Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy that focuses on understanding and managing emotions and behaviors. Its goal is to help individuals develop skills to create a life that feels meaningful and worth living. Research has shown DBT to be effective for people who experience intense emotions, engage in problematic behaviors, have trauma histories, struggle with substance use, experience suicidal thoughts or actions, have frequent hospitalizations, feel stuck in their current treatment, or face interpersonal difficulties and want to strengthen their relational skills.

A major component of DBT treatment involves making and honoring commitments. Joining the DBT program requires a significant investment of time, energy, and resources. Following the Linehan Model—the original and most effective approach—treatment typically spans one year. Participants complete each group module at least twice, and some choose to continue longer to further strengthen their skills

The four modules of DBT group are: Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation.

Group is a space for individuals to learn and practice DBT skills. Members explore the purpose of each skill and how to apply it in their daily lives. Although supportive interactions may occur, the group is primarily psychoeducational, focusing on understanding the ‘why’ and ‘how’ behind each skill. Each session begins with a mindfulness exercise, an emotion check-in, and a review of homework. This is followed by discussion of new skills and the assignment of practice. Sessions conclude with another mindfulness activity. Participants are expected to arrive on time and remain for the full duration.

This is primarily a psychoeducational group, and completing it in a group setting is more effective than doing it individually. Group participation allows you to receive feedback on skills and ask for support when needed or when you feel comfortable. During telehealth sessions, your first name will be visible and used when you are called on. Each session includes a brief mood check-in, as well as a review of how your skills practice went and any support you may need in building those skills.

Clients are required to attend individual therapy for 60 minutes at least every other week, as well as a weekly 120-minute group therapy session. Weekly skills practice is also assigned in group to complete between sessions.

Homework is designed to reinforce the skills learned in group and build on previous skills. Individual therapists may assign additional DBT homework as needed. Some participants may also be asked to complete a weekly diary card.

All of our groups can be attended either virtually through the portal (telehealth) or in person. Co-pays and payments are due at the time of service. For telehealth sessions, you must be in a private, enclosed, and stationary location. No one else may be in the space with you, even if you are using headphones. If you are joining from a vehicle, the vehicle must be parked.

All group members are required to sign a group contract and have an active treatment plan. Treatment plans are reviewed every 90 days. New participants may join the group every 6–8 weeks, depending on holidays and the module schedule, and all individuals begin during the mindfulness module. Some material covered early on may be introduced in more depth later in the program. If you are interested in joining DBT group or have any questions, please call our office at (207) 941-0879, and/or complete our online group intake paperwork.