DBT Therapist Wiki
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Articles and References - Books and Book Reviews - DBT Q&A Sessions - How to Record Therapy Sessions - DBT Diary Cards - DBT Adherence, Case Formulation, Skills, Modeling Clips, Handouts & More - DBT Skills Tests - DBT Therapist Certification
Articles and References
Summary of DBT Data to Date - The Linehan Institute provides 3 data files including Randomized Controlled/Comparative Trials of Standard DBT, Randomized Controlled/Comparative Trials of DBT Skills and Non-RCTs Researching Standard DBT.
Of this article, Roy says, "I have been and continue to collect information (as evidence-based as I have been able) to promote the credibility and value of full standard DBT that might be persuasive for administrators and funders and have attached a 2 page document of where I have got to so far. I have given particular attention to the economic benefits and data that demonstrate the value of adherent DBT. I would value if others had information beyond what I have gathered." Please note: Roy Krawitz gathered the data for local use rather than for wider distribution and consequently gathered the data short of the thoroughness with which he would have gathered the data if he knew that it was going to be distributed. Roy Krawitz makes no representation, express or implied, that the information in this summary is correct. Readers must therefore always check the information from the original sources before they act on this information. While every effort has been to ensure that the information is accurate and up-to-date as possible at the date of writing, Roy Krawitz is not able to give any guarantee or assurance that such is the case. Roy Krawitz does not accept responsibility or legal liability for any errors or for the misuse or misapplication of material in this work".
Recovered Voices: Experiences of Borderline Personality Disorder (by Carla D. Chugani)
Articles and Resources on the following topics - ACT/RFT - Anxiety - Assessment - Borderline Personality Disorder (BPD) - Children/Adolescents - Compassion/Shame - Dialectical Behavior Therapy (DBT) - Depression - Ethics - Functional Analytic Psychotherapy (FAP) - General Wellness - Intimate Partner Violence - Mindfulness - Multicultural Competence/Social Justice - Obsessive-Compulsive Disorder (OCD) - Pain - Post-Traumatic Stress Disorder (PTSD) - Research Issues - Sleep Disorders - Suicide - Supervision - Teams - Therapy - Training
Books and Book Reviews
Borderline Personality Disorder Demystified: An Essential Guide for Understanding and Living with BPD - (Aug. 4, 2004) by Robert O. Friedel, Perry D. Hoffman, Dixianne Penney, and Patricia Woodward
Understanding and Treating Borderline Personality Disorder: A Guide for Professionals and Families - (Feb. 2005) by John G. Gunderson and Perry D. Hoffman, Ph.D.
Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change - Paperback (Aug. 12, 2010) by Valerie Porr
The Buddha and the Borderline by Kiera Van Gelder
Krawitz R, Jackson W. (2008) Borderline personality disorder: the facts. Oxford: Oxford University Press.
Manual de tratamiento de los trastornos de personalidad limite/Skills Training Manual for Treating Borderline Personality Desorder (Psicologia, Psiquiatria, Psicoterapia) (Spanish Edition) by Marsha M. Linehan and Rafael Santandreu
Mindfulness for Borderline Personality Disorder: Relieve Your Suffering Using the Core Skill of Dialectical Behavior Therapy (May 2013) by Blaise Aguirre, MD and Gillian Galen, PsyD
Borderline Personality Disorder in Adolescents, 2nd Edition: What To Do When Your Teen Has BPD: A Complete Guide for Families (September 2014) by Blaise A Aguirre
The Mindfulness Solution for Intense Emotions: Take Control of BPD with DBT (April 2016) by Cedar Koons, LCSW
Developmental Disability/Intellectual Disability Resources
Brown, J. (2011). The Skills System Instructor's Guide: An Emotion-Regulation Skills Curriculum for all Learning Abilities. Bloomington, IN: iUniverse.com.
Charlton, M. & Dykstra, E. (2010) Dialectical Behavior Therapy for Special Populations: Treatment with adolescents. In R. Fletcher (ed.) Psychotherapy for Individuals with Intellectual Disabiity. Kingston, N.Y.:The NADD Press.
Lew, M. (2010) Dialectical Behavior Therapy for Adults who have Intellectual Disability. In R. Fletcher (ed.) Psychotherapy for Individuals for Intellectual Disability. Kingston, N.Y.:The NADD Press.
