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Dialectical Behavior Therapy with Suicidal Adolescents

Filling a tremendous need, this highly practical book adapts the proven techniques of Dialectical Behavior Therapy (DBT) to treatment of multi-problem adolescents at highest risk for suicidal behaviour and self-injury. The authors are master clinicians who take the reader step-by-step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sample dialogues.

Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for "Walking the Middle Path," a new DBT skills training module for adolescents and their families.

Purchasers get access to a Web page where they can download and print these handouts and several other tools from the book in a convenient 8½" x 11" size.


  • Foreword, Charles R. Swenson
  • Introduction
  • 1. Suicidal Behaviors in Adolescents: Who Is Most at Risk?
  • 2. What Do We Know about Effective Treatments for Suicidal Adolescents?
  • 3. Dialectical Behavior Therapy: Treatment Stages, Primary Targets, and Strategies
  • 4. DBT Program Structure: Functions and Modes
  • 5. Dialectical Dilemmas for Adolescents: Addressing Secondary Targets
  • 6. Assessing Adolescents: Suicide Risk, Diagnosis, and Treatment Feasibility
  • 7. Orienting Adolescents and Families to Treatment and Obtaining Commitment
  • 8. Individual Therapy with Adolescents
  • 9. Including Families in Treatment
  • 10. Skills Training with Adolescents
  • 11. Assessing Progress, Running a Graduate Group, and Terminating Treatment
  • 12. Program Issues
  • Appendix A. Mindfulness Exercises for Adolescents
  • Appendix B. Walking the Middle Path Skills: Lecture and Discussion Points
  • Appendix C. Handouts for Walking the Middle Path Skills

Author Bio:

Alec L. Miller, PsyD, is Associate Professor of Psychiatry and Behavioral Sciences, Chief of Child and Adolescent Psychology, Director of the Adolescent Depression and Suicide Program, and Associate Director of the Psychology Internship Training Program at Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York. Dr. Miller has published widely on topics including DBT, adolescent suicide, childhood maltreatment, and borderline personality disorder, and has trained thousands of mental health professionals in DBT.

Jill H. Rathus, PhD, is Professor of Psychology at Long Island University Post, where she directs the DBT scientist-practitioner training program within the clinical psychology doctoral program. She is also Co-Director and Co-Founder of Cognitive Behavioral Associates, a group private practice in Great Neck, New York, specializing in DBT and cognitive-behavioral therapy (CBT). Her clinical and research interests include DBT, CBT, adolescent suicidality, intimate partner violence, anxiety disorders, and assessment, and she publishes widely in these areas.

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards. She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.


“I was struck by the discussion of how to conduct therapy with teens on an interpersonal level. I've never read a better, concise description of what it takes to work with adolescents....The treatment described is likely to be useful for a broad range of persistently and emotionally dysregulated adolescents, not just those who are suicidal....An important contribution to the literature on the treatment of self-destructive adolescents and their families.” —Psychiatric Services

“This is an exciting and very important book that fills a need in the behavioral literature....The book is clearly written, full of examples and may represent the most comprehensive explanation of dialectical behavior therapy yet written. This book would be a valued addition to any advanced graduate level psychology or social work course in behavior therapy targeting adolescence or where suicidality is part of the curriculum. This book will also be a valued addition to any psychiatry residency or fellowship aligned with an adolescent treatment program. Given the importance of this book, its potential contribution and the high level of need of this targeted population, the price is a bargain!” —Child & Family Behavior Therapy

“This book is a creative synthesis of the new and old that offers a useful treatment manual to be applied and further tested with the taxing population of suicidal adolescents....An excellent work....The ideas and tools are well explained, inviting application, skill building, and ultimately analysis of the effectiveness of this approach. This work goes a long way toward moving us forward in treating this most taxing dilemma of treating suicidal adolescents. This is a nice synthesis. Well done.” —PsycCRITIQUES



Dialectical Behavior Therapy with Suicidal Adolescents

Author: Miller, Rathus, Linehan

$67.00 Add to Cart

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