FrameworkMore foundationalTherapy process
MindfulnessDistress ToleranceEmotion RegulationInterpersonal Effectiveness

Linehan Manual Structure

Keywords:
Treatment structureProgram designSkills program architecture

If you want to read the manual as a blueprint for the overall model and its modules.

Make the architecture of the manual readable as an overall system so that modules, topics and the overall didactic structure can be better classified.

When does this fit?

If, before detailed work, an orientation overview of the structure and structure of the manual is needed.

Priority in the path

This node is more about preparation, stabilization, or later deepening around orientation and understanding.

What this is about

The Linehan Manual Structure refers to the organizational logic of the DBT Skills Training Manual, Second Edition (2015): the primary reference text for DBT skills training. The manual is organized around four core modules — Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness — each preceded by general orientation material. Within each module, the manual provides teaching notes for clinicians alongside the corresponding handouts and worksheets for clients.

Understanding the manual's structure helps clinicians navigate between the theoretical rationale, the specific teaching points for each skill, and the practical exercises and worksheets through which skills are learned and practiced.

Further reading Linehan Manual — Ch. 6

Explore and apply

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Framework

DBT Skills Training Program Design

Related content

If you want to understand how DBT skills training is structured as a whole.

Also in: Mindfulness · Distress Tolerance · Emotion Regulation · Interpersonal Effectiveness

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Framework

DBT Skills Training Targets and Procedures

Related content

When goals, procedures and typical flow logic of skills training need to be made clear.

Also in: Mindfulness · Distress Tolerance · Emotion Regulation · Interpersonal Effectiveness

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Framework

DBT Strategies in Skills Training

Related content

If you want to understand the logic according to which skills are taught and maintained in training.

Also in: Distress Tolerance · Emotion Regulation · Interpersonal Effectiveness

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Framework

DBT Skills Training Session Structure

Related content

If you want to see how a skills session is specifically structured and held together.

Also in: Mindfulness · Distress Tolerance · Emotion Regulation · Interpersonal Effectiveness

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Question

What Belongs to This Bundle?

If you first want to understand how a bundle is structured and which parts belong together.

Also in: Mindfulness · Interpersonal Effectiveness · Emotion Regulation

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Module

Mindfulness

Mindfulness is the orienting space for noticing, observing, and inner steering before other steps become sustainable at all.

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Module

Distress Tolerance

Distress tolerance is the orienting space for crises, overwhelm, and short-term stabilization without making the situation worse.

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Module

Interpersonal Effectiveness

Interpersonal effectiveness is the orienting space for goals, boundaries, protecting relationships, and self-respect in contact with others.

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Foundations and training practice

Sources and references

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