Therapy-interfering behavior (TIB) is a key treatment target in dialectical behavior therapy (DBT), second only to suicidal thinking and self-harm. This wise, engaging book gives clinicians everything they need to assess, understand, and address TIB both in clients and in themselves. Therapists learn how to orient clients to TIB and work with it effectively whenever it shows up, using a combination of validation, contingency management, and dialectics. Packed with clinical examples, dialogues, and practical tips, the book discusses the full range of DBT contexts, from individual therapy to skills class, phone coaching, and consultation teams.
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Esme A. L. Shaller, PhD, is Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco (UCSF), which she joined in 2007. At UCSF, she helped build the Wavefront Dialectical Behavior Therapy (DBT) Clinic, for which she serves as Clinical Director. Both Dr. Shaller and the Wavefront DBT Clinic are certified by the DBT-Linehan Board of Certification. Dr. Shaller’s central passions are teaching and dissemination of DBT, particularly for adolescents and families. She devotes a large percentage of her time to teaching and training, both within UCSF’s residency and fellowship programs and across California and the United States. She has worked with other members of the Wavefront team to implement comprehensive DBT for low-income teens in three Bay Area counties. Dr. Shaller is past president of the International Society for the Improvement and Teaching of DBT (ISITDBT) and a cofounder of the ISITDBT Anti-Racism Committee.
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