Learn Dialectical Behavior Therapy at your own pace in Hawaii. Regulate emotions, tolerate distress, and build stronger relationships with 48 therapist-guided video sessions and lifetime access.
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Understanding the landscape of mental health care access and the challenges
residents face across the state.
Hawaii’s mental health needs are substantial, and access constraints are measurable.
These statistics reveal Hawaii’s mental health crisis: 21.5 percent of adults experience mental illness, yet 11.1 percent of adults who needed mental health treatment did not receive it. For residents seeking DBT skills support, the average wait time for therapy in Hawaii is 8–12 weeks, delaying care during