DBT Skills Groups
Structured teaching and practice in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT skills training can also be provided in Mandarin.
Treatment approaches
Click any approach to learn what it is, who it may help, and what the work can look like.
DBT is an evidence-based treatment for individuals who struggle with emotion dysregulation, impulsive or risky behaviors, an unstable sense of self, and difficulties establishing and maintaining healthy relationships.
The treatment includes three elements. In a weekly group session, clients are taught new skills to cultivate mindfulness, tolerate distress, regulate emotions, and manage relationships. In weekly individual sessions, the therapist helps the client apply skills to work toward individual treatment goals. When indicated, treatment also includes between-session phone coaching to help the individual experiment with new behaviors when they are most in need.
EFT is an attachment-based couples therapy for partners who feel caught in recurring conflict, distance, mistrust, or disconnection. Rather than deciding who is right, EFT helps each partner recognize the cycle they enter together and the vulnerable emotions underneath it.
Couples learn to slow reactive patterns, express needs more clearly, and respond with greater accessibility and care. The aim is a relationship that feels safer, more flexible, and more emotionally connected.
RO-DBT is a treatment designed to help individuals who avoid distress by over-relying on efforts to control their experience. Overcontrolled coping may appear as high self-criticism, compulsive fixing or planning, rumination, social isolation, emotional suppression, rigidity in thinking and behavior, and fear of negative evaluation, among other things.
RO-DBT focuses on helping overcontrolled individuals develop more openness, receptivity, spontaneity, flexibility, and connectedness with others. RO-DBT includes both weekly group-based skills training and individual therapy.
CBT is a specific treatment, but the term is also commonly used for a wider collection of cognitive behavioral therapies that have been rigorously tested in clinical trials. These treatments are effective for concerns including depression, anxiety, OCD and related disorders, PTSD, substance use and addictions, eating disorders, insomnia, and ADHD.
Each protocol uses specific principles of change designed to target a disorder’s symptoms. As a group, CBTs share one unifying principle: thoughts, feelings, and behaviors are interrelated. CBTs are present-focused, goal-oriented, and structured. Treatment begins by identifying unhelpful patterns of thought and behavior, then teaches new skills to change the beliefs and behaviors that maintain distress over time. CBT may be delivered individually or in groups.
ERP is a first-line behavioral treatment for obsessive-compulsive disorder. OCD can create a cycle in which intrusive thoughts produce anxiety and rituals or reassurance bring only short-term relief, strengthening the cycle over time.
ERP uses a carefully planned, collaborative hierarchy of exposures. Clients gradually approach feared thoughts, sensations, or situations while reducing compulsive responses. The aim is greater freedom and confidence—not certainty, and not the complete absence of uncomfortable thoughts.
EMDR is an evidence-based trauma treatment for experiences that remain emotionally charged, easily triggered, or felt as though they are still happening in the present. Trauma can leave memories insufficiently processed, linking images, emotions, body sensations, and negative beliefs into a distressing network.
Treatment begins with careful preparation, stabilization, and the identification of appropriate targets. During reprocessing, the client briefly attends to aspects of the memory while engaging in bilateral stimulation, such as guided eye movements. This supports the brain’s natural capacity to integrate the experience, so the memory can be recalled without the same intensity and more adaptive beliefs can emerge. Pacing is collaborative and tailored to each client’s readiness.
PE is a structured, evidence-based treatment for PTSD. Trauma often narrows life through avoidance: people may avoid memories, emotions, places, conversations, or activities that feel dangerous even when they are now safe.
Through repeated, supported practice with trauma memories and avoided situations, clients learn that distress can be tolerated and reminders are not the same as the event itself. Treatment is collaborative, transparent, and paced with careful attention to readiness.
DBT-PE integrates Prolonged Exposure into comprehensive DBT for people who have PTSD alongside severe emotion dysregulation, self-harm, suicidal behavior, or other high-risk coping patterns.
Clients first use DBT to establish sufficient safety and behavioral stability. Trauma processing is then added while DBT skills and monitoring remain in place. This sequence makes direct trauma work more accessible for people whose needs may not fit a standard trauma protocol.
Skills groups
Structured teaching and practice in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT skills training can also be provided in Mandarin.
Skills for increasing openness, flexibility, emotional expression, social connection, and the ability to respond to feedback.