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DBT Skills Training Manual Second Edition, Available separately: DBT Skills Training Handouts and Worksheets

4.8 4.8 out of 5 stars 2,431 ratings

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Purchase options and add-ons

From Marsha M. Linehan--the developer of dialectical behavior therapy (DBT)--this comprehensive resource provides vital tools for implementing DBT skills training. The reproducible teaching notes, handouts, and worksheets used for over two decades by hundreds of thousands of practitioners have been significantly revised and expanded to reflect important research and clinical advances. The book gives complete instructions for orienting clients to DBT, plus teaching notes for the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. Handouts and worksheets are not included in the book; purchasers get access to a webpage where they can download and print all the handouts and worksheets discussed, as well as the teaching notes. The companion volume is available separately: DBT Skills Training Handouts and Worksheets, Second Edition.

New to This Edition
*Handouts and worksheets (available online and in the companion volume) have been completely revised and dozens more added--more than 225 in all.
*Each module has been expanded with additional skills.
*Multiple alternative worksheets to tailor treatment to each client.
*More extensive reproducible teaching notes (provided in the book and online), with numerous clinical examples.
*Curricula for running skills training groups of different durations and with specific populations, such as adolescents and clients with substance use problems.
*Linehan provides a concise overview of "How to Use This Book."

See also
DBT Skills Training Handouts and Worksheets, Second Edition, a spiral-bound 8 1/2" x 11" volume containing all of the handouts and worksheets and featuring brief introductions to each module written expressly for clients. Plus, Cognitive-Behavioral Treatment of Borderline Personality Disorder, the authoritative presentation of DBT. Also available: Linehan's instructive skills training DVDS for clients--Crisis Survival Skills: Part One and This One Moment.
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From the Publisher

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Customer Reviews
4.8 out of 5 stars 2,431
4.7 out of 5 stars 8,687
4.7 out of 5 stars 305
4.6 out of 5 stars 76
Price $72.00 $47.00 $36.86 $38.79
Discover: Techniques for conducting and structuring DBT skills training sessions Skills for improving mindfulness, interpersonal relationships, emotion regulation, and more The nuts and bolts of DBT Methods for navigating challenging clinical sessions
Use Key Features: Teaching notes and clinical examples 225 handouts and worksheets Clinical vignettes and step by step descriptions Case examples showing DBT in action
Learn How To: Treat challenging cases more effectively Increase resilience and overcome behavioral challenges Integrate elements of DBT into current cases Productively encourage change and move therapy forward

Editorial Reviews

Review

“DBT skills are useful not only for individuals who suffer from persistent emotion regulation difficulties, but also for individuals in extreme circumstances and people who have ordinary problems. This updated manual provides the ‘flexibility within fidelity’ in teaching these skills that practitioners and treatment adopters need. New, improved, expanded, and much clearer skills--they’re all here! Skills trainers and their clients will benefit from Linehan and her colleagues’ decades of systematic research and time spent developing, testing, and refining these skills, empowering practitioners to confidently offer multiple ways of understanding and practicing new behavior. Experienced skills trainers will notice the evolved richness and depth, while the explanations and teaching points will provide new trainers and students with an excellent foundation for skills training with both adults and adolescents. Providing a solid evidence-based foundation for core clinical training curricula, this manual and the accompanying volume of handouts and worksheets will be essential across the mental health disciplines.”--André Ivanoff, PhD, Columbia University School of Social Work

"Mental health professionals--whether or not they use DBT as their major therapeutic orientation--will find the second edition of Linehan's skills training manual and its companion volume of client worksheets and handouts invaluable. Skills such as mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance should be part and parcel of any therapist’s repertoire. The manual clearly spells out the theoretical basis and rationale for emphasizing these skills and provides a detailed account of how to use the patient material. Especially useful are descriptions of troubleshooting common problems. Therapists are sometimes at a loss to figure out how to help clients with complex problems; these books can significantly help us improve our effectiveness."--Judith S. Beck, PhD, President, Beck Institute for Cognitive Behavior Therapy

