Your insurance company may offer you that they have a specialist in their panel who can meet your needs. Just because a therapist or provider says they work with OCD, DBT, and some other conditions does not mean they have the specialized training making them qualified to treat the condition. Particularly with DBT. Although this is a long and grueling effort, we encourage you to check the training and qualifications of any in network. In particular, DBT is very specific – here are some questions to ask to determine if you whether or not the provider is actually offering DBT.
Does the provider offer the four components of Dialectical Behavior Therapy (DBT)?
- Weekly Individual DBT therapy with a DBT-trained clinician
- Weekly DBT skills training – usually conducted in a group, but on occasion done on an individual basis.
- Telephone coaching as needed to help the client use skills in daily life.
- Clinician consultation group. DBT requires that the therapist participate in a consultation group with other DBT trained therapists.
Without all of the above, it is not DBT.
It is worth asking specific questions to any provider to make sure that they are actually doing DBT.
- Do you consider yourself to be a DBT therapist?
- Do you provide both the individual component of DBT and the skills component?
- If so, are they taught at the same time or at separate times?
- 4Do you belong to a consultation team with other DBT trained therapists?
- Do you use a daily diary or daily report card?
- Do you conduct chain analyses as part of therapy?
The Internatioal OCD Foundation has some tips for finding the right therapist. You can find them at this link: https://iocdf.org/about-ocd/treatment/how-to-find-the-right-therapist/
The Treatment And Research Advancements for Borderline Personality Disorder offers the following tips to finding the right DBT Therapist at this link: https://www.tara4bpd.org/new-page-71/
If you find that the therapists whose names you have been given by your insurance company are not DBT therapists, you can go back to your insurance company and ask for authorize for out-of-network treatment. By law, your insurance company has 48 hours to find you a specialist who you can see that is a reasonable distance from where you live.
If your insurance company cannot find you an in-network DBT therapist and DBT has been recommended as the treatment of choice for you, they should offer you a single case exception. If they refuse to give you a single case exception, you can appeal that decision to the state insurance commissioner.
All of our providers are out of network and do not participate with any insurance programs. Please contact your insurance provider – click here for a guide for How to Check Your Health Insurance. Some clients have success advocating for out of network benefits – here is some information that you might find helpful about advocating for out of network benefits.