Weekly Skills Groups (for groups of 5 or more)
This time-limited group meets weekly for 90-120 minutes and is held at our location or yours. The group approach is designed to support and supplement the work of individual psychotherapy. It is not a substitute for individual psychotherapy. The focus of DBT group is on increasing interpersonal effectiveness, decreasing crisis and teaching skills for managing distress and impulsiveness. It is divided into four areas:
- Emotion Regulation Skills: This module teaches accurate recognition of emotions and effective and appropriate ways of expressing emotion, which is helpful for Individuals who experience difficulty with anger expression and anxiety, have inappropriate inhibition of affect or are emotionally “shut down.”
- Interpersonal Effectiveness Skills: This module teaches skills for maintaining balanced interpersonal skills, which is helpful for individuals who experience relationships that are chaotic, intense and marked with difficulties (often seen with Borderline Personality Disorder and related conditions.)
- Distress Tolerance Skills: This module teaches skills for tolerating stress, which often manifests in impulsive behaviors like self-injury.
- Mindfulness Skills: This module teaches skills for increasing reliance on accurate perceptions, which is helpful for individuals who experience feelings of emptiness, no sense of self and dissociation caused by stressful situations.
Individual Skills Training and Case Management/Coaching
For clients or therapists. Increase your awareness and ability to let go of thoughts that contribute to emotional suffering. Decrease unwanted behaviors that sabotage your goals. Stay present in the here and now, participating fully in life. Get through crisis situations without engaging in behavior that makes the crisis worse. Let go of judgments of yourself and others and cultivate compassion.
Individualized Coaching: for Parents, Siblings and Other Supports
“COACHING” is the way that DBT refers to teaching clients how to use skills in their real life environments. In a coaching session, specific issues, concerns, and feelings associated with living with and or supporting an emotionally sensitive person are discussed. Individuals with mental illness may find their lives overwhelmed with emotion dysregulation. This may have a serious impact on their quality of life. Supports will learn practical strategies and skills for managing life more effectively in a difficult relationship. Coaching sessions occur in an environment without blame or judgment. Although this is not “Individual DBT Therapy,” Lisa teaches the specific DBT skills, using handouts and practice, that will help family members and supports be more effective in the particular situations they describe. These sessions are tailored to the individual and unique needs of each person who attends. It is often most effective for several coaching sessions to occur after the initial session so the DBT principles and skills can be learned and understood and so strategies can be developed. For some, one or two sessions may meet their needs and others may opt for more.