Treating Trauma in Dialectical Behavior Therapy

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Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. The book shows how to implement the DBT PE protocol with clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a large-size format, it includes session-by-session guidelines, rich case examples, and 35 downloadable handouts and forms.

Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

Obsah

I. Background
1. The Development and Foundations of DBT PE
2. The Target Population
II. Stabilization and Preparation
3. Setting the Stage for DBT PE in Pretreatment
4. Achieving Safety, Stability, and Skills in Stage 1
5. Building Motivation for DBT PE
6. Determining Readiness for DBT PE
7. Preparing to Start DBT PE
III. The DBT PE Protocol
8. Session 1
9. Session 2
10. Joint and Family Sessions
11. Session 3
12. Intermediate Sessions (Sessions 4+)
13. The Final Session
IV. Troubleshooting and Tailoring Treatment
14. Troubleshooting Problems
15. Targeting Specific Trauma-Related Emotions
16. Working with Different Trauma Types
17. Treating Diverse Populations
V. Next Steps
18. Stage 3 and Beyond
Appendix A. DBT PE Client Handouts
Appendix B. Therapist Forms
Appendix C. Session Checklists
Appendix D. Measures
References
Index