Introduction |
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PART 1 THE NUTS AND BOLTS OF DBT |
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Chapter 1 Entering the World of DBT |
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Looking at the Main Pillars of DBT |
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8 | (1) |
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Getting an Overview of DBT's Treatment Modes and Functions |
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The four modes of therapy |
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The five functions of treatment |
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Focusing on the DBT Theoretical Framework |
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10 | (1) |
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Checking Out the DBT Stages of Treatment |
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11 | (1) |
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12 | (1) |
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Walking through the Mechanics of DBT |
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12 | (1) |
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Treating Specific Conditions with DBT |
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Chapter 2 Understanding Dialectical Behavior Therapy |
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Beginning with the Biosocial Theory |
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The invalidating environment |
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Focusing on the Functions and Goals of a Comprehensive Treatment |
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Motivating the patient and the therapist |
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Teaching the patient new coping mechanisms |
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Incorporating new skills into the patient's daily life |
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21 | (1) |
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Structuring the patient's environment |
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22 | (1) |
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Checking Out Modes of Treatment |
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A therapist consultation team |
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24 | (1) |
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Searching for multiple truths in any situation |
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Moving from contradiction to synthesis |
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Chapter 3 Accepting Multiple Points of View |
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Questioning Your First Reaction |
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30 | (1) |
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Realizing your first reaction may be exaggerated |
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30 | (1) |
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Matching your reaction to what is in front of you |
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31 | (1) |
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Holding off on taking action |
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32 | (1) |
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Expanding Your Perception |
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32 | (1) |
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Considering your therapist's point of view |
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33 | (1) |
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34 | (1) |
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Moving forward with a purpose |
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35 | (1) |
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Looking at Yourself with Friendly Eyes |
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35 | (2) |
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Chapter 4 Moving from Impulsive to Spontaneous |
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Distinguishing Impulsivity and Spontaneity |
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38 | (1) |
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Moving Beyond Your First Reaction |
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39 | (1) |
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39 | (1) |
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Finding your emotional balance |
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40 | (2) |
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42 | (1) |
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Seeing different perspectives |
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42 | (2) |
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Widening your range of emotions |
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44 | (1) |
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Breaking free of rigid choices |
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45 | (2) |
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Transforming Negatives into Positives |
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47 | (1) |
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Setting new thinking patterns |
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48 | (1) |
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Switching self-destructive behaviors to healthy ones |
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49 | (1) |
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Increasing your trust in your responses |
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50 | (3) |
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PART 2 GAINING UNDERSTANDING |
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Chapter 5 Understanding Your Emotions |
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Recognizing How You're Feeling |
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56 | (1) |
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Distinguishing between primary and secondary emotions |
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56 | (2) |
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Paying attention to what you feel |
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58 | (2) |
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Confronting Disproportionate Reactions |
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60 | (1) |
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Realizing that your reaction may be overblown |
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61 | (1) |
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Getting from recognition to regulation |
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61 | (2) |
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Identifying and Handling Problem Areas |
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63 | (1) |
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Looking at what causes you distress |
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63 | (1) |
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Figuring out coping solutions |
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64 | (1) |
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Chapter 6 Understanding Your Behaviors |
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65 | (10) |
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Being Aware of How Your Emotions Manifest in Action |
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66 | (1) |
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Identifying and Handling Emotional Triggers |
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67 | (1) |
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Limiting their disruption |
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67 | (1) |
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68 | (2) |
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Tying Specific Behaviors to Specific Reactions |
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70 | (1) |
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Understanding physical responses and conscious feelings |
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71 | (1) |
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Establishing new pathways |
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72 | (3) |
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Chapter 7 Understanding How You Think |
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75 | (12) |
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Tapping into Your Self-Talk |
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75 | (2) |
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Practicing mindfulness of current thought |
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77 | (1) |
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Using cognitive reappraisal |
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78 | (1) |
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79 | (2) |
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Looking at Your Reactions |
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81 | (1) |
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Recognizing what you feel about your feelings |
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81 | (2) |
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Assessing your assumptions |
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83 | (1) |
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Accounting for your self-judgments |
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84 | (3) |
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Chapter 8 Understanding Your Relationships |
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Recognizing Relationship Dynamics |
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87 | (1) |
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Looking at what you bring |
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88 | (2) |
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Accepting another person's perspective |
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90 | (1) |
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91 | (1) |
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Checking in with your own dialogue |
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91 | (1) |
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Opening up to honest listening |
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92 | (1) |
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Accepting a range of perspectives |
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92 | (1) |
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Making Room for More Possibilities |
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93 | (1) |
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Being willing and able to create a new dynamic |
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93 | (1) |
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Enhancing good practices and letting go of hurtful ones |
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94 | (1) |
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PART 3 EXPLORING DBT SKILLS |
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Chapter 9 Thinking about Mindfulness |
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97 | (20) |
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98 | (1) |
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Discovering mindfulness at its core |
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99 | (1) |
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Surveying the three states of mind |
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99 | (1) |
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Practicing mindfulness with the WHAT skills |
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100 | (3) |
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Using the HOW skills in mindfulness |
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103 | (3) |
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Making space and setting a routine |
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106 | (1) |
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Understanding Types of Mindfulness |
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107 | (1) |
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Concentrative mindfulness |
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107 | (1) |
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108 | (3) |
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111 | (1) |
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111 | (1) |
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Realizing the Benefits of Mindfulness |
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112 | (1) |
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112 | (1) |
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112 | (1) |
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Creating healthy space in your psyche |
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113 | (1) |
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114 | (3) |
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Chapter 10 Regulating Your Emotions |
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117 | (10) |
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Turning the Keys of Emotion Regulation |
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117 | (1) |
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Decreasing emotional vulnerability with ABC PLEASE |
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118 | (3) |
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Practicing opposite action |
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121 | (2) |
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123 | (1) |
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Being Your Own Emotional Support |
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124 | (1) |
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Reappraising your feelings |
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124 | (1) |
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Adopting healthy self-soothing practices |
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125 | (2) |
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Chapter 11 Building Your Distress Tolerance |
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127 | (20) |
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Managing Difficult Moments with Crisis Survival Skills |
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128 | (1) |
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129 | (2) |
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131 | (1) |
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Recognizing That Everything Has a Cause |
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132 | (1) |
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Checking out a real-life example |
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132 | (1) |
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Changing your perspective |
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133 | (1) |
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Curbing Impulsive Behavior |
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134 | (1) |
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Foregoing short-term gratification |
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134 | (1) |
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135 | (2) |
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137 | (1) |
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Doing Your Own Crisis Management |
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138 | (1) |
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Acceptance of your situation |
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138 | (6) |
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144 | (1) |
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145 | (2) |
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Chapter 12 Increasing Your Interpersonal Effectiveness |
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147 | (14) |
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Before You Begin: Being Aware of Obstacles |
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148 | (1) |
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Mastering the DEAR MAN Skill |
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149 | (1) |
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150 | (1) |
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150 | (1) |
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151 | (1) |
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151 | (1) |
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151 | (1) |
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152 | (1) |
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152 | (1) |
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Practicing the Art of Validation |
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153 | (1) |
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Discovering different validation methods |
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154 | (2) |
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Validating when you disagree |
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156 | (1) |
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Problem-solving and validation |
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156 | (1) |
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Communicating with GIVE Skills |
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157 | (1) |
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Staying True to Yourself with the FAST Skill |
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158 | (1) |
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159 | (1) |
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159 | (2) |
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Chapter 13 Walking the Middle Path |
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161 | (8) |
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161 | (1) |
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162 | (1) |
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162 | (2) |
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164 | (1) |
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Embracing Cooperation and Compromise |
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165 | (1) |
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There's more than one point of view to each situation |
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166 | (1) |
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Change is the only constant |
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167 | (1) |
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167 | (2) |
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PART 4 THE MECHANICS OF DBT THERAPY |
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169 | (74) |
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Chapter 14 Exploring Therapy Basics |
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171 | (10) |
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One on One: Individual Therapy |
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171 | (1) |
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Finding an individual therapist |
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172 | (1) |
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173 | (1) |