"Linehan's pioneering work has guided many--myself included--to incorporate mindfulness into compassionate clinical care in a structured format. The second edition of Linehan's DBT skills training manual and the companion volume of handouts and worksheets reflect two additional decades of wisdom and innovation, further bolstering these indispensable resources."--Zindel Segal, PhD, Distinguished Professor of Psychology in Mood Disorders, University of Toronto–Scarborough, Canada

"DBT is a proven evidence-based treatment that combines the best of our science with the knowledge and compassion of Marsha Linehan--an exceptional researcher and clinician whose innovative work has advanced the field and shifted many individuals from lives of suffering to lives of hope. These outstanding second editions offer guidance on how to implement DBT skills training, while providing the tools needed to deliver this state-of-the-art treatment. They will stand as the authoritative guides for teaching DBT skills, partnering with clients to build lives worth living, and helping us to address our national and international priorities of saving millions of lives lost to suicide worldwide. These 'must-have' books belong on the shelves of every clinician and will be valuable course texts."--Joan Rosenbaum Asarnow, PhD, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles

"I used DBT Skills Training Manual, Second Edition, as a text in my graduate course on cognitive-behavioral/empirically supported therapies. The inclusion in one volume of relevant theory, examples, and pragmatic instructions for implementation is most useful for the classroom. It is a state-of-the-art work that is affordable, well designed, and readable, and will be practical for students long after graduate school. I could also see it serving as an instrumental training resource for interns in outpatient, inpatient, and residential treatment settings."--Marla M. Sanzone, PhD, Adjunct Clinical Professor, Professional Psychology Graduate Program, George Washington University

"Since its introduction to the literature over two decades ago, Marsha M. Linehan's skills training manual has revolutionized the treatment of individuals with borderline personality disorder, and also the practice of psychotherapy in general. Now in a second edition, the manual and accompanying volume of handouts and worksheets provides clinicians, educators, students, and patients with a resource that can guide even novice clinicians to become more effective and knowledgeable in treating our field’s most challenging cases. Of interest to the psychoanalytically informed reader, the second edition has elaborated DBT’s attention to interpersonal concerns, with robust consideration of interpersonal dynamics replacing the approach to enhancing effectiveness presented in the prior edition."--Lois W. Choi-Kain, MD, MEd, Director, Adult Borderline Center and Training Institute, and Program and Medical Director, Gunderson Residence, McLean Hospital; Department of Psychiatry, Harvard Medical School

“Marsha Linehan is a pioneering and well-respected researcher and clinician. Dialectical behavior therapy (DBT) has become a therapy of choice for BPD since the publication of her first manual in 1993. DBT has been recommended in guidelines of the English National Institute for Clinical Excellence (NICE)….Ideal for therapists, trainers, and students, the manual can now show the extent to which theory is underpinned by research on outcomes, quoting studies conducted since the publication of the first edition. The research base now includes core skills training for a variety of disorders and not only for those with a diagnosis of BPD and suicide risk. This makes the manual relevant to therapists treating varied clinical and non-clinical populations. The skills for helping clients with emotion regulation and distress tolerance should be in the repertoire of every mental health practitioner and addictions worker. There is a wealth of material in these manuals, now that over 20 years the skills have been tried, tested and refined by Linehan and her colleagues and made accessible to all. Trainers will find that the teaching points in the training manual are clear, with more practical examples citedan excellent foundation for students. The rationale for emphasizing particular behavioral skills is given as well as an explanation of how to use the material with clients….The training skills manual, along with the handout and worksheet volume are valuable resources for practicing clinicians in the field of mental health and addictions, whether or not DBT is their main orientation.”