Verhoeven, M. (2010) Journeying to Wise-Mind: Dialectical Behavior Therapy and offenders with Intellectual Disability. In L.A. Craig, K.D. Browne, &V W.R. Lindsay, (eds.) Assessment and Treatment of Sexual offenders with Intellectual Disabilities: A Handbook. New York.: Wiley & Son.
Book Recommendations for Parents From Parents DBT Skills Training Group (Provided by Pat Harvey):
* "Loving Someone with Borderline Personality Disorder" by Shari Manning
* "Acquainted with the Night" by Paul Raeburn
* "The Buddha and the Borderline" by Kiera Van Gelder
* "The Burden of Sympathy" by David Karp
* "I hate you...Don't leave me" (early) and "Sometimes I act crazy" (new) by Jerold Kreisman
* "Will's Choice" by Gail Griffith
* "Understanding and Treating Borderline Personality Disorder" by John Gunderson and Perry Hoffman
* "New Hope for Children and Teens with BiPolar Disorder" (I haven't read this one yet) by Boris Birmaher
* "New Hope for people with Borderline Personality Disorder" (I haven't read this one either) by Neil Bockian
* "Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change" by Valerie Porr
* "Parenting a Child Who Has Intense Emotions: Dialectical Behavior Therapy to Help Your Child Regulate Emotional Outbursts and Aggressive Behaviors" by Pat Harvey and Jeanine Penzo
* "Wasted" and "Madness" by Marya Hornbacher
* Workbooks by New Harbinger especially: "Don't Let Emotions Run Your Life for teens" by Sheri Van Dijk and "Dialectical Behavior Therapy" by McKay
* And...of course, I recommend the "I am not Sick, I Don't Need Help" by Xavier Amador and "An Unquiet Mind" by Kaye Jamison
* My readings came out of "Quiet Mind" by David Kundtz, "Peace is Every Step" by Thich Nhat Hanh and "The Book of Awakening" by Mark Nepo
* The Picture books were by Jon Muth and were titled, "Zen Shorts" and "The Three Questions".
DBT Q&A Sessions
Doing DBT Q&A with Kelly Koerner - July 24, 2015
In this Q&A, Kelly Koerner shared mini treatment plans for dissociation and the secondary target of emotion vulnerability, so participants could see how the case-based learning approach of our community for experienced DBT therapists meets their needs.
Audio Only Version
Mini Treatment Plans - https://app.box.com/s/2zrf081l55eet4m1re3nmtgam2eztds2
DBT Skills Q&A with Linda Dimeff and Kelly Koerner
This 1-hour DBT Skills Q&A with Linda Dimeff and Kelly Koerner Q&A session takes a look at the question "Just How Important are DBT Skills? and provides a brief research walk-through.
Audio Only Version
How to Record Therapy Sessions
In this presentation by Kelly Koerner, Neal Moglowsky & Jacque Stratton on February 14, 2014, they discuss how to record therapy sessions, whether as a step in the DBT certification process, or for your own personal learning. Topics addressed include how to set your office, discuss the purpose of recording and obtain consent from your client, storing/sharing/destroying recordings, and how to work with your fears and other obstacles you may face.
Color Slides - https://app.box.com/s/c5i6fr4jmfy9zi2lqsao
Black and White Slides - https://app.box.com/s/gsnd6kofon00laiqae2i
"This consent was pretty specific to the certification process I was engaged in. I'm sure it can be modified for others' purposes." - Abby Sarrett-Cooper, MA, LPC
DBT specific consent to record" - Jacqueline Stratton
Audio-Video Consent, general - Center for Behavioral Medicine
Consent for Video Recording - specific to credentialing process (Shared by Victoria Cane)
DBT Diary Cards
DBT Diary Card adapted, includes TIP - This 1-page DBT Skills Diary Card allows tracking of suicidal urges, self-harm, physical misery, sadness, fear, shame & guilt, anger, joy, and love, as well as daily actions around target behaviors, and use of 26 DBT skills.
