Services Offered

Services Offered

Dialectical Behavioral Therapy (DBT) Services

Other Services

Exposure Therapy Services

 

Dialectical Behavioral Therapy (DBT) Services

About DBT

The adult DBT program is designed for clients aged 18 years and older. The program is based on the DBT model developed by Dr. Marsha Linehan from the University of Washington, and its purpose is to help clients find stability, become more assertive, and better tolerate stress within themselves and their relationships. We strive to provide the most effective treatments available for people who struggle with regulating their emotions.

The major elements of DBT are:

  • Core Mindfulness
  • Interpersonal Communication
  • Emotion Regulation
  • Distress Tolerance

Developing these skills will help you to:

  • Become more aware of what you are feeling and acknowledge those feelings
  • Find stability for the emotions that seem to overwhelm or control you
  • Communicate clearly and effectively with others while maintaining your self-respect
  • Tolerate difficulties within yourself and around you
  • Enjoy life more fully

Our DBT program includes: Individual Therapy, Group Skills Training, Telephone Consultation, and Ancillary Treatments. See below for more information about each of these treatment services.

Individual Therapy

Clients participating in DBT receive weekly or bi-weekly individual therapy sessions, with a focus on developing a life worth living. Treatment may focus decreasing self-harming behaviors and thoughts, addressing issues related to trauma, and helping clients to reach their goals and solve problems that interfere with leading a happy, productive life.

Group Skills Training

In addition to individual therapy, clients participating in DBT receive group skills training once a week for 24 weeks or more.

This skills training class teaches clients how to:

  • Manage their awareness and attention (mindfulness skills)
  • Manage and cope with their emotions (emotion regulation skills)
  • Deal effectively with interpersonal situations (interpersonal effectiveness skills)
  • Tolerate emotional distress (distress tolerance skills)

This group is fairly structured and meets weekly on Mondays from 6-8pm. It is possible to join a group already in progress in order to learn the skills in one section or more sections.  However, we strongly encourage you to attend the entire series, which takes 24 weeks to complete. Cathy is joined by two counselors who work with DBT groups, click here to read more about the counselors.

Please contact us to learn more and to find out how to join an upcoming workshop.

Telephone Consultation

Individual therapists are available to clients between regular sessions for telephone calls on an as-needed basis. The calls are short in nature, but provide assistance in building adaptive coping behaviors in difficult situations. The purpose is to help clients generalize and apply the skills they are learning to their daily lives.

Ancillary Treatments

In addition to the services offered above, we also work with clients and area providers to make sure the clients pursue additional treatments as needed, such as psychiatric or case management services.


Prolonged Exposure Therapy

About Prolonged Exposure Therapy

Prolonged Exposure (PE) Therapy is a set of techniques utilized with people who have Post Traumatic Stress Disorder or Complicated Grief. The ultimate goal of this treatment is to help you control your life today, not the trauma.

How it works:

  • Discuss the common reactions to trauma: This gives you a framework to better understand your symptoms.
  • Learn Breathing techniques: For stress reduction.
  • Imaginal Exposure: This is telling your traumatic memory.

Purpose:

  • Organize your memory (trauma memories are usually fragmented)
  • Change your perspective (Shift negative interpretations of the event to positive or at least neutral interpretations)
  • Distinguish between past trauma with the present memory
  • Habituate so it is less upsetting to remember (like the first time you see a scary movie it is frightening, by the 4th time it is boring)

End Goal:

To know you are able to talk about the event and not fall apart because you are in control.

In Vivo Exposure:

This is exposure in life today.

Purpose:

  • Identify and create a list of situations you avoid now that in reality are not dangerous yet remind you of the trauma. (To keep avoiding keeps you in a constrained life)
  • You start to go to these places that are low level anxiety first. (You begin to realize the situations aren’t dangerous)
  • You realize the anxiety or intense emotions don’t stay forever. It gives you control.

End Goal:

To realize that avoided situations are not dangerous and that you are able to cope with distress

Research:

Studies have concluded 80 to 85% of people that participated in PE got much better. In addition 40% of people lost the diagnosis of Post-traumatic Stress Disorder.

At this point this is the most studied treatment for PTSD and most studied by centers other then the center that created the concept.

 


Other Services

Individual Therapy

Therapy for adolescents and adults emphasizes evidence-based treatments for problems such as generalized anxiety, panic disorders, social phobias, major depression, dysthymia, bi-polar disorder, identity struggles (sexual, gender, life transition), and general adjustments to major life situations. Treatment may focus on shifting behavior (what you do), cognition (what you think), and/or emotions (what you feel or attribute to your feelings), in order to change patterns that trigger or reinforce problems in your life. These sessions are weekly or bi-weekly, with an emphasis on specific goals and progress towards obtaining those goals.

Couples Therapy

Weekly or bi-weekly sessions for couples also emphasize evidence-based treatments for problems such as infidelity, anger, ineffective communication patterns, control issues, power differentiation, and more.

Family Therapy

Family Therapy sessions are offered for family members ages 13 and older.

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