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DBT Skills Training Manual, Second Edition

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Purchased directly from the publisher, authorized distributor, or author. Professionally spiraled and resold by a third party. This spiraled book is not necessarily affiliated with, endorsed by, or authorized by the publisher, distributor, or author.

504 pages, Spiral-bound

Published October 20, 2014

214 people are currently reading
2467 people want to read

About the author

Marsha M. Linehan

77 books633 followers
Marsha Linehan, PhD, ABPP, is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington in Seattle and is Director of the Behavioral Research and Therapy Clinics, a research consortium that develops and evaluates treatments for multi-diagnostic, severely disordered, and suicidal populations. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. She is also working to develop effective models for transferring science-based treatments to the clinical community.
She is the developer of Dialectical Behavior Therapy (DBT), a treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders involving serious emotion dysregulation. In comparison to all other clinical interventions for suicidal behaviors, DBT is the only treatment that has been shown effective in multiple trials across numerous independent research studies. DBT is effective at reducing suicidal behavior and is cost-effective in comparison to both standard treatment and community treatments delivered by expert therapists. It is currently the gold-standard treatment for borderline personality disorder and has demonstrated utility in the treatment of high substance abuse and eating disorders.
Linehan has authored multiple books, including three treatment manuals: Cognitive-Behavioral Treatment for Borderline Personality Disorder, DBT Skills Training Manual (2nd ed.), and Skills Training Manual for Treating Borderline Personality Disorder. She serves on a number of editorial boards and has published extensively in scientific journals.
Linehan is the founder of The Linehan Institute, a non-profit organization which helps advance mental health through support for education, research, and compassionate, scientifically-based treatments. Linehan is also the founder of Behavioral Tech LLC, a DBT training and consulting organization, and founder of Behavioral Tech Research, Inc., a company that develops innovative online and mobile technologies to disseminate science-based behavioral treatments for mental disorders.
Linehan was trained in spiritual directions under Gerald May and Tilden Edwards and is a Zen master (Roshi) in both the Sanbo-Kyodan-School under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.
She has dedicated her life and research to working with people whose lives are at-risk due to crippling and incapacitating psychological problems.

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5 stars
642 (64%)
4 stars
243 (24%)
3 stars
87 (8%)
2 stars
16 (1%)
1 star
12 (1%)
Displaying 1 - 30 of 32 reviews
403 reviews6 followers
May 20, 2019
Can be read as a thorough how to be a human manual. Even if you're the most well adjusted adult, there's some skills you can pick up or reinforce. Worth a skim.
Profile Image for Selena (Fae✨inmysparetime).
224 reviews6 followers
February 8, 2023
Excellent skills training manual for therapists to work through with their patients. Provides guidance on running groups and working one on one in a very direct way focusing on specific skills to manage the difficult symptoms of personality disorders.
Profile Image for Hailey Smith.
7 reviews3 followers
March 12, 2023
As someone who teaches DBT to clients with substance abuse issues. This book is my guide to all situations.
Profile Image for Lizzie.
69 reviews
June 26, 2023
Took me a full year to read, but great tools for mental and relational health.
Author 9 books65 followers
April 7, 2016
A useful book. Religious, in the sense of, sets out a life path, or a part of a life path, a way to live, and a momentum; very clearly out of suicidal misery, less clearly toward, ultimately... normal employee-consumer life? Adaptation to the status quo? Sagacious, serene middle-age? Reading it makes me want to make an anti-DBT, to teach (rather than browbeat) sagacious, serene middle-aged (or otherwise privileged) people how to care more about their (social, physical) environment, be more affected by it and less self-regulated, think more in terms of black-and-white (with dialectics? Perhaps a dialectics cast in a different vibe than DBT's, of urgency rather than skillful acceptance) make the least borderline people somewhat more borderline in some ways -- I suppose to bring a good immaturity to people whose maturity is somewhat bad.

Again, a useful book with valuable skills in it, good vocabulary, well-designed, with a specific, distinctive vibe (through writing style and design of the therapy), a good example of how to make a life path -- yet, ultimately, I think, best intended to bring people out of suicidality and then set somewhat to the side while another life path is adopted which relates the client (or some non-client who happens to read the book) back to the outside world, as skillful as having been instructed, with as much longing for things to be better as when miserable.
Profile Image for Mercy.
1 review
January 11, 2019
In the DBT Skills Training Manual (Third Edition), Marsha Linehan has added a great wealth of additional skills to the Dialectical Behavior Therapy program - despite the original version having already helped a great number of people suffering with Borderline Personality Disorder. It huge increase in material and skills can feel overwhelming, but working with a certified DBT team is part and parcel for proper treatment; your therapist and group leaders will be your guides.

This manual and the accompanying workbook has been invaluable to the therapy team I have had the honor of being a client of and my own copies of these books has given me quick access to such important reference materials as I continue building my life worth living.

