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The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, ... (A New Harbinger Self-Help Workbook) Paperback – Illustrated, October 1, 2019
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A clear and effective approach to learning evidence-based DBT skills—now in a fully revised and updated second edition.
Do you have trouble managing your emotions? First developed by Marsha M. Linehan for treating borderline personality disorder, dialectical behavior therapy (DBT) has proven effective as treatment for a range of other mental health problems, and can greatly improve your ability to handle distress without losing control and acting destructively. However, to make use of these techniques, you need to build skills in four key areas: distress tolerance, mindfulness, emotion regulation, and interpersonal effectiveness.
The Dialectical Behavior Therapy Skills Workbook, a collaborative effort from three esteemed authors, offers evidence-based, step-by-step exercises for learning these concepts and putting them to work for real and lasting change. Start by working on the introductory exercises and, after making progress, move on to the advanced-skills chapters. Whether you’re a mental health professional or a general reader, you'll benefit from this clear and practical guide to better managing your emotions.
This fully revised and updated second edition also includes new chapters on cognitive rehearsal, distress tolerance, and self-compassion. Once you’ve completed the exercises in this book and are ready to move on to the next level, check out the authors’ new book, The New Happiness Workbook.
- Print length296 pages
- LanguageEnglish
- PublisherNew Harbinger Publications
- Publication dateOctober 1, 2019
- Dimensions8 x 0.65 x 10 inches
- ISBN-101684034582
- ISBN-13978-1684034581
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From the Publisher




Editorial Reviews
Review
—Kirby Reutter, PhD, bilingual clinical psychologist with the Department of Homeland Security, and author of The Dialectical Behavior Therapy Skills Workbook for PTSD
“For people who struggle with intense, painful emotions, this workbook is a great resource. It teaches the skills of DBT, including the newest skills, and provides examples and exercises to strengthen learning. Those who apply themselves to the program outlined in this book will acquire the skills necessary to experience strong emotions without resorting to behavior patterns that harm relationships and decrease quality of life. DBT skills, used daily as directed, change lives for the better!”
—Cedar R. Koons, LCSW, is an LBC-DBT-certified DBT therapist, a mindfulness retreat leader, an international DBT consultant, and author of The Mindfulness Solution for Intense Emotions
“The authors have produced yet another example of accessible and clear instructions for those coping with overwhelming emotions like guilt, anger, shame, and anxiety. The acronyms used are simple and easy to remember. The many examples and exercises in the book assist the reader to do the work that DBT demands. While staying true to the DBT model, the authors go beyond Linehan to synthesize adaptations of research and clinical instruments useful for both home and clinic. I was particularly impressed with their inclusion of exposure-based cognitive rehearsal, so the user deals with intense emotions in the moment.”
—Thomas Marra, PhD, author of Depressed and Anxious, Dialectical Behavior Therapy in Private Practice, and the forthcoming The Path of Wisdom on Emotion Regulation
“Knowing how to effectively regulate emotions is not something we are born with. This updated manual provides a road map and step-by-step instructions for enhancing emotional well-being. It is easy to read and easy to use—with new techniques focusing on increasing compassion towards the self and others, and novel strategies for dealing with intense emotions. Highly recommended for anyone struggling with regulating emotions or interested in improving their emotional intelligence.”
—Thomas R. Lynch, PhD, FBPsS, emeritus professor in the school of psychology at University of Southampton, United Kingdom; and author of Radically Open Dialectical Behavior Therapy and The Skills Training Manual for Radically Open Dialectical Behavior Therapy
“The Dialectical Behavior Therapy Skills Workbook update, by McKay, Wood, and Brantley, is remarkable in the attention it gives to explaining DBT skills, and in providing directions about how to practice and use the skills that are easy to follow. They have connected the skills in a way that makes sense, and that makes them understandable and eminently useful. This workbook, with its examples and exercises, provides many opportunities for anyone who has intense emotions to practice skills that will enhance their ability to manage their lives more effectively. I highly recommend it to anyone who has intense emotions, to clinicians, and to family members.”
—Pat Harvey, LCSW-C, DBT parent coach, trainer, and consultant; and coauthor of Parenting a Child Who Has Intense Emotions, Dialectical Behavior Therapy for At-Risk Adolescents, and Parenting a Teen Who Has Intense Emotions
“Building on their original best seller, McKay, Wood, and Brantley have incorporated recent research and new developments in DBT into the second edition of The Dialectical Behavior Therapy Skills Workbook. The result is a comprehensive, user-friendly guide to DBT skills, chock-full of exercises that will help clients learn the skills that will help in their struggle with overwhelming emotions, and that will also make DBT more accessible to clinicians.”
—Sheri Van Dijk, MSW, psychotherapist, international speaker, and author of several DBT books, including Don’t Let Your Emotions Run Your Life for Teens
“This book has taken DBT skills, and provided a comprehensive framework to guide a client from first introduction to DBT through the development of a deeper proficiency in skill use. The additional focus on self-compassion and exposure-based cognitive rehearsal is vital to bridging the gap between learning new behaviors and using them when they truly matter—during times of emotional arousal and when it’s a struggle to cope. I would highly recommend this book to clinicians and readers who want to build a rich array of strategies to survive painful emotions and live fully in everyday life.”
—Christy Matta, MA, health manager at Stanford’s Health Improvement Program, and author of The Stress Response
“McKay and colleagues have revolutionized DBT by replacing traditional skills training with this quintessential compendium of state-of-the-art strategies for effective coping and valued living. The authors have brilliantly distilled decades of research into refreshingly clear constructs that help individuals understand and overcome suffering, and improve their cognitive, behavioral, and socio-emotional functioning. Relatable examples and user-friendly worksheets facilitate readers’ learning and their ability to utilize skills across a broad range of everyday problems. Whether you are a consumer seeking expert help, or a clinician wanting to improve your ability to better serve clients, this is a must-have resource for any library.”
—Rochelle I. Frank, PhD, assistant clinical professor in the department of psychology at the University of California, Berkeley; adjunct professor at The Wright Institute; and coauthor of The Transdiagnostic Road Map to Case Formulation and Treatment Planning
“The Dialectical Behavior Therapy Skills Workbook, Second Edition by McKay, Wood, and Brantley is a welcome resource for DBT therapists, clients, and anyone looking to enhance their use of effective psychological skills. The authors devote ample and necessary time to developing awareness skills with mindfulness practice, and include useful mediation scripts as well as clear guidelines for their use. The workbook is clearly written, and includes new distress tolerance and interpersonal effectiveness skills, multiple worksheets, and an excellent description of the importance of implementing exposure with step-by-step instructions for using this powerful tool effectively. The workbook is a ‘must-have’ and will improve the quality of life of anyone who implements its suggestions.”
—Britt Rathbone, MSSW, LCSW-C, coauthor of Dialectical Behavior Therapy for At-Risk Adolescents, What Works with Teens, and Parenting a Teen Who Has Intense Emotions
“The individual struggling with overwhelming emotions, as wells as DBT therapists, will benefit significantly from this workbook. McKay, Wood, and Brantley have expanded and translated DBT skills, making Linehan’s iconic work on emotional skill building even more accessible and easy to apply to everyday life.”
—Kate Northcott, MA, MFT, DBT therapist in private practice with Mindfulness Therapy Associates; and director of New Perspectives Center for Counseling, a nonprofit counseling center in San Francisco, CA
Review
—Kirby Reutter, PhD, bilingual clinical psychologist with the Department of Homeland Security, and author of The Dialectical Behavior Therapy Skills Workbook for PTSD
“For people who struggle with intense, painful emotions, this workbook is a great resource. It teaches the skills of DBT, including the newest skills, and provides examples and exercises to strengthen learning. Those who apply themselves to the program outlined in this book will acquire the skills necessary to experience strong emotions without resorting to behavior patterns that harm relationships and decrease quality of life. DBT skills, used daily as directed, change lives for the better!”
—Cedar R. Koons, LCSW, is an LBC-DBT-certified DBT therapist, a mindfulness retreat leader, an international DBT consultant, and author of The Mindfulness Solution for Intense Emotions
“The authors have produced yet another example of accessible and clear instructions for those coping with overwhelming emotions like guilt, anger, shame, and anxiety. The acronyms used are simple and easy to remember. The many examples and exercises in the book assist the reader to do the work that DBT demands. While staying true to the DBT model, the authors go beyond Linehan to synthesize adaptations of research and clinical instruments useful for both home and clinic. I was particularly impressed with their inclusion of exposure-based cognitive rehearsal, so the user deals with intense emotions in the moment.”
—Thomas Marra, PhD, author of Depressed and Anxious, Dialectical Behavior Therapy in Private Practice, and the forthcoming The Path of Wisdom on Emotion Regulation
“Knowing how to effectively regulate emotions is not something we are born with. This updated manual provides a road map and step-by-step instructions for enhancing emotional well-being. It is easy to read and easy to use—with new techniques focusing on increasing compassion towards the self and others, and novel strategies for dealing with intense emotions. Highly recommended for anyone struggling with regulating emotions or interested in improving their emotional intelligence.”
—Thomas R. Lynch, PhD, FBPsS, emeritus professor in the school of psychology at University of Southampton, United Kingdom; and author of Radically Open Dialectical Behavior Therapy and The Skills Training Manual for Radically Open Dialectical Behavior Therapy
“The Dialectical Behavior Therapy Skills Workbook update, by McKay, Wood, and Brantley, is remarkable in the attention it gives to explaining DBT skills, and in providing directions about how to practice and use the skills that are easy to follow. They have connected the skills in a way that makes sense, and that makes them understandable and eminently useful. This workbook, with its examples and exercises, provides many opportunities for anyone who has intense emotions to practice skills that will enhance their ability to manage their lives more effectively. I highly recommend it to anyone who has intense emotions, to clinicians, and to family members.”
—Pat Harvey, LCSW-C, DBT parent coach, trainer, and consultant; and coauthor of Parenting a Child Who Has Intense Emotions, Dialectical Behavior Therapy for At-Risk Adolescents, and Parenting a Teen Who Has Intense Emotions
“Building on their original best seller, McKay, Wood, and Brantley have incorporated recent research and new developments in DBT into the second edition of The Dialectical Behavior Therapy Skills Workbook. The result is a comprehensive, user-friendly guide to DBT skills, chock-full of exercises that will help clients learn the skills that will help in their struggle with overwhelming emotions, and that will also make DBT more accessible to clinicians.”
—Sheri Van Dijk, MSW, psychotherapist, international speaker, and author of several DBT books, including Don’t Let Your Emotions Run Your Life for Teens
“This book has taken DBT skills, and provided a comprehensive framework to guide a client from first introduction to DBT through the development of a deeper proficiency in skill use. The additional focus on self-compassion and exposure-based cognitive rehearsal is vital to bridging the gap between learning new behaviors and using them when they truly matter—during times of emotional arousal and when it’s a struggle to cope. I would highly recommend this book to clinicians and readers who want to build a rich array of strategies to survive painful emotions and live fully in everyday life.”
—Christy Matta, MA, health manager at Stanford’s Health Improvement Program, and author of The Stress Response
“McKay and colleagues have revolutionized DBT by replacing traditional skills training with this quintessential compendium of state-of-the-art strategies for effective coping and valued living. The authors have brilliantly distilled decades of research into refreshingly clear constructs that help individuals understand and overcome suffering, and improve their cognitive, behavioral, and socio-emotional functioning. Relatable examples and user-friendly worksheets facilitate readers’ learning and their ability to utilize skills across a broad range of everyday problems. Whether you are a consumer seeking expert help, or a clinician wanting to improve your ability to better serve clients, this is a must-have resource for any library.”
—Rochelle I. Frank, PhD, assistant clinical professor in the department of psychology at the University of California, Berkeley; adjunct professor at The Wright Institute; and coauthor of The Transdiagnostic Road Map to Case Formulation and Treatment Planning
“The Dialectical Behavior Therapy Skills Workbook, Second Edition by McKay, Wood, and Brantley is a welcome resource for DBT therapists, clients, and anyone looking to enhance their use of effective psychological skills. The authors devote ample and necessary time to developing awareness skills with mindfulness practice, and include useful mediation scripts as well as clear guidelines for their use. The workbook is clearly written, and includes new distress tolerance and interpersonal effectiveness skills, multiple worksheets, and an excellent description of the importance of implementing exposure with step-by-step instructions for using this powerful tool effectively. The workbook is a ‘must-have’ and will improve the quality of life of anyone who implements its suggestions.”
—Britt Rathbone, MSSW, LCSW-C, coauthor of Dialectical Behavior Therapy for At-Risk Adolescents, What Works with Teens, and Parenting a Teen Who Has Intense Emotions
“The individual struggling with overwhelming emotions, as wells as DBT therapists, will benefit significantly from this workbook. McKay, Wood, and Brantley have expanded and translated DBT skills, making Linehan’s iconic work on emotional skill building even more accessible and easy to apply to everyday life.”
—Kate Northcott, MA, MFT, DBT therapist in private practice with Mindfulness Therapy Associates; and director of New Perspectives Center for Counseling, a nonprofit counseling center in San Francisco, CA
About the Author
Matthew McKay, PhD, is a professor at the Wright Institute in Berkeley, CA. He has authored and coauthored numerous books, including The Dialectical Behavior Therapy Skills Workbook, The Relaxation and Stress Reduction Workbook, Self-Esteem, Thoughts and Feelings, When Anger Hurts, and ACT on Life Not on Anger. McKay received his PhD in clinical psychology from the California School of Professional Psychology, and specializes in the cognitive behavioral treatment of anxiety and depression.
Jeffrey C. Wood, PsyD, lives and works in Las Vegas, NV. He specializes in brief therapy treatments for depression, anxiety, and trauma. He also provides coaching for spiritual development, communication skills development, and life-skills coaching. He is coauthor of The New Happiness, The Dialectical Behavior Therapy Skills Workbook, The Dialectical Behavior Therapy Diary, The Cognitive Behavioral Therapy Workbook for Personality Disorders, and Getting Help.
Jeffrey Brantley, MD, is a consulting associate in the Duke department of psychiatry, and founder and director of the Mindfulness Based Stress Reduction (MBSR) Program at Duke University’s Center for Integrative Medicine. He has represented the Duke MBSR program in numerous radio, television, and print interviews. He is author of Calming Your Anxious Mind, and coauthor of Five Good Minutes.
Product details
- Publisher : New Harbinger Publications; Second edition (October 1, 2019)
- Language : English
- Paperback : 296 pages
- ISBN-10 : 1684034582
- ISBN-13 : 978-1684034581
- Item Weight : 1.35 pounds
- Dimensions : 8 x 0.65 x 10 inches
- Best Sellers Rank: #720 in Books (See Top 100 in Books)
- #1 in Personality Disorders (Books)
- #1 in Mood Disorders (Books)
- #2 in Anxiety
- Customer Reviews:
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About the author

Matthew McKay, PhD, is a professor at the Wright Institute in Berkeley, CA. He has authored and coauthored numerous books, including The Relaxation and Stress Reduction Workbook, Self-Esteem, Thoughts and Feelings, When Anger Hurts, and ACT on Life Not on Anger. His books combined have sold more than 2.5 million copies. McKay received his PhD in clinical psychology from the California School of Professional Psychology. In private practice, he specializes in the cognitive behavioral treatment of anxiety and depression.
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Learn more how customers reviews work on AmazonCustomers say
Customers find the workbook to be a great tool for psychological health, helping them change their lives and learn coping skills. The book is easy to understand and apply as daily practice, with one customer noting it breaks up reading with helpful exercises. They consider it worth the money. The depth of the content receives mixed reviews.
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Customers find the workbook to be a great tool for psychological health and self-help, helping them change their lives through learning coping skills.
"...and exercises I did within these pages made a HUGE difference with my emotional regulation...." Read more
"...It was written by obviously very educated and experienced professionals who lay everything out in a non-judgmental and productive way that is..." Read more
"...of the human brain, along with these diverse tip options, help with mood regulation, which is so helpful with any mood disorder, including..." Read more
"...-soothing techniques and using our senses to become present and soothe our minds, so this suggestion is actually helpful..." Read more
Customers find the workbook easy to understand and read, with clear directions and practical worksheets that can be applied as daily practice.