DBT Adolescent Diary Card (posted by nancysg) - This two-sided Adolescent DBT Skills Diary Card allows tracking of substance abuse cravings, aggressive behavior (verbal and physical), school problems, self-harm thoughts, suicidal thoughts, and risky sexual urges, as well as tracking daily use of 28 DBT skills
Front - https://app.box.com/shared/7qt7311x5b
Back - https://app.box.com/shared/lrrkayizs0
DBT Diary Card (provided by Cindy Smith) - This 1-page DBT 1 Diary Card allows tracking of 1 identified skill to practice, a rating scale for the emotions of mad, sad, stressed/anxious, and happy, and a place to indicate something that the client had a hard time with that particular day.
DBT Diary Card (posted on DBT-L 1-5-11 by Joan Russo) - This 1-page DBT Diary Card allows tracking of urges, actions and intensity of self-harm, suicidal ideation, and misery, as well as the emotions of self-acceptance, compassion, anger, joy, shame, sadness, and fear. A place for daily notes and therapy agenda items is also provided.
Bank Statement Diary Card (Excel File) (Posted on DBT-L 1-4-11 by Gloria Whelchel) - This 1-page Excel Bank Statement style DBT Diary Card allows the tracking of deposits and withdrawals during the week, including the intensity level. Deposits include pleasant activities, building mastery, problem-solving skills, treating physical illness, balanced eating, avoiding drugs & alcohol, physical exercise, self soothing, improving the mood, helping others contribute, connecting with others, and practicing mindfulness. Withdrawals include doing nothing all day, gave up/didn't try, too stressed/felt overwhelmed, didn't take medication, poor eating, used drugs or alcohol, not enough sleep or too much sleep, no exercise, obsessed/ruminated, contributed nothing of value, avoided/isolated, and negative or impulsive behaviors. It also includes a place to briefly explain the deposits and withdrawals.
Mindfulness - Bank Statement Diary Card (Excel File) (Posted on DBT-L 1-4-11 by Gloria Whelchel) - This 1-page Excel Bank Statement Core Mindfulness DBT Diary Card allows the tracking of deposits and withdrawals during the week, including the intensity level. Deposits include knowing which state of mind, observing/describing/participating fully non-judgmentally, was one mindful, was effective, practiced willingness, moved into wise mind, practiced meditation, both/and dialectical thinking, found truth in other's position, asked/didn't assume, validated self & others, and identified the dialectic. Withdrawals include unaware of state of mind, observed/described/participated judgmentally, multitasked, was ineffective, practiced willfullness, stayed in emotion mind, didn't meditate, either/or thinking, demanded I was right, assumed/read their mind, invalidated self & others, and unaware. It also includes a place to briefly explain the deposits and withdrawals.
DBT Card (Excel File) (Posted on DBT-L 1-4-11 by Gloria Whelchel) - This 1-page Excel DBT Card allows tracking of the number of alcohol, OTC medications, other people's medications, and street/illicit drugs used on a daily basis. There are also intensity tracking areas for emotions (pain, sad, shame, anger, fear, depression, anxiety, joy) and self-harm (suicidal ideation, misery level, suicide attempts, self-harm urges and actions, medical attention). There is a place to track outpatient services used and hospitalizations that occurred. The second half includes tracking for behaviors to increase and decrease, skills used, and description areas for responses to items filled out on the form.
DBT Diary Card (Posted on 12-20-13 by Doreen DeRoss) - This two-sided DBT Diary Card allows tracking on side one of days that the client worked on any of the 19 DBT skills listed, along with a comment area. Side 2 tracks daily urges and emotions on a 0-5 intensity scale, and actions on a yes/no scale, and skills on a 1-7 scale from not thought about/used to came naturally, helped.
Side 1 - https://app.box.com/s/4oy1avrmiabfwzqi8pfz
Side 2 - https://app.box.com/s/5r42ltwreuddpevmxfif
DBT Diary Card formatted for SmartPhone Use with MS Word Mobile (Shared by Amy House) - This 1-page DBT Diary Card is formatted for use on a smartphone. It includes places to track targets for self-harm urges and actions, suicidal thoughts, misery in general, substance urges and actions, and took meds as prescribed. The bottom half provides a place to indicate the highest intensity felt each day for joy, sadness, fear/anxiety, depression and shame on a 0-5 scale.
DBT Diary Card-Back Couple Skills 2014 (Shared by John Mader) - This two-sided DBT skills for couples diary card is based on "The High Conflict Couple: A DBT Guide to Finding Peace, Intimacy and Validation" by Alan Fruzzetti, PhD. Page 1 includes a brief one paragraph description of the 18 DBT skills along with the chapter in the book where it is discussed. Page 2 includes a place to track weekly use of each of the skills for a 4-week cycle as well as a very brief reminder of what the skill involves.
