What is DBT?
DBT is based on Marsha Linehan’s biosocial theory of personality functioning in which these behavioral, emotional and thinking patterns (based on her work with Borderline Personality Disorders) are seen as stemming from a core problem with emotion regulation. According to this theory, the inability to regulate ones’ emotions is the result of both a biologically-based emotional sensitivity and a pervasively invalidating environment. From this perspective, self-harming behaviors function as maladaptive attempts at problem solving, where the primary problem to be solved is unbearable emotional distress.
What skills are taught?
- Increasing presence and self-awareness across situations.
- Distress Tolerance: Learning how to survive a difficult situation without making it worse.
- Emotional Regulation: Teaching skills that help client understand and experience their feelings in a less overwhelming way.
- Interpersonal Effectiveness: Helping client strengthen both personal and professional relationships and gain insight into their relational patterns and set healthy boundaries.
Who benefits from DBT?
- Individuals who continue to experience high levels of chaos, emotional turmoil, or crisis situations which result in frequent hospitalizations or emergency room visits.
- Individual who are self-harming and/or have chronic suicidal ideation.
- Individuals with multiple, complex psychiatric disorders.
Our Expert Clinical Team
The DBT Team consists of Licensed Clinical Social Workers (LCSW) and/or Licensed Professional Counselors (LPC). Each clinician has completed the Foundational Training Course in DBT through Behavioral Tech, LLC or DBTNCAA.
The basic criteria for admission to this program include:
- Pervasive Emotion Dysregulation
- Moderate to Extreme Struggles with Interpersonal Relationships
- Extremely Low Frustration Tolerance
- Possess very Few Effective Coping Skills
- Tend to act in a Passive Aggressive or Aggressive Fashion Daily
- Recent History of Self-Harm
- History of In-Patient Behavioral Health Stays
- Transportation to and from DBT-IOP
- Safe and stable housing to allow functioning in an outpatient setting
- Take medication as prescribed (If applicable)
- Abstain from alcohol/drugs
- Cannot have a primary or co-occurring substance use disorder
- Agree to a safety plan
- Participate in the program
- Able to benefit from treatment
- Abstain from suicidal or para-suicidal behavior (self-harm)
Because this is essentially a group therapy program, all participants must be able to function as a member of a group without behaviors disruptive to the DBT Skills Group.
Porter Adventist Hospital and The Centre for Behavioral Health are both contracted with most major insurance plans including Medicare.
Medicaid for Behavioral Health Services
Porter Adventist Hospital accepts Medicaid for Adult and Senior Inpatient Acute Hospitalization and both Inpatient and Outpatient Electro-Convulsive Therapy (ECT).
The Center for Behavioral Health accepts ABC and BHI Medicaid only for our Substance Use Intensive Outpatient Program (SU-IOP).
Currently, we are not able to accept Medicaid for the following services:
- Outpatient Therapy
- Medication Management
- Mental Health Intensive Outpatient Program (MH-IOP)
- Dialectical Behavior Therapy Intensive Outpatient Program (DBT-IOP)
To find a Medicaid provider, visit: