A modified DBT group 
     therapy manual
     For clinicians working with adolescents and 
     young adults experiencing substance misuse
                                    In association with
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
                       
                      Contents 
                                                                                                                                                              
                      Welcome ................................................................................................................................................................. 4
                      1.    Background..................................................................................................................................................... 5 
                      2.    Overview of the Group Program .................................................................................................................... 8 
                      Participation ............................................................................................................................................................ 8 
                      Format ..................................................................................................................................................................... 8 
                      Facilitators ............................................................................................................................................................. 13 
                      Group Dynamics .................................................................................................................................................... 16 
                      3.    Session Outlines ........................................................................................................................................... 17 
                      Pre-treatment ....................................................................................................................................................... 18 
                      Mindfulness 1: The 3 Mind States ......................................................................................................................... 23 
                      Mindfulness 2: Mindfulness in Practice ................................................................................................................ 26 
                      Distress Tolerance 1: Introduction to Distress Tolerance Concepts ..................................................................... 28 
                      Distress Tolerance 2: Distracting with ACCEPTS ................................................................................................... 34 
                      Distress Tolerance 3: Self Soothe .......................................................................................................................... 42 
                      Distress Tolerance 4: IMPROVE the moment ........................................................................................................ 47 
                      Distress Tolerance 5: Pros and Cons ..................................................................................................................... 54 
                      Distress Tolerance 6: Urge Surfing ........................................................................................................................ 58 
                      Distress Tolerance 7: Effects of substance use ..................................................................................................... 63 
                      Distress Tolerance 8: Acceptance ......................................................................................................................... 67 
                      Distress Tolerance 9: Save A Mate Training .......................................................................................................... 71 
                      Interpersonal Effectiveness 1: Dialectics and the Middle Ground ........................................................................ 73 
                      Interpersonal Effectiveness 2: DEAR MAN ............................................................................................................ 78 
                      Interpersonal Effectiveness 3: GIVE ...................................................................................................................... 84 
                      Interpersonal Effectiveness 4: Drug Refusal Skills ................................................................................................ 87 
                      Emotion Regulation 1: Primary and Secondary Emotions .................................................................................... 93 
                      Emotion Regulation 2: Connection between Body and Mind ............................................................................... 97 
                      Emotion Regulation 3: PLEASE .............................................................................................................................. 99 
                                                                                                                   Triple Care Farm Group Work Program 2015 
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                      Emotion Regulation 4: Acting Opposite .............................................................................................................. 103 
                      Emotion Regulation 5: Building a Life Worth Living ............................................................................................ 106 
                      Emotion Regulation 6: Fantasy Island ................................................................................................................. 110 
                      4.    Recommended Reading and References.................................................................................................... 114 
                      5.    Appendix 1: Mindfulness Activities ............................................................................................................ 117 
                      6.    Appendix 2: Additional Handouts and Resources ...................................................................................... 128 
                      Blank Diary Card .................................................................................................................................................. 128 
                      ‘Pros and Cons’ Scenarios ................................................................................................................................... 130 
                      Myths and Truths about Urges ........................................................................................................................... 131 
                      Values Cards ........................................................................................................................................................ 132 
                      Interpersonal Effectiveness Scenarios ................................................................................................................ 135 
                      Myths about Emotions ........................................................................................................................................ 136 
                      Dialectics ............................................................................................................................................................. 137 
                      Emotions Handout .............................................................................................................................................. 141 
                      Prompting Event and Self-Talk Cards .................................................................................................................. 147 
                      Model of emotions .............................................................................................................................................. 148 
                      Acting Opposite Scenarios .................................................................................................................................. 149 
                      Fantasy Island ...................................................................................................................................................... 150 
                                                                                                                   Triple Care Farm Group Work Program 2015 
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