Lisa Ferentz, LCSW-C, is the president and founder of the Institute for Advanced Psychotherapy Training and Education, which provides continuing education to mental health professionals. She is an internationally acclaimed speaker and highly sought after clinical consultant. She has been in solo private practice specializing in trauma for more than thirty years, and in 2009 was named social worker of the year by the Maryland Society for Clinical Social Work.

Preface Part I: It Makes Sense Given Where They've Come From. 1. Toward a New Understanding of Self-Destructive Behaviors. 2. Working With Trauma Survivors. 3. The Role of Attachment. 4. The Inherent Struggles of Adolescence. 5. The Metacommunication of Eating Disorders, Addictions, and Self-Mutilation. Part II: Understanding and Working With Self-Destructive Behaviors. 6. The Cycle of Self-Destructive Behaviors. 7. The Triggering Event and the Loop of Negativity. 8. Unbearable Anxiety and the Frozen Loop. 9. Self-Destructive Behaviors, Positive Outcomes, Negative Outcomes, and Emotional Vulnerability. 10. Treatment. 11. Working With the Cycle: The Loop of Negativity. 12. Working With the Cycle: Unbearable Anxiety and the Frozen Loop. 13. Working With the Cycle: Self-Destructive Behaviors and CARESS. 14. Working With the Cycle: Positive Outcomes, Negative Outcomes, and Emotional Vulnerability. Part III: Helping Others While Taking Care of Ourselves. 15. Focusing on Us. 16. Creating a Sense of Internal and External Safety. 17. Assessing Your Agenda. 18. Being Clear About Your Control Issues. 19. Holding Appropriate Boundaries. 20. Understanding Your Triggers. 21. Acknowledging Your Vulnerabilities. 22. Pacing the Sessions. 23. Debriefing After Difficult Sessions. 24. Understanding the Correlation Between Family-of-Origin and Workplace Dynamics. 25. Striving for Balance in Your Life. 26. Giving Yourself Permission to Get Supervision or Refer Out. 27. Practicing What You Preach. 28. Strengthening Your Work. Bibliography