Dialectical Behavior Therapy for Wellness and Recovery

ANDREW BEIN, PhD, LCSW, has nearly thirty years of experience as a clinician, consultant, trainer, and researcher. He is a Full Professor with the Division of Social Work at California State University, Sacramento.

• Foreword by Alfred W. Kaszniak ixPreface xiiiChapter One Applying Dialectical Behavior Therapy: Toward Access for Diverse Client Needs 1Gifts of Dialectical Behavior Therapy 1Chapter Two Emotion Regulation and Resilience: Developing Wise Mind 15Emotion Regulation Strategies and Helping Framework 17The Skillfulness of Intention: Am I in Wise Mind? 21The Intention of Self-Compassion 27Mindfulness of the Moment 35Responding to Emotions in the Moment 44Expanding the Moment: Resilience Building and the Bigger Picture 58Validation and Acceptance to Support Client Change 70Chapter Three Applying DBT to Mental Health and Substance Abuse Recovery 77Overview of Issues 77Practicing Mental Health Recovery in DBT-WR 79Motivational Interviewing 99Substance Abuse Recovery 103Chapter Four Accounting for Trauma 113Overview 113Trauma to Normalize Emotion Regulation Challenges 115Neuroscience Engenders Hope and Interest 116Acknowledgment of Trauma and Extreme Stress Validates Clients 119Being Mindful of Trauma in the Here-and-Now 121Resilient Zone 123Chapter Five Clinician's Use-of-Self: Foundation for Effective Practice 129Strong Back, Soft Front 130Use-of-Self Interface With Radical Acceptance 133Intention and Mindfulness Fueling Effective Practice 136Use-of-Self With Challenging Clients and Circumstances 139Responding to Diversity as Opportunity, Not as Nuisance 142Practitioner Non defensiveness 145Language of Invitation 147Use-of-Self Summary 148Chapter Six Lessons and Activities: Dialectical Behavior Therapy for Wellness and Recovery 149Principles for Using Lessons 149Improve the Moment: Language and Meaning 151Session Structure and Flow 153Homework 155Approaching the Lessons With a Light-Hearted Spirit 156Lesson 1: Mindfulness and the Brain 157Lesson 2: Facing Emotions and Thoughts and Improving the Moment 163Lesson 3: Dealing With Judgments 169Lesson 4: Expanding the Moment 173Lesson 5: Dealing With Difficult Times 177Lesson 6: Opposite Action 183Lesson 7: Not Getting Stuck Doing the Usual 188Exercise 8: Friend to Self: Willing Participation and Mindful Walking 193Lesson 9: Primary and Secondary Emotions 198Lesson 10: Friend to Self: Doing What Is Needed and Self-Care 201Lesson 11: Getting Grounded: Finding Wellness Amidst Distress, Anxiety, and Worry 206Lesson 12: Finding the Zone: Moving From Suffering to Balance 212Lesson13: Self-Nurturance and Joy 216Lesson14: Effective Speech and Telling the Truth 219Lesson 15: Inspiring the World With Our Courage and Path 223References 227Appendix 237Log for Daily Living 238Wise Mind: Handout/Presentation Version 240Acknowledgments 241About the Author 243Author Index 245Subject Index 247