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Dialectical Behavior Therapy with Suicidal Adolescents Hardcover – 11 Jan 2007

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'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

About the Author

Alec L. Miller, PsyD, is Associate Professor of Psychiatry and Behavioral Sciences, Chief of Child and Adolescent Psychology, Director of the Adolescent Depression and Suicide Program, and Associate Director of the Psychology Internship Training Program at Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York. Dr. Miller has published widely on topics including DBT, adolescent suicide, childhood maltreatment, and borderline personality disorder, and has trained thousands of mental health professionals in DBT. He is Associate Editor of Cognitive and Behavioral Practice.

Jill H. Rathus, PhD, is Professor of Psychology at Long Island University Post, where she directs the DBT scientist-practitioner training program within the clinical psychology doctoral program. She is also Co-Director and Co-Founder of Cognitive Behavioral Associates, a group private practice in Great Neck, New York, specializing in DBT and cognitive-behavioral therapy (CBT). Her clinical and research interests include DBT, CBT, adolescent suicidality, intimate partner violence, anxiety disorders, and assessment, and she publishes widely in these areas.

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the 2016 Career/Lifetime Achievement Award from the Association for Cognitive and Behavioral Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.

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Amazon.com: 4.6 out of 5 stars 15 reviews
23 of 23 people found the following review helpful
5.0 out of 5 stars Informative book 5 July 2009
By D.H. - Published on Amazon.com
Format: Hardcover Verified Purchase
This book is a great adjunct to anyone interested in DBT. Not that it should be used instead of Marsha's original, but this one could be considered more of a condensed and easier to read version. The book itself is very well written to the point that I felt compelled to keep reading. The therapy itself is very similar to the regular DBT protocol with the major difference being the inclusion of family. I think this book does a good job at explaining and showing how those small differences make a major impact into the therapy itself. Highly recommended.
9 of 9 people found the following review helpful
5.0 out of 5 stars Incredibly important book; effective therapy 27 Dec. 2011
By Amazon Customer - Published on Amazon.com
Format: Hardcover Verified Purchase
This book offers insight that is very important for parents raising a teen who struggles with depression and suicidal thoughts. It is based on very extensive experience treating adolescents. It is very well written and easy to understand. It offers insights that can help the entire family. I strongly recommend dialectical behavioral therapy; it saved our son.
3 of 3 people found the following review helpful
5.0 out of 5 stars Great guide book for the adolescent population! 8 Feb. 2014
By James R Davis - Published on Amazon.com
Format: Hardcover
In today's world, life can be very hard for an adolescent, especially one who is battling mental disorders. Suicide is something that has become somewhat of an epidemic in our modern society as more and more suffering individuals turn to it. There are ways to prevent this and to help those considering it. This book is one of those ways. It uses the basis of Dialectical Behavior Therapy to re-shape the adolescent's thoughts into something healthier for both them and everyone around them.

Dialectical Behavior Therapy (DBT) was originally created by Marsha Linehan to treat a mental disorder known as Borderline Personality Disorder, which she herself suffered from. DBT became such a success that it has been adapted for numerous other clinical populations. This version, written to help with suicidal adolescents, seeks to use these proven methods to save lives and change the thoughts and behaviors that lead to suicidal thoughts.

The dialectic part of DBT is about two seemingly conflicting philosophies. The first is that everything we feel is real and valid, and there's nothing wrong with it. The second is that sometimes, even though what we're feeling is valid, it is not healthy, and we therefore need to change it. This distinction can often be a difficult one, but DBT helps to illustrate it and why it's important.

DBT is made up of 4 main skill sets: mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. Each of these are a key aspect of the therapy and will contribute their own piece to changing the adolescent's negative thoughts and behaviors.

Mindfulness involves being aware of oneself and ones surroundings. This may sound insignificant, but it's very important when it comes to recovery because in order to let ourselves get better, we have to first understand ourselves and the battle we're fighting. The skills within the mindfulness section include things like observing, participating, non-judgmental stance, and lessons on the three mind states, including the ideal wise mind.

Emotion regulation is also an important part of anyone's recovery. Emotion regulation is exactly what it sounds like - learning to understand our emotions, what causes them, and how to manage them. Emotions are at least one cause of most suicidal thoughts, so learning to manage them in a healthy manner is necessary for the goal of reducing those thoughts. Skills within emotion regulation include things like identifying and interpreting emotions, reducing vulnerability to negative emotions, and letting go of painful emotions so that we don't drown in them.

The third skill set, distress tolerance, may be the most important one of the set. Distress tolerance teaches the skills of how to manage our feelings when we're really upset or things seem way too intense. This can be hard sometimes when everything seems like it's spinning out of control and we don't know what to do about it. This section includes skills that teach the adolescent how to do that, such as skills teaching how to self-soothe, improve the moment, or even accept the emotion when necessary. Distress tolerance can be the key to curbing suicidal actions in the short term until better coping skills can be learned.

The final skill set, interpersonal effectiveness, is not solely about the adolescent. This section teaches skills relating to the adolescent and his or her relationships with the people around them, from family to friends to teachers to co-workers. When dealing with mental illness or extreme emotions, having any kind of relationship with someone can be daunting and this section teaches invaluable methods to make those relationships easier and healthier. This section teaches skills such as developing an equal give and take in relationships, learning how to negotiate, and generally keeping the relationship healthy.

This book covers all of these basic skill sets as well as a couple more pieces that have been adapted specifically for use with suicidal adolescents. It does, of course, provide its own explanation of what the book is and what it's used for. It's also been adapted to include advice that is family-centered in order to help the adolescent not only recover from their suicidal thoughts but also get closer to their family, since family relationships are themselves important to recovery.

The book also boasts a simple format and a general use of use. While DBT was originally made for a clinician, this book makes it easy to understand so that anyone can use it, whether they have a doctorate or just want some help for themselves or their child. As someone who has personally gone through DBT and seen how effective it is, I would absolutely recommend Dialectical Behavior Therapy with Suicidal Adolescents for anyone who even thinks it might help. This book could absolutely save a life.
5.0 out of 5 stars This is a really great book. I am still reading it 12 Aug. 2014
By Esonija' Fulgham - Published on Amazon.com
Format: Hardcover Verified Purchase
This is a really great book. I am still reading it; however, the information that is provided for treatment w/my clients has been phenomenal. I am looking forward to implementing the strategies and collaborating w/my colleagues to do critical research to move this psychotherapy treatment forward.
5.0 out of 5 stars great book! 11 July 2013
By mgirl26 - Published on Amazon.com
Format: Hardcover Verified Purchase
This is a great book, it's quite thorough, clear, and provides nice handout sheets. I like the integration of the theoretical framework and development of skills in it. I will be using it to help guide me to do a DBT multi-family skills group
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