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style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><u><strong><span style=\"font-size:22px;\">What is DBT?</span></strong></u><br><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\">Dialectical Behavior Therapy (DBT) is a specific type of therapy that was developed by Marsha Linehan to treat individuals with the diagnosis of Borderline Personality Disorder. It has since been shown to help with a variety of mental health issues such as depression, eating disorders, Post Traumatic Stress Disorder and substance abuse disorders.<br><br>DBT has four different parts to be adherent&nbsp;DBT (Full Protocol or \"true\" DBT has the most evidence of being a successful treatment for Borderline Personality Disorder). The client participates in weekly individual therapy, weekly skills group and in phone skills coaching. The therapist participates in a consultation group.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\">Many providers will say they provide DBT. However, what they are really offering is DBT Informed. While DBT informed&nbsp;may&nbsp;benefit some clients, the evidence points to adherent DBT having the better outcomes.<br><br>For people interested in full protocol DBT, there is an expection of commitment for at least 6 months. Generally, adherent&nbsp;DBT lasts at least a year.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size: 18px;\">EAP BENEFITS DO NOT COVER DBT SERVICES. If, upon our clinical evaluation, a client needs DBT services, a client will be referred back to the EAP for a more appropriate provider&nbsp;or the client will need to use insurance benefits/pay out of pocket for services.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size: 18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size: 18px;\">All providers in this office who provide DBT are all part of a DBT Consultation Team. We meet each Thursday to ensure we provide services appropriately, get support from each other, make sure we are staying skillful and problem solve situations as they arise with clients. DBT Consultation Team ensures that our clients receive the highest quality Dialectical Behavior Therapy that we can provide.</span><br><br><u><strong><span style=\"font-size:22px;\">ADULT DBT SERVICES</span></strong></u><br><br><strong><span style=\"font-size:20px;\">DBT SKILLS GROUP</span></strong><br><span style=\"font-size:18px;\">DBT skills group is a structured&nbsp;treatment meaning it is not just \"free flowing\". In this practice, we use DBT Skills Training Handouts and Worksheets, 3rd&nbsp;Edition by Marsha Linehan. It is expected that participants either purchase the manual themselves or download the modules to use during group. We&nbsp;have found that clients who purchase the manual have an easier time with completing assignments. DBT Skills Training has four core components-Mindfulness, Distress Tolerance, Emotional Regulation and Interpersonal Effectiveness. Each component has numerous skills to learn.<br><br>Each week, we cover a new skill from the manual and review the homework from the week before. The group is not a forum to discuss personal problems or what has occurred during the past week except as it pertains to the homework being reviewed. This is different from a lot of other types of mental health groups in which people \"just talk\". The group is more like a class than a typical therapy group.&nbsp; Skills Group is generally 26 weeks to complete all four modules&nbsp;with most people requiring two cycles (1 year).&nbsp;<br><br>Clients will need to complete an intake assessment appointment prior to enrolling in group.&nbsp;After enrolling in group, the participant will be emailed the schedule. To participate in group, the client MUST have a primary therapist. The client MUST sign a release that allows communication between the two providers. You MUST be enrolled in group prior to starting in group. No walk ins. New members can only join at the start of a new module. First two sessions are mandatory for new members to continue with group.&nbsp;</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\">We offer both online and inperson DBT Skills Group, allowing flexability based on life's demands. Individuals enrolled in group have the option of either attending in person or online.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"><br></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\">DBT Skills Group meets Thursdays 7-800&nbsp;pm</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"><strong>Online skills group currently has a waiting list.<br></strong><br></span><br><strong><span style=\"font-size:20px;\">DBT INDIVIDUAL THERAPY</span></strong><br><span style=\"font-size:18px;\">In DBT individual therapy, the client and the therapist review the client's Diary Card from the previous week and discuss any issues that came up. The individual session is where personal issues are discussed, behavior chain analysis is completed and individual difficulties with skills use are addressed. This is the place to discuss self-harming behaviors, suicidal feelings and&nbsp;urges to engage in destructive behaviors. AN INDIVIDUAL IN GROUP MUST HAVE AN INDIVIDUAL THERAPIST.<br><br>The structure of the individual session is different than a lot of other types of therapy. Reviewing the Diary Card is a requirement and we always address life threatening behaviors first, therapy interfering behaviors second and quality of life issues third. Most other therapies have the client setting up what is talked about in session and in DBT, your Diary Card sets up what we talk about in session, based on the hierarchy of target behaviors.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><span class=\"theme-text-color-3-4\"><br><br><br><strong><span style=\"font-size:20px;\">DBT PHONE COACHING</span></strong><br><span style=\"font-size:18px;\">Skills coaching occurs between sessions. If a client is encountering a particularly difficult situation and is unsure what skill to use, DBT clients are encouraged to reach out to their therapist for help with deciding what skills to use. The rules regarding skills coaching is discussed during individual therapy. Skills coaching is only available to those individuals who are in individual counseling in this practice.