Dialectical Behavioral Therapy (DBT)
Dialectical Behavioral Therapy (DBT) is a type of cognitive behavioral therapy that helps individuals with emotion regulation. With compassion, understanding and validation, DBT acknowledges how painful life is for the patient and how they can learn from their past in their journey to make positive, productive changes.
DBT Therapy Skills Building
At its core, Dialectical Behavioral Therapy helps individuals build four major skills:
- Distress tolerance
- Emotion regulation
- Interpersonal relationship skills
DBT is considered the gold standard treatment for borderline personality disorder, but is also applied to substance abuse, bingeing, and other problems which include emotion dysregulation. Research shows that those who have successfully completed DBT programs are more likely to have strong interpersonal relationships, find employment, and stop having thoughts of self-harm. In addition, they experience reductions in suicidal behavior and thoughts, hopelessness, depression, drug and alcohol problems, and binge eating.
Effective Dialectical Behavioral Therapy treatment is characterized by two main components: individual psychotherapy and participation in a weekly skills training group.
RO-DBT (Radically Open Dialectical Behavior Therapy) is a newer type of DBT developed by Dr. Thomas R. Lynch for disorders of emotional over-control. Though self-control is often highly prized and rewarded by our society, too much self-control can create a host of difficulties, including social isolation and poor interpersonal relationships.
RO-DBT is designed to focus on building flexible responding, authentic emotional expression, self-inquiry, and ability to manage unexpected or challenging feedback. The primary goals of RO-DBT include improving social signaling, enhancing receptivity and openness, and increasing interpersonal connection.
Who can benefit from RO-DBT
RO-DBT can help individuals with excessive emotional over-control that is contributing to negative outcomes such as social isolation or poor interpersonal functioning. DSM-5 diagnostic categories that have been shown to benefit from RO-DBT include Chronic Depression, Treatment-Resistant Anxiety Disorders, Anorexia Nervosa, Avoidant, Paranoid, and Obsessive-Compulsive Personality Disorders, and Autism Spectrum Disorders.
DBT Skills Groups and RO-DBT Skills Groups
Adult DBT Skills Group
- Scheduled weekly
- Patients are expected to make a commitment to 24 consecutive weeks of attendance, not missing more than 4 sessions in a row
- Ask about DBT groups accessible to attendees in other states under PsyPact. https://psypact.site-ym.com/page/psypactmap
Adolescent DBT Skills Group (ages 14-18)
- Scheduled weekly
- Patients are expected to make a commitment to 18 consecutive weeks of attendance, not missing more than 4 sessions in a row
Patients must be in individual therapy during the course of the group. To obtain full benefit, it is recommended patients see their outpatient provider weekly as patients often have questions about integrating the skills into their life. Primary clinicians should be kept apprised of the DBT skills taught so they can offer more effective support and coaching to patients during their treatment.
Parent DBT Skills Training
Tuesdays 5-6 pm, Zoom video conference
One round (15 sessions total) covers all 4 Core DBT Skills
Participants can register for 6 groups at one time, or for all 15 groups with specific entry dates allowed. Members are responsible for practicing skills even if a group is missed. Participants will be required to complete a 30 minute individual orientation/commitment session.
Potential Participants would be:
- A parent of a teen or young adult (some flexibility if an older adult child is still in the role of younger adult)
- Whose child is either currently in DBT or has been in DBT in the past
- And they wish to learn the skills to help reinforce their child’s use of skills
- And would like to use the skills themselves to self-regulate when their child is not using their skills
Cost: $300.00 for 6 sessions or $675 for all 15 sessions. 75$ fee for 30 minute orientation/commitment session (Self-pay only, not billable to insurance). DBT for Parents of Teens and Young Adults contract
For questions, please contact Dr. Laurie Little at Laurie.email@example.com
To register, please contact Kelly Bernens at Kelly.Bernens@lindnercenter.org
Adult RO-DBT Skills Groups
- Mondays from 3-4:30 pm OR Tuesdays and Thursdays from 4-5:30 pm
- Total of 30 sessions (7 months)
- Sessions held at the Meeting Room at Lindner Center of HOPE
- Adult RO-DBT groups may be accessible to attendees in other states under PsyPact. Check to see if your state is participating. https://psypact.site-ym.com/page/psypactmap
RO-DBT Group for Adolescents Ages 13-18 (seniors in high school)
- Tuesdays from 4 to 5:30pm
- 30 sessions. 1.5 hours per session
- Groups conducted over Zoom
Adolescents characterized by overcontrolled coping tend to be serious about life, set high personal standards, work hard, behave appropriately and have perfectionistic tendencies; yet inwardly they typically struggle with knowing how to join in with others or establish close bonds. This therapy is designed to help adolescents relax rigid or inflexible control, learn to chill out and be playful, and decrease emotional loneliness.
To join an RO-DBT Skills Group, please consult with your treatment provider. Referrals should be sent to Kelly Bernens, Outpatient Practice Manager, at 513-536-0634 or firstname.lastname@example.org. There will be an initial information session scheduled to discuss the goals of group, to establish commitment to the group, and to provide initial assessment forms.
Schedule & Enrollment
DBT Skills groups are scheduled as follows at Lindner Center of HOPE, 4075 Old Western Row Rd., Mason. Please check-in in the Welcome Center.
Adult DBT Skills Groups
- Tuesdays: 4:00
- Wednesdays: 3:00 and 7:00
- Thursdays: 3:30
Adolescent DBT Skills Groups
- Tuesdays: 3:30
Parent DBT Skills Training (See above for unique and specific details of this offering.)
- Tuesdays: 5:00
RO DBT Groups
- Mondays: 3:00-4:30
- Tuesdays: 4:00-5:30
- Wednesdays: 8:00-9:30
- Thursdays: 4:00-5:30
Adolescent RO DBT Group
- Tuesdays 4:00 – 5:30 pm
Currently all groups are being run virtually.
Sessions range from one hour to one and a half hours. Groups are led by specially trained staff, including:
- Brett Dowdy, PsyD, Chief of Psychological Services
- Jennifer Farley, PsyD, Staff Psychologist
- Shannon Jensen, LISW-S, Outpatient Therapist
- Allison Mecca, PsyD, Staff Psychologist
- Sidney Hayes, MSW, LISW, DARTT, Outpatient Therapist
- Heather Connor, LISW-S, Outpatient Therapist
- Melissa Sillamen, Counselor
(The above information is subject to change)
- Each group has certain dates when they open to new members.
- The average group size is 8 to 12 members.
- Patients will choose a day and time and remain in that group for 6 months.
- All groups have a fee of $81/group which may be covered by insurance.