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Services

We offer a range of services for individuals and families.  

Comprehensive DBT for Adults (ages 18+):  

Dialectical Behavior Therapy (DBT) is the evidence-based, gold-standard treatment for Borderline Personality Disorder.  DBT is comprised of the following “modes” of treatment: 

Skills Group 

In DBT, one of the primary goals is for clients to develop skills to increase the ability to control and regulate thoughts, emotions, and behaviors.  DBT skills training groups meet on a weekly basis for two hours and cover topics such as:  Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation. 

Individual Therapy 

In individual DBT therapy sessions, clients deal more directly with the issues that get in the way of a “life worth living.” DBT therapists work with clients to address the problems that are causing suffering, as well as help clients work towards building a life that is more satisfying and fulfilling. Clients typically meet with their individual DBT therapist once weekly. 

Phone Coaching 

Replacing old habits with new behaviors can be challenging.  DBT includes the opportunity for clients to call therapists outside of office hours for brief coaching sessions in order to receive guidance and encouragement for using skills in difficult situations.  This aspect of DBT allows clients to gain support in using their developing skills throughout their lives. 

Consultation Team 

Therapists treating clients with emotion dysregulation also need support. During consultation team, therapists work on building their own skills in the treatment as well as discuss factors that may contribute to burnout. 

DBT for Adolescents (DBT-A; ages 13-20):  

Dialectical Behavior Therapy for Adolescents and Young Adults (DBT-A) is a clinical program that treats adolescents with emotion dysregulation and multiple problem behaviors. Our clinic specializes in identifying and treating risky behavior in adolescents, including self-injury, suicidal ideation and suicide attempts, substance use, binging and purging, risky sexual behavior, physical fighting, and other forms of risk-taking. 

DBT-A follows the work of Alec Miller and Jill Rathus, who originally modified DBT for use with adolescents and young adults. DBT-A has been shown to be effective in treating the emotional instability beyond typical adolescent development and problem behaviors such as suicidal thoughts, attempts and self-harm.  Each client and one or two caregivers participate in DBT-RU's comprehensive DBT-A program as described below: 

Skills Group 

In DBT, one of the primary goals is for clients to develop skills to increase the ability to control and regulate thoughts, emotions, and behaviors. These skills are taught to both the adolescent and one or two caregivers in an educational group format, much like a classroom setting.  DBT skills training groups meet on a weekly basis for two hours and cover topics such as: Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotion Regulation. 

The inclusion of caregivers within the skills group setting allows for an entire family to learn the same new tools and adaptive behaviors. 

Individual Therapy 

In individual DBT therapy sessions, clients deal more directly with the issues that get in the way of a “life worth living.”  DBT therapists work with clients to address the problems that are causing suffering, as well as help clients work towards building a life that is more satisfying and fulfilling. Clients typically meet with their individual DBT therapist once weekly. Within DBT-A, most individual therapy sessions will be between the adolescent and therapist.  As appropriate, there will be a combination of family-therapist sessions and/or caregiver-therapist sessions. 

Phone Coaching 

Replacing old habits with new behaviors can be challenging.  DBT includes the opportunity for clients to call therapists outside of office hours for brief coaching sessions in order to receive guidance and encouragement for using skills in difficult situations. This aspect of DBT allows clients to gain support in using their developing skills throughout their lives. 

Consultation Team 

Therapists treating clients with emotion dysregulation also need support. During consultation team, therapists work on building their own skills in the treatment as well as discuss factors that may contribute to burnout. 

Family Connections:  

When a person has BPD, loved ones may suffer quite a bit. Radical shifts in mood, high-risk behaviors, intense anger, and suicidality are often part of life for a person with BPD and, thus, they become part of life for those who love him or her. The challenges of dealing with a loved one with BPD can be very stressful, and family members may unknowingly act in ways that negatively impact their relative. At DBT-RU, we offer Family Connections™, a 12-week course developed by Drs. Perry Hoffman and Alan Fruzzetti. Family Connections groups provide education, skills training, and support for people who are in a relationship with someone who has BPD. Family Connections™ is free and led by trained group leaders. For more information about Family Connections™, please visit https://www.borderlinepersonalitydisorder.org/family-connections/