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DBT Skills Training Handouts and Worksheets

DBT Skills Training Handouts and Worksheets
DBT Skills Training Handouts and Worksheets

Marsha Linehan

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Synopsis


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 webpage 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 Linehan's instructive skills training DVDs for clients--Crisis Survival Skills: Part One and This One Moment.

Marsha Linehan

Summary

Chapter 1: Introduction to DBT

* Summary: This chapter introduces DBT (Dialectical Behavior Therapy), a comprehensive therapy that combines cognitive-behavioral techniques with mindfulness and acceptance strategies.
* Real example: A client struggling with emotional dysregulation benefits from learning about the four modules of DBT: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.

Chapter 2: Mindfulness

* Summary: This chapter focuses on mindfulness practices, including observation without judgment, non-reactivity, and acceptance.
* Real example: A client experiencing anxiety learns the "What" and "How" skills of mindfulness, such as observing their thoughts and emotions without judgment.

Chapter 3: Distress Tolerance

* Summary: This chapter provides strategies for coping with intense emotions without resorting to harmful behaviors.
* Real example: A client struggling with self-harm learns the ACCEPTS skill, which involves accepting the present moment, calming oneself, effectively distracting oneself, pushing away the urge to act, enduring the urge, and surrendering to the present moment.

Chapter 4: Emotional Regulation

* Summary: This chapter teaches skills for regulating emotions, including identifying and validating emotions, tolerating emotional distress, and using coping mechanisms.
* Real example: A client experiencing anger learns to use the PLEASE skill, which involves taking deep breaths, relaxing, and engaging in pleasant activities to manage their anger.

Chapter 5: Interpersonal Effectiveness

* Summary: This chapter focuses on building healthy interpersonal relationships, including setting boundaries, communicating assertively, and resolving conflict.
* Real example: A client having difficulty with boundary setting learns the GIVE skill, which involves being gentle, informed, validate, and empathetic when setting boundaries.

Chapter 6: Advanced Applications of DBT

* Summary: This chapter explores advanced techniques for applying DBT skills, including working with dissociation, trauma, and suicidal thoughts.
* Real example: A client experiencing post-traumatic stress disorder (PTSD) learns the DEAR MAN skill, which involves describing the trauma, expressing their feelings, acknowledging the full impact of the trauma on their life, remembering the trauma without dissociation, attending to the present moment, and managing emotional reactions.

Chapter 7: Worksheets and Exercises

* Summary: This chapter provides practical worksheets and exercises to reinforce the skills discussed in the previous chapters.
* Real example: A client working on emotional regulation completes a worksheet on identifying and challenging thoughts that contribute to emotional dysregulation.