As if coping with feelings of depression or anxiety by themselves weren’t difficult enough, clinical research suggests that as many as 60 percent of depression sufferers concurrently experience some kind of anxiety disorder. If you are in this group, it is quite common to simultaneously experience profound loss of energy and initiative along with substantial stress and anxiety. Caught between the push and pull of these two conditions, you might find that neither is easy even to recognize, much less cope with. But, by adapting for the first time the powerful techniques of dialectical behavior therapy, or DBT, to the special needs of people troubled by co-occurring depression and anxiety, this book offers powerful tools for overcoming this condition. DBT is designed for people who have lost hope and meaningfulness in life, who question their own ability to be influential in their world, who find their emotions intolerable, and who find that they try to escape and avoid important aspects of their lives. DBT may be just the tool you’ve been looking for to move beyond depression and anxiety.
The step-by-step exercises, techniques, and worksheets in this book work to identify painful inner conflicts that might underlie depression and anxiety symptoms. Then, by negotiating a series of compromises, the techniques help acknowledge these issues while limiting their ability to interfere with your life—effectively reducing the extent to which your emotions govern who you are or what you are capable of. This book explains mindfulness techniques that encourage participation in the world and allow easier adaptation to change. It treats the difference between “threat cues” and “safety cues” and how recognizing and reacting to them constructively can reduce the effects of anxiety and depression. By teaching you how to monitor and limit negative self-evaluations and how to best tolerate negative experience, this book gives you a powerful set of tools for the control of co-occurring depression and anxiety.
Thomas Marra, PhD, founded and directed one of the first inpatient psychiatric programs using dialectic behavior therapy as the clinical focus of treatment for every patient admitted to the facility, regardless of diagnosis. He has practical and... Read more
"Marra's book penetrates the jargon of dialectics, making this fundamental DBT concept accessible to his readers. His stylistic and prosaic voice makes this an eminently readable self-help manual even as he draws upon psychological research, clinical practice, and classic literature." − Scott E. Spradlin, MA, author of Don’t Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You in Control
"At last, a comprehensive and straightforward workbook to introduce the power of DBT to clients—and even to professionals. This workbook will be an invaluable and efficient resource for the substantial portion of clients who can benefit from DBT but don't need the full protocol of intensive individual and group psychotherapy. Marra has performed a substantial service." −A. Thomas Horvath, Ph.D., ABPP, president of Practical Recovery Services in San Diego, CA, past president of the American Psychological Association Division on Addictions, and author of Sex, Drugs, Gambling, and Chocolate: A Workbook for Overcoming Addiction