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Getting the most from individual sessions |
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174 | (1) |
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All Together: Group Therapy |
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175 | (1) |
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175 | (1) |
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176 | (1) |
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176 | (1) |
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Time to Connect: Phone Coaching |
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177 | (1) |
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Before you begin: Setting parameters |
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177 | (1) |
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178 | (1) |
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179 | (1) |
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Repairing the relationship |
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179 | (1) |
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180 | (1) |
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Chapter 15 Embracing Dialectics |
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181 | (10) |
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In the Beginning: Stumbling onto Dialectics |
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181 | (1) |
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182 | (2) |
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Looking at the Main Dialectical Dilemmas Tackled in Treatment |
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184 | (1) |
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Emotional vulnerability versus self-invalidation |
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185 | (1) |
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Active-passivity versus apparent competence |
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185 | (1) |
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Unrelenting crisis versus inhibited grieving |
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186 | (1) |
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The Dialectical Dilemmas of Parenting: Walking the Middle Path |
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186 | (1) |
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Making light of problem behavior versus making too much of typical behavior |
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186 | (1) |
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Fostering dependence versus forcing independence |
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187 | (1) |
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Being too strict versus being too loose |
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188 | (1) |
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Understanding Therapist Dialectical Interventions |
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189 | (1) |
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Irreverence versus reciprocity |
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189 | (1) |
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Environmental intervention versus consultation to the patient |
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189 | (1) |
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Problem-solving versus validation |
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190 | (1) |
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Chapter 16 Structuring the Environment |
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191 | (18) |
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Adding Structure to Two Different Environments |
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192 | (1) |
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Addressing a Problem in Five Ways |
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193 | (1) |
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194 | (1) |
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194 | (2) |
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Holding true to your plan |
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196 | (1) |
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Structuring Individual Sessions |
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197 | (1) |
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Reviewing your diary card |
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198 | (1) |
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Paying attention to target hierarchy |
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198 | (1) |
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Doing a chain analysis on the highest target |
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199 | (2) |
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Weaving in solution analysis |
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201 | (1) |
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Moving down the hierarchy to discuss skills related to current life situations |
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202 | (1) |
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Putting Structure in Different Contexts |
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203 | (1) |
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203 | (1) |
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204 | (1) |
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205 | (1) |
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Therapy for people with developmental disabilities |
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206 | (3) |
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Chapter 17 The Therapist Consultation Team |
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209 | (10) |
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Joining a Consultation Team |
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210 | (1) |
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Therapy for the therapists |
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210 | (3) |
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Consultation team agreements |
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213 | (2) |
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215 | (1) |
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215 | (1) |
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216 | (3) |
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Chapter 18 Tracking Your Experience |
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219 | (14) |
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Keeping a Daily Diary Card |
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219 | (1) |
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220 | (2) |
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222 | (2) |
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Identifying the skills you use |
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224 | (2) |
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226 | (1) |
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226 | (3) |
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229 | (2) |
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231 | (2) |
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Chapter 19 Gaining and Keeping Motivation |
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233 | (10) |
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Having Motivation for Therapy |
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233 | (1) |
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Distinguishing motivation and ability |
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234 | (1) |
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235 | (1) |
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236 | (1) |
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236 | (2) |
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238 | (2) |
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240 | (1) |
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240 | (1) |
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241 | (2) |
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PART 5 PUTTING DBT INTO ACTION FOR SPECIFIC CONDITIONS |
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243 | (72) |
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Chapter 20 Building Mastery for Mood and Personality Disorders |
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245 | (18) |
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Addressing Borderline Personality Disorder |
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245 | (1) |
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The nine DSM criteria for BPD |
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246 | (3) |
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Dr. Linehan's five areas of dysregulation |
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249 | (4) |
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253 | (1) |
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253 | (2) |
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255 | (1) |
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256 | (1) |
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Understanding anxiety's components |
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256 | (2) |
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Checking out anxiety's common presentations and chemistry |
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258 | (1) |
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Tempering excessive anxiety |
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259 | (2) |
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Experiencing anxiety as a helpful signal |
