Dialectical Behavioral Therapy/RO-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.

What is Dialectical Behavioral Therapy (DBT)?

At its core, Dialectical Behavioral Therapy helps individuals build four major skills:

  • Mindfulness
  • 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 DBT treatment is characterized by two main components: individual psychotherapy and participation in a weekly skills training group.

Learn more about CBT vs DBT.

Radically Open Dialectical Behavior Therapy (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.

Dialectical Behavioral Therapy (DBT) Skills Groups and Radically Open Dialectical Behavior Therapy (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.

Location: Via Zoom Maximum Number of Participants: 12
Dates/Times: Wednesdays – 3:30pm (Young adults/transitional)
Tuesdays and Wednesdays – 3:30pm (Adolescent)

Adult RO-DBT Skills Groups

  • Mondays – 4pm, Tuesdays – 4pm, Thursdays – 4pm and Wednesdays 8am (Adult)
  • Total of 30 sessions (7 months)
  • Via Zoom
  • 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.

Radically Open Dialectical Behavior Therapy (RO-DBT) Process Group for Graduates

Unlike standard skills classes which are psychoeducational in nature, this group allows individuals to dive deeper into their personal journey of radical openness. The group is designed to help reinforce continued practice of the RO DBT skills and provide a supportive atmosphere where members can work together to build a life worth sharing. The group follows the standard RO DBT lessons to guide discussions and it is recommended individuals utilize the previously provided workbooks.

  • Mondays 4:00-5:00pm
  • individuals who have completed a RO DBT skills class and who want the ongoing support of a process group.
  • Groups conducted over Zoom

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 [email protected]. 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.



Dialectical Behavioral Therapy (DBT) and Radically Open Dialectical Behavioral Therapy (RO-DBT) 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

  • Monday nights at 6pm (in-person) and 9:00am (run by Dr. Little)
  • Tuesdays: 4:00
  • Wednesdays: 3:00 and 7:00
  • Thursdays: 3:30

Adolescent DBT Skills Groups

  • Tuesdays: 3:30

RO DBT Groups

  • Mondays: 4:00-5:30
  • 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:

(The above information is subject to change)

Dialectical Behavioral Therapy Skills Groups Enrollment Details

  • 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.

There is HOPE.

For more information or to seek enrollment in the group, call 513-536-0634 or click here.