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DBT Skills for Adolescents

Second Edition
Training Manual for Clinicians

Jill H. Rathus and Alec L. Miller
Forewords by Marsha M. Linehan and Michaela A. Swales

HardcoverPaperbacke-bookprint + e-book
Hardcover
December 29, 2026
ISBN 9781462565450
Price: $90.00
396 Pages
Size: 8" x 10.5"
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Paperback
December 1, 2026
ISBN 9781462564736
Price: $60.00
396 Pages
Size: 8" x 10.5"
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e-book
December 1, 2026
PDF and Accessible ePub ?
Price: $60.00
396 Pages
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print + e-book
Paperback + e-Book (PDF and Accessible ePub) ?
Price: $120.00 $72.00
396 Pages
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Now in a fully revised second edition with 50% new material, this is the authoritative guide to teaching adolescents and their caregivers the life-changing skills of Dialectical Behavior Therapy (DBT). The expert authors present their evidence-based, developmentally informed adaptations of standard DBT skills, including the groundbreaking family-based module for teens, Walking the Middle Path. In a convenient large-size format, the book features session outlines, teaching notes, discussion points, and examples. Client handouts are provided in the companion workbook for teens and their parents or other caregivers, available separately: DBT Skills for Adolescents Workbook, Second Edition.

New to This Edition

“There is a wealth of information that defines DBT for adolescents and explains what it addresses….The sessions are laid out in an organized manner with suggestions about where leaders should jump in.”

School Social Work Journal (on the first edition)


“The book is comprehensive, very inclusive, and carefully detailed….This text could clearly be used in any graduate psychology training program, social work training program, or psychiatric residency where DBT skills are taught and where students can participate in an ongoing DBT treatment program.”

Child and Family Behavior Therapy (on the first edition)


“The first edition of DBT Skills Manual for Adolescents was eagerly anticipated and went on to transform treatment delivery across the globe….The precision and accessibility that characterized the first edition are retained and enhanced, with the addition of new skills and contemporary, highly relevant examples....[The authors] are deeply committed to improving the lives of the adolescents and families they serve and, through their teaching, the many practitioners who will use this manual. Their work reflects both fidelity to the principles of DBT and creativity in its application.”

—from the Foreword by Michaela A. Swales, PhD, Professor and Program Director, North Wales Clinical Psychology Program, Bangor University, United Kingdom


“I have been eagerly awaiting this second edition, and it was well worth the wait. As Marsha Linehan has said, Rathus and Miller are the experts in DBT for adolescents, and their expertise shines through on every page. Drawing on decades of experience developing, implementing, and teaching DBT-A around the world, Rathus and Miller have created an indispensable resource that is both evidence based and immediately practical. The thoroughly updated Manual equips clinicians with the knowledge, structure, and clinical wisdom needed to deliver DBT-A skills with fidelity, and the Workbook equips clients with the tools they need. Together, these volumes are indispensable for trainees, seasoned clinicians, and anyone committed to providing high-quality DBT-A.”

—Shireen L. Rizvi, PhD, Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, New York

Table of Contents

Foreword to the Second Edition, Michaela A. Swales

Foreword, Marsha M. Linehan

Preface to the Second Edition

Preface

I. Dialectical Behavior Therapy Skills Training Structure and Strategies

1. An Introduction to Dialectical Behavior Therapy and Skills Training

2. Enhancing Teen Executive Functioning within and outside of DBT: Weaving In Self-Management Skills

3. Structure of DBT Skills Training

4. Managing Skills Training Group Sessions

5. The Art of Conducting DBT Skills Training: Balancing DBT Strategies and Managing Dialectical Tensions

II. Infusing Skills across Treatment Modes, Including DBT-A Caregiver Modes

6. Individual Therapy, Coaching, and the Consultation Team: Infusing Skills across Modes

7. Infusing DBT Family Therapy with Skills

8. DBT Parenting: Supercharging Parent Sessions with DBT Skills

III. Skills Training Modules

9. Self-Management Strategies: General Handouts

10. Orientation to Multifamily Skills Training Group

11. Mindfulness Skills

12. Distress Tolerance Skills

13. Walking the Middle Path Skills

14. Emotion Regulation Skills

15. Interpersonal Effectiveness Skills

References

Index


About the Authors

Jill H. Rathus, PhD, is a former Professor of Psychology at Long Island University Post, where she directed the DBT Clinical Research Lab. She is also cofounder and codirector of Cognitive Behavioral Associates, a treatment and training center in Great Neck, New York. Dr. Rathus is coauthor of books including Dialectical Behavior Therapy with Suicidal Adolescents and DBT Skills Manual for Adolescents, and is a coauthor of the DBT STEPS-A and DBT STEPS-E curricula for secondary and elementary school settings. She consults internationally, has trained thousands of mental health professionals in the United States and worldwide, and is widely published in peer-reviewed journals. Dr. Rathus is a recipient of the Cindy Sanderson Outstanding Educator Award from the International Society for the Improvement and Training of DBT and serves as Co-Chair of the Treatment Integrity Committee of the World DBT Association.

Alec L. Miller, PsyD, is cofounder of Cognitive and Behavioral Consultants, a treatment, training, and consultation center in White Plains and Manhattan, New York; cofounder and Board Chair of the nonprofit Access Psychology Foundation; and Clinical Professor of Psychiatry and Behavioral Sciences at Montefiore Medical Center of the Albert Einstein College of Medicine, Bronx, New York. Since the 1990s, Dr. Miller has adapted and applied DBT to youth in outpatient, inpatient, and school settings, as well as to youth who have chronic medical illnesses. His publications include over 100 peer-reviewed articles and book chapters, as well as the coauthored books Dialectical Behavior Therapy with Suicidal Adolescents and DBT Skills Manual for Adolescents and the DBT STEPS-A and DBT STEPS-E curricula for secondary and elementary school settings. Dr. Miller has trained thousands of clinicians and school personnel in DBT internationally.

Audience

Mental health practitioners who treat 12- to 19-year-olds, including clinical psychologists, psychiatrists, clinical social workers, mental health counselors, and psychiatric nurses.

DBT Skills for Adolescents Workbook: Second Edition: Handouts for Teens, Caregivers, and Families (Pre-ordered) and DBT Skills for Adolescents: Second Edition: Training Manual for Clinicians (Pre-ordered)Special package offer: Together, DBT Skills for Adolescents, Second Edition, and DBT Skills for Adolescents Workbook, Second Edition, provide systematic teaching guidance for clinicians and over 100 reproducible handouts for teens and their caregivers.

Order both items for $71.95, instead of $95.00 if bought separately!

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Previous editions published by Guilford:

First Edition, © 2015
ISBN: 9781462515356
New to this edition: