Dialectal Behavior Therapy – Adults

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.  DBT training is 24 weeks.  For more information, click here.

Parenting Support

We offer a variety of parenting support groups and classes ranging from DBT skills, to school refusal parent management techniques, to supporting social skills, etc.

Young Adults and Tweens

Mindfulness – DBT for Teens

The Mindfullness/DBT for teens is a 12 week group that focuses on evidenced based techniques to enhance mind and body control via the application of skills to modulate mood to be effective in meeting life goals. This group is available for adults, young adults (18-24) and teens (14-18). This group, also referred to as mindfulness training, teaches selected Dialectical Behavior Therapy (DBT) skills focused on mindfulness, emotional regulation, and distress tolerance. During the group, participants will learn skills related to tolerating painful events, decreasing impulsivity, and feeling more connected among other topics. Individual without DBT experience and those needing a refresher on DBT skills. The group may be used as an adjunct to existing individual therapy, although individual therapy is not required for enrollment. For more information on Mindfullness – DBT for Teens, please call the office or email

Social Skills for Teens and Young Adults/Social Skills for Tweens

Our social skills group is run with influence from the PEERS program.  The Program for the Education and Enrichment of Relational Skills (PEERS®) is the leading research-based social skills training program for youth with social challenges. PEERS® has a strong evidence base for use with adolescents and young adults with autism spectrum disorders and is also appropriate for adolescents and young adults with ADHD, anxiety, depression, and other socioemotional problems. PEERS® has been disseminated to over 40 countries worldwide.  Depending on the time of year, this group runs in 8 or 16 week formats.  For more information on Social Skills groups for either young adults or tweens, please call the office or email

Persistence and Resilience – Teens/Young Adults

Some young adults struggle with the transition to adulthood; some parents call it failure to launch. Most young adults find the rites of passage into adulthood enabling and encouraging. (Think: attending college or having a full-time job.) However, for some young people these changes can cause regressive behaviors. At times, the adult child has attended college and may have a bachelor’s degree, but has found him or herself back in the parent’s home. These young adults may appear to be “stuck”.  This group focuses on building persistence and resilience in the face of life’s challenges, setting personal boundaries, goals and moving their lives forward. For more information on Persistence and Resilience groups, please call the office or email

Living beyond POTS.

  • Frustrated with your diagnosis?
  • Defeated by what has changed day to day?
  • Missing your old self?
  • Overwhelmed by the lack of relief for your symptoms?
  • Challenged to adapt to a new lifestyle?
  • Wanting to feel validated and fit in with friends and family?
  • Worried about what the future holds?
  • Wondering if there is anyone else out there who can relate?

Looking for support, acceptance, coaching, and collaboration? Look no further.

Kimberly Pratt, Ph.D. has experience with chronic illness and mindfulness, bringing CBT and DBT concepts to those with POTS so they can be more productive in their work, relationships, and endeavors.   Recognizing that sometimes the “ah-ha” moments are those that are shared and knowing that the POTS journey is a long one, Dr. Pratt believes that together, a group can effectively hold the individual accountable for ensuring that people are not defined by their diagnosis. Sharing struggles and successes collectively and being encouraged to thrive will make this group a success.

Laura Frazier, Ph.D. has experience with chronic illness and has lived with someone who has been diagnosed with POTS. She is familiar with the frustrations and adaptations but also knows there is gold at the other side of the rainbow with the right mindset.

Through structured online sessions held weekly, participants will meet in a small group with others that know what it’s like to live with POTS.  Participants will have the opportunity to share experiences, receive feedback and support, and learn new skills and strategies for coping and thriving.

Individuals will:

  • Connect with others who won’t dismiss your difficulties
  • Feel empowered to listen and offer support
  • Learn tips, tricks, and life hacks that are working for others who are on the chronic illness journey
  • Take charge of your thoughts and acquire insights and techniques that will help you overcome anxiety, anger, grief and despair—now and for the rest of your life
  • Practice skills for sharing your challenges and getting the support you need to move ahead (or just move)
  • Cultivate the self-acceptance and inner calm that will help you live confidently despite uncertainty
  • Set new personal goals that will help you focus on your future with acceptance and anticipation

OCD and Me

OCD is a common disorder that affects adults, adolescents, and children all over the world. Most people are diagnosed by about age 19, typically with an earlier age of onset in boys than in girls, but onset after age 35 does happen.  Impairment can range from mild to severe.

OCD is not a rare diagnosis but you can feel alone when suffering.

Dr. Theresa Shank runs groups to support different populations through the calendar year, including Middle School Girls OCD Support Group, High School Girls OCD Support Group, and Parents of those with OCD Support Groups. Typically, these groups meet in person for adolescents and teens and virtually for adults/parents. Structured for support, these groups are not a substituted for therapy and people who participate must be working with a therapist or psychiatrist to be in the group. For the adolescent/teen groups, the groups reduce isolation, give and receive encouragement to set goals and do the work, and provide a private and confidential place to talk about the hard stuff about having OCD as well as the ways that they have grown stronger by working on it. The parent groups also have the same outcome although the skills and work between sessions can be different.

For more information on the groups and how to participate, please reach out to

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.


To make an appointment with any of our providers, please call the office line at 410-979-2326. You can also email or