</span><br></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-0-4\"><u><strong><span style=\"font-size:22px;\"></span></strong></u></span><br></div><div style=\"text-align: center;\"><u><span style=\"font-size:22px;\"><span class=\"theme-text-color-0-4\"><strong>ADOLESCENT DBT&nbsp;</strong></span></span></u><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-0-4\"><span style=\"font-size:20px;\"><strong></strong></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-0-4\"><span style=\"font-size:20px;\"><strong>(13-17) DBT SKILLS GROUP</strong></span><br></span></div><div style=\"text-align: center;\"><span class=\"theme-text-color-0-4\"><u><strong><span style=\"font-size:22px;\"></span></strong></u><br></span></div><div style=\"text-align: center;\"><span class=\"theme-text-color-0-4\"><u><strong><span style=\"font-size:22px;\"></span></strong></u></span><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\">DBT skills group is a structured&nbsp;treatment meaning it is not just \"free flowing\". In this practice, we use the handouts from the Rahaus and Miller DBT for Adolescents curriculum.&nbsp;DBT Skills Training for adolescents has five&nbsp;core components-Mindfulness, Distress Tolerance, Emotional Regulation, Walking the Middle Path and Interpersonal Effectiveness. Each component has numerous skills to learn.&nbsp;<strong>A parent is required to attend each group with the adolescent.</strong><br><br>Each week, we cover a new skill from the manual and review the homework from the week before. The group is not a forum to discuss personal problems or what has occurred during the past week except as it pertains to the homework being reviewed. This is different from a lot of other types of mental health groups in which people \"just talk\". The group is more like a class than a typical therapy group.&nbsp; Skills Group is generally 26 weeks to complete all five&nbsp;modules&nbsp;with most people requiring two cycles (1 year). After enrolling in group, the participant will be emailed the schedule. To participate in group, the client MUST have a primary therapist. The client MUST sign a release that allows communication between the two providers. You MUST be enrolled in group prior to starting in group. No walk ins.&nbsp;New members can only join at the start of a new module. The first two groups are mandatory to continue in group.<br><br>Clients who have their own individual provider are more than welcome to join the DBT Skills Group. Clients will need to complete an intake assessment appointment prior to enrolling in group.&nbsp;After enrolling in group, the participant will be emailed the schedule. To participate in group, the client MUST have a primary therapist. The client MUST sign a release that allows communication between the two providers. You MUST be enrolled in group prior to starting in group. No walk ins.</span></span><br><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"><br><br>Adolescent (13-17 years old)&nbsp;DBT Skills Group meets Wednesdays&nbsp;from 5 pm-5:55&nbsp;pm</span></span><br></div><div style=\"text-align: center;\"><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"></span></span><br><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"></span></span><span style=\"font-size:20px;\"><span class=\"theme-text-color-0-4\"><strong>DBT HIGH SCHOOL&nbsp;INDIVIDUAL THERAPY</strong></span></span><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"><br>In DBT individual therapy, the client and the therapist review the client's Diary Card from the previous week and discuss any issues that came up. The individual session is where personal issues are discussed, behavior chain analysis is completed and individual difficulties with skills use are addressed. This is the place to discuss self-harming behaviors, suicidal feelings and&nbsp;urges to engage in destructive behaviors.&nbsp;<br><br>The structure of the individual session is different than a lot of other types of therapy. Reviewing the Diary Card is a requirement and we always address life threatening behaviors first, therapy interfering behaviors second and quality of life issues third. Most other therapies have the client setting up what is talked about in session and in DBT, your Diary Card sets up what we talk about in session, based on the hierarchy of target behaviors.<br><br>Caregivers and other important individuals in the adolscents life will be invited into sessions on a as needed basis.<br></span></span><br><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"></span></span><span style=\"font-size:18px;\"><span class=\"theme-text-color-0-4\"></span></span>​<br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:20px;\"><strong>DBT GRADUATE GROUP</strong></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\">Adults that have graduated from skills training are eligible to join the DBT graduate group. This group is more of a process group where clients discuss their current struggles and get feedback from group members about how to apply DBT skills. To be eligible, a client must know DBT skills, not have engaged in self-harm or suicidal behaviors for at least 6 months. In DBT terms, clients meet requirements for Stage 2 treatment targets and are no longer in Stage 1 DBT.</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:18px;\"></span><br><br><br><br><span style=\"font-size:16px;\">For more information about DBT and BPD, I can strongly recommend the YouTube Channel BorderlinerNotes, any of the&nbsp;work of Marsha Linehan, McLean Hospital and National Education Alliance for Borderline Personality Disorder.<br><br>For more information about DBT offered at this practice, please do not hesitate to email&nbsp;</span></span><br></div><div style=\"text-align: center;\"><span class=\"theme-text-color-3-4\"><span style=\"font-size:16px;\">Appointmentsifnw@protonmail.com</span><br>​<br><br>&nbsp;<br><br>​</span><br></div>","verticalAlignment":"top"},"metaData":{"position":{"left":-439,"top":515},"size":{"width":891,"height":3652}}}]}],"offset":{"left":231,"top":64}}],"connections":{"targetConnections":{},"sourceConnections":{}},"customStatesProperties":{},"pageId":"id1610407279442","version":17.004,"id":"id1789739863685","relativePoint":{"left":231,"top":64}}