This influential work has now been substantially revised with over 60% new material reflecting over a dozen years of research and clinical advances. Leading experts describe innovative ways to use dialectical behavior therapy (DBT) in a wide range of real-world clinical and community settings. The volume provides wise guidance on setting up, running, and evaluating a comprehensive DBT program. It also presents adaptations designed to meet the needs of particular client populations as time- and cost-effectively as possible. Vivid case examples illustrate diverse applications of DBT for helping adults, adolescents, and children reduce suicidal and self-harming behavior; overcome complex, multiple challenges; and build a life worth living. New to This Edition *Presents current best practices for making DBT more efficient and accessible while maximizing program fidelity. *Chapters on additional populations, including persons with posttraumatic stress disorder and preadolescent children. *Chapters on additional settings, including milieu-based programs, university counseling centers, and middle and high schools. *Chapters on pharmacotherapy, promoting employment and self-sufficiency, training and supervision, and DBT beyond Stage 1. See also Doing Dialectical Behavior Therapy: A Practical Guide, by Kelly Koerner, which demonstrates DBT techniques in detail.

Filled with detailed clinical examples, this book expertly breaks down the process of behavioral chain analysis/m-/the critical foundation for assessment and problem solving in dialectical behavior therapy (DBT). Experienced DBT clinician and trainer Shireen L. Rizvi provides knowledge and skills for conducting chains effectively and overcoming obstacles. She presents guiding principles, questions to ask, strategies for engaging clients and addressing difficult-to-assess problems, and ways to avoid common mistakes. The book describes how to incorporate other essential DBT strategies (such as validation) into chain analysis, as well as how to conduct chains in the context of individual therapy, group skills training, phone coaching, and the consultation team.