Phone Coaching in Dialectical Behavior Therapy

"The reader is guided to avoid numerous pitfalls in phone coaching, and gains wisdom on critical topics, including handling suicidal crisis calls and using electronic communication such as texting. Chapman makes a clear distinction between phone coaching and therapy. This book will no doubt assist clinicians in delivering comprehensive DBT effectively while balancing their work and personal lives. As Chapman states, many clinicians get that 'deer-in-the-headlights look' when introduced to the notion of phone coaching--but this engaging, motivating, often humorous book makes this mode accessible and achievable."--Jill H. Rathus, PhD, Department of Psychology, Long Island University Post "Chapman is a masterful DBT clinician and teacher who describes how to structure phone coaching calls, effectively orient the client to them, and utilize DBT strategies during calls. He provides fabulous instructions for coaching the emotionally dysregulated and suicidal individual to bring about lasting change, with an emphasis on strengthening and generalizing behavioral skills in difficult situations. The dialogues with patients quoted in every chapter are worth the price of the book on their own! This how-to guide fills a significant gap in the DBT literature, and is entirely consistent with expert recommendations for the treatment of suicidal clients."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts Medical School "In the first book devoted solely to this essential component of DBT, Chapman clearly conveys the principles of phone coaching and provides an incredibly useful, hands-on, practical guide. With great humility, Chapman tackles common concerns and misconceptions head-on and discusses how to avoid or recover from mistakes. DBT novices and experts alike will benefit from the many case examples and rich clinical detail. I will recommend this book to my trainees and colleagues, and it would be a superb supplemental text in graduate courses. I predict this will be one of the most frequently consulted books on DBT--it is destined to become a classic."--Clive J. Robins, PhD, ABPP, Departments of Psychiatry and Behavioral Sciences and Psychology and Neuroscience (Emeritus), Duke University-

Auteur

Alexander L. Chapman, PhD, RPsych, is Professor and Clinical Science Area Coordinator in the Department of Psychology at Simon Fraser University (SFU), in Burnaby, British Columbia, Canada, and president of the Dialectical Behavior Therapy (DBT) Centre of Vancouver. Dr. Chapman directs the Personality and Emotion Research Laboratory at SFU, where he studies the role of emotion regulation in borderline personality disorder, self-harm, impulsivity, and other behavioral problems. He has published numerous scientific articles chapters, and books; presents widely at scientific conferences; and is on the editorial boards of Personality Disorder: Theory, Research, and Treatment, Journal of Personality Disorders, and Behavior Therapy. Dr. Chapman is a DBT Trainer and Consultant with Behavioral Tech. He regularly gives local, national, and international workshops and invited talks on DBT and the treatment of borderline personality disorder; has consulted with and trained clinicians in Canada, the United States, and the United Kingdom; and trains and supervises clinical psychology students. He is a recipient of awards including the Young Investigator's Award from the National Education Alliance for Borderline Personality Disorder, the Early Career Scientist Practitioner Award from the Canadian Psychological Association, and an 8-year Career Investigator Award from the Michael Smith Foundation for Health Research.

Résumé

This is the first comprehensive guide to phone coaching in dialectical behavior therapy (DBT)--an integral part of treatment that many clinicians find challenging. What are the principles and goals of phone coaching? What limits should be set? How can a therapist manage suicide risk during a brief call? DBT expert Alexander Chapman addresses these and other critical practical questions in this accessible book. He provides guidelines for coaching core DBT distress tolerance and emotion regulation skills; coaching "dos and don'ts"; and tips for structuring each call's beginning, middle, and end. Featuring many concrete examples, strategies, and model dialogues, the book includes a key chapter on suicide crisis calls.

Contenu

1. Introduction and Overview
   
   2. Setting the Stage for Effective Phone Coaching
   3. Orientation to Phone Coaching
   4. Navigating and Structuring Phone Coaching Calls
   5. Core DBT Skills Coaching Principles and Strategies
   6. Coaching in Emotion Regulation and Distress Tolerance
   7. Navigating Suicide Crisis Calls
   8. Principles and Strategies to Address Challenges and Observe Limits
   9. Skill Generalization and the Development of Self-Coaching Skills