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Dialectical Behavior Therapy (DBT)
Flyers and Referral Form Links
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WHEN DO YOU NEED OUR DBT PROGRAM?
When life feels too challenging to cope with.
When your emotions take control of your behavior.
When your relationships tend to be short-lived or volatile.
When other therapies have not succeeded.
When you want to change your life.
When you want to build a life worth living and enjoying.
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“I used to get angry, and go from zero to 100 in a split second. They helped me learn to manage my feelings and to listen and how to calm myself.”
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DBT is an evidence-based therapy program help to make positive progress for people age 15 and up, people with frequent, severe emotional problems, such as:
- intense personality problems
- suicidal thoughts and behaviors
- self-harming behaviors
- substance abuse
- adolescents with borderline symptoms and emotionally-driven behavior problems
- chronic relationship problems, often due to rages and instant emotional outbursts
DIALECTICAL BEHAVIOR THERAPY
AND ITS BENEFITS?
Expect to learn and grow as a person.
DBT helps you cope with the ups and downs of life, to be more stable when you face daily life.
DBT may help when you have tried everything you can and need a therapy that can make life worth living.
Marsha Linehan, Ph.D., developed Dialectical Behavior Therapy (DBT) in the 1980s-1990s at the University of Washington, and now over three decades of research and hundreds of studies have shown DBT is an effective therapy for severe problems. DBT has helped tens of thousands of clients with numerous types of problems.
The research shows that DBT helps to achieve goals you want to accomplish. While increasing coping skills and improving quality of life, DBT reduces suicide attempts, self-harm, visits to emergency departments, and psychiatric hospital time.
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It is a 6-12 month treatment program helping people who have difficulty
- regulating their emotions
- tolerating distress in life
- feeling they can’t cope much of the time
- experiencing suicidal and self-harm behavior
- suffering from post-traumatic stress disorder
- experiencing what we call “borderline” symptoms of rapid, extreme mood changes, chronic distress, unstable relationships
- being effective and successful in interpersonal relationships
- recovering from alcohol or drug use
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“DBT taught me how to cope better. When I started, I often felt so alone. That made me want to die. Not anymore. I want to be happy and I think I can do it.”
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DBT is a comprehensive program to develop dozens of skills you need in order to lead a more emotionally effective life. It combines some of the therapies that have the best outcomes:
- cognitive behavioral tchniques such as examining and challenging problematic thoughts and behaviors,
- mindfulness, a concept that places emphasis on noticing and experiencing the present rather than being lost in past hurts and disappointments
- coping and social skills training so you can manage distress
| SKILLS GROUP
Weekly group meetings to work on four major skill modules. Each group starts with a mindfulness skill, then reviewing skills homework, then teaching a new skill.
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INDIVIDUAL DBT THERAPY
To apply the DBT skills in your daily life, manage crises, work on adjustment in daily life.
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The Four Elements of a DBT Program
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| COACHING CALL
Short weekly call to review how
you are using DBT skills and, in
a crisis, to help you apply skills
to those challenges.
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DBT TEAM MEETING
The therapists meet together
weekly to consult on the best ways
to help, and help one another
provide the most effective care.
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"I would get so anxious I didn't know where to turn. I called you and you always calmed me down. That was a savior."
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DBT IS A COMPREHENSIVE THERAPY.
- Weekly DBT skills group will teach you to help manage painful thoughts and emotions, develop the ability to tolerate distress, and to assist you in building a life that you are able to live with value, and hopefully with pride.
- Weekly DBT individual therapy strengthens those skills and helps you work through crises and stress,
- Another element in DBT is coaching calls between sessions to help you reinforce your skills to manage when life’s difficulties cause a breakdown. Those check-in calls help remind you that you can face life in a new way and change emotional habits and patterns.
- The DBT Program provides a structured therapy so you can work towards mastery of four essential life skills:
- Mindfulness - be aware in the present, not getting caught up in fleeting distresses, to control your attention, control your thoughts rather than your feelings control you
- Interpersonal Effectiveness - relationships that can last so you can feel secure in relationships that matter to you
- Emotion Regulation - managing anger, sadness, shame, guilt, and aloneness, and decreasing those intensely unpleasant feelings
- Distress Tolerance - stop impulsive behavior, self-harm, suicidal thinking, substance use
MINDFULNESS
Awareness of the present moment, with acceptance, without judgment of experience, without getting caught up in a negative place
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EMOTION REGULATION
Lowering vulnerability to emotions, changing unwanted emotions
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The Four DBT Skill Modules
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DISTRESS TOLERANCEL
Managing and coping with events, accepting reality as it is without unmanageable emotions
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INTERPERSONAL EFFECTIVENESS
Meeting goals for relationships, self-respect and good boundaries in relationships
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Adolescent & Parent Skills Group — Tuesdays at 4:30 PM
Adult Mental Health Skills Group — Wednesdays at 12:00 PM
Groups run one hour and forty-five minutes.
