2nd Edition

Cutting Down An Evidence-based CBT Workbook for Treating Young People Who Self-harm

By Lucy Taylor, Mima Simic, Ulrike Schmidt Copyright 2023
    292 Pages 87 B/W Illustrations
    by Routledge

    292 Pages 87 B/W Illustrations
    by Routledge

    Cutting Down provides a practical and accessible treatment programme based on Cognitive Behaviour Therapy (CBT) principles for young people who self-harm.

    This fully revised and updated second edition includes new techniques from ‘third’ wave CBT, Acceptance Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT). This enriches the material and brings the concepts up to date. Another key addition to this new edition is the inclusion of strategies for young people who engage in suicidal behaviour. The manual is evidence based and focuses on a flexible and formulation driven model to direct treatment in around 15 sessions for young people and six sessions for parents and caregivers. It provides a clear structure for each session and an easy-to-follow outline on how the therapist should deliver each session. The content of each session is supported by handouts and worksheets which can be used within sessions or as homework between sessions.

    Enhanced with online resources, the workbook will be useful for all professionals working with young people who self-harm across a wide range of settings from schools, primary care and voluntary sector, to community mental health services and inpatient units.

    Acknowledgements; Introduction; Part 1: What’s going on? Assessment, psychoeducation, risk assessment and safety planning; Session 1: Understanding self-harm; Session 2: Values, strengths and goals; Session 3: Are you ready to make a change?; Part 2: Feelings, thoughts and behaviour; Session 4: You and your feelings; Session 5: Links between feelings, thoughts and behaviours; Session 6: Dealing with thoughts; Session 7: Core beliefs and rules of living; Session 8: Formulation of your journey; Part 3: Coping strategies; Session 9: The coping tree; Session 10: Understanding and managing fear and distress; Session 11: Being mindful; Session 12: Managing emotions; Session 13: Managing relationships; Session 14: Hopelessness; Part 4: On you go!; Session 15: Ending therapy; Part 5: Parent sessions; Session 1: Psychoeducation; Session 2: Validation; Session 3: How to help; Session 4: Moving forward together; Session 5: Support with new skills; Session 6: Next steps; Index


    Dr Lucy Taylor is a Consultant Clinical Psychologist working in independent practice in Surrey. She has worked over 20 years in the NHS, including jointly heading up the National & Specialist Child and Adolescent Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital.

    Dr Mima Simic is Consultant Child Adolescent Psychiatrist leading the Maudsley Centre for Child and Adolescent Eating Disorder. She was Consultant for the Community Adolescent Mental Health Team and National & Specialist Child and Adolescent Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital for nearly a decade. She has researched treatments for self-harm in which she teaches and trains mental health professionals.

    Ulrike Schmidt is Professor of Eating Disorders at King’s College London and a Consultant Psychiatrist at the Maudsley Hospital. One key focus of her research is on developing brief scalable psychological treatments of value to the NHS, for people with eating disorders and other common mental health problems, including self-harm.

    'Suicide is the second leading cause of death in young people. Self-harm is one of the strongest known predictors of suicide. Building on the success achieved by the first edition, this book represents a major advance in psychological treatments of self-harm in young people.' Dennis Ougrin, Professor, MBBS, MRCPsych, PGDip(Oxon), PGCAPHE, PhD; Consultant Child and Adolescent Psychiatrist; Visiting Professor of Child and Adolescent Psychiatry and Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London

    'This second edition of Cutting Down again offers structure and practicality to achieve the best outcomes for young people who self-harm and their families. In this accessible manual, the authors bring "order" to the management of self-harm which will give both therapist and patients confidence and direction. The overall stance is of positivity, normalisation, hope and collaboration, enhanced by the addition of a parent/carer module, a new hopelessness module and up to date techniques from third wave CBT, offers an accessible and evidenced based protocol to reduce and stop self-harm.' Isobel Heyman, Professor, Honorary Consultant Child and Adolescent Psychiatrist, Psychological Medicine, Great Ormond Street Hospital for Children NHS Foundation Trust

    'Cutting Down 2nd Edition is an excellent resource for mental health professionals working with young people who self-harm. This edition contains additional treatment approaches for young people presenting with hopelessness and associated suicidal ideation, a module for parents/carers and the inclusion of further strategies from third wave CBT.' Dr Katrina Hunt, Consultant Clinical Psychologist, Head of National & Specialist CAMHS DBT Service, South London and Maudsley NHS Foundation Trust