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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.
- Sales Rank: #65996 in Books
- Published on: 2004-05-01
- Original language: English
- Number of items: 1
- Dimensions: 11.10" h x .59" w x 8.50" l, 1.36 pounds
- Binding: Paperback
- 254 pages
Review
"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
From the Publisher
An expert in dialectical behavior therapy, or DBT, shows readers who struggle with both anxiety and depression how to use ideas from this powerful therapy to relieve their symptoms and regain control of their lives. Readers use mindfulness techniques and cognitive behavioral strategies to tolerate distress, silence negative self-talk, and resolve inner dialectical conflict.
· Statisticians report that more than 50 million Americans suffer from depression and anxiety
· This is the first book to address co-occurring depression and anxiety
· From a leading expert in dialectical behavior therapy, or DBT—the newest, breakthrough model in psychology today
From the Back Cover
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.
Most helpful customer reviews
5 of 5 people found the following review helpful.
A hammer looking for a nail...
By Lewis Tagliaferre
I give the writer credit for capsuling the skills of DBT in a self-help book...but therein lies the problem. DBT is based on learning and practicing many skills using handouts and worksheets, which can be too complex for a person in serious trouble to use without personal counseling. After working with DBT in therapy for more than a year I still feel depressed and anxious - dependent upon medications. DBT has been adopted by some therapists as a solution to many different psychology problems, this one dealing with depression and anxiety. The original work addressed clients diagnosed with borderline personality disorder who were suicidal by the admission of Dr. Marsha Linehan, its creator. Linehan admits to collecting ideas from many sources, including Zen Buddhism, so it really is not all that original. Since her original work published in 1993, DBT has become a hammer looking for a nail...and it does not always work for every need of suffering people. In this case, DBT may be somewhat helpful for mild forms of depression and anxiety caused by faulty interpretation of the environment or for temporary and mild personal problems - which also can be addressed with CBT and ACT therapy. So while this book does a reasonable job of describing DBT, the research claiming its effectiveness can all be explained with the placebo effect.
I find that DBT falls short of dealing with the kind of issues that I face, being age 83 and widowed for 31 years, and sans all my friends, relatives and peers who have died or moved to assisted living, leaving me with the prospect of disability, humiliation, and social isolation plus diagnosed major depression with general anxiety disorder. The book barely mentions the need for medication in some cases, but does little beyond cognitive and behavioral changes which fall way short of my need, i.e., the existential consequences of aging and grief. Some things that are broken cannot be fixed...that is why there are cemeteries and junk yards. It seems to me that professional psychologists must find something to publish or perish and this is just one more such work that soon will be replaced with some other attempt to put Humpty Dumpty back together again.
7 of 7 people found the following review helpful.
Excellent and Helpful. I just wish it had more examples.
By Mad Midwest Maggie
Having read and been treated mostly with CBT previously, I am familiar with the parts of CBT that overlap with DBT, but I have to say that CBT wasn't enough. I was resistant to what I understood of DBT because the clinical group settings used for those with Borderline Personality Disorder I felt would be too invalidating and unnecessarily structured for someone with PTSD, depression, and anxiety. I was also uncomfortable with what I understood is a Eastern religious tint to DBT. I'm glad that I didn't let these concerns stop me from buying this book. I figured that if there were even just a few tools in it that were helpful, and that I had to ignore a lot of it, that I would still be better off. I'm using the book in conjunction with individual therapy. The book does a good job of explaining the conflicting feelings we have and how these conflicts are normal, among other things. I do with there were more examples before the exercises, because when a person is depressed it's hard to think creatively enough to figure out how things apply to them. One example isn't enough sometimes, so it's taking longer to work through the book because it takes a long while to figure out how to apply things to me. It's still extremely worth it.
A couple people have complained that the book has dense terminology and isn't accessible to average people. I've only had a semester of community college and have never worked in the psychiatric field and I have no trouble understanding this book. I think it's worth a try for anyone with these feelings.
3 of 3 people found the following review helpful.
In my experience, the best self-help workbook I have ever read.
By Laurence Galian
I have read many self-help books and workbooks. Nothing has ever come close to being this engaging and helpful! I look forward to reading the text and doing the exercises. Can you imagine? Looking forward to work? Well, I do because the book makes sense, and the reader can understand why he or she is being asked to do these exercises. And these writing exercises are fascinating, while forcing you really examine your life. This is a deep book without being intimidating. It is highly readable and enjoyable to read. As one who has a great deal of experience reading self-help books and workbooks, I recommend this book above all the others.
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