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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Dialectical Behavior Therapy for Adolescents With Multiple Problems, Alec L. Miller demonstrates this compassionate, principle-based therapy for clients who have difficulty regulating emotions and behaviors. Emotional dysregulation is common among adolescents, often leading them to self-injurious behavior, including suicide. Studies have shown that dialectical behavior therapy can significantly reduce suicide attempts and help adolescent clients deal with multiple problems.
In this session, Dr. Miller works with a 17-year-old boy who is depressed, abusing marijuana, and who has recently contemplated suicide. Dr. Miller highlights the client's strengths while trying to obtain commitment to treatment in order to reduce his depression and marijuana use and build a life worth living.
Dialectical Behavior Therapy (DBT) is a compassionate, principle-based psychotherapy for suicidal multiproblem, multidiagnostic individuals who have significant difficulty regulating emotions and behaviors. Developed by Marsha Linehan, DBT was first introduced over a dozen years ago as a treatment for suicidal and self-injurious individuals diagnosed with borderline personality disorder (BPD).
Read more about the approach
received his bachelor of arts degree from the University of Michigan in Ann Arbor before earning his doctorate in clinical psychology from the Ferkauf Graduate School of Psychology of Yeshiva University. Dr. Miller has become internationally known in the areas of adolescent depression, suicidology and self-injury, borderline personality disorder, and dialectical behavior therapy (DBT).
Read more about Dr. Miller
- Linehan, M. M. (1993). Cognitive behavioral treatment for borderline personality disorder. New York: Guilford Press.
- Linehan, M. M. (1993). Skills training manual for the treatment of borderline personality disorder. New York: Guilford Press.
- Miller, A. L, Rathus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press.
- Bohus, M., Haaf, B., Stiglmayr, C., Pohl, U., Bohme, R., & Linehan, M. M. (2000). Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder: A prospective study. Behaviour Research and Therapy, 38, 875–887.
- Katz, L. Y., Gunasekara, S., Cox, B. J., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for parasuicidal adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 276–282.
- Katz, L. Y., Gunasekara, S., & Miller, A. L. (2002). Dialectical behavior therapy for inpatient and outpatient parasuicidal adolescents. Adolescent Psychiatry: The Annals of the American Society for Adolescent Psychiatry, 26, 161–178.
- Koerner, K., Miller, A. L., & Wagner, A. W. (1998). Dialectical behavior therapy: Part I. Principle based intervention with multi-problem patients. Journal of Practical Psychiatry and Behavioral Health, 4, 28–36.
- Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.
- Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two year randomized trial and follow-up DBT vs. therapy-by-experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry.
- Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. American Journal on Addictions, 8, 279–292.
- Linehan, M. M., Tutek, D. A., Heard, H. L., & Armstrong, H. E. (1994). Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients. American Journal of Psychiatry, 151, 1771–1776.
- Miller, A. L. (1999). DBT-A: A new treatment for parasuicidal adolescents. American Journal of Psychotherapy, 53, 413–417.
- Miller, A. L., & Glinski, J. (2000). Youth suicidal behavior: Assessment and intervention. In special issue (Ed.) P. Kleespies, Empirical approaches to behavioral emergencies. Journal of Clinical Psychology, 56(9), 1–22.
- Miller, A. L., Glinski, J., Woodberry, K., Mitchell, A, & Indik, J. (2002). Family therapy and dialectical behavior therapy with adolescents: Part 1. Proposing a clinical synthesis. American Journal of Psychotherapy, 56, 4, 568–584.
- Miller, A. L., Koerner, K., & Kanter, J. (1998). Dialectical behavior therapy: Part II. Clinical application of DBT for patients with multiple problems. Journal of Practical Psychiatry and Behavioral Health, 4, 84–101.
- Miller, A. L. & Rathus, J. H. (2000). Dialectical behavior therapy: Adaptations and new applications. Cognitive & Behavioral Practice, 7, 420–425.
- Miller, A. L., Rathus, J. H., Linehan, M. M., Wetzler, S., & Leigh, E. (1997). Dialectical behavior therapy adapted for suicidal adolescents. Journal of Practical Psychiatry and Behavioral Health, 3, 78–86.
- Miller, A. L., Wyman, S. E., Glassman, S. L., Huppert, J. D., & Rathus, J. H. (2000). Analysis of behavioral skills utilized by adolescents receiving dialectical behavior therapy. Cognitive and Behavioral Practice, 7, 183–187.
- Rathus, J. H., & Miller, A. L. (2000). DBT for adolescents: Dialectical dilemmas and secondary treatment targets. Cognitive & Behavioral Practice, 7, 425–434.
- Rathus, J. H. & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide and Life-Threatening Behaviors, 32, 2, 146–157.
- van den Bosch, L. M. C., Koeter, M., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy of dialectical behavior therapy for borderline personality disorder. Behaviour Research and Therapy, 43, 1231–1241.
- Verheul, R., van den Bosch, L. M., Koeter, M. W., de Ridder, M. A., Stijnen, T., & van den Brink, W. (2003). Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in the Netherlands. British Journal of Psychiatry, 182, 135–140.
- Woodberry, K,, Miller, A. L., Glinski, J., Indik, J., & Mitchell, A. (2002). Family therapy and dialectical behavior with adolescents: Part 2. A theoretical review. American Journal of Psychotherapy, 56( 4), 585–602.
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