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Dialectical Behavior Therapy for Wellness and Recovery: Interventions and Activities for Diverse Client Needs


This hands-on guide addresses the present day realities of applying dialectical behavior therapy in a mental health and substance abuse recovery context. The book presents the DBT concept, Wise Mind, as adapted by author Andrew Bein, as central to a simple, powerful, empirically supported framework that respectfully engages clients in their own efforts to enhance personal well-being. The book includes empirically supported exercises with an emphasis on collaboration and client empowerment using a recovery ...

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This hands-on guide addresses the present day realities of applying dialectical behavior therapy in a mental health and substance abuse recovery context. The book presents the DBT concept, Wise Mind, as adapted by author Andrew Bein, as central to a simple, powerful, empirically supported framework that respectfully engages clients in their own efforts to enhance personal well-being. The book includes empirically supported exercises with an emphasis on collaboration and client empowerment using a recovery oriented model for client treatment and improved outcomes.

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What People Are Saying

From the Publisher
"It is exciting when a book comes along in the mental health field that both changes the way we think about our work and can be immediately applied to our work in a practical way, and Andrew Bein’s book does just that! As a mindfulness-oriented therapist in a busy university counseling center, I am excited to start using this book in my work with clients, and I know it will be a resource I will turn to again and again."
Ronni Arensberg, Psy.D., LP,Licensed Psychologist,North Dakota State University Counseling Center

"Dr. Bein skillfully brings DBT, essential mindfulness practices, and skills-building to the everyday world of therapists and clients. Andy presents a cohesive and comprehensive model of integrative therapy that benefits those willing to take on practices promoting growth and development from the ground up."
Edward Brown, Zen priest, Author, Tassajara Bread Book

"This is a thoughtful book that dares to venture into the uncharted territory of rethinking treatment for persons diagnosed with personality disorders based on the recovery paradigm. While DBT has always been a respectful, and empowering, approach, Bein courageously challenges some of the core assumptions upon which traditional psychotherapeutic practice has been based in order to engage clients in a more collaborative relationship that enables them to assume an active, and central, role in their own recovery."
Larry Davidson, Ph.D., Professor of Psychiatry, Yale University School of Medicine

"Like water on rock, Dr. Bein reshapes Dialectical Behavior Therapy with a deepened appreciation for emotion regulation through mindfulness practice. This practical and clearly presented model offers a much needed treatment model for use in diverse settings. It is filled with simple, well-constructed exercises and tools that make basic DBT principles more accessible than ever before. Dialectical Behavior Therapy for Wellness and Recovery is an invaluable contribution not only for therapy, but for quality everyday living."
Satsuki Ina, PhD., MFT, Director, Family Study Center; Producer and Director, Children of the Camps

"Andrew Bein’s latest book brilliantly captures the essence of DBT and integrates self-regulatory concepts that are key to healing trauma. The practical exercises and monitoring tools are excellently designed and will be helpful tools that will enhance recovery. This book will not only be useful for clinicians but clients as well. "
Elaine Miller-Karas, LCSW, Executive Director of the Trauma Resource Institute.

"This book offers a remarkable gift for the diverse clients in our agency struggling with co-occurring mental health and substance abuse disorders. The sessions are structured in an easy-to-use format that makes DBT much more accessible than any curriculum that I have seen before. Dialectical Behavior Therapy for Wellness and Recovery is a testament to Dr. Bein's dedication to improving the lives of clients and clinicians and to the far reaching impacts of mindfulness in serving those with diverse needs."
Karen Larsen, MFT, Director Behavioral Health, Communicare Health Centers, Davis, California

"Finally, a book on DBT that goes beyond tradition, helping practitioners apply the unique insights and skills of the approach to a wider range of people and presenting problems. Dr. Bein shows how focusing on engagement and honoring the client's perspective can take DBT to a new level. Well-written, concise, and engaging. Bravo."
Scott D. Miller, Ph.D.; Director, International Center for Clinical Excellence Cummings Professor, Department of Behavioral Health, Arizona State University

"The international transformation within mental health systems towards a recovery orientation involves changing how we understand treatment. Andy Bein directly tackles this challenge in Dialectical Behavior Therapy for Wellness and Recovery. Additionally, the book’s synthesis of approaches for emotional regulation and substance abuse has high clinical relevance. I highly recommend this book for its accessible, practical and experience-based approach, which will equip practitioners with skills to help their clients engage in treatment and find their own answers to vital questions related to their personal recovery."
Mike Slade, Ph. D., Clinical Psychologist, Professor, Institute of Psychiatry, King's College-University of London, Author of Personal Recovery and Mental Illness

