systematic guidelines and concrete examples of actual interactions. I recommend this book to students and to new and advanced mental health practitioners, who will all encounter emotionally dysregulated clients."--Leslie S. Greenberg, PhD, Distinguished Research Professor, Department of Psychology, York University, Canada

"A beautifully written, engaging description of emotional dysregulation and its treatment through DBT. The book is richly illustrated with case material and extensive client-therapist dialogues that truly demonstrate DBT in action."--Andrew Christensen, PhD, Department of Psychology, University of California, Los Angeles

"Koerner, an expert DBT therapist, has written a hands-on, clinically rich work that provides guidelines for when and how to apply DBT strategies for complex cases. The material is accessible to both experienced clinicians and therapists in training. This book is an invaluable guide and a handy tool kit for working with patients with pervasive emotion dysregulation."--Stefan G. Hofmann, PhD, Department of Psychology, Boston University



"This practical book teaches how to apply DBT theory to clinical problems, providing concrete ideas regarding the therapeutic process. The numerous case vignettes are excellent and create the effect of having a mentor telling you how to proceed. When Marsha Linehan writes the foreword to a book on DBT, you know that it is a work that stays true to DBT theory and practice."--Doody's Reviews
(Doody's Reviews 2012-10-01)

"A must read for anyone wanting to master the techniques of individual therapy in dialectical behavior therapy (DBT). It is recommended for graduate classes in DBT, beginning and experienced therapists with or without prior knowledge of DBT, and those interested in clinical applications of emotions research....More than fulfills Kelly Koerner's promise in the preface of providing a user-friendly guide to conducting nuanced, competent individual therapy, using the theory and techniques of DBT. It is full of clear, straightforward information about how to initiate DBT, motivate clients, and use effective strategies to help emotionally and behaviorally dysregulated clients reduce their vulnerability and gain mastery in their lives. This book is equally strong in providing an overview of DBT and in explaining in detail the nitty-gritty steps of executing the treatment as it unfolds moment to moment. That Koerner is a DBT master therapist is evident throughout. Graduate students in the helping professions and beginning therapists will learn much about conducting DBT and how to move seamlessly from theory to execution. Experienced practitioners, both DBT therapists and those new to DBT, will benefit from the comprehensive overview, case formulations, and applications demonstrated in clinical vignettes. Clinicians from other theoretical orientations may find value in the discussions of boundaries, use of confrontation, and working with the therapeutic alliance. Therapists who are aware of only DBT skills training may be surprised at the expertise required to execute the individual therapy of DBT. The book is part of the well-respected Guides to Individualized Evidence-Based Treatment series, edited by Jacqueline Persons....Koerner does a truly impressive job...of presenting how the theory and spirit of DBT play out in practice. In eminently readable prose, she presents the nuts and bolts of therapeutic techniques clearly and succinctly. The book packs a tidal wave of information into a relatively brief volume....A major contribution to the 'how-to' therapy literature."--PsycCRITIQUES
(PsycCRITIQUES 2012-10-31)

About the Author

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.


Product Details

  • Series: Guides to Individualized Evidence-Based Treatment
  • Hardcover: 219 pages
  • Publisher: The Guilford Press; 1 edition (December 2, 2011)
  • Language: English
  • ISBN-10: 1462502326
  • ISBN-13: 978-1462502325
  • Product Dimensions: 8.9 x 6.3 x 0.9 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.8 out of 5 stars  See all reviews (33 customer reviews)
  • Amazon Best Sellers Rank: #8,681 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews
70 of 73 people found the following review helpful
5.0 out of 5 stars Hits the mark! Up there with the best! March 1, 2012
Format:Hardcover|Verified Purchase
Koerner has absolutely hit the mark! In my opinion, this book is right up there along with the best that have stood the test of time. I am a DBT therapist, trainer of DBT therapists and borderline personality disorder author and have never before written a review on Amazon, however could not hold back on my urge to share my excitement with colleagues. I expect that most clinicians, who practice DBT or integrate aspects of DBT into their practice, will cherish this book.

Koerner's humanity permeates the book in her deep respect and compassion for client and therapist alike and in her efforts to alleviate suffering by supporting clients and therapists towards their goals. The book compassionately validates the considerable challenges we face as therapists and is also hopeful and empowering of therapists by the rare gift of giving precise examples of what we can do at any one moment.

Koerner describes case conceptualization and treatment planning that underpins successful future micro-interventions; then describes the core principles of DBT practice (behavioral therapy, validation/acceptance, dialectics) and finishes with a chapter on team. In covering these topics, Koerner integrates realistic complex scripted therapy dialogue with clients to illustrate what she, a consummate expert DBT therapist, might be thinking and doing moment to moment that weaves in the core principles.

