STANDARD OUTPATIENT DBT SERVICES:

Adult DBT: Our adult DBT program is for individuals 18 years and older. A treatment program will be tailored to your specific needs, which may include the following components:

  • Individual therapy (typically on a weekly basis)
  • Skills training (typically a weekly class)
  • Between-session consultation with your therapist
  • Therapist consultation team

Adolescent and family DBT: Our adolescent and family DBT program is for individuals ages 13-18. Again, the program will be tailored to your specific needs, but may include:

  • Individual therapy (typically on a weekly basis)
  • Skills training class with the teen and at least one adult (up to two) from the adolescent’s home (typically on a weekly basis)
  • Family meetings as needed
  • Between-session consultation with your therapist
  • Therapist consultation team
  • Behavioral parent training

DBT for over-control: Tom Lynch, PhD, has developed a treatment that uses DBT principles to address problems of over-control. Many of our clients experience problems of under-control, meaning they come to treatment to learn to control behaviors, emotions, thoughts, etc. There are equally distressing problems when one controls their internal experiences too much, including chronic low mood and intense loneliness. This program offers several new and recently released skills, aimed at helping these individuals reduce their need for control, enhancing flexibility and interpersonal connection.

DBT Skills classes: Our skills classes use the latest updates from Dr. Linehan’s research lab, including skills from her 2014 skills workbook:

  • Mindfulness: learning how to create moment to moment awareness
  • Interpersonal effectiveness: getting what you want while maintaining good relationships with others, as well as maintaining your own self-respect
  • Emotion regulation: learning how to change unpleasant or painful feelings
  • Distress tolerance: ways of surviving a crisis without making it worse
  • Radical openness: skills for over-control; these skills focus on helping one be more open, flexible, and interpersonally connected

DBT INTENSIVE OUTPATIENT PROGRAM (DBT-IOP):

EBTCS now offers a DBT-IOP!

Many clients improve with standard outpatient DBT, which typically includes 3-5 hours per week of combined individual therapy, skills training, and telephone coaching, most often for a year or more. In our standard outpatient DBT program, we see clients who experience severe emotion dysregulation and have multiple, chronic problems, such as engaging in suicidal and self-harm behaviors, depression, anxiety, eating disordered behaviors, substance problems, or other difficulties related to intense emotions.

However, there are times when clients need more intensive services for a variety of reasons, including engaging in high-risk behaviors that need more frequent intervention to avoid hospitalization or residential treatment (which can be costly and do not help clients learn to cope in their real-world environment) and having time limitations (e.g., returning to school or work) or travel limitations (e.g., living a far distance from where treatment is available) that do not allow for a year or more of standard DBT treatment.

DBT-IOP offers all of the elements of standard outpatient DBT, but in a more intensive format: 9-12 hours per week of individual therapy, skills training, and contact with a therapist outside of session. Additional services are also available.

Adult DBT-IOP (ages 18 and up):

Treatment occurs in 4-week rounds; clients typically repeat the 4-week cycle 2-3 times and can stay longer if needed. We recommend clients step down to standard outpatient DBT upon completion of IOP.

  • Skills group: 10:00 am – 12:00 pm M, W, Th
  • Individual therapy: 1 hour M, W, Th
  • Phone consultation
  • Optional environmental support/educational group for parents of adult clients
  • In addition to IOP, psychiatry services are also available if needed

Adolescent DBT-IOP (ages 15-20) – OPENING IN OCTOBER 2018!

Treatment occurs in 6-week rounds; clients typically repeat the 6-week cycle 2-3 times and can stay longer if needed. We recommend clients step down to standard outpatient DBT upon completion of IOP.

  • Multifamily skills group: 5:00 pm – 6:30 pm M, T, Th with at least one parent (this group also offers parents time to meet with other parents for support and education once per week)
  • Individual therapy: 1 hour M, T, Th (parents attend on occasion)
  • Phone consultation
  • In addition to IOP, psychiatry services and parenting support are also available if needed

Please contact us (206-374-0109) to find out about fees and to explore whether you may be able to obtain insurance coverage for IOP treatment.

Our Client Services Coordinator, Sarah, will be happy to discuss whether DBT-IOP is a good fit for you!

OTHER INFORMATION ABOUT OUR PROGRAMS:

Outcomes monitoring

It is very important to our providers to offer treatments that actually help you. For that reason, we monitor your goals and treatment targets to be sure you are benefiting from our services. We do so by collecting weekly and quarterly information, including “diary cards” (logs you will keep, tailored to you) and symptom questionnaires.

Our team

The DBT Center at EBTCS was founded in 2002. We have a team of very dedicated therapists, recruited specifically for their training, level of experience, and most importantly, their compassion and dedication to their clients and to DBT. We believe that compassion and expertise are both essential in helping to alleviate suffering caused by chronic and difficult problems. Our team meets weekly, with the purpose of supporting each other and ensuring each therapist is delivering the best care possible. Many of our team members were trained by Dr. Marsha Linehan, who developed DBT, and we have an ongoing relationship with her research lab and other leading experts in the field.

Our director

jennJennifer Sayrs, PhD, ABPP is a co-founder of EBTCS. She was the Director of Training at EBTCS for 7 years before becoming the Director of our DBT Center. She completed a postdoctoral fellowship with Dr. Linehan and has been a research therapist, supervisor, and adherence coder on several research trials on DBT. She trains therapists in DBT around the world. She is board certified in CBT and is active with the American Board of Cognitive and Behavioral Psychology, a specialty board of the American Board of Professional Psychology, whose mission is to increase consumer protection by certifying psychologists who demonstrate competence in CBT.