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The guide presents the background and structure of the group program, specifies participation, format, and facilitator responsibilities, and explains group dynamics. It provides detailed session outlines spanning pre-treatment, mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation modules, followed by recommended reading, references, and appendices with mindfulness activities, handouts, and diary-card materials.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/a-modified-dbt-group-therapy-manual-for-clinicians-for-adolescents-and-young-adults-experiencing-substance-misuse/385055/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/a-modified-dbt-group-therapy-manual-for-clinicians-for-adolescents-and-young-adults-experiencing-substance-misuse/385055.png","ImageObject",442,249,{"name":88,"@type":89},"Mary Man","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-31","2026-09-24",true,{"@type":98,"interactionType":99,"userInteractionCount":15},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who is the manual intended for?","Question",{"text":108,"@type":109},"It is written for clinicians working with adolescents and young adults experiencing substance misuse.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What major skills modules are included in the session outlines?",{"text":113,"@type":109},"The manual includes mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation modules, each with numbered sessions.",{"name":115,"@type":106,"acceptedAnswer":116},"What resources are provided beyond the main sessions?",{"text":117,"@type":109},"It includes recommended reading and references, plus appendices with mindfulness activities and additional handouts and resources such as diary cards and practice scenarios.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},385055,1791426967,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":15,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},7421720224475,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","A modified DBT group therapy manual  \nFor clinicians working with adolescents and young adults experiencing substance misuse  \nIn association with  \nContents  \nWelcome ................................................................................................................................................................. 4  \n1. Background..................................................................................................................................................... 5  \n2. Overview of the Group Program .................................................................................................................... 8  \nParticipation ............................................................................................................................................................ 8  \nFormat ..................................................................................................................................................................... 8  \nFacilitators ............................................................................................................................................................. 13  \nGroup Dynamics .................................................................................................................................................... 16  \n3. Session Outlines ........................................................................................................................................... 17  \nPre-treatment ....................................................................................................................................................... 18  \nMindfulness 1: The 3 Mind States......................................................................................................................... 23  \nMindfulness 2: Mindfulness in Practice ................................................................................................................ 26  \nDistress Tolerance 1: Introduction to Distress Tolerance Concepts ..................................................................... 28  \nDistress Tolerance 2: Distracting with ACCEPTS ................................................................................................... 34  \nDistress Tolerance 3: Self Soothe .......................................................................................................................... 42  \nDistress Tolerance 4: IMPROVE the moment........................................................................................................ 47  \nDistress Tolerance 5: Pros and Cons ..................................................................................................................... 54  \nDistress Tolerance 6: Urge Surfing ........................................................................................................................ 58  \nDistress Tolerance 7: Effects of substance use ..................................................................................................... 63  \nDistress Tolerance 8: Acceptance ......................................................................................................................... 67  \nDistress Tolerance 9: Save A Mate Training .......................................................................................................... 71  \nInterpersonal Effectiveness 1: Dialectics and the Middle Ground........................................................................ 73  \nInterpersonal Effectiveness 2: DEAR MAN............................................................................................................ 78  \nInterpersonal Effectiveness 3: GIVE ...................................................................................................................... 84  \nInterpersonal Effectiveness 4: Drug Refusal Skills ................................................................................................ ","cbCaisOJ8kX0lVx7","https://ap.wps.com/l/cbCaisOJ8kX0lVx7","pdf",1250302,152,"English","# Contents\n## Welcome\n## Background\n## Overview of the Group Program\n## Session Outlines\n### Pre-treatment\n### Mindfulness 1: The 3 Mind States\n### Mindfulness 2: Mindfulness in Practice\n### Distress Tolerance 1: Introduction to Distress Tolerance Concepts\n### Distress Tolerance 2: Distracting with ACCEPTS\n### Distress Tolerance 3: Self Soothe\n### Distress Tolerance 4: IMPROVE the moment\n### Distress Tolerance 5: Pros and Cons\n### Distress Tolerance 6: Urge Surfing\n### Distress Tolerance 7: Effects of substance use\n### Distress Tolerance 8: Acceptance\n### Distress Tolerance 9: Save A Mate Training\n### Interpersonal Effectiveness 1: Dialectics and the Middle Ground\n### Interpersonal Effectiveness 2: DEAR MAN\n### Interpersonal Effectiveness 3: GIVE\n### Interpersonal Effectiveness 4: Drug Refusal Skills\n### Emotion Regulation 1: Primary and Secondary Emotions\n### Emotion Regulation 2: Connection between Body and Mind\n### Emotion Regulation 3: PLEASE\n### Emotion Regulation 4: Acting Opposite\n### Emotion Regulation 5: Building a Life Worth Living\n### Emotion Regulation 6: Fantasy Island\n## Recommended Reading and References\n## Appendix 1: Mindfulness Activities\n## Appendix 2: Additional Handouts and Resources","[{\"question\":\"Who is the manual intended for?\",\"answer\":\"It is written for clinicians working with adolescents and young adults experiencing substance misuse.\"},{\"question\":\"What major skills modules are included in the session outlines?\",\"answer\":\"The manual includes mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation modules, each with numbered sessions.\"},{\"question\":\"What resources are provided beyond the main sessions?\",\"answer\":\"It includes recommended reading and references, plus appendices with mindfulness activities and additional handouts and resources such as diary cards and practice scenarios.\"}]","A modified DBT group therapy manual - for clinicians - for adolescents and young adults experiencing substance misuse | PDF",1790266508,53]