Every surfer searches for the perfect wave and every skier searches for the perfect snow conditions; and every decade or so the perfect wave or snow conditions exist in a brief moment of perfection and joy. Koerner has created, for me, the perfect 20 page chapter that I believe will bring joy to many therapists for a long time.
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26 of 27 people found the following review helpful
5.0 out of 5 stars Get this book! February 13, 2012
By Mbb
Format:Hardcover|Verified Purchase
This is a great DBT book - it describes all the necessary DBT components and theoretical framework, and it does it in a very easy to read, engaging manner. Think of it as a practice-oriented, condensed version of Marsha's book, with examples. These great examples made many of the difficult DBT concepts very clear to me. Now, this is my favorite DBT book, and it is always near me, in case I need to brush up on my skills as a DBT therapist.
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21 of 22 people found the following review helpful
5.0 out of 5 stars Brilliant book on implementing DBT individual therapy January 10, 2012
Format:Hardcover
Dr. Koerner has taken very complex topics and has made them quite understandable, using case examples and metaphors to clarify each concept. She has done a fabulous job of bringing these concepts to life, in a very readable style that captures and keeps the reader's interest. This is a book that will be invaluable for all students of DBT - from those of us with much experience in DBT to the students we teach about DBT. Well done, Kelly! Thank you!
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12 of 12 people found the following review helpful
5.0 out of 5 stars Implementing DBT April 10, 2012
Format:Hardcover|Verified Purchase
I am a therapist working with highly disordered adolescents & their families and over the past several years I have been focused on bringing DBT into my practice. I ordered this book a couple of weeks ago and since it arrived, I have been highlighting, writing in the margins, and busily flagging sections (there are A LOT of flags). I love how this book sets out clear steps for assessing, conceptualizing and treating clients within a DBT framework and concretizes complex interventions. This book--with its clear overview of DBT treatment and lovely tables--is what I've been looking for to help me more fully integrate the theory & practice of DBT in my work. In my opinion, it is a must-have for every clinician learning DBT.
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11 of 11 people found the following review helpful
Format:Kindle Edition|Verified Purchase
I have not finished reading this book, so this is tentative, but I am not likely to change what I will write here.

I have read other books about DBT, and other books about treatment of borderline personality disorder. The reason for my interest (and it requires a lot of interest to read through these technical books as I am not a trained psychotherapist) is that I have a friend eho was 15 when I met her, who suffers from BPD. Really suffers! And she is an orphan, often homeless, and suffers from multiple diagnoses. I was the first to recognize she suffers from BPD after about six months, and it has taken social service agencies almost seven years to realize this is one of her problems. So almost seven years have been wasted with pharmacotherapy that is ineffective, and sort-term palliative therapy that is also pretty much ineffective. Hence my interest in helping her, even without professional qualifications.

For example, I have read Marsha Linehan's book, Cognitive Behavioral Treatment of Borderline Personality Disorder. I consider it a bible for this kind of thing. Also her Skills Training book. I have not been able to do much with skills training, because I would need more training myself to actually do it. I have also watched a lot of the DVDs and listened to some of the CDs offered by Behavioral Tech. All these have been very helpful to me and, I hope, to my friend.

I have also read John Gunderson's Borderline Personality Disorder -- A Clinical guide, first edition and am part way through the second edition. This book studies DBT and several other ways of treating BPD. It has a broader perspective than Marsha Linehan's book, but less depth. It helps fill in the gaps for me.
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Most Recent Customer Reviews
5.0 out of 5 stars Good if you already have a good foundation of DBT
I find DBT is effective in all walks of life. This was a great book that really shows how in depth DBT can be for both provider and patient.
Published 29 days ago by Cindy
5.0 out of 5 stars Awesome Book
Really explained DBT in an easy to read way. The vignettes also helped alot with understanding the many components of DBT.
Published 1 month ago by Amanda Tousson
5.0 out of 5 stars This book has the makings of a classic. Demystifies ...
This book has the makings of a classic. Demystifies the process of navigating the tenets of DBT in an individual setting while remaining true to the complex art of choosing an... Read more
Published 2 months ago by Settlesome
5.0 out of 5 stars Emotional intelligence building and iQ boosting (if skills are learned...
As a two year client of the DBT program in Seattle (dialectical behavior therapy) I highly recommend this book to anyone who wants to improve their emotional wellbeing,... Read more
Published 3 months ago by Terra Amador
4.0 out of 5 stars Clear and understandable
A helpful summary, especially good for some new to the concepts. More clearly understandable and relabel than many of the authors, including the more famous ones.
Published 4 months ago by elaine
5.0 out of 5 stars GREAT clear guide
This is the best book I've read by far on doing DBT. Koerner is compassionate, clear, focused and excellent at walking you through the process.
Published 6 months ago by Bubby613
5.0 out of 5 stars Excellent.
This book is excellent for a clinician like myself. Very clear, comprehensive and helpful. As a private practitioner I cannot do DBT as described in this book.. Read more
Published 7 months ago by Sarah Edwards
4.0 out of 5 stars A good start for DBT
This was my first book to read concerning DBT. I have found it helpful and easy to read. I recommend it for students and clinicians.
Published 8 months ago by Steven Andrus
5.0 out of 5 stars It's like the American translation to Marsha's brilliant book!
Very well written. I am having the pleasure of working with a DBT master and this book puts the therapy is simpler language and examples. Read more
Published 8 months ago by Yoga lady
4.0 out of 5 stars Excellent
It's reLly a book for the practitioner but I like having all the worksheets together and bound for my DBT work. DBT is an invaluable tool. Thank you Marsha Linehan.
Published 9 months ago by A. Gerber
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