Depressed & Anxious »

Imagine feeling depressed and drained of energy and initiative while also being overwhelmed with feelings of dread and anxiety about the future. The consequence of this intolerable state of mind amounts to behavioral paralysis, a profound loss of control and quality of life. Therapist call this condition co-occuring depression and anxiety. Clinical research suggests that 60 percent of depression sufferers concurrently experience some kind of anxiety disorder. This book, the first written to general readers about this condition, uses the powerful techniques of dialectical behavior therapy, or DBT, to help readers control both conditions.

DBT begins with the assumption that psychological problems are the result of feeling or emotional responses that are in conflict. It integrates a range of theraputic techniques to "tease apart" and resolve the competing internal needs and urges that generate anger, depression, and anxiety. By recognizing these conflicting emotions and forming new expectations, readers alleviate the symptoms generated by these conflicts. The book begins by having readers identify their most painful inner conflict. Then they develop compromises that acknowledge the issue but limit its ability to interfere with their lives-effectively reducing the extent to which their emotions govern who they are or what that are capable of. Exercises focus on assisting readers to become more responsive to uplifitng aspects of their enviroment and tolerant of unavoidable emotions.

A revolutionary, proven-effective model that shows you how to:

• Identify symptoms of mixed anxiety and depression
• Cope with negative and painful emotions
• Calm your anxious mind
• Regulate dramatic mood shifts
• Learn how to soothe yourself
• Increase energy and enthusiasm

An expert in dialectical behavior therapy, or DBT, shows readers who struggle with both anxiety and depression how to use ideas from this powerful therapy to relieve their symptoms and regain control of their lives. Readers use mindfulness techniques and cognitive behavioral strategies to tolerate distress, silence negative self-talk, and resolve inner dialectical conflict.

• This is the first book to address co-occurring depression and anxiety From a leading expert in dialectical behavior therapy, or DBT-the newest, breakthrough model in psychology today

About the Authors:
Thomas Marra, Ph.D., is the president of the Center for Dialectical Behavior Therapy in Monterey, California. He is the founder and clinical director of both the Monterey Psychiatric Health Facility and the Monterey Mental Health Network.

	Acknowledgments	v
Chapter 1	Mixed Anxiety and Depression: How DBT Can Work for You	1
Chapter 2	Dialectics of Anxiety and Depression	15
Chapter 3	Denying Your Right to Feel	52
Chapter 4	There Must Be Something Wrong with Me	65
Chapter 5	Meaning Making	73
Chapter 6	Mindfulness Skills	98
Chapter 7	Emotion Regulation	119
Chapter 8	Distress Tolerance Skills	169
Chapter 9	Strategic Behavior Skills	193
	Symptoms and How to Treat Them	225
	DBT Forms	230
	References	252