The Expanded Dialectical Behavior Therapy Skills Training Manual, 3rd Edition
But beyond the technical skills, being a successful DBT therapist requires a certain mindset. You need to be able to balance acceptance and change in your own life, to model the skills you’re teaching. It’s about being genuine, compassionate, and willing to challenge your clients when necessary. And so, DBT was born – a therapy that combines the change-oriented strategies of CBT with acceptance-based techniques drawn from mindfulness practices. It’s like mixing oil and water, two seemingly incompatible elements, to create a powerful emulsion that can weather any storm.
- This skill module can help decrease conflict between family members to help improve the outcome of therapy sessions.
- Dialectical behavior therapy (DBT) offers a structured path toward emotional resilience and personal growth.
- In this post, we’ll break down the key components of DBT and how you can start using them right away.
- Matthew McKay, PhD, is a professor at the Wright Institute in Berkeley, CA.
thoughts on “DBT Handouts & Worksheets”
- The following worksheets may also be helpful across a range of clinical concerns, from addiction to anxiety, depression, and trauma.
- There is also a strong emphasis on learning boundaries and clearly identifying your values.
- The 24-hour rule in Dialectical Behavior Therapy (DBT) requires clients to wait 24 hours before reaching out to their therapist after a self-harm incident.
- These are not helpful and we need to change them to thoughts that are based on our adult understanding of the world.
The sooner you can start therapy — and stay committed to it — the sooner you’ll have an improved quality of life. Examples of interpersonal effectiveness skills can include setting boundaries, being able to describe exactly what you need, not being afraid to express your emotions, and validating others’ feelings. Followed by distress tolerance, emotion regulation, then interpersonal effectiveness. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.
How do I find a DBT therapist?
This will all need to be explained within the first two to three sessions. Linehan (1993b) compiled a treatment manual that focused on chronically suicidal individuals who also met the diagnosis for dialectical behavioral therapy BPD (Linehan, 1987, 1993a). Dialectical behavior therapy is a combination of cognitive behavior therapy (CBT), humanism, and dialectics.
Managing Extreme Emotion

This article explores how DBT worksheets and techniques can be used effectively across different settings and populations, offering structure, insight, and flexibility to support meaningful therapeutic change. “They say things like, ‘I’m stupid,’ or ‘I can’t control my anger,’ or ‘No one will ever love me,'” he says. Try not to get discouraged by how long it may take to be able to better manage your emotions and have a better quality of life. Your therapist will likely ask you to keep a diary to track your emotions and actions and to look for patterns of behavior. You’ll bring this diary with you to your sessions so you and your therapist can decide what to work on for each session.
DBT Training for Therapists: 8 Best Courses & Programs
DBT is complex, and it’s generally not something that people can do on their own without the guidance of a trained therapist. If you are feeling sad and want to withdraw from friends and family, make plans to see your loved ones. The idea is to distract yourself by allowing your emotions to follow your body. Use these 17 Mindfulness & Meditation Exercises PDF to help others build life-changing habits and enhance their wellbeing with the physical and psychological benefits of mindfulness. Therapists often introduce the wise mind concept early in DBT to help clients understand how their state of mind influences decisions. Visual metaphors, guided meditations, and experiential exercises can make this concept more accessible.
Interpersonal Effectiveness Skills

Give us a call today to verify your insurance coverage or to learn more about paying for addiction treatment. If you or someone you care about needs help addressing substance use conditions with co-occurring mental health issues, reach out to Renaissance Recovery right away. Here are some practical examples of how you can use these skills to handle different challenges. Mindfulness is the practice of paying attention to the present moment without judgment. Eventually, these skills can replace unhelpful habits, helping you live a Alcohol Use Disorder healthier and happier life.