DBT Diary Card (Shared by Victoria Cane) - This 2-page DBT Diary Card allows tracking of drug, alcohol and prescription medication use, as well urges, actions and intensity of self-harm, suicidal ideation, and other behaviors, and peak level of the emotions of anger, fear, joy, misery, pain, sadness, and shame. It also provides a daily area to list important events that occurred. Page 2 provides daily tracking of the use of 37 DBT skills.
DBT Residential Weekly DBT Diary Card (Shared by Nadine Centineo, LCSW-C) This 2-page diary card provides a section for tracking problem behaviors including the day of the week, urge on a 0-5 scale, and whether it was acted on. It also includes a section for tracking emotions on a 0-5 scale and includes happy/joy, sad/depressed, anxious/tense, angry, hopeful, self-accepting, compassion, and other. There is a section to then track which of 31 DBT skills were used each day. The diary card concludes with sections to write in Daily Narratives and Pleasant Events and a box for planning coping ahead for the next week.
DBT Diary Card (Shared by San Mueller on 10-16-15) - This 2-page diary card includes daily places to rate highest urge to commit suicide, self-harm, use drugs; highest rating for each day on emotional misery, physical misery,and joy; tracking use of alcohol, drugs, prescribed medications and over-the-counter medications; list actions of self-harm and which skills were used. There are also areas to list a behavioral chain analysis, the target hierarchy, the skills focus for the week, and the homework for the week. Side 2 contains 42 DBT Skills that the client can check whether they have used during each day of the week.
DBT Adherence, Case Formulation, Skills, Modeling Clips, Handouts & More
Therapist Rating and Feedback Form (Shared by Alan Fruzzetti) - "This Therapist Rating and Feedback Form" was developed to help members of DBT consultation teams give effective, adherent-consistent feedback to team members. It does not give an adherence score, but does help identify many of the target behaviors that we need to focus on to meet adherence standards, guide feedback, and has empirical support."
DBT Group Feedback Form - This 1-page DBT group feedback form begins with a 1-10 rating scale of 7 items around the helpfulness of the group and how connected and engaged the member feels. There are 4 short answer questions to gain more information on what has been most helpful, what would make the group more helpful, and risks the person has taken in the group that could be used in the client's outside life.
DBT Consultation Group Agenda (Shared by Nadine Centineo, LCSW-C) - This 1-page form can be used to create an agenda for consultation group. It begins with a 7 team agreement statements. There are spots to indicate the team leader, date of meeting, observer, and notetaker. Then there are places to write in "who would like to take time today?", a rating (1-5) and amount of time needed. The form ends with places to identify a DBT skill of the week, follow-up from last groupa, and any system issues/questions.
DBT Group Therapy: A Dozen Guidelines - This 1-page document contains a list of twelve points to remember about participation in a DBT Group.
DBT Progess Note (by John Mader) - This 1-page file provides a place for the therapist to note the client's progress around behaviors engaged in since the last session, what state the client is in the current session, and strategies used in the session.
DBT Postvention Planning (Shared by Mike Batcheler) - This 1.5 page document provides some draft guidelines that can be used when a group member has died by suicide. It includes what to do when you find out, what to say and do in an individual session, and guidelines for group time. https://app.box.com/s/84ra8fik2jnyjn9gycacrseol0y6e6va
College Office on Disability Accommodations Letter (Shared by C. Virginia F. O'Hayer, Ph.D.) - This 3-page letter provides a template for a therapist to assist a college student in obtaining educational accommodations due to her BPD and other medical and mental health challenges.
DBT Teen Residential Programs List (Shared by Elizabeth Dexter-Mazza, Psy.D.) - this 4-page document is a compiled list of DBT residential programs for teen patients. https://app.box.com/s/t4uoz69ligvd0c51exbdj3lgk6aatidc
DBT Skills Quick Reference Sheet (by Rachel Gill) - This 1-page document provides a list of the Skills Training AAA model, Mindfulness skills, Distance Tolerance skills, Emotion Regulation skills, problem solving steps and creating SMART Goals, self-soothing with the senses, Interpersonal Effectiveness skills, and Reality Acceptance Skills.
