WHAT IS DBT?
Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the need to find balance in everyday life, using a skills and insight based model. The theory behind the approach is that some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT is based on the dialectic that one can accept themselves and make a commitment to improve themselves.
People who are sometimes diagnosed with Borderline Personality Disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions — most of all their own family and a childhood that emphasized invalidation — they don’t have any methods for coping with these sudden, intense surges of emotion. DBT is a method for teaching skills that will help in this task.
Research has shown that it is effective in treating a wide range of other disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), and eating disorders.
HOW DOES DBT WORK?
The therapeutic process is a unique opportunity to understand yourself, your needs, and your goals. By speaking with a trained professional in a safe, comfortable, secure setting, one begins to develop insight and being making peace with their inner self. The goals of therapy are unique to the individual. Some may come with past conflicts and emotional struggles, others may be in crisis at the moment, and some may even come to continue maintaining a strong balance of acceptance of self and commitment to improve.
DBT works the theory of dialectics, or a balance between opposing ideas. Together with your therapist and group, you will learn to accept your current self and assess changes needed to be made. Once you have acquired goals, your therapist and skills group will help you develop and integrate new skills to maintain a balance in life and wellness.
DBT is composed of:
Skill Training Group: A group designed to be educate clients on behavioral skills ran like a class where the leader teaches skills and the group has a chance to learn and practice these new skills.
Individual Psychotherapy: is focused on enhancing client motivation and helping clients to apply the skills to specific challenges and events in their lives. In the standard DBT model, individual therapy takes place once a week for as long as the client is in therapy and runs concurrently with skills groups.
Phone Coaching: is an option available to increase the effectiveness of everyday skill use, effective means of asking for help, and acquiring support to get through crises. Phone coaching is available before and during crises, but not after.
WHAT SKILL ARE TAUGHT IN DBT?
DBT includes four sets of behavioral skills.
- Mindfulness: the practice of being fully aware and present in this one moment
- Distress Tolerance: how to tolerate pain in difficult situations, not change it
- Interpersonal Effectiveness: how to ask for what you want and say no while maintaining self-respect and relationships with others
DBT GROUP SCHEDULE
Adult DBT Group sessions are performed on Monday and Thursday evenings at 7:30 pm with rolling enrollment pending waitlist. The DBT groups run for 10 weeks, two times per week. Beginning and advanced sessions offered, along with individual counseling. Admissions to group are on a rolling basis. The next cycle begins October 1st, 2018.
Adolescent DBT Group sessions are performed on Monday evenings at 6 pm for 10 weeks pending enrollment numbers. Next group will begin October 1st, 2018.
All clients must meet with for an intake session prior to group meetings and must be actively receiving counseling with a PBC therapist or with an outside provider. Our clinicians provide case consultations with outside providers.
Individual DBT skills sessions are also offered. Please contact the office directly for this information.
DBT FEE SCHEDULE
Adult DBT Group:
$150 commitment fee which includes training manuel, group materials, and phone coaching for 10 weeks
Adolescent DBT Group:
$75 commitment fee which includes training manuel, group materials, and phone coaching for 10 weeks
Then, each group session can be billed to your insurance pending your plan, contract, rates, etc.
Opting out of insurance includes a $30 per session flat fee.