Description
Book SynopsisThis hands-on guide addresses the present day realities of applying dialectical behavior therapy in a mental health and substance abuse recovery context.
Table of ContentsForeword by Alfred W. Kaszniak ix
Preface xiii
Chapter One Applying Dialectical Behavior Therapy: Toward Access for Diverse Client Needs 1
Gifts of Dialectical Behavior Therapy 1
Chapter Two Emotion Regulation and Resilience: Developing Wise Mind 15
Emotion Regulation Strategies and Helping Framework 17
The Skillfulness of Intention: Am I in Wise Mind? 21
The Intention of Self-Compassion 27
Mindfulness of the Moment 35
Responding to Emotions in the Moment 44
Expanding the Moment: Resilience Building and the Bigger Picture 58
Validation and Acceptance to Support Client Change 70
Chapter Three Applying DBT to Mental Health and Substance Abuse Recovery 77
Overview of Issues 77
Practicing Mental Health Recovery in DBT-WR 79
Motivational Interviewing 99
Substance Abuse Recovery 103
Chapter Four Accounting for Trauma 113
Overview 113
Trauma to Normalize Emotion Regulation Challenges 115
Neuroscience Engenders Hope and Interest 116
Acknowledgment of Trauma and Extreme Stress Validates Clients 119
Being Mindful of Trauma in the Here-and-Now 121
Resilient Zone 123
Chapter Five Clinician's Use-of-Self: Foundation for Effective Practice 129
Strong Back, Soft Front 130
Use-of-Self Interface With Radical Acceptance 133
Intention and Mindfulness Fueling Effective Practice 136
Use-of-Self With Challenging Clients and Circumstances 139
Responding to Diversity as Opportunity, Not as Nuisance 142
Practitioner Non defensiveness 145
Language of Invitation 147
Use-of-Self Summary 148
Chapter Six Lessons and Activities: Dialectical Behavior Therapy for Wellness and Recovery 149
Principles for Using Lessons 149
Improve the Moment: Language and Meaning 151
Session Structure and Flow 153
Homework 155
Approaching the Lessons With a Light-Hearted Spirit 156
Lesson 1: Mindfulness and the Brain 157
Lesson 2: Facing Emotions and Thoughts and Improving the Moment 163
Lesson 3: Dealing With Judgments 169
Lesson 4: Expanding the Moment 173
Lesson 5: Dealing With Difficult Times 177
Lesson 6: Opposite Action 183
Lesson 7: Not Getting Stuck Doing the Usual 188
Exercise 8: Friend to Self: Willing Participation and Mindful Walking 193
Lesson 9: Primary and Secondary Emotions 198
Lesson 10: Friend to Self: Doing What Is Needed and Self-Care 201
Lesson 11: Getting Grounded: Finding Wellness Amidst Distress, Anxiety, and Worry 206
Lesson 12: Finding the Zone: Moving From Suffering to Balance 212
Lesson13: Self-Nurturance and Joy 216
Lesson14: Effective Speech and Telling the Truth 219
Lesson 15: Inspiring the World With Our Courage and Path 223
References 227
Appendix 237
Log for Daily Living 238
Wise Mind: Handout/Presentation Version 240
Acknowledgments 241
About the Author 243
Author Index 245
Subject Index 247
