• Dialectical Behavior Therapy

    Outpatient DBT Skills Groups

    General Approach

    DBT uses a two-pronged approach to help emotionally dysregulated individuals live a satisfying, meaningful life that is consistent with their values.  The DBT skills are taught and practiced in a group setting. Each group member learns the skills and then shares with other members how they did using the skills. Members benefit from their own efforts and learn from what others have done.

    The individual therapy follows the protocol that has been extensively evaluated over the past 30 years. The individual DBT therapist helps the client develop plans and strategies to manage their life more effectively , using the skills learned in the group sessions.

    Outpatient DBT

    Formal outpatient DBT consists of a weekly skills group to learn the skills, and a weekly individual session with a therapist trained in DBT, to apply the skills to the clients individual circumstances.

    Outpatient DBT groups offered at SLBMI are as follows:

    Monday 5:30pm – 6:45pm at 1129 Macklind Ave, St. Louis, MO 63110

    Wednesday 5:30pm – 6:45pm at 1129 Macklind Ave, St. Louis, MO 63110

    Saturday 10:15am 11:45am 1129 Macklind Ave, St. Louis, MO 63110

    The weekly skills groups last one hour and fifteen minutes. The groups work through each DBT skill module (Mindfulness, Interpersonal Effectiveness, Distress Tolerance, Emotion Regulation), which takes six months to be introduced to all the skills. There are so many skills and some have several elements to them; no one can absorb all of the information hearing about the skills the first time. We ask that people commit to participating for at least 6 months, but recommend going through the teaching sequence at least twice.

    Each group begins with a mindfulness exercise which is followed by a brief check-in, homework review, skills teaching, and end with a homework assignment. Assigned homework is designed to reinforce the skills taught in group that day.

    Skills Taught In Outpatient Skills Group

    Interpersonal EffectivenessDistress Tolerance  Emotion Regulation

    Factors that Interfere


    Obtaining Objectives

    Clarifying Goals




    How to Ask or Say No

    Factors to Consider


    People to Like You

    Mindfulness of Others

    Ending Relationships

    Walking the Middle Path


    Recovering From Invalidation

    Increasing/Decreasing Behaviors








    Improve the Moment

    Radical Acceptance

    Turn the Mind


    Half Smile

    Willing Hands

    Mindfulness of Current Thoughts


    Time Permitting:
    Paired Muscle Relaxation

    Body Scan Mediation

    Sensory Awareness Dialectic Abstinence

    Clear Mind

    Burn Bridges

    Alternate Rebellion

    Adaptive Denial


    What Emotions Do

    What Makes It Hard To Regulate

    Model for Describing Emotions

    Myths About Emotions

    Ways To Describe Emotions

    Check the Facts

    Opposite Action

    Problem Solving

    Accumulate Positives


    Build Mastery

    Cope Ahead


    Sleep Hygiene

    Managing Really Difficult Emotions

    Mindfulness of Emotions

    Troubleshooting & Review

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