Dialectic Behavior Therapy Groups
     

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 in DBT?

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.


DBT Skills:

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.

DBT 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 jennifer@cpeclinic.com.

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 90834.

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 coaching.

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 client's care.

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. Rodrigues 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 erin@cpeclinic.com or jennifer@cpeclinic.com for more information on DBT groups.