Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

This pragmatic workbook offers evidence-based skills grounded in dialectical behavior therapy (DBT) to help you find lasting relief from trauma and post-traumatic stress disorder (PTSD). If you’ve experienced trauma, you should know that there is nothing wrong with you. Trauma is a normal reaction to an abnormal event. Sometimes, the symptoms of trauma persist long after the traumatic situation has ceased. This is what we call PTSD—in other words, the “trauma after the trauma.” This happens when the aftereffects of trauma—such anxiety, depression, anger, fear, insomnia, and even addiction—end up causing more ongoing harm than the trauma itself. So, how can you start healing? With this powerful and proven-effective workbook, you’ll find practical exercises for overcoming trauma using mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. You’ll learn how to be present in the moment and identity the things that trigger your trauma. You’ll also find activities and exercises to help you cope with stress, manage intense emotions, navigate conflict with others, and change unhealthy thought patterns that keep you stuck. Finally, you’ll find practical materials for review and closure, so you can take what you’ve learned out into the world with you. If you’re ready to move past your trauma and start living your life again, this workbook will help guide you, one step at a time. The practical interventions in this guide can be used on their own or in conjunction with therapy.

"A history of trauma is the norm rather than the exception among individuals receiving dialectical behavior therapy. Given the pervasiveness of trauma among individuals receiving DBT, it is critical that DBT therapists have the ability to effectively treat PTSD. Indeed, many DBT clients will not be able to fully reach their life worth living goals until PTSD has been resolved. The treatment described in this book is designed to provide a structured method of integrating PTSD treatment into DBT for the many clients who need such treatment. The treatment combines an adapted version of prolonged exposure therapy for PTSD, called the DBT Prolonged Exposure protocol (DBT PE), with standard DBT"--

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Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy. While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those 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. Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book—along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)—provides everything you need to understand and implement this exciting new treatment in individual therapy—including theory, history, research, ongoing studies, clinical examples, and future directions.

Machine generated contents note: 1. The Basics of the Chain Analysis 2. Guidelines for Client Orientation and Collaboration for Chain Analyses 3. Getting to Know the Target Behavior: Assessing a Problem the First Time 4. Keeping the Client Engaged (and You Too!) 5. Incorporating Solutions into Chains 6. When a Behavior Isn't Changing 7. Chains on Thoughts, Urges, and Missing Behaviors 8. Chain Analyses in Consultation Teams, Skills Training, and Phone Coaching References Index.