What is DBT and is it the right approach for you?
Dialectical Behavioral Therapy or DBT is a
cognitive behavioral approach focusing on those who struggle with
managing their intense emotional experience in everyday situations.
Specifically, it is for those who lack coping mechanisms, have
extreme emotional responses to stresses, and who struggle to maintain
relationships because of emotional instability. The goal of DBT
is "to help individuals change behavioral, emotional, thinking
and interpersonal patterns associated with problems in living."
This is accomplished by focusing on different areas of distress
and identifying coping tools to manage emotional deregulation.
Is it right for me?
This approach may seem straightforward and
easy to implement. Those that benefit the most from this approach
to therapy suffer when they are unable to center their emotions
or tolerance levels to a baseline that is reasonable for them
or those around them. If this is the case, it is important to
find a therapist that has been extensively trained and supervised
in DBT. 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/
What does CPE Clinic, LLC offer for those interested
All of our DBT work is led by Magda Rodriguez
Gonzalez, Psy.D. Whom during her postgraduate work, Dr. Rodriguez
was trained by and worked with Marsha M. Linehan, Ph.D. who established
the Dialectical Behavior Therapy (DBT). Dr. Rodriguez leads a
DBT Skills Group, DBT individual therapy, DBT phone coaching,
and is part of a DBT consultation team.
What is Comprehensive DBT?
In comprehensive DBT standard form, there are
four components of DBT: skills training group, individual treatment,
DBT phone coaching, and consultation team. At CPE Clinic, LLC,
Dr. Rodriguez offers a skills training group and carry a small
load of comprehensive cases. Individual treatment focuses on getting
behavioral control and building a life worth living. The DBT phone
coaching component is a way of helping the client generalize skills
learned into their lives. The consultation team helps the therapist
to stay within the treatment principles and decrease chances of
burnout. Comprehensive DBT skills groups meet for 48 weeks. See
below for more information on DBT skills groups.
In addition to comprehensive DBT, Dr. Rodriguez
offers DBT skills training groups only. Below is a description
of the DBT skills training group component.
DBT skills training group is focused on enhancing clients'
capabilities by teaching them behavioral skills to improve being
more effective in life. The group is run like a class where the
group leader teaches the skills and assigns homework for clients
to practice using the skills in their everyday lives. Groups meet
on a weekly basis for approximately 1.5 hours and it takes 24
weeks to get through the full skills curriculum at which point
an assessment is made to decide what the best next course of action
would be. The CPT Code for participation in the 90 minute DBT
skills training sessions is 90853 and the cost is $150 per session.
DBT includes four sets of behavioral skills.
- Mindfulness: the practice
of being fully aware and present in this one moment to help
reduce suffering and increase happiness
- Distress Tolerance: how
to tolerate pain in difficult situations, not change it, and
to learn to accept painful experiences
- Interpersonal Effectiveness: how
to ask for what you want and say no while maintaining self-respect
and relationships with others
- Emotion Regulation: how
to understand and change emotions that you want to change
There is increasing evidence that DBT skills
training alone is a promising intervention for a wide variety
of both clinical and nonclinical populations and across settings.
Skills Training Group follows an open enrollment policy and meets
weekly on Tuesday evenings in Annapolis. If you are interested
and want additional information, please contact the office at
410-979-2326 or email firstname.lastname@example.org.
The other 3 components of Comprehensive DBT
are also offered by Dr. Rodriguez.
DBT individual therapy is
focused on enhancing client motivation and helping clients to
apply the skills to specific challenges and events in their lives.
In the standard DBT model, individual therapy takes place once
a week for as long as the client is in therapy and runs concurrently
with skills groups. The CPT Code for DBT Individual Therapy is
DBT 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. Most commonly these coaching calls are 3-10 minutes
tops and are not a therapy phone session. DBT phone coaching with
Dr. Rodriguez is only available for her DBT individual therapy
clients and for those who request phone coaching, she charges
$190 for the 1:1 sessions to cover the cost of her time in phone
DBT therapist consultation team is
intended to be therapy for the therapists and to support DBT providers
in their work with people who often have severe, complex, difficult-to-treat
disorders. The consultation team is designed to help therapists
stay motivated and competent, so they can provide the best treatment
possible. Teams typically meet weekly and are composed of individual
therapists and group leaders who share responsibility for each
DBT skills training meets on a weekly basis
for approximately 1.5 hours and it takes 24 weeks to get through
the full skills curriculum. The CPT Code for participation in
the 90 minute DBT skills training sessions is 90853 and the cost
is $150 per session.
DBT 1:1 therapy with Dr. Rodriguez is a $180
for a 45 minute hour with a CPT code 90834.
DBT Phone Coaching for those in 1:1 therapy
with Dr. Rodriguez will be charged $190 for the 1:1 session to
cover the costs of phone coaching. Please contact the office at
410-979-2326 or email email@example.com
for more information on DBT groups.