"Bein writes with authenticity and empathy, and, in his strong and soft voice, concepts such as intention, self-compassion, mindfulness and radical acceptance become not only of therapeutic value but a template for all of us to live with presence and integrity."
Shauna L. Smith, MSW, LMFT; Author, Making Peace With Your Adult Children: A Guide to Family Healing; Co-Founder, Therapists for Social Responsibility

"Dr. Bein's thoughtful exploration of recovery reminds us that our clients bring extraordinary strengths and life experience to the healing process. The book's concepts are presented in ways that are refreshing and new, giving the clinician immediate clarity and sense of how to teach the material. I plan to use DBT-WR for my next therapy group."
Nancy White, LCSW, Private Practice, Former DBT Group Leader, Kaiser Permanente

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Product Details

  • ISBN-13: 9781118653333
  • Publisher: Wiley
  • Publication date: 10/14/2013
  • Edition number: 1
  • Pages: 272
  • Sales rank: 500,451
  • Product dimensions: 6.90 (w) x 9.90 (h) x 0.90 (d)

Meet the Author

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.

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Table of Contents

Foreword by Alfred W. Kaszniak ix

Preface xiii

Chapter One Applying Dialectical Behavior Therapy: Toward Access for Diverse Client Needs 1

Gifts of Dialectical Behavior Therapy 1

Chapter Two Emotion Regulation and Resilience: Developing Wise Mind 15

Emotion Regulation Strategies and Helping Framework 17

The Skillfulness of Intention: Am I in Wise Mind? 21

The Intention of Self-Compassion 27

Mindfulness of the Moment 35

Responding to Emotions in the Moment 44

Expanding the Moment: Resilience Building and the Bigger Picture 58

Validation and Acceptance to Support Client Change 70

Chapter Three Applying DBT to Mental Health and Substance Abuse Recovery 77

Overview of Issues 77

Practicing Mental Health Recovery in DBT-WR 79

Motivational Interviewing 99

Substance Abuse Recovery 103

Chapter Four Accounting for Trauma 113

Overview 113

Trauma to Normalize Emotion Regulation Challenges 115

Neuroscience Engenders Hope and Interest 116

Acknowledgment of Trauma and Extreme Stress Validates Clients 119

Being Mindful of Trauma in the Here-and-Now 121

Resilient Zone 123

Chapter Five Clinician’s Use-of-Self: Foundation for Effective Practice 129

Strong Back, Soft Front 130

Use-of-Self Interface With Radical Acceptance 133

Intention and Mindfulness Fueling Effective Practice 136

Use-of-Self With Challenging Clients and Circumstances 139

Responding to Diversity as Opportunity, Not as Nuisance 142

Practitioner Nondefensiveness 145

Language of Invitation 147

Use-of-Self Summary 148

Chapter Six Lessons and Activities: Dialectical Behavior Therapy for Wellness and Recovery 149

Principles for Using Lessons 149

Improve the Moment: Language and Meaning 151

Session Structure and Flow 153

Homework 155

Approaching the Lessons With a Light-Hearted Spirit 156

Lesson 1: Mindfulness and the Brain 157

Lesson 2: Facing Emotions and Thoughts and Improving the Moment 163

Lesson 3: Dealing With Judgments 169

Lesson 4: Expanding the Moment 173

Lesson 5: Dealing With Diffi cult Times 177

Lesson 6: Opposite Action 183

Lesson 7: Not Getting Stuck Doing the Usual 188

Exercise 8: Friend to Self: Willing Participation and Mindful Walking 193

Lesson 9: Primary and Secondary Emotions 198

Lesson 10: Friend to Self: Doing What Is Needed and Self-Care 201

Lesson 11: Getting Grounded: Finding Wellness Amidst Distress, Anxiety, and Worry 206

Lesson 12: Finding the Zone: Moving From Suffering to Balance 212

Lesson13: Self-Nurturance and Joy 216

Lesson14: Effective Speech and Telling the Truth 219

Lesson 15: Inspiring the World With Our Courage and Path 223

References 227

Appendix 237

Log for Daily Living 238

Wise Mind: Handout/Presentation Version 240

Acknowledgments 241

About the Author 243

Author Index 245

Subject Index 247

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