I provide standard outpatient DBT including:
Skills Group Training
DBT Skills Group Training focuses on helping clients develop the coping skills they need to solve their own problems and achieve their desired goals.
Four skills training modules are taught in DBT:
- Core mindfulness skills: to control the attention and to experience the present moment more fully
- Distress tolerance skills: to tolerate painful and/or stressful events and emotions without making the current situation worse
- Emotion regulation skills: to identify and modulate emotions without getting overwhelmed by them
- Interpersonal effectiveness skills: to express beliefs and needs, set limits and negotiate solutions to problems while protecting relationships
DBT skills group is offered both in-person and online . Please contact me to learn more about online group sessions.
Participants are required to be in individual therapy while they are in skills group. Individual DBT is an essential component of effective Dialectical Behavior Therapy. Individual therapists work collaboratively with clients to change problematic behaviors and cultivate self-acceptance.
Individual DBT therapy is offered both in-person and online . Please contact me to learn more about online DBT therapy.
Phone coaching is available seven days per week. Phone coaching is focused on providing clients with in-the-moment coaching on how to use skills to effectively cope with difficult situations that arise in their everyday lives. Clients can call their individual therapist between sessions to receive coaching at the times when they need help the most.
DBT Skills Group for Professionals
A DBT skills group geared towards those who may not feel they need "therapy", but would like to be more effective in their careers, feel more fulfilled in their lives or manage their own emotions in the context of a loved one who may be suffering from a mental illness. The group will learn skills to help them become mindful, manage stress, regulate emotions and ultimately improve each area of their lives through a deeper self-understanding. This group would also be suitable for mental health professionals interested in learning DBT skills in order to teach them to their clients.
Mindfulness and Yoga-Based Group Therapy
Participants will learn skills that enable them to reduce stress and anxiety, strengthen their ability to experience the present moment, make wise choices, take effective action and feel more in sync with themselves and others. We begin with yogic breathing, followed by a ten minute meditation. The next portion of the group will be for group members to process current struggles and provide feedback and support to one another. The final thirty minutes will teach yoga postures that will enable participants to feel more grounded in their bodies and strategies to discover and trust in their body's wisdom.
DBT Prolonged Exposure
Prolonged exposure is used for the treatment of Post Traumatic Stress Disorder. It encompasses both exposure therapy and emotional processing methods of treatment. Exposure therapy is a treatment for anxiety disorders in which clients are helped to confront anxiety-evoking situations to overcome their fears. Emotional processing is used to help trauma survivors process the traumatic memory in order to diminish PTSD symptoms. Together, the treatment helps PTSD sufferers cope with their distress and reclaim their lives from fear. Prolonged exposure includes 3 essential components:
Psychoeducation: Clients receive education about common reactions to trauma. The rationale for prolonged exposure treatment is provided in the initial session, introducing the idea that avoidance of trauma memories actually maintains PTSD symptoms.
In Vivo Exposure: In vivo exposure means confronting situations you avoid “in real life.” Exposure tasks are chosen with consideration of the client’s level of distress and capability for completing the assignment. In vivo exercises are assigned as homework for practice between sessions.
Imaginal Exposure: Imaginable exposure is conducted in the session. It is revisiting the trauma memory using imagery. It consists of the client visualizing and recounting the trauma memory for enhancing emotional processing of the event. The session is taped and the client is instructed to listen to the tape between sessions.
Goal of PE Treatment:
The goal of in vivo and imaginal exposure is to help clients face the trauma memories and learn that the memory of the trauma is not the same as the trauma itself. They are able to experience trauma reminders without the associated fear and anxiety that reduces their level of functioning and restricts their quality of life.
Who is Appropriate for PE?
Individuals with a diagnosis of PTSD who remember some aspect of the trauma event
Individuals with no imminent risk or life-threatening behaviors
Structure of Treatment:
PE usually consists of 10-15 weekly individual therapy sessions that are 90 minutes each. The number and duration of your PE sessions will be determined based on your individual clinical needs.
Symptoms of PTSD are quite common and often decrease over time. However, for some the symptoms persist and interfere with daily functioning. Prolonged exposure has demonstrated efficacy in the treatment of PTSD symptoms. Further, prolonged exposure not only treats PTSD but has shown to reduce depression, anxiety, anger and guilt.