Radically open-dialectical behavior therapy (RO-DBT) is a
groundbreaking, transdiagnostic treatment model for clients with
difficult-to-treat overcontrol (OC) disorders, such as anorexia
nervosa, chronic depression, and obsessive-compulsive disorder
(OCD). Written by the founder of RO-DBT, Thomas Lynch, this is the
first and only session-by-session training manual to help you
implement this evidence-based therapy in your practice. As a
clinician, you're familiar with dialectical behavioral therapy
(DBT) and its success in treating clients with emotion
dysregulation disorders. But what about clients with overcontrol
disorders? OC has been linked to social isolation, aloof and
distant relationships, cognitive rigidity, risk aversion, a strong
need for structure, inhibited emotional expression, and
hyper-perfectionism. And yet-perhaps due to the high value our
society places on the capacity to delay gratification and inhibit
public displays of destructive emotions and impulses-problems
linked with OC have received little attention or been
misunderstood. Indeed, people with OC are often considered highly
successful by others, even as they suffer silently and alone.
RO-DBT is based on the premise that psychological well-being
involves the confluence of three factors: receptivity, flexibility,
and social-connectedness. RO-DBT addresses each of these important
factors, and is the first treatment in the world to prioritize
social-signaling as the primary mechanism of change based on a
transdiagnostic, neuroregulatory model linking the communicative
function of human emotions to the establishment of social
connectedness and well being. As such, RO-DBT is an invaluable
resource for treating an array of disorders that center around
overcontrol and a lack of social connectedness-such as anorexia
nervosa, chronic depression, postpartum depression, treatment
resistant anxiety disorders, autism spectrum disorders, as well as
personality disorders such as avoidant, dependent,
obsessive-compulsive, and paranoid personality disorder. In this
training manual, you'll find an outline of RO-DBT, including
history, research, and how it differs from traditional DBT. You'll
also find a session-by-session RO-DBT outpatient treatment
protocol, with sections that outline the weekly, one-hour
individual therapy sessions and weekly two-and-a-half hour skills
training classes that occur over a period of approximately thirty
weeks. This includes instructor guidelines and user-friendly
worksheets. The feasibility, acceptability, and efficacy of RO-DBT
is evidence-based and informed by over twenty years of
translational treatment development research. This important
manual-along with its companion book, Radically-Open Dialectical
Behavior Therapy (available separately), distills the essential
components of RO-DBT into a workable program you can start using
right away to improve treatment outcomes for clients suffering with
OC.
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