Why don't mental health providers want to work in shortage areas? It can be money related or it can just be by nature of the fact that living in a smaller populated place by nature is going to have fewer mental health professionals. Low population density means you can't sustain a practice financially. But it's not just that. Would you want to move somewhere with no job prospects for your spouse? No good schools for your kids? Not a lot of cultural amenities? That's the reality of many shortage areas or its just that people tend to congregate in cities. Plus, reimbursement rates in many shortage areas that are Medicaid-dependent populations are too low to make it economically viable.

No, group costs less because the therapist's time is divided among multiple people, not because it's inferior. Online group therapy is highly effective for many issues. Some things groups do better than individual therapy include peer support, social skills practice, normalizing experiences and much more. It's different, and serves a different functional purpose that is usually a material driver of improved therapeutic progress. Cost doesn't determine effectiveness.

If others do, it's worthwhile to take their perspective into account. Sometimes we're blind to our impact and lack of insight can be a symptom of anger challenges. If multiple people say your anger is a problem and relationships are damaged your anger is likely a problem regardless of how it may feel to you. Therapy can help even with limited insight through exploring anger's impact on your life but lasting change requires eventual recognition that anger is your issue to manage.

Lifelong patterns can take longer to shift, but therapy still definitely helps. It's never too late. Many people who've had anxiety for a long time achieve significant improvement in therapy. Therapy rewires anxious brain pathways regardless of how long they've existed. With consistent practice, change is absolutely possible.

Therapy alone is a valid choice for many people that effectively treats depression.

DBT works best with commitment, but some benefit comes from any participation. Many people start with intensive care and then reduce to a lower level once things improve. Minimally speaking you can see clinically significant results after 12-weeks of treatment, but most people who have BPD find that some sort of ongoing treatment to allow for maintaining your wellbeing is helpful.

Yes, DBT is effective for substance use disorders. Substance use often serves the function of regulating emotions or escaping distress, exactly what DBT skills address. You learn to tolerate distress without substances, regulate emotions without numbing, problem-solve issues driving your use, and build a life worth living that doesn't require escaping. Pros and cons helps you make decisions about using in the moment. DEAR MAN helps you refuse offers and set boundaries. Urge surfing (distress tolerance skill) teaches you to ride out cravings without giving in. DBT doesn't judge substance use morally, it treats it as a (maladaptive) coping strategy and teaches you better alternatives.

DBT was literally created for this. If you're self-harming or having suicidal thoughts, DBT provides crisis survival skills to get through urges without acting on them. Skills like pros and cons listing reasons to resist the urge versus reasons to give in, TIP skills physically changing your body state to reduce emotional intensity, and distraction ACCEPTS skills. You also work on understanding what function self-harm or suicidal thinking serves, usually it's to escape unbearable emotional pain, and finding alternative ways to meet that need. DBT doesn't judge self-harm as bad or treat you like you're manipulating, it acknowledges you're in genuine pain and teaches you other ways to cope. Comprehensive DBT includes phone coaching so you can reach your therapist during urges.

It's self-paced, so one major advantage of this format is complete flexibility. You can pause whenever, and resume whenever. There is no expiration as you get lifetime access. Many people work steadily through the material, then use their unlimited access for periodic reviews. Others start and go through some amount of material, pause, and return months later when they’re ready to resume. You also don’t have to go through all the skills at once but can just focus in on certain sections that way you can hone in on one particular skill or module so that it’s more digestible before moving on to a different area. Whichever way you go about it, having lifetime access provides complete flexibility to go at your own pace.

You get lifetime access with this one time purchase. So once you purchase you get unlimited access, and can watch and rewatch and use the materials as much as you’d like. Your access never expires.

Anyones, motivation can vary over time. Set a predictable schedule where you review the material, create accountability that your spending time reviewing and practicing skills, and provide reminders to yourself from time to time on why you started in the first place. Having a process to continually motivate yourself will be helpful to establish intrinsic motivation to go through the program and practice skills on your own time. If you still need additional accountability to adhere to treatment, it would be helpful to couple the self guided program with individual therapy with a DBT specialist or an online DBT skills therapy group which we do provide.

Since the program is a uniform program, that gives you immediate access to a years worth of therapist recorded videos, worksheets and extensive reading manuals that can be downloaded, a community forum that you can partake in, and lifetime access, it’s a one time fee that grants you lifetime access to it. As such, there aren’t any refunds we provide for the program. For this one time fee, you are getting tremendous value so that you can build effective DBT skills.