Alcohol and Alcoholism Published On: 2015-05-01

“The book is well organized, progressing from a rationale for the use of DBT to specific session structures and skills training. It includes an incredible wealth of knowledge well beyond the scope of this short review to cover, but it is sufficient to say that therapists will find detailed instructions for a complete DBT course based on the latest research and clinical practice. This includes tips for therapists in side boxes, summaries of main points, and references to pertinent handouts. The companion workbook…is highly recommended along with this manual. *****" ―
Doody's Review Service Published On: 2015-07-21

About the Author

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor Emeritus of Psychology and Director Emeritus of the Behavioral Research and Therapy Clinics at the University of Washington. Before retiring in 2019, she devoted her career to developing and evaluating evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan is the 2025 recipient of the Lifetime Achievement Award from the American Foundation for Suicide Prevention. Her contributions to suicide research and clinical psychology research have also been recognized with the University of Louisville Grawemeyer Award for Psychology, the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies, the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation, and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. Dr. Linehan was featured in Time magazine's "Great Scientists: The Geniuses and Visionaries Who Transformed Our World." She is founder of the Linehan Institute and a Zen master.

Product details

  • Publisher ‏ : ‎ The Guilford Press; Second Edition, Available separately: DBT Skills Training Handouts and Worksheets (October 20, 2014)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 504 pages
  • ISBN-10 ‏ : ‎ 1462516998
  • ISBN-13 ‏ : ‎ 978-1462516995
  • Item Weight ‏ : ‎ 2.4 pounds
  • Dimensions ‏ : ‎ 7.75 x 1 x 10.25 inches
  • Customer Reviews:
    4.8 4.8 out of 5 stars 2,431 ratings

About the author

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Marsha M. Linehan PhD
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Marsha Linehan is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and is Director of the Behavioral Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for severely disordered and multi-diagnostic and suicidal populations. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. She is also working to develop effective models for transferring science-based treatments to the clinical community.

She has received several awards recognizing her clinical and research contributions to the study and treatment of suicidal behaviors, including the Louis I. Dublin Award for Lifetime Achievement in the Field of Suicide, the Distinguished Research in Suicide Award (American Foundation of Suicide Prevention), and the creation of the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior established by the American Association of Suicidology. She has also been recognized for her clinical research including the Distinguished Scientist Award from the Society for a Science of Clinical Psychology, the award for Distinguished Scientific Contributions to Clinical Psychology (Society of Clinical Psychology,) and awards for Distinguished Contributions to the Practice of Psychology (American Association of Applied and Preventive Psychology) and for Distinguished Contributions for Clinical Activities, (Association for the Advancement of Behavior Therapy).

She is the past-president of both the Association for the Advancement of Behavior Therapy and of the Society of Clinical Psychology, Division 12, American Psychological Association. She is a fellow of the American Psychological Association and the American Psychopathological Association and is a diplomat of the American Board of Behavioral Psychology.

She is the developer of Dialectical Behavior Therapy (DBT) a treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders, particularly those that involve serious emotion dysregulation. In comparison to all other clinical interventions for suicidal behaviors, DBT is the only treatment that has been shown effective in multiple trials across several independent research sites. It has been shown both effective in reducing suicidal behavior and cost-effective in comparison to both standard treatment and community treatments delivered by expert therapists. It is currently the gold-standard treatment for borderline personality disorder, a disorder with a 8-10 suicide rate that afflicts between 4-6% of the population.

Linehan is the founder and the convener of both the Suicide Strategic Planning Group and the DBT Strategic Planning Group. Both groups meet annually or bi-annually at the University of Washington. The goal of the suicide group is to jump start the building of a field of suicide treatment research. The further goal of both groups is to bring together both expert, new and potential treatment researchers to collaboratively evaluate the state of current research in the respective areas, chart necessary studies to advance the development of more effective treatments and build a rigorous and cohesive next generation of young clinical-scientists.

She has written four books, including two treatment manuals: Cognitive-Behavioral Treatment for Borderline Personality Disorder and Skills Training Manual for Treating Borderline Personality Disorder. She serves on a number of editorial boards and has published extensively in scientific journals.

She is the founder of Behavioral Tech Research, Inc., a company that develops innovative on-line and mobile technologies to disseminate science-based behavioral treatments for mental disorders.

Linehan was trained in spiritual directions under Gerald May and Tilden Edwards and is an associate Zen teacher in both the Sanbo-Kyodan-School under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.

Customer reviews

4.8 out of 5 stars
2,431 global ratings

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Customers say

Customers find the book helpful for understanding DBT lessons. They find the explanations clear and easy to understand. Many consider it a good value, saying it's effective and practical. However, opinions differ on the material quality - some find it terrific while others report issues like the book falling apart after use.

AI-generated from the text of customer reviews

108 customers mention "Information quality"106 positive2 negative

Customers find the book informative and helpful for understanding DBT lessons. They say it's a great resource for mental health professionals who utilize DBT in their practices. The book is comprehensive, detailed, and organized. It provides thorough research and examples that can be used with clients to help grasp the lessons.

"...The explanations are clear, the exercises are helpful, and the handouts reinforce the skills. This book has honestly given me my life back...." Read more

"...program is laid out simply, easily so that it may be understood by all who read the book. I love my book n guard it fiercely from any harm...." Read more

"...(20 years ago) and is a thorough walk through and explanation of Dialectical Behavioral Therapy...." Read more

"...really like "You Untangled" by Amy Tibbets as a good book to help learn skills without being overwhelmed." Read more

65 customers mention "Readability"51 positive14 negative

Customers find the book easy to read and follow. It explains how to use the handouts clearly and is well-written. The DBT program is laid out simply, making it understandable for all readers. The instructions for individual and group sessions are provided with examples and are easy to follow.

"...The explanations are clear, the exercises are helpful, and the handouts reinforce the skills. This book has honestly given me my life back...." Read more

"...There is SO much insight in this book! The DBT program is laid out simply, easily so that it may be understood by all who read the book...." Read more

"...many gaps from the first publication (20 years ago) and is a thorough walk through and explanation of Dialectical Behavioral Therapy...." Read more

"This book looks thorough and well written, however it's obviously written for therapists and those running DBT groups...." Read more

62 customers mention "Value for money"57 positive5 negative

Customers find the book helpful and effective. They describe it as a classic that can be used to help many clients. Readers consider it an investment and a valuable contribution to the field of mental health treatment.

"...It is without doubt the monumental work of a lifetime. But it is not a self study guide or a text book on DBT content or applications...." Read more

"...No idea why they did this, but it's a dealbreaker for sure. The book was not cheap, and luckily I already had a print version...." Read more

"The BEST book on DBT Skills from THE expert in the field!! This is an amazing and comprehensive book!..." Read more

"...It's a hefty tome that has so much information in it and it's totally worth it. BUY IT! You will not regret it." Read more

18 customers mention "Material quality"12 positive6 negative

Customers have different views on the book's material quality. Some find it great with evidence-based content and new materials. Others mention that the book falls apart after a few uses, has humidity damage, and is not in good condition.

"The book is in great condition, arrived promptly, and customer service surrounding the experience was excellent. I would buy from them again." Read more

"...copy from the publisher web site if you buy the book, and it's quality content." Read more

"The book itself is exactly what I needed. The condition is NOT new, has humidity damage and foxed edges on cover, but that does not appear to be..." Read more

"I do not dislike this book at all. It came in perfect condition. It will help me in my group I have." Read more

The BEST book on DBT from THE expert!!
5 out of 5 stars
The BEST book on DBT from THE expert!!
The BEST book on DBT Skills from THE expert in the field!! This is an amazing and comprehensive book! All worksheets and handouts are free to access or print out from a website. I highly recommend this book! Please mark if you find my review helpful. Thank you so much!
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Top reviews from the United States

  • Reviewed in the United States on December 18, 2024
    It's packed with practical skills for managing overwhelming emotions, improving relationships, and staying grounded. The explanations are clear, the exercises are helpful, and the handouts reinforce the skills. This book has honestly given me my life back. Highly recommend!
    5 people found this helpful
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  • Reviewed in the United States on June 4, 2024
    I am currently in DBT. I've gotten tired of trying to shuffle through all the papers I'm sent for classes. I purchased this book to be able to read all the parts that my group leader believes isn't worth copying n giving to us, the class members. There is SO much insight in this book! The DBT program is laid out simply, easily so that it may be understood by all who read the book. I love my book n guard it fiercely from any harm.
    Usually this book sells for $80 n up. I'm grateful to have gotten it for under $60!
    6 people found this helpful
    Report
  • Reviewed in the United States on December 28, 2024
    I think that's a bunk law! If there's freedom found in a book you shouldn't have to be a therapist to teach it! I definitely recommend buying the student book if you are offended! Have PTSD or constantly ruminate in your head! Through this book you can get out of the trend of being continually offended! It is not God's freedom it's worldly freedom. But it opens you up enough to buy God's gold! Revelations 3:18
    One person found this helpful
    Report
  • Reviewed in the United States on November 7, 2024
    The book itself is exactly what I needed. The condition is NOT new, has humidity damage and foxed edges on cover, but that does not appear to be related to the seller.
  • Reviewed in the United States on June 27, 2024
    The book is in great condition, arrived promptly, and customer service surrounding the experience was excellent. I would buy from them again.
    One person found this helpful
    Report
  • Reviewed in the United States on December 2, 2015
    This newer edition of Marsha Lineman's groundbreaking work in DBT is fantastic. It fills in many gaps from the first publication (20 years ago) and is a thorough walk through and explanation of Dialectical Behavioral Therapy. I purchased this in order to continue the work I began in intensive therapy a couple years ago and I find it to be a very helpful resource. I also purchased the accompanying "Handouts and Worksheets" and use it as well. I would imagine, however, if you were not a trained therapist and just wanting to know more about DBT, this book might be overwhelming. Having walked through intensive DBT and worked with a coach for a couple years, though, I have found this book to be invaluable to my continued recovery.
    6 people found this helpful
    Report
  • Reviewed in the United States on November 13, 2014
    This book looks thorough and well written, however it's obviously written for therapists and those running DBT groups. It tells the reader exercises to use during groups and sessions and how to deal with clients in various situations. If you are using DBT as a way to heal and learn skills, this book will be overwhelming and way more than you are needing. If you're a provider it looks amazing. I also bought the new "DBT Skills Training Handouts and Worksheets" spiral bound book by Dr. Linegan. It's much more what I was hoping for. It includes pages I can work through in group and on my own. I also really like "You Untangled" by Amy Tibbets as a good book to help learn skills without being overwhelmed.
    183 people found this helpful
    Report
  • Reviewed in the United States on August 3, 2024
    Exactly as advertised

Top reviews from other countries

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  • Jasmine Lothien
    5.0 out of 5 stars An effective treatment model to bring relief from extreme emotional distress.
    Reviewed in Canada on August 31, 2022
    This book provides an effective and evidence based therapeutic model that facilitates relief from a life filled with painful and distressing emotions. It can be tailored for group and individual treatment. Well written with therapist notes and relevant worksheets.
  • Bindu Prabhat
    5.0 out of 5 stars Life saver for BPD sufferers
    Reviewed in India on January 1, 2024
    If you've BPD...believe in yourself.... it's really treatable and manageable....this DBT book is written by its creator herself.
    Customer image
    Bindu Prabhat
    5.0 out of 5 stars
    Life saver for BPD sufferers

    Reviewed in India on January 1, 2024
    If you've BPD...believe in yourself.... it's really treatable and manageable....this DBT book is written by its creator herself.
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  • Zena
    5.0 out of 5 stars Brilliant if you’re teaching yourself
    Reviewed in the United Kingdom on November 4, 2023
    Brilliant if you’re teaching yourself - helpful if you already haven’t therapy skills
  • Cliente Amazon
    2.0 out of 5 stars Encuadernación demasiado básica
    Reviewed in Spain on February 28, 2023
    Me refiero a la encuadernación, no al texto en si, (manual de primera referencia en su campo).
    Tapas muy finas y endebles, hojas también finas y letra pequeña que no facilita la lectura. Para ser un libro que se está consultando continuamente resulta pobre.
  • Cliente de Amazon
    5.0 out of 5 stars EXCELENTE HERRAMIENTA DE TRABAJO
    Reviewed in Mexico on December 5, 2019
    Es un libro excelente, requieres entrenamiento en DBT para hacer un buen uso de las herramientas