Therapy-Interfering Behavior in DBT

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• 2025 178pp 6" x 9" paperback ISBN: 9781462555949
• Published by The Guilford Press

Therapy-interfering behavior (TIB) is a key treatment target in dialectical behavior therapy (DBT), second only to suicidal thinking and self-harm. This wise, engaging book gives clinicians everything they need to assess, understand, and address TIB both in clients and in themselves. Therapists learn how to orient clients to TIB and work with it effectively whenever it shows up, using a combination of validation, contingency management, and dialectics. Packed with clinical examples, dialogues, and practical tips, the book discusses the full range of DBT contexts, from individual therapy to skills class, phone coaching, and consultation teams.

Table of Contents

1. Destigmatizing and Demystifying Therapy-Interfering Behavior: Guiding Principles
2. What Behaviors are Therapy-Interfering Behaviors?
3. The Skills and Principles Needed to Address Therapy-Interfering Behavior
4. Assessing Therapy-Interfering Behavior
5. How to Address Therapy-Interfering Behavior in Your Client
6. Addressing Therapy-Interfering Behavior in Skills Class, Coaching Calls, and Family Sessions
7. Using Contingency Management to Address Therapy-Interfering Behavior
8. When and How to Address Therapy-Interfering Behavior in Yourself
9. The Dialectics of Therapy-Interfering Behavior
References
Index

CE Program

A supplemental 7-credit, 46 question continuing education program is available for this book. To order the complete program (this book and CE test module, or test module alone if you already have access to this book), go to:

For information about our approved continuing education sponsorships
and acceptance by state boards, please click here: Continuing Education

About the Author

Esme A. L. Shaller, PhD, is Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco (UCSF), which she joined in 2007. At UCSF, she helped build the Wavefront Dialectical Behavior Therapy (DBT) Clinic, for which she serves as Clinical Director. Both Dr. Shaller and the Wavefront DBT Clinic are certified by the DBT-Linehan Board of Certification. Dr. Shaller’s central passions are teaching and dissemination of DBT, particularly for adolescents and families. She devotes a large percentage of her time to teaching and training, both within UCSF’s residency and fellowship programs and across California and the United States. She has worked with other members of the Wavefront team to implement comprehensive DBT for low-income teens in three Bay Area counties. Dr. Shaller is past president of the International Society for the Improvement and Teaching of DBT (ISITDBT) and a cofounder of the ISITDBT Anti-Racism Committee.

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Therapy-Interfering Behavior in DBT

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