Recommended Reading

PDBTI strives to inform and educate professionals and the public about effective scientifically-validated behavioral treatments for BPD and other mental health issues. Below is a handpicked selection of many of the best DBT and behavioral publications written by internationally recognized DBT and other behavioral experts.


cbt treatment of bpd

Cognitive-Behavioral Treatment of Borderline Personality Disorder 1st Edition

For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan’s comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems.

Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan’s DBT® Skills Training Manual, Second Edition, and DBT® Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan’s instructive skills training videos for clients–Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action. Plus related DBT videos: DBT at a Glance: An Introduction to Dialectical Behavior Therapy, DBT at a Glance: The Role of the Psychiatrist on the DBT Team, and Getting a New Client Connected to DBT (Complete Series).


DBT skills Training Manual

DBT Skills Training Manual, Second Edition

by Marsha M. Linehan PhD ABPP

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 Web page 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.”


DBT Skills book

DBT Skills Training Handouts and Worksheets, Second Edition 2nd Edition

by Marsha M. Linehan PhD ABPP

Featuring more than 225 user-friendly handouts and worksheets, this is an essential resource for clients learning dialectical behavior therapy (DBT) skills, and those who treat them. All of the handouts and worksheets discussed in Marsha M. Linehan’s DBT® Skills Training Manual, Second Edition, are provided, together with brief introductions to each module written expressly for clients. Originally developed to treat borderline personality disorder, DBT has been demonstrated effective in treatment of a wide range of psychological and emotional problems. No single skills training program will include all of the handouts and worksheets in this book; clients get quick, easy access to the tools recommended to meet their particular needs. The 8 1/2″ x 11″ format and spiral binding facilitate photocopying. Purchasers also get access to a Web page where they can download and print additional copies of the handouts and worksheets.

Mental health professionals, see also the author’s DBT® Skills Training Manual, Second Edition, which provides complete instructions for teaching the skills. Also available: Cognitive-Behavioral Treatment of Borderline Personality Disorder, the authoritative presentation of DBT, and instructive videos for clients–Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action (all featuring Linehan), and DBT at a Glance: An Introduction to Dialectical Behavior Therapy (featuring Shari Y. Manning and Tony DuBose).


First developed to treat suicidal individuals with borderline personality disorder, dialectical behavior therapy (DBT) has since been adapted to a range of settings and populations. This practical book–edited by close collaborators of DBT originator Marsha M. Linehan–presents applications for depression, substance dependence, eating disorders, psychosis, suicidal and assaultive behaviors, and other complex problems. Leading contributors, including Linehan herself, describe how to implement this evidence-based treatment with adults, adolescents, couples and families, and forensic clients. Issues in establishing and maintaining an effective DBT program are also addressed. Over a dozen reproducible worksheets and forms can be downloaded and printed in a convenient 8 1/2″ x 11″ size.


Doing Dialectical Behavior Therapy A Practical GuideDoing Dialectical Behavior Therapy: A Practical Guide

by Kelly Koerner and Marsha M. Linehan PhD ABPP (Foreword)

Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for–and shown to be effective with–clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies.


DBT Skills Manual for Adolescents

DBT Skills Manual for Adolescents

By Jill H. Rathus Phd, Alec L. Miller PsyD, and Marsha M. Linehan PhD ABPP (Foreword)

From leading experts who have trained thousands of professionals in dialectical behavior therapy (DBT), this manual provides indispensable tools for treating adolescents with emotional or behavioral problems of any level of severity. Clinicians are guided step by step to teach teens and parents five sets of skills: Mindfulness, Distress Tolerance, Walking the Middle Path (a family-based module developed by the authors specifically for teens), Emotion Regulation, and Interpersonal Effectiveness. Designed for optimal clinical utility, the book features session outlines, teaching notes, discussion points, examples, homework assignments, and 85 reproducible handouts, in a large-size format for easy photocopying. Purchasers also get access to a Web page where they can download and print the reproducible materials.


DBT Skills in Schools

DBT Skills in Schools: Skills Training for Emotional Problem Solving for Adolescents

by James J. Mazza PhD, PsyD Elizabeth T. Dexter-Mazza PsyD, Alec L. Miller PsyD, Jill H. Rathus Phd, Heather E. Murphy PhD, and Marsha M. Linehan PhD ABPP (Foreword)

Dialectical behavior therapy (DBT) skills have been demonstrated to be effective in helping adolescents manage difficult emotional situations, cope with stress, and make better decisions.  From leading experts in DBT and school-based interventions, this unique manual offers the first nonclinical application of DBT skills. The book presents an innovative social–emotional learning curriculum designed to be taught at the universal level in grades 6-12. Explicit instructions for teaching the skills–mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness–are provided in 30 lesson plans, complete with numerous reproducible tools: 99 handouts, a diary card, and three student tests. The large-size format and lay-flat binding facilitate photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials.