DBT and Christian Scriptures - This 3-page file provides DBT Scriptural Correlations for 18 DBT Skills and includes the Bible chapter and verse along with a few word description.
DBT Skills Reference Sheet (by Ben De Jesus) - This 1-page document provides a list of DBT Skills including Mindfulness skills, reality acceptance skills, behavior analysis, creating SMART goals, interpersonal effectiveness skills (DEAR MAN, GIVE, FAST), Skills Training AA Model, emotion regulation skills, problem solving, reducing vulnerability, PLEASE, THINK, distress tolerance skills, IMPROVE, self sooth with the senses, TIP and more.
DBT Skills Group Leader & Co-leader Roles Expectations of Staff on Shift & in DBT Groups (Shared by Jen Eaton) - this 1-page document provides expectations for leaders and co-leaders in DBT Skills groups. https://app.box.com/s/bvzp2cqtcl457897z71ncottt5799m7l
DBT Skills Group Leader & Co-leader Roles Expectations of Staff on Shift to support DBT skills training & in DBT Groups - Residential - this 3-page document provides expectations for residential staff who may co-lead groups and haven't gone through a formal training, for new staff, relief staff, or as a refresher.
Family Skills Manual - Alan Fruzzetti’s Family Skills Manual provides a set of skills—both adaptations of traditional DBT skills and unique skills specifically relevant to close interpersonal relationships—to aid clients in repairing relationships with loved ones that have been damaged by inaccurate communication, invalidation, and a lack of mindful awareness. Skills taught in this manual include Relational Mindfulness, Accurate Expression, and Self-Validation. He draws on similar concepts as discussed in his book “The High Conflict Couple” and elaborates on the necessary steps/behaviors to maintaining healthy and effective relationships.
English Version - https://app.box.com/s/4ocijidfe8xhcimh2kobjusep9tz1iw4
Spanish Version - https://app.box.com/s/aqd9rg29s1rjzqjvsfm6xe0we175fpml
DBT SKills Teaching Videos - The below videos have been generously shared by past members in PracticeGround's Courses--our spirit is tothrow ourselves into deliberately practice within a supportive community. People video tape their teaching (just talking to their camera, no real patients). In these clips DBT skills trainers are practicingto improve the power of their DBT skills training--making the teaching sticky by incorporating stories and metaphors and teaching methods that hold attention, make the skill credible and relevant, and motivate skills learning and practice. We weren't trying to be perfect or hold ourselves up as paragons; we were just trying to improve and hope sharing our practice may be useful to you!
Leeza Friedman-Prokopishyn - Ending Relationships (IPE):
Leeza Friedman-Prokopishyn - Dialectics (IPE):
Leeza Friedman-Prokopishyn - Mindfulness of Current Emotions
Sherry Sims Beach - IE Skills: Shaping, Mindfulness, Horses and Interpersonal Rejection
Sherry Sims Beach - ER Skills: Model of emotion
Gwenne Woodward - Check the Facts
Gwenne Woodward - Accumulating Positive Emotions
Gwenne Woodward - PLEASE Skills
Gwenne Woodward - Mindfulness
Gwenne Woodward - Dialectics
Case Formulation Cheatsheet - Mayo Clinic - This 2-page file provides 3 steps in the DBT Case Formulation process and includes information on target behaviors, controlling variables, positive/negative reinforcers, aversive consequences, inadequate/inappropriate stimulus control, skill deficits, relevant secondary targets, and strategies to get a preferred behavior.
Case Formulation Worksheet- Mayo Clinic - This 1-page form from the Mayo Clinic Health System provides areas to fill in the specific target behavior(s), assess (using elements of behavior chain analysis) for controlling variables including positive/negative reinforcers, aversive consequences, inadequate/inappropriate stimulus control, skill deficits, and relevant secondary targets; and strategies required to get a preferred behavior.
Case Formulation Format with Cues - Comtois & Landes - This 6-page document provides a complete template for writing a DBT Case Formulation. It includes sections for a brief thumbnail, client's goals, biosocial theory, primary targets, therapy enhancing and therapy-interfering behaviors, quality of life interfering behaviors, secondary targets, relevant dialectical tensions in the client's life or therapy, behavior chain analysis including identification of controlling variables, and task analysis.
