Dialectical Behavior Therapy for At-Risk Adolescents: A Practitioner’s Guide to Treating Challenging Behavior Problems

Adolescents are more likely than any other age groups to engage in behaviors that contribute to injuries, violence, unintended pregnancies, sexually transmitted diseases, and reckless alcohol, tobacco, and drug use. At-risk adolescents may also exhibit signs of moodiness, aggression, and even self-injury, and these behaviors often cause parents, teachers, and clinicians to become extremely frustrated. Adolescents themselves may even believe that change is impossible.

Drawing on proven-effective dialectical behavior therapy (DBT), Dialectical Behavior Therapy for At-Risk Adolescents is the first reader-friendly and easily accessible DBT book specifically targeted to mental health professionals treating adolescents who may be dangerous to themselves or others. If you work with adolescents who exhibit at-risk behavior, you know how important it is to take immediate action. However, you may also have trouble "breaking through" the barrier that these young people can build around themselves. This book can help.

The DBT skills outlined in this book are evidence-based, and have been clinically proven to help build emotion regulation skills, which are useful for all age groups, though perhaps especially for the millions of at-risk adolescents experiencing depression, anxiety, anger, and the myriad behaviors that can result from these emotions. This book also includes practical handouts and exercises that can be used in individual therapy sessions, skills training groups, school settings, and when working with parents and caregivers.

Adolescents stand at the precipice of the future, and the decisions they make now can have life-long impacts. By showing them how to manage their emotions and deal with the stresses that are common in day-to-day life, you are arming them with the tools they will need to succeed and thrive.

Pat Harvey, ACSW, LCSW-C, has been providing clinical social work services to individuals with emotion dysregulation and their families for over thirty years. Harvey trains mental health professionals in dialectical behavioral therapy (DBT) skills and philosophy by facilitating trainings and workshops at organizations and conferences across the country, and helped to develop one of the first DBT-based group homes for adolescents. The focus of her practice is providing DBT-skill group and individual coaching to parents and other family members of youths who have emotion dysregulation. She is cofounder of the Metro DBT Consortium and coauthor of Parenting a Child Who Has Intense Emotions.

Britt H. Rathbone, ACSW, LCSW-C, provides psychotherapy services to adolescents and their families in the greater Washington, DC, area. He is consistently voted one of Washington’s best therapists for adolescents, and actively teaches graduate students and trains other professionals on issues of adolescent development and clinical treatment. He has been providing DBT services to adolescents since 2002, and is cofounder of the Metro DBT Consortium.