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2. The Expanded Dialectical Behavior Therapy Skills Training Manual: DBT for Self-Help and Individual &Group Treatment Settings, 2nd Edition

4. Description Dialectical Behavioral Therapy -- But Expanded Most DBT manuals focus on four main skills modules Mindfulness, Distress Tolerance, Emotion, Regulation, and Interpersonal Effectiveness. This book approaches the skills in these classic modules with fresh perspectives, expanded explanations, and new examples and worksheets. New skills have also been added to these modules on occasion, and a couple of original acronyms have been changed to improve their use. Readers who use a variety of skills manuals will notice these differences and can choose what to teach or apply based on what works best for their clients. Building on the four original modules, this book expands into six other skills modules Dialectics The Dialectics modules teaches clients how to find the middle path with thinking and behaviors. As with mindfulness, learning dialectics can be complicated, but the concepts are enormously helpful when understood and applied.Cognitive Modification Cognitive skills have largely been absent from DBT. This manual takes a dialectical view of cognitive interventions and adapts them to fit DBT philosophies, teaching clients how to observe and shift thinking without invalidating feelings.Problem-Solving Clients often try to solve problems through Emotion Mind or through haphazard, trial-and-error approaches that are not grounded in values. The Problem- Solving module teaches clients how to define problems and options and how to take action guided by their priorities, goals, and values.Addictions This module explains the basics of addictions and assists with pattern recognition, decreasing vulnerability, managing triggers, and applying specialized skills to overcoming addictive behaviors of all types.Building a Satisfying Life Research shows the importance of structure, and this module teaches clients how to structure a satisfying life with ongoing and balanced routines.Social Media Sorely needed in this age, the Social Media module teaches clients the essentials of using media responsibility to both harness its resources and avoid its pitfalls. To be manageable to therapists and clients, each module and its component skills are made up of enough text to explain the concepts but not so much as to overwhelm the reader or compromise the book’s direct usefulness in therapy. Six Modules Explained Dialectics Dialectics refers to a philosophy that recognizes the tensions and conflicts that happen within us, between us, and in the world at large. In dialectics, we seek to synthesize and resolve these opposite tensions to achieve more balance in thought and behavior. To use a straightforward example, many of us view situations as cut and dried, or black and white. However, life is typically more complicated than the all- or-nothing dichotomies we get caught in. Using dialectics, we see the relative truth on both sides and the resulting synthesis moves us away from the extremes of black and white into shades of gray. We then discover the middle ground and/or what we previously missed in our thinking, in our behavior, and in how we relate to others. This discovery leads us to more effective behavior. Cognitive Modification Many of us have been told that it is “all in our heads” or that there is something wrong or inaccurate with our thoughts and beliefs. These viewpoints invalidate our experience. The effect is that we learn not to trust

5. ourselves, and we become defensive and guarded about our thoughts and beliefs. We then feel vulnerable when asked to evaluate them. That sense of vulnerability and defensive stance serve to protect us from further invalidation. Dialectically, our thoughts and beliefs come from somewhere, and they make sense given the context of that place. Most of the time, our thoughts and beliefs have or have had adaptive functions, and there is a least some kernel of truth to them. Problem Solving Problems of various types and levels of difficulty frequent our lives. If we do not actively work to solve our problems, they grow in number and size, and we end up chronically overwhelmed or even paralyzed by them. Unfortunately, many of us do not have a method for solving problems. We try to solve them by trial and error or in a haphazard manner. These approaches sometimes work but tend to be ineffective overall. Problem-solving starts with being aware of problems as they come up and developing a willingness to address them effectively. Addictions Addiction happens when a person compulsively engages in a behavior despite its harmful consequences. Signs of addiction include a preoccupation with the behavior along with a lack of control over it, despite significant negative consequences. Addictive behaviors are typically characterized by immediate gratification or reward followed by delayed costs and harm. Stopping an addictive behavior is difficult, and it often requires the help of a professional and/or a strong and positive support system. Giving up the immediate rewards, facing up to withdrawal and other consequences, and reaching out to others is hard. Building a Satifying Life Every life is worth living, but many of us find our lives unsatisfying, unenjoyable, or even miserable at times. Life is more satisfying when we develop routines that include predictable and enjoyable relaxation and fun balanced with responsibilities. Routines do not need to be complicated. In fact, most of us benefit from mindful simplicity in life. Mindful simplicity means connecting to and experiencing the routines that define and structure our days. Social Media Technology-based communication and social media have become an inevitable and almost unavoidable part of interpersonal communication and relationships. Emails, texting, Facebook, Twitter, and the myriad other formats in which people communicate are here to stay and will likely only grow in popularity. Like any tool, these forms of communication are neither good nor bad in and of themselves, but their use (or misuse) has the ability to either add to or detract from relationships. About the Author - Lane Pederson Lane Pederson, PsyD, LP, DBTC, has provided DBT training and consultation to over 10,000 professionals in the United States, Australia, South Africa, Canada and Mexico. A real-world practitioner, Dr. Pederson co-owns Mental Health Systems, PC (MHS), one of the largest DBT-specialized practices in the United States. At MHS Dr. Pederson has developed DBT programs for adolescents, adults, people with dual disorders, and people with developmental disabilities. He has served as clinical and training director, has directed practice-based clinical outcome studies, and has overseen the care of thousands of clients in need of intensive outpatient services. He is the author of three DBT books. Lane Pederson is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organization. Independent Book Publisher's Association - Benjamin Franklin Award Winner Congratulations to Lane Pederson, and his book, The Expanded Dialectical Behavior Therapy Skills Training Manual, 2nd Edition DBT for Self-Help and Individual &Group Treatment Settings, for winning a silver medal at the 2018 IBPA Benjamin Franklin Awards for editorial and design excellence in both Psychology and Self-Help categories.

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