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261 | (2) |
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263 | (8) |
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Understanding the Basics of DBT PE |
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264 | (1) |
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Breaking down types of avoidance |
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265 | (1) |
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265 | (2) |
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Knowing when you're ready to start |
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267 | (1) |
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DBT-PTSD: Exploring an Alternative Model |
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267 | (1) |
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Digging into the Dilemma of Dissociation |
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268 | (3) |
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Chapter 22 Tempering Addictions |
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271 | (26) |
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271 | (1) |
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Working through Substance Dependence |
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272 | (1) |
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Distinguishing substance use and substance-induced disorders |
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273 | (2) |
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Looking at DBT skills for substance use disorders |
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275 | (3) |
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Seeing how DBT for substance use disorders is different from standard DBT |
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278 | (1) |
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Knowing how DBT for substance use disorders is different from other therapies |
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279 | (1) |
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Considering DBT for SUD alone, without emotion regulation problems |
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280 | (1) |
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Overcoming Eating Disorders |
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281 | (1) |
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281 | (2) |
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283 | (1) |
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The DBT model of treatment for eating disorders |
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284 | (3) |
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Gaining Ground on Body Dysmorphic Disorder |
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287 | (1) |
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Addressing perceived flaws |
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288 | (3) |
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Handling particular problems |
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291 | (1) |
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Getting a Grip on Behavioral Addictions |
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292 | (1) |
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Activities that may become addictions |
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293 | (2) |
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When to use DBT for behavioral addictions |
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295 | (2) |
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Chapter 23 Dealing with Counterproductive Behaviors |
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297 | (18) |
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Tackling Self-Invalidation |
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298 | (1) |
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Removing yourself from the cycle with self-validation |
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298 | (1) |
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299 | (2) |
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301 | (2) |
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303 | (3) |
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306 | (1) |
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Thinking of self-love as opposite action |
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307 | (1) |
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Looking at the elements needed to practice self-love |
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308 | (1) |
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Balancing Solitude and Connectedness |
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309 | (1) |
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310 | (1) |
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310 | (2) |
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312 | (3) |
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315 | (22) |
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Chapter 24 Ten Mindful Practices |
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317 | (6) |
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317 | (1) |
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Observe the Urge to Swallow |
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318 | (1) |
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318 | (1) |
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Observe Your Breath by Ladder Breathing |
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318 | (1) |
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Describe a Social Media Post |
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319 | (1) |
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Describe a Difficult or Painful Emotion |
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319 | (1) |
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Describe the Sounds around You |
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320 | (1) |
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Participate in Standing on One Foot |
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320 | (1) |
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Participate in Writing with Your Non-Dominant Hand |
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320 | (1) |
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Participate in Driving a Car |
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321 | (2) |
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Chapter 25 Ten Ways to Live an Antidepressant Life |
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323 | (8) |
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323 | (1) |
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324 | (1) |
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Eating a Less Refined Diet |
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324 | (1) |
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Being Careful with Alcohol and Various Drugs |
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325 | (1) |
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325 | (2) |
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Maintaining Social Interaction and Connection |
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327 | (1) |
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Adding Recreation and Relaxation to Your Routine |
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327 | (1) |
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Accessing Green Space and the Environment |
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328 | (1) |
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Taking Care of Pets and Other Animals |
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328 | (1) |
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Making Time for Faith and Prayer |
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329 | (2) |
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Chapter 26 Ten Myths about DBT |
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331 | (6) |
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Myth: DBT Is Used Only with People with Borderline Personality Disorder |
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331 | (1) |
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Myth: DBT Therapists Teach Skills from a Manual; It's Not a Real Therapy |
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332 | (1) |
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Myth: DBT Takes Years Before You Feel Better |
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332 | (1) |
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Myth: DBT Is a Suicide Prevention Therapy |
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333 | (1) |
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Myth: If No Other Therapy Has Helped, DBT Won't Either |
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333 | (1) |
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Myth: Once You Start DBT, You Need to Continue It Forever |
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333 | (1) |
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Myth: You Have to Accept Buddhism to Do DBT |
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334 | (1) |
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334 | (1) |
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Myth: There Is Very Little Evidence That DBT Works |
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334 | (1) |
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Myth: DBT Isn't Interested in "Root Causes" of Mental Illness |
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335 | (2) |
Index |
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337 | |