"...It was written by obviously very educated and experienced professionals who lay everything out in a non-judgmental and productive way that is..." Read more
"...The language is easy to understand and the examples/worksheets are good think-throughs...." Read more
"...This should be a first-line resource to use when you're not in a counseling session. IMHO, it's more helpful than some of the counseling available." Read more
"...look to a workbook for help with something like this and I find this so easy and interesting...." Read more
Customers appreciate the workbook's activity level, with one mentioning it breaks up the reading with helpful exercises, while another notes it's great for in-between sessions and helps develop techniques for calming in different situations.
"...This book has really helped me come up with techniques to calm myself in different situations (at work or alone) and recognize when my body is..." Read more
"...Could be utilized with your therapist or great for in between sessions" Read more
"...I started practicing the suggestions in this book and honestly, I feel calmer and like, "hey, I can take my time to think about what I am about to..." Read more
"...Perfect for taking a few moments out of your day and doing. Highly recommend!" Read more
Customers find the workbook worth the money.
"I got this book first because it’s more affordable...." Read more
"Got both the book and cards for a good price. Interactive therapy." Read more
"...Be warned, there are a lot of word walls, but they're definitely worth reading, and they don't ever go on for too long, and usually lead into an..." Read more
"...This was really cheap for a new one and I can't afford $80. To $100 for hers." Read more
Customers have mixed opinions about the depth of the workbook, with some finding it thorough while others feel it lacks substance.
"...But the original is much more in depth and thorough and I ended up getting the original because it’s what the DBT practice that I go to follows...." Read more
"TL;DR this book has concepts you can use that may help you, but he lacks the depth, expression, and empathy to effectively make his argument...." Read more
"...Detailed, relatable, rich. Highly recommend." Read more
"It's pretty thick. There's a lot of reading but also some good activities...." Read more
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Top reviews from the United States
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- Reviewed in the United States on March 12, 2025I have Borderline Personality Disorder, and this book has completely changed how I deal with my emotions. I bought it back in 2021, it's currently 2025 and the lessons I learned and exercises I did within these pages made a HUGE difference with my emotional regulation. I'm still in awe as to what an impact it made on how I interact with the world around me now, instead of jumping off the handle at every turn, I'm able to R.E.S.T. when things get frenzied, and accept things (not condone, just accept) that I struggled with before.
- Reviewed in the United States on July 15, 2023Okay, she didn’t make me buy it but she sent me a link for it one day and I purchased it on the spot. I’ve been in therapy for like 6 years and BPD & CPTSD still make my life hard all the time. However, I agree that this book is an excellent resource. It was written by obviously very educated and experienced professionals who lay everything out in a non-judgmental and productive way that is comprehensive and easy to apply as a daily practice. There are sections with journal spaces and a lot of examples. I think calling this a “self help” book isn't quite accurate, I’d say it’s more of a scientific resource that provides anyone who has access to it proven techniques that teach the reader invaluable skills to deal with severely distressful situations, or just life in general. If you are tired of your self destructive behavior messing up your future, you really ought to consider practicing DBT in some form. When you actually apply the techniques, and trust me it’s hard, you eventually find yourself having more valuable experiences and feeling more relaxed. I think this is an especially good resource for anyone who cannot afford to get mental health care from a professional and might not even have an official diagnosis, as you literally can not hurt anything at all by doing dialectical behavioral therapy and these skills are applicable to a huge array of situations and people. Many of the things I learned in therapy are taught in a cohesive manner in this book. Not to say this can replace therapy, if you can get professional help, you should do it. But if you can’t, this could very well take you extremely far, IF you stick to it like an exercise routine. You have to do it every day. Self care like this is hard, but we can do it. Be kind to yourself today, and good luck!
- Reviewed in the United States on February 23, 2025Myself and all of my mom friends feel a little better after reading this book. This understanding of the human brain, along with these diverse tip options, help with mood regulation, which is so helpful with any mood disorder, including postpartum depression. If you have any depression, or issues with intense emotions, I recommend it.
- Reviewed in the United States on February 29, 2024I’ve been working through this book for a couple weeks now and I really enjoy it. The language is easy to understand and the examples/worksheets are good think-throughs. I find myself looking forward to sitting down for a bit to read some. I’ve noticed myself thinking about some of the concepts in my day-to-day life, which is exactly what I wanted.
I read a review or two that warned about the book using food as a tool to soothe yourself and how it encourages unhealthy eating behaviors- I completely disagree with this take. The book clarified in the first paragraph of that section, that if food is problematic for you, to not partake in this suggestion. The book was going over self-soothing techniques and using our senses to become present and soothe our minds, so this suggestion is actually helpful (and suggests tea, or even an ice cube- not like it’s saying “eat a big piece of chocolate cake you pig!!!”) :) just my two cents.
I would recommend this book to anyone who is serious about becoming more mindful and thoughtful about how they react, treat others, and themselves!
- Reviewed in the United States on January 22, 2025I have found this book immensely helpful. I'm not finished with it yet, and plan to update the review once I do. It has many ways to help you process and cope. It empowers you to take action in a way that is productive and healthy. I do recommend it.
There is a word of caution that may be important for some. So far as I've read this book lacks a woman's voice and input. There were a few sections which can be very triggering to women who have ever been trapped in an abusive relationship and were unsafe, or lacking resources and support to "just leave" as this book mentions (rather flippantly in a few places), without acknowledging the near impossible task it can present for some women, and the very real danger that can bring on some women and their children. I found those parts extremely triggering and retraumatizing to read it put so flippantly. It is so triggering I usually end up having to take a break from the book for a few days in those parts and spend time just trying to re-regulate myself.
It also, so far, makes most of life's problems about dealing with destructive anger. This is very important, and helpful, but again, comes up lacking, if anger is not your default-most common, or most painful issue. For abuse victims, or people who deal more with PTSD, despair, depression, fear, anxiety, and other emotions, other than anger, there is a lot of helpful information, but it does focus more on anger than these other things. The examples so far have all been about people being angry. Though I do believe the skills will help people with other things besides anger (and do help me that way).
Overall, the book can be over-simplified and triggering at parts. I think for me I need to just skip those parts because otherwise I am learning a lot, and I find it helpful enough that I don't want to give up on the book. I also am only 1/3 of the way thru it.
If I could make a suggestion to the authors for the next release it would be to include more nuance, people can be suffering from many things other than difficult relationships and default anger. Poverty is traumatizing and most of the time not the fault of the poor. Natural disasters can be life destroying and can't be helped by the victims of it. Health problems, disability and severe sickness can happen to people thru no fault of their own, but still needs to be coped thru and for those who suffer to find a way to accept it. Some people are a victim of past abuse during a vulnerable time in their life, such as childhood and are now dealing with PTSD, trying to recover. Some people are trapped and unsafe in current abuse and need help to get out and hold themselves together in the meantime. I would also say, please include a woman's voice and input in the next release.
- Reviewed in the United States on March 3, 2025Good Book, no complaints
- Reviewed in the United States on January 17, 2025I love the skill set this provides plus the activities and knowledge
- Reviewed in the United States on February 5, 2025No complaints
Top reviews from other countries
- SkyeReviewed in Canada on March 25, 2025
5.0 out of 5 stars Life Changer
My psychiatrist recommended this workbook and it’s been an absolutely incredible tool! As someone with BPD, I use and reference back to this book regularly and it’s been a game changer. 100% recommend for those looking to improve their emotional regulation skills or going through DBT therapy!
- MissCHLReviewed in the United Kingdom on February 29, 2024
5.0 out of 5 stars Highly recommend!
This book is perfect for me. It covers everything I need to know for managing my emotions and having a positive mindset. If you can't afford therapy, this book will help massively. I'm so happy I bought this book.
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Luz Adriana AristizabalReviewed in Mexico on January 29, 2023
5.0 out of 5 stars Excelente libro!
Recomiendo ampliamente este libro! Me encanto!
- Amazon CustomerReviewed in Belgium on November 26, 2024
5.0 out of 5 stars Useful information
I’m happy with the purchase
- TommyReviewed in Australia on November 16, 2024
5.0 out of 5 stars Great book.
Honestly, if you have bpd, or attachment issues, this book is the best guide to helping yourself. Has improved me as a person in such a short time. As all books you take in the parts that are relevant to you, and skim passed the bits that you haven’t dealt with or suffered from.
Really good book just to have as it has skills that most would often not think about or often practice.