DBT Case Conceptualization Blank Worksheet - San Diego VAMC - This 1-page DBT Case Conceptualization Worksheet provides space to identify basic demographic information, a brief summary of the biosocial model, primary treatment goals, target behaviors, primary skill deficits, issues regarding generalization of skill, secondary treatment targets (dialectical dilemmas), and the therapist's plan for utilizing behavioral strategies in relation to patient target behaviors.
DBT Case Formulation Template - brief format - This 1-page document provides a list of items that should be identified in a DBT Case Conceptualization including treatment targets (suicidal/self-harm/NSSI behaviors, TIBs, quality of life), biosocial model, dialectical dilemmas, and common chain analyses observed in sessions.
States of Mind Handout (by Rachel Gill) - This 1-page venn diagram shows the States of Mind (Reasonable Mind and Emotion Mind) with a brief description of each state and then the States of Mind + Dialectical Synthesis equaling the Wise Mind.
Mindfulness Skills Overview (by Rachel Gill) - This 3-page handout provides a DBT Skills Mindfulness Overview including the "How Skills" and "What Skills" (observe, describe, participate, non-judgmentally, one-mindfully, and effectively) and the rationale for each skill.
Nonjudgmental Stance Handout and Worksheet (by Seth Axelrod) - This 2-page document looks at Core Mindfulness and practicing a nonjudgmental stance. The first page is a handout that explains the skill, how it can be useful and problems that occur with judgments, and steps for letting go of judgments. The second page is a worksheet that provides 5 short answer questions for clients to fill out as they think about a judgment that they have made.
DBT Orientation Materials
Commitment Strategies for DBT (by Katherine DeVries) - This 2-page document provides a description of the steps involved in each of 4 commitment sessions with DBT clients including concepts to discuss and homework to assign.
Welcome to the Pine Rest DBT Program (by Katherine DeVries) - This 1-page handout for clients in the Pine Rest DBT Program provides a list of commitment activities and paperwork that the client will receive, handouts that they will be asked to review and/or read at home, and homework assignments that will be given out during the commitment phase.
DBT Phone Coaching Agreement (Shared by Jessica Chiu) - This 2-page document provides an orientation to DBT Phone Coaching. Page 1 provides a summary of general information and reasons why a client might call, what to do in an emergency, the 24-hour rule, and privacy concerns. Page 2 describes TIBs for Phone coaching on both the therapist and client's part and then includes an area where the therapist can fill in their limits for phone coaching, the client can commit to 3 skills they will practice while waiting for a return call from the therapist, and an informed consent and commitment area for the client to read and agree to.
DBT After Hours Phone Coaching Agreement (Shared by Doreen DeRoss) - This 1-page document covers After Hours Phone Coaching including a rationale for phone coachings, reasons for coaching, the goals, what to expect from phone coaching, and the 24-hour rule.
Texting Authorization Form (by Amy House) - this 2-page document explains to clients the risks of communicating by email or text, and then lists the conditions for using these methods to communicate with the therapist.
DBT Resident-Therapist Agreement (Shared by Nadine Centineo, LCSW-C)- The first page of this document includes a Resident DBT agreement where youth make an agreement to participate in DBT and to several statements about their participation. Page 2 is for the therapist to make the commitment to the youth and agree to provide DBT therapy and commit to other helpful behaviors in their work with the resident.
What the Heck is DBT? Video (Shared by Esme Shaller) - This 8-minute whiteboard video was put together to explain a few things about comprehensive DBT. It was geared to the 13-25 year-old crowd and their parents, but it isn't explicitly only about DBT for adolescents, so it's useful beyond that.
Welcome to DBT Letter (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page letter orients clients to skills class and what to expect.
Phone Coaching Agreement (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page agreement provides a rationale for phone coaching, as well as the goals and what to expect.
Parent Agreement (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page agreement orients parents to the DBT program, as well as covering financial and phone coaching agreements.
Outside Clinician Agreement (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page agreement reviews the expectations for DBT Skills Training Class and asks the client's therapist to agree to those requirements.
Orienting Clients to DBT (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page document provides a list of all the points that should be reviewed with a new DBT client.
Electronic Commmunication Agreement (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page document provides the conditions for the use of email and texts with a therapist.
Client-Therapist Agreements (Shared by Alexandria Beresford at DBT Center at Compass Point) - This 1-page provides an agreement between client and therapist for DBT therapy.
