Dialectical Behavior Therapy for Binge Eating and Bulimia (53 page)

Present three states of mind (Mindfulness Handout 1*; Chapter 4, Appendices 4.2–4.4)
Skills: Wise Mind

Session 4

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“What” Skills (Mindfulness Handout 2*; “What Skills Homework Sheet, Chapter 4,
Appendix 4.5)

Mindful Eating exercise

Skills: Observe, Describe, Participate, Mindful Eating

Session 5

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“How” Skills (Mindfulness Handout 3*; “How” Skills Homework Sheet, Chapter 4,
Appendix 4.6)

Skills: Nonjudgmental stance, One-Mindfully, Effectively, Urge Surfng (Urge Surfng
(Homework Sheet, Chapter 4, Appendix 4.7), Alternate Rebellion (Alternate Rebellion
Homework Sheet, Chapter 4, Appendix 4.7)

Emotion Regulation Module
Session 6

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Goals of Emotion Regulation (Emotion Regulation Handout 1)*
Letting go of emotional suffering (Emotion Regulation Handout 9)*
Primary and secondary emotions (Emotion Regulation Handout)*
Skills: Mindfulness of Current Emotion, Loving Your Emotion

Session 7

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Model for Describing Emotions (Emotion Regulation Handout 3)*
Ways to describe emotions (Emotion Regulation Handout 4)*
Observe and describe emotions (Emotion Regulation Homework 1)*
Skills: Identify Your Emotion(s)

Session 8

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Function of emotions (Emotion Regulation Handout 5)*
Emotion diary (Emotion Regulation Homework 2)*
Skills: Function of Emotion(s)

Session 9

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Reducing vulnerability to negative emotions (Emotion Regulation Handout 6)*
Steps for increasing positive emotions (Emotion Regulation Handout 7)*

*For these handouts, see Linehan (1993b),

Skills Training Manual for Treating Borderline Personality
Disorder.

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Adult Pleasant Activities Schedule (Emotion Regulation Handout 8)*

Skills: Reducing vulnerability, building mastery, building positive experiences, mindfulness of positive experiences

Session 10

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Changing emotions by acting opposite to the current emotion (Emotion Regulation

Handout 10)*

Session 11

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Myths about emotions (Emotion Regulation Handout 2)*

Session 12

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Review of emotion regulation (review of all handouts)

Session 13

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Review of core mindfulness skills (review of all handouts)

Distress Tolerance Module
Session 14

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Orientation to Distress Tolerance (List of Distress Tolerance Skills to Be Taught, Chapter 6, Appendix 6.1)

Guidelines for accepting reality: Observing Your Breath (Distress Tolerance Handout
2)*

Distress Tolerance Homework Sheet 2*

Skills: Observing your breath

Session 15

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Half-Smiling (Distress Tolerance Handout 3)*
Awareness Exercises (Distress Tolerance Handout 4)*
Distress Tolerance Homework Sheet 2*

Skills: Half-smiling, Awareness Exercises

Session 16

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Orientation to acceptance skills—Radical Acceptance (Distress Tolerance Handout 5)*
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Burning Your Bridges (Chapter 6, Appendix 6.2)

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Distress Tolerance Homework Sheet 2*

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Skills: Radical Acceptance (Turning the Mind, Willingness), Burning Your Bridges

*For these handouts, see Linehan (1993b),

Skills Training Manual for Treating Borderline Personality
Disorder.

Appendix: Information for Researchers

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Crisis Survival skills

Distress Tolerance Homework Sheet 1*

Skills: Distract, Self-Soothe, Improve the Moment, Pros and Cons

Session 18

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Review of Distress Tolerance and skill strengthening (review of all handouts)

Session 19

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Review of Mindfulness, Emotion Regulation, Distress Tolerance

Planning for the future (Planning for the Future Homework Sheet, Chapter 7, Appendix
7.1)

Skills: Coping Ahead

Session 20

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Discuss future plans
Good-byes

*For these handouts, see Linehan (1993b),

Skills Training Manual for Treating Borderline Personality
Disorder.

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