DBT Skills Training Manual Second Edition Pdf
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In the next chapter, I will cover the relationship between emotions and behavior, and I will review the basics of skills training. Once this is done, I will cover the general principles of teaching skills in the chapter that follows, followed by a discussion of the DBT model of psychopathology and emotions, and a review of the development of DBT. The second chapter is a review of the interventions used in the DBT manual, followed by a discussion of the evidence for the effectiveness of the interventions in the sections that follow. Finally, chapter three will cover the mindfulness aspects of the program, and will provide guidelines for using mindfulness with clients in skills training. The last chapter is a discussion of the main manual that outlines the structure of the entire manual. This is a much longer chapter than the others, but I think it is important to give you a sense of the structure of the entire manual because it is often assumed that the manual will be used in isolation, rather than as a part of a larger course of treatment. I will address this issue more in chapter four.
The DBT model of psychopathology is consistent with the view that emotion dysregulation is the core problem in a number of diagnoses. If we define emotion dysregulation as the inability to experience, interpret, express, and manage emotions effectively, then this seems to be a core issue in disorders as diverse as depression, anxiety disorders, adjustment disorders, posttraumatic stress disorder, borderline personality disorder, and substance use disorders. In DBT, this view is expressed in terms of the clients' not being able to meet their emotional needs in the area of emotion regulation. The difficulty arises when their needs are unmet, and the emotions become dysregulated, meaning they are expressed, felt, or acted upon in unhelpful ways. However, the model also holds that the needs that are unmet cause the emotions to be dysregulated, so we need to teach clients more appropriate ways to meet their own needs. Because of this, the fundamental elements of DBT are, first, the identification of emotions, second, the identification of their antecedents, and, third, teaching clients more effective ways to meet their own emotional needs.
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