Sample agency practices for responding to client suicide (by Suicide Prevention Resource Center)
Interpersonal Effectiveness Goals Figure (by Seth Axelrod) - This 1-page graphic flowchart provides a look at the goals of interpersonal effectiveness, including self-respect effectiveness, objective effectiveness, and relationship effectiveness with a brief description of the goal and the skill that should be used in each.
DEARMAN GIVE FAST Worksheet (by Seth Axelrod - This 2-page worksheet for clients targets interpersonal effectiveness skills. Page 1 provides areas to write out objectives effectiveness using DEAR MAN. Page 2 provides 4 short answer questions for the client to think about with relationship effectiveness and self-respect effectiveness.
Managing Interpersonal Anger Handout and Worksheet (by Seth Axelrod) - This 2-page handout looks at interpersonal effectiveness skills. The first page provides a description of managing interpersonal anger and goes through 6 steps that the client can take. Page 2 provides a worksheet for them to complete on the prompting event, rating their anger intensity, applying the use of several skills, and then rating their intensity again after completing the worksheet.
Ways to Manage Distress RIGHT NOW (by Seth Axelrod) - This 2-page document lists a collection of 11 ways a person can manage their distress in the moment.
Model for Describing Emotions Handout and Worksheet (by Seth Axelrod) - This 2-page document includes a model that can be used to explain emotions and behavior to clients and then a worksheet that can be used by the client to describe and rate their emotion/actions at each stage of the model.
Letting go of Emotional Suffering Worksheet (by Seth Axelrod) - This 1-page worksheet asks a client to identify a negative emotional reaction during the past week and then answer a series of questions about how they felt during the incident.
Client Homework Sheets
ABC PLEASE homework sheet (Shared by Amy House) - This 1-page ABC PLEASE skills practice worksheet asks clients to rate how well they have been doing on each of the skills over the past 2 weeks on a 0-5 rating scale and then to list one thing that they could do in the upcoming week to move up one point. Skills include accumulate positive experiences, build mastery, cope ahead, treat physical illness, balance eating, avoid mood-altering drugs, sleep balanced, and get exercise.
Turning the Mind, Willingness, and Willfulness Worksheet (by Seth Axelrod) - This 1-page distress tolerance homework sheet allows a client to document their work and plans in turning the mind, willingness, and willfulness.
Radical Acceptance Worksheet (by Seth Axelrod) - This 1-page worksheet contains 6 questions that a client can complete to document their radical acceptance work.
Pros and Cons Worksheet (by Seth Axelrod) - This 1-page worksheet contains sections that a client can complete to document pros and cons of crisis behavior.
Myths of Grieving (Shared by Saul Zelan) - This 1-page document provides 30 statements about grief. Clients are asked to star the ones that fit for them and/or cross out the ones that don't fit, rewrite entries so they fit better, add entries that relate more closely to their situation, read it once and put it aside for a time, and then discuss it with someone they trust to ask their opinion and share the client's own.
Red Zone Worksheet Levels of Emotional Arousal (Shared by John Mader) - This 1-page Red Zone worksheet asks clients to identify and understand their emotion dysregulation. They are asked to circle an emotion (sadness, anger, fear, shame, guilt, jealousy, envy, joy, love) and indicate their current baseline and note their reactivity. Then there is a chart to fill out the level of emotion intensity from 0-90 and to list the emotion name, the body experience, the thoughts, and the urges and actions that accompanied the emotion.
List for Observing & Describing Emotions (Shared by John Mader) - This 1-page document provides lists of words to observe and describe the emotions of anger, joy, love, sadness, fear and shame.
Values, Goals, & Actions Worksheet 2014 (Shared by John Mader) - This 1-page Values, Goals and Actions worksheet asks clients to look at 12 valued areas of life including couple/marriage/partner relationships, parenting, other family relations, friendship/social relations, career/work, education/training/life-long learning, recreation/leisure/hobbies/creative expression, spirituality & religion, community engagement/citizenship, health & physical well-being, security & safety, and finances. For each area, clients are asked to rate the importance of the area on a 0-10 scale, rate their current practice of the area on a 0-10 scale, briefly describe the kind of person they want to be in each area, list relevant goals, and next steps/tasks/valued actions that they will take.
Couple Problem Analysis Worksheet (Shared by John Mader) - This 1-page worksheet provides a format for using behavior chain analysis to understand a conflict/problem a couple has experienced. It includes assessment of vulnerability factors, prompting event for each partner, and links in the chain leading up to the problem, description of the problem behavior and immediate and delayed consequences (e.g. harm to self and to environment/others).
Behaviors That Lead to Closeness Worksheet (Shared by John Mader) - This 1-page worksheet helps client's assess the impact of behaviors in relationships on the experience of feeling "close" to a partner. The "Behaviors to Closeness Quadrant" has the client fill in each of the four quadrants indicating 1) my behaviors that lead to my experience of more closeness with my partner, 2) my behaviors that lead to my partner experiencing more closeness with me, 3) my partner's behaviors that lead to my experience of more closeness with my partner, and 4) my partner's behaviors that lead to my partner experiencing more closeness with me.
Behavioral Chain Analysis Worksheet (Shared by Seth Axelrod) - This 1-page worksheet allows the client to do a Chain Analysis including identifying a prompting event, listing their actual behaviors and events, vulnerability factor and the consequences and harm of their problem behavior. It also integrates Solution Analysis work with places to identify ways to reduce vulnerability in the future, ways to prevent prompting event in the future, skillful alternative behaviors, and plans to repair, correct, and over-correct harm.
Chain Analysis Diagram Worksheet (Shared by John Mader) - This 1-page Chain Analysis Diagram Worksheet provides areas for vulnerability factors, precipitating or prompting event, links of thoughts/feelings/sensations/urges and events, problem behavior/target behavior, and consequences (positive/negative reinforcers, positive/negative punishers).
Chain Analysis Diagram Worksheet w Solution Analysis (Shared by John Mader) - This 1-page Chain Analysis Diagram Worksheet provides areas for vulnerability factors, precipitating or prompting event, links of thoughts/feelings/sensations/urges and events, problem behavior/target behavior, and consequences (positive/negative reinforcers, positive/negative punishers) with boxes for solution behaviors/skills at each of the 4 stages of the chain.
DBT Skills Tests and Quiz Show Games
Distress Tolerance Test (shared by Joan Russo) - This 1-page document provides a Distress Tolerance and Core Mindfulness Skills Review with fill-in-the-blank questions including the 3 states of mind, the "What" skills and "How" skills, TIPP skills, Distraction skills (ACCEPTS) and Soothing with the 5 senses.
Emotion Regulation Skills Quiz - This 2-page quiz asks key questions about emotion regulation, including the PLEASE skills, mastery, opposite action, TIP skills, and identification of goals and values.
Distress Tolerance Quiz - This 2-page quiz asks key questions about distress tolerance, including identification of the IMPROVE the moment skills, ACCEPTS skills, allowing the mind, radical acceptance, and self soothe skills.
Who Wants to be a Millionaire? Game - This PowerPoint slide deck includes the rules and complete questions with answers to play Who Wants to be a Millionaire? in a DBT Skills group.
Who Wants to be a Millionaire? Template - This PowerPoint template slide deck includes the rules and a place to create your own questions in order to play Who Wants to be a Millionare? in a DBT Skills group.
Distress Tolerance Jeopardy - This PowerPoint slide deck includes the setup and complete questions with answers to play Distress Tolerance Jeopardy in a DBT Skills group.
Jeopardy Template - This PowerPoint template slide deck includes the components needed to play Jeopardy in a DBT Skills group.
DBT Jeopardy - This PowerPoint template slide deck includes the components needed to play Jeopardy in a DBT Skills group.
DBT Jeopardy - A word file of questions that can be used for DBT Jeopardy.
DBT Jeopardy - Another word file of questions that can be used for DBT Jeopardy.
DBT Therapist Certification
DBT Linehan Board of Certification (DBT-LBC) - the non-profit organization that developed the DBT certification process approved by the treatment developer herself, Dr. Marsha Linehan of the University of Washington in Seattle.
How to Prep for DBT Certification (by John Mader) - In this infographic, John gives strategies that he considers successful ways to prep for the certification process and includes some helpful links.
Sample Study Team Practice Test (by John Mader) - This 36 item multiple choice test is a sample of what you can create to use as practice for the DBT-LBC exam.
Answer Key - https://app.box.com/s/yw6r14n87aegmrh5ixw7dg583uufj32i