OUR VISION FOR DIALECTICAL BEHAVIOR THERAPY
We at Shorehaven offer evidence-informed care. Dialectical Behaviol Therapy is such an approach. DBT is designed to help a variety of clients who experience difficult problems, particularly suicidality, borderline personality, substance abuse, and severe adolescent problems. One of the commonalities among these problems is emotional dysregulation.
- So, DBT helps clients to take control of life and to thrive.
- We want to make this level of care more accessible in our community.
- Our program follows the researched protocol for DBT.
- We offer programing for adults with mental health disorders, adults with substance abuse problems, and adolescents.
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“Sometimes, I got upset so easily, but I felt dead inside, then I cut my forearm, like seeing the blood made me feel alive. I don’t need to do that anymore. I feel so much more present and can cope with whatever comes up, and now I reach out to my friends.”
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To get started, just call (414) 540-2170 and say you want to be connected with our Referral Department. There, you will be asked for the information we need in order to meet with you and assess whether DBT or one of our other therapies may most helpful for you. The psychotherapist who meets with you, usually within just 14 days, will help diagnose your problems, learn your personal history, discuss your goals for therapy, and determine the best way to help you.
If DBT is recommended, you will talk to one of our group leaders about when you may start the program. Since DBT Skills Groups work on units of skills over a few weeks each, we start new members frequently.
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HOW CAN A PROFESSIONAL MAKE A REFERRAL?
DBT may be the next step for your patient or a continuation of work done in a hospital setting. To get started, just call (414) 540-2170 and say you want to be connected with our Referral Department. There, you will be asked for the demographic and clinical information we need in order to make an appointment for the next level of care. The psychotherapist who meets with the client, usually within HEDIS time frames, will conduct a diagnostic interview and determine the best care plan for the outpatient phase of treatment. If DBT is recommended, the client will talk to one of our group leaders about when to start the program. Meanwhile, a DBT therapist will begin preparatory treatment for DBT Skills Group.
Like all psychotherapy, DBT is covered under the mental health benefit of most insurance plans. Badgercare/Medicaid covers DBT with a minimal co-payment for adults, under $50 a year, and no co-payment for adolescents. Insurance through work covers DBT, but there may be deductibles and co-payments; we will check with your plan so we can advise you on the costs. For those who choose to pay directly, we have a sliding fee scale and will tell you the costs.
DBT skllis group meets in the conference room at 3900 W. Brown Deer Road, second floor.
Individual therapy is either at Brown Deer or our Greenfield office at 4370 S. 76th or by telehealth.
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"I'm not crying all the time. I don't want to cut. I haven't for a long time. I feel that before I wanted to die all the time. Now, I'm going to go on. My life isn't that good. I'm happy to read and watch TV. I've never been a happy person, but I am content. Contentment does a lot. I'm not as anxious as I was, extremely anxious and stressed out. I'm not as stressed out anymore."
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Shorehaven Behavioral Health is licensed by the State of Wisconsin as an outpatient mental health clinic. We serve individuals and families from ages four up through senior citizens. We serve a diverse population.
Our vision is to change lives by quality services and a culture of lifelong staff learning. All persons deserve the same high level of treatment. Our staff members participate in many hours of advanved training every year.
While we serve individual adults, a large part of our work is with children, with those who experience substance abuse, with families. We are also well known for helping people with complex problems. We provide help to clients with all mental health and behavioral problems.
One of our goals is to make psychotherapy accessible. Rather than waiting lists, we strive to be able to make first appointments within fourteen days. While increasing coping skills and improving quality of life, DBT reduces suicide attempts, self-harm, visits to emergency departments, and psychiatric hospital time.
Our clinical staff includes Psychologists, Social Workers, Professional Counselors, Marriage and Family Therapists, and a Child Psychiatrist.
Maintaining the high level of service, Shorehaven is a training clinic. We provide internships to psychotherapy students from a number of universities and post-graduate training to recent graduates working towards licensure. We offer our staff numerous advanced clinical training opportunities through clinical supervision, seminars, and online training.
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Clients are treated with a variety of well-established, evidence-informed treatments:
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Behavior Therapy
Child Play Therapy
Cognitive Behavioral Therapy
Dialectical Behavior Therapy
Family Systems Therapy
Mindfulness
Psychoanalytic Psychotherapy
Substance Abuse Counseling
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While increasing coping skills and improving quality of life, DBT reduces suicide attempts, self-harm, visits to emergency departments, and psychiatric hospital time.
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There are a few highly specialized conditions that require care in hospital or residential care, and we refer to hospitals for those problems, such as anorexia or severe psychosis.
FOR MORE INFORMATION, PLEASE CONTACT
Phone: (414) 540-2170 — ask for the Referral Department
Fax: (414) 540-2171
Email Alexandra Arsenault at
Flyers and Referral Form Links
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