This influential work has now been substantially revised with over 60% new material reflecting over a dozen years of research and clinical advances. Leading experts describe innovative ways to use dialectical behavior therapy (DBT) in a wide range of real-world clinical and community settings. The volume provides wise guidance on setting up, running, and evaluating a comprehensive DBT program. It also presents adaptations designed to meet the needs of particular client populations as time- and cost-effectively as possible. Vivid case examples illustrate diverse applications of DBT for helping adults, adolescents, and children reduce suicidal and self-harming behavior; overcome complex, multiple challenges; and build a life worth living. New to This Edition *Presents current best practices for making DBT more efficient and accessible while maximizing program fidelity. *Chapters on additional populations, including persons with posttraumatic stress disorder and preadolescent children. *Chapters on additional settings, including milieu-based programs, university counseling centers, and middle and high schools. *Chapters on pharmacotherapy, promoting employment and self-sufficiency, training and supervision, and DBT beyond Stage 1. See also Doing Dialectical Behavior Therapy: A Practical Guide, by Kelly Koerner, which demonstrates DBT techniques in detail.

Foreword, Marsha M. Linehan I. Overview and Getting Started with DBT 1. Overview of DBT, Kelly Koerner, Linda A. Dimeff, & Shireen L. Rizvi 2. Adopt or Adapt?: Fidelity Matters, Kelly Koerner, Linda A. Dimeff, Charles R. Swenson, & Shireen L. Rizvi 3. Evaluating Your DBT Program, Shireen L. Rizvi, Maria Monroe-DeVita, & Linda A. Dimeff II. Applications across Settings 4. Implementing Standard DBT in an Outpatient Setting, Linda A. Dimeff, Kim Skerven, Andrew White, Shelley McMain, Katherine Anne Comtois, Cedar R. Koons, Soonie A. Kim, Sharon Y. Manning, & Elisabeth Bellows 5. DBT in Milieu-Based Programs, Charles R. Swenson, Suzanne Witterholt, & Juliet Nelson 6. Applications of DBT in a School-Based Setting, Elizabeth T. Dexter-Mazza, James J. Mazza, Alec L. Miller, Kelly Graling, Elizabeth Courtney-Seidler, & Dawn Catucci 7. DBT in University Counseling Centers, Jacqueline Pistorello & Carla D. Chugani 8. DBT in Juvenile Justice Programs, Debra M. Bond, Jesse Homan, & Bradley Beach 9. Comprehensive DBT Forensic and Correctional Programs: Orchids, Not Dandelions, Robin A. McCann & Elissa M. Ball III. Applications across Populations 10. DBT-Accepting the Challenges of Employment and Self-Sufficiency, Katherine Anne Comtois, Lynn Elwood, Jenna Melman, & Adam Carmel 11. DBT for Individuals with Borderline Personality Disorder and Substance Use Disorders, Linda A. Dimeff, Shelley McMain, Jennifer H. R. Sayrs, Chelsey Wilks, & Marsha M. Linehan 12. Treating Posttraumatic Stress Disorder during DBT: Applying the Principles and Procedures of the DBT Prolonged Exposure Protocol, Melanie S. Harned & Sara C. Schmidt 13. DBT and Eating Disorders, Lucene Wisniewski & Debra L. Safer 14. DBT beyond Stage 1: An Overview of Stages 2, 3, and 4, Cedar R. Koons 15. An Overview of DBT for Preadolescent Children: Addressing Primary Treatment Targets, Francheska Perepletchikova & Donald Nathanson 16. DBT for Adolescents, Alec J. Miller, Jill H. Rathus, Elizabeth T. Dexter-Mazza, Chad S. Brice, & Kelly Graling 17. DBT with Families, Alan E. Fruzzetti, Luciana G. Payne, & Perry D. Hoffman IV. Special Topics 18. Training and Supervision in Outpatient DBT Programs, Jesse Homan, Jennifer H. R. Sayrs, & Travis L. Osborne 19. Pharmacotherapy Guidelines for Treating Stage 1 DBT Patients, Elisabeth P. Bellows, W. Maxwell Burns, & Chelsy R. Wilks