Dialectical Behavior Therapy with Suicidal Adolescents

by Miller, Alec L.; Rathus, Jill H.; Linehan, Marsha M.; Swenson, Charles R.

• ISBN13: 9781593853839
• ISBN10: 1593853831
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-11-16
• Publisher: The Guilford Press

Summary

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.

Author Biography

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, Director of Mental Health Services at P.S. 8 School-Based Health 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 Associate Professor of Psychology, Founder and Director of the Dialectical Behavior Therapy Program, and Director of the Specialty Concentration in Family Violence in the Clinical Psychology Doctoral Program at Long Island University/C.W. Post Campus. She has developed and conducted programs in DBT for adolescents and adults as well as males referred for intimate partner violence, and has studied, adapted, and developed assessment tools for DBT. Dr. Rathus has published widely on DBT, adolescent suicide, couple therapy, intimate partner violence, personality disorders, assessment, and anxiety disorders.
 
Marsha M. Linehan, PhD, is Professor of Psychology and Adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington, Seattle, and Director of the Behavioral Research and Therapy Clinics there. She is founder of the Marie Institute of Behavioral Technology and the company Behavioral Tech, LLC. The recipient of numerous awards for her distinguished clinical and research contributions, Dr. Linehan is the author of Cognitive-Behavioral Treatment for Borderline Personality Disorder and Skills Training Manual for Treating Borderline Personality Disorder, among other publications.

Table of Contents

Introduction	1	(6)
Suicidal Behaviors in Adolescents: Who Is Most at Risk?	7	(21)
What Do We Know about Effective Treatments for Suicidal Adolescents?	28	(10)
Dialectical Behavior Therapy: Treatment Stages, Primary Targets, and Strategies	38	(33)
DBT Program Structure: Functions and Modes	71	(25)
Dialectical Dilemmas for Adolescents: Addressing Secondary Treatment Targets	96	(21)
Assessing Adolescents: Suicide Risk, Diagnosis, and Treatment Feasibility	117	(13)
Orienting Adolescents and Families to Treatment and Obtaining Commitment	130	(21)
Individual Therapy with Adolescents	151	(36)
Including Families in Treatment	187	(23)
Skills Training with Adolescents	210	(35)
Assessing Progress, Running a Graduate Group, and Terminating Treatment	245	(20)
Program Issues	265	(10)
Appendix A Mindfulness Exercises for Adolescents	275	(10)
Appendix B Walking the Middle Path Skills: Lecture and Discussion Points	285	(18)
Appendix C Handouts for Walking the Middle Path Skills	303	(14)
References	317	(20)
Index	337