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This volume is the authoritative presentation of Dialectical Behavior Therapy (DBT), Linehan's comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training. In-depth descriptions of skills training procedures are provided in the companion manual. Core emotion regulation skills are also taught directly to clients in Linehan's skills training videos.

"Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.' --Allen Frances, M.D.

"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients." --Lester Luborsky, Ph.D.

"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny." --Gerald Davison, Ph.D., University of Southern California

"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results." --Mark Ciocca, Ph.D., Central New Hampshire Community Mental Health Center

"Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings.

"Our hospital has applied Linehan's treatment in several settings over the past five years: acute inpatient, extended inpatient, day treatment, and outpatient. We have primarily worked with borderline clients, but have also had success with some schizophrenics. Patients, families, and staff have received this new approach with enthusiasm; it makes common sense to them and feels very practical. It's a treatment that integrates well with biological, rehabilitative, most psychodynamic, and family treatment modes, and parallels treatments for eating disorders, substance abuse, and PTSD from childhood abuse....Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries." --Charles R. Swenson, M.D., New York Hospital, Westchester Division