“This book has reinvigorated my motivation and confidence to approach TIB. Shaller offers a shame-reducing, humility-increasing framework for what to do when—not if—TIB occurs, including subtle, often-overlooked provider TIBs due to differences in race, status, or other identities. Rich with clinical examples and accessible language, this book is straightforward, genuine, and funny. It is also meticulous, providing a clear rationale and a navigable roadmap for effectively targeting TIB. There is wisdom here for everyone. This book is sure to become a cornerstone of clinical training and supervision in DBT.”

—Ashley Maliken, PhD, Training Director and Teen Team Lead, Portland DBT Institute


“Shaller brings to light the importance of compassionately and directly targeting TIB in order to help therapy progress and, ultimately, to change and save lives. Shaller expands on Marsha Linehan's brilliant ideas about TIBs, outlining principles and guidelines that help the DBT therapist effectively address these behaviors in individual and family DBT, skills groups, and telephone coaching. I will recommend this book to every DBT therapist I train.”

—Alec L. Miller, PsyD, Co-Founder, Cognitive and Behavioral Consultants, White Plains and New York, New York


“This book explains the underlying principles of TIB while offering practical tips for therapists. It is packed with rich material for new and experienced clinicians alike. Dr. Shaller expertly captures this nuanced topic in an engaging and inviting manner. Her conversational, humorous style makes this (often uncomfortable!) topic accessible for all clinicians. Dr. Shaller has provided a wonderful resource to help DBT therapists and teams improve their practice and better serve their clients.”

—Aditi Vijay, PhD, Department of Advanced Studies in Psychology, Kean University


“Shaller's approach balances humor and humility. She offers guidance for moving forward in addressing different types of TIB; role-plays that model hard-to-have conversations; and pro tips sprinkled through the book. Clinicians will walk away with a toolbox of strategies to navigate the complexities and nuances of interfering interactions within all modes of DBT. This validating text is a 'must read' for clinicians and teams.”

—Alison M. Yaeger, PsyD, Director, 3East DBT Outpatient Clinic, McLean Hospital