Profile Image for Ja123.
25 reviews
December 29, 2023
Complements the worksheets book really well. Explains rationale for worksheets provided in the handbook, and offers solutions for common problems that patients face. I'm not a therapist; I'm someone who identifies with BPD/cPTSD symptoms but is too afraid to seek help due to entrenched stigma (I'm helping myself) , and still found this manual extremely helpful.
7 reviews1 follower
August 12, 2024
We heard that an updated manual was coming….for years. I was so glad when this came out finally!! It expanded so much on the skills and handouts from the first manual and gave a lot more theory per skill and suggestions for how to teach them. I provide this type of treatment so I am always reading this. I wouldn’t say this is a cover to cover read and it’s really not for laypersons.
2,395 reviews
February 4, 2016
Spent a few hours mindfully reading this and i think there are quite a few breakdowns of behaviors and way of reviewing these that are helpful to me and would be helpful to clients.
Profile Image for Marcy.
10 reviews16 followers
August 19, 2016
Excellent read. If you are in psyc and/or social work, this book should be on your list.
Profile Image for Amy.
589 reviews6 followers
August 26, 2018
Everything you need to know for DBT. Wonderful step by step instruction to provide clients. If you ever are interested in DBT, this would be the book to purchase
Profile Image for Izabella Bratek.
3 reviews2 followers
January 16, 2019
I did not like the format.... Very confusing for me. But the content was good. I guess it is to be used more as an instruction manual, which I should of known from the title.....
Profile Image for Kate Emery.
50 reviews
January 5, 2025
For me, this is a sacred text. It is a must for anyone seeking dialectical behavioral therapy.
Profile Image for Hunter.
86 reviews
April 5, 2025
This is a difficult thing to rate, especially because instead of working through it over weeks, I read it in a few days and plan to go back for reflection later. Criticize me as you will, the issues I will speak on wouldn’t have been made better had I used it properly, but I am getting ahead of myself. As of now, I have yet to find this book properly useful. There is a lot I did not like:

- I did not appreciate the cutesy writing, nor the vague, non-committal spiritualism sprinkled throughout. It was insulting at times and annoying at others
- At times ideas were incongruent with one another, some ideas were completely nonsensical in general (overcoming disgust by eating the thing you find revolting)
- A legitimate piece of advice it offers regarding shame is to hide the worst actions you did as to not lose your support group. This is a pathetic mindset, to seek redemption and to heal requires you to bear everything, only then can one be reborn in cleansing fire. Extremely concerning advice
- “In dealing with people, consider whether or not they are in your debt or you in theirs”. Yet another uncomfortable dynamic promoted. Humans are not a means to an end, favors are not reciprocal. Not a soul owes another a single goddamn thing, emotions are not currency
- An obsession with toxic positivity is displayed throughout the book to a level I had yet seen, it is to the point of delusion. There is nothing wrong in positivity, I especially see its importance here, but is replacing one’s delusions with another just because the new one may be beneficial really useful? On page 282 reality rejection is specifically demonized, does the author not realize the hypocrisy?
- For how focused this is on self improvement, the self is always coupled to other beings, becoming comfortable being alone is scarcely a focus, I feel that to be an immense misstep. I understand therapy in general is not geared toward self actualization, I just do not care, it should be. I will not excuse this book because it maintains the status quo, the status quo is damaging and foolish. This shitty field needs a rework, I did not expect this book to accomplish this, but I will not praise it simply because it maintained the wrong direction the field has taken
- In the later half of the book, a “check which answer works better” appears. I fucking hate this and will not elaborate further
- Under TIP skills, intense exercise is listed as a way to “to calm down your body when it is revved up by emotion”. While this makes sense in hypothesis, this is a myth, intense emotion is deepened by cathartic movements. I was suspended to read this in articles too, as I often feel better after exercise, but likely this is due to the release of endorphins, the emotions remained untouched. The author should know this, it is their only job
- The diving response is incorrectly explained either due to oversimplification or just foolishness


Overall this feels dangerously close to Eckhart Tolle bullshit, something that should not be the case for a manual that seeks to improve serious mental health complications and disorders. While I fully admit to be hypercritical of this text, I certainly did find some passages useful, I have written all of this as I feel it deserves nothing but scrutiny considering its purpose
Profile Image for mohamed nouari.
51 reviews3 followers
November 10, 2020
The new skills in this manual were worth waiting for. One request though, please, please, please activate the text-to-speech option for this book. Perhaps it was an oversight by the publisher, but there is no reason to have this option disabled.
Buy the ebook now
https://ebouks.com/product/dbt-skills...
Profile Image for Luke B.
46 reviews
May 7, 2022
A bit of repetition but lots of notes and highlighted sections. Very helpful for implementing skills training, coping ahead for group and troubleshooting common issues in DBT sessions.

I struggled to get through the first few chapters as they are dry and research-based, the sections exploring the skills were much more practical and accessible.
Author 3 books2 followers
June 15, 2025
This book is meant to be used during a DBT skills course - so it's not organized or intended for independent reading - but it is a great book, with useful skills, that virtually everyone can benefit from.
Profile Image for albin james.
186 reviews29 followers
August 13, 2018
This has detailed discussions and notes on dialectical skills and could be a valuable resource for many.
2 reviews
July 23, 2019
Extremely helpful. This manual is a must for effective evidence based practice.
Profile Image for Jun.
14 reviews10 followers
July 27, 2020
worked with this during dbt therapy... some of the things written are really outdated but i suppose it teaches me that everything is chemical and im not really broken, my brain is
Profile Image for Trish Fox nunley.
1 review
July 12, 2021
The original DBT workbook. Used as a reference and practice worksheets, you'll never be "done" with this book, but it will change your life.
Profile Image for Megan.
200 reviews6 followers
November 14, 2022
Marsha Linehan is amazing. I recommend this behavior therapy to everyone and anyone.
Profile Image for Deanna Durben.
40 reviews5 followers
July 11, 2024
Reading for my summer research lol but learning a lot, it's good at explaining everything
Profile Image for Kasandra.
69 reviews1 follower
June 24, 2019
A wonderful place to start if you want to get trained in DBT or just incorporate some DBT skills into your counseling tool box. Be forewarned it's really a companion text to the workbook rather than a stand alone - and you do have to buy them separately contrary to what is said in this book lol
Profile Image for Randy.
866 reviews4 followers
July 28, 2015
Good overview of dbt. Lots of skills activities and worksheets. Recommend to both new and experienced dbt users.
Displaying 1 - 30 of 32 reviews

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