This book is in The Guilford Practical Intervention in the Schools Series.


The key to flexible, skillful decision making in dialectical behavior therapy (DBT) lies in understanding the connections between moment-to-moment clinical strategies and core principles. This lucid guide from leading DBT authority Charles R. Swenson offers clinicians a compass for navigating challenging clinical situations and moving therapy forward–even when change seems impossible. Numerous vivid case examples illustrate DBT in action and show how to use skills and strategies that flow directly from the fundamental paradigms of acceptance, change, and dialectics. Clinicians gain knowledge and confidence for meeting the complex needs of each client while implementing DBT with fidelity.


mindfulness solutionThe Mindfulness Solution for Intense Emotions: Take Control of Borderline Personality Disorder with DBT

by Cedar R. Koons MSW LCSW with Marsha M. Linehan PhD ABPP (Foreword)

The Mindfulness Solution for Intense Emotions offers breakthrough, new mindfulness skills and exercises drawn from dialectical behavior therapy (DBT) to help you move past harmful emotions.

If you suffer from intense emotions, you are not alone. Millions of Americans are diagnosed with emotion regulation disorders, such as borderline personality disorder (BPD) and other comorbid conditions like post-traumatic stress disorder (PTSD), and severe depression. Developed by Marsha Linehan, DBT is a clinically proven, evidence-based treatment for intense emotions that can help you start feeling better right away. This is the first consumer-friendly book to offer Linehan’s new mindfulness skills to help you take control of your emotions, once and for all.

In this book, you’ll learn seven powerful skills that highlight the unique connection between mindfulness and emotion regulation. Each skill is designed to help you find focus in the present moment, reduce impulsive behavior, and increase a sense of connection to your true self, even during times of extreme stress or difficulty.

You can feel calmer, more grounded, and centered. If you’re ready, the mindfulness practices in this book will help you move away from a chaotic, emotion-driven life and cultivate a focused, intentional one.


You hear and read a lot about ways to improve your relationship. But if you’ve tried these without much success, you’re not alone. Many highly reactive couples—pairs that are quick to argue, anger, and blame—need more than just the run-of-the-mill relationship advice to solve their problems in love. When destructive emotions are at the heart of problems in your relationship, no amount of effective communication or intimacy building will fix what ails it. If you’re part of a “high-conflict” couple, you need to get control of your emotions first, to stop making things worse, and only then work on building a better relationship.

The High-Conflict Couple adapts the powerful techniques of dialectical behavior therapy (DBT) into skills you can use to tame out-of-control emotions that flare up in your relationship. Using mindfulness and distress tolerance techniques, you’ll learn how to deescalate angry situations before they have a chance to explode into destructive fights. Other approaches will help you disclose your fears, longings, and other vulnerabilities to your partner and validate his or her experiences in return. You’ll discover ways to manage problems with negotiation, not conflict, and to find true acceptance and closeness with the person you love the most.


This instructive manual presents a pragmatic and clinically proven approach to the prevention and treatment of undergraduate alcohol abuse. The BASICS model is a nonconfrontational harm reduction approach that helps students reduce their alcohol consumption and decrease the behavioral and health risks associated with heavy drinking. Including numerous reproducible handouts and assessment forms, the book takes readers step by step through conducting BASICS assessment and feedback sessions. Special topics include the use of DSM-IV criteria to evaluate alcohol abuse, ways to counter student defensiveness about drinking, and obtaining additional treatment for students with severe alcohol dependency.

 


Handbook of Emotion Regulation

Handbook of Emotion Regulation, Second Edition

by James J. Gross PhD

Reviewing the state of the science in a dynamic, thriving field, this influential handbook integrates knowledge from multiple psychological subdisciplines. Foremost experts address the neurobiological and cognitive bases of emotion regulation and examine how individuals develop and use regulatory strategies across the lifespan. The social context of emotion regulation is explored, as are personality processes and individual differences. Critical implications are discussed for psychopathology, psychosocial interventions, and health. Including helpful cross-referencing among chapters, the volume describes cutting-edge methods and identifies promising directions for future investigation. As a special bonus, purchasers of the second edition can download a supplemental e-book featuring several notable, highly cited chapters from the first edition.

New to This Edition
*Incorporates significant scientific advances and many new topics.
*Greatly expanded coverage of clinical issues and applications.
*Chapters on neural systems, delay of gratification, decision making, and health.
*Chapters on adolescence, social baseline theory, and desire regulation, plus more.


Mindfulness for BPD

Mindfulness for Borderline Personality Disorder: Relieve Your Suffering Using the Core Skill of Dialectical Behavior Therapy

by Blaise Aguirre MD and Gillian Galen PsyD

If you are like many others living with borderline personality disorder (BPD), you know what it’s like to be overwhelmed by intense and fluctuating emotions; to have difficulty with relationships; and to constantly struggle with troubling thoughts and behaviors. BPD can be especially difficult to treat, though there are ways to gain control over your symptoms and live a happier, healthier life.

Expanding on the core skill of dialectical behavior therapy (DBT), Mindfulness for Borderline Personality Disorder will help you target and successfully manage many of the familiar symptoms of BPD. Inside, you will learn the basics of mindfulness through specific exercises, and will gain powerful insight through real-life stories from people who have BPD. If you are ready to take that first step on the path toward wellness, this book will be your guide.


Overcoming BPD Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change

by Valerie Porr

Overcoming Borderline Personality Disorder is a compassionate and informative guide to understanding this profoundly unsettling–and widely misunderstood–mental illness, believed to affect approximately 6% of the general population. Rather than viewing people with BPD as manipulative opponents in a bitter struggle, or pitying them as emotional invalids, Valerie Porr cites cutting-edge science to show that BPD is a true neurobiological disorder and not, as many come to believe, a character flaw or the result of bad parenting. Porr then clearly and accessibly explains what BPD is, which therapies have proven effective, and how to rise above the weighty stigma associated with the disorder. Offering families and loved ones supportive guidance that both acknowledges the difficulties they face and shows how they can be overcome, Porr teaches empirically-supported and effective coping behaviors and interpersonal skills, such as new ways of talking about emotions, how to be aware of nonverbal communication, and validating difficult experiences. These skills are derived from Dialectical Behavior Therapy and Mentalization-based Therapy, two evidence-based treatments that have proven highly successful in reducing family conflict while increasing trust. Overcoming Borderline Personality Disorder is an empowering and hopeful resource for those who wish to gain better understanding of the BPD experience–and to make use of these insights in day-to-day family interactions.

Winner of the ABCT Self Help Book Seal of Merit Award 2011


This book offers a step-by-step guide to behavioral interventions in cognitive behavior therapy (CBT). The authors discuss case formulation and treatment planning, core behavioral intervention strategies, and innovative approaches such as acceptance, mindfulness, and a behavioral approach to cognition. They examine key behavioral techniques including self-monitoring, behavioral activations, exposure therapy, and skills training, that are essential features of CBT practice. This practical behavioral framework is accessible to clinicians and students with varying degrees of behavioral training. Alongside a comprehensive update of the research literature, this edition features new chapters on enhancing interpersonal effectiveness, emotion regulation, and navigating difficult therapeutic challenges.


What happens when clients and practitioners get in the way of the therapy process? Therapy-interfering behavior (TIB) is a common issue. It can be intentional or unintentional, strategic or automatic, calculated or absent-minded, and sometimes it may come from the practitioner, or be mutually acted out with the client.

This highly approachable book presents strategies using dialectical behavior therapy (DBT), and addresses a large variety of common therapeutic challenges — including problems with attendance, homework compliance, passive or aggressive behavior, and avoidance. Backed by a strong DBT framework, and supported by empirical discussion, case studies, and examples of therapeutic interactions, Managing Therapy-Interfering Behaviors: Strategies from Dialectical Behavior Therapy also takes the bold step of addressing how therapists can address their own therapy-interfering behavior. Topics such as therapist burnout and what to do when clients appear to be pushing therapeutic limits are covered.

The strategies presented apply to many types of patients, in many settings. With original research, detailed procedures, and concise syntheses of the large amount of research available, this book is a vital source for both seasoned DBT clinicians and those seeking to introduce elements of DBT in their clinical practice.


Behavioral experiments are one of the central and most powerful methods of intervention in cognitive therapy. Yet until now, there has been no volume to guide clinicians wishing to design and implement behavioral experiments.Behavioural Experiments in Cognitive Therapy fills this gap. It is written by clinicians for clinicians. It is a practical, easy to read handbook, which is relevant for practicing clinicians at every level, from trainees to cognitive therapy supervisors.

Following an introduction by David Clark, the first two chapters provide a theoretical and practical background for the understanding and development of behavioral experiments. Thereafter, the remaining chapters of the book focus on particular problem areas. These include problems which have been the traditional focus of cognitive therapy, such as depression and anxiety disorders, as well as those which have only once more recently become a subject of study, such as bipolar disorder and psychotic symptoms. Additionally, it includes some which are still int their relative infancy–physical health problems, and brain injury.

The book includes several chapters on transdiagnostic problems, such as avoidance of affect, low self-esteem, interpersonal issues, and self-injurious behavior. A final chapter by Christine Padesky provides some signposts for future development. Containing examples of over 200 behavioral experiments, this book will be of enormous practical value for all those involved in cognitive behavioral therapy, as well as stimulating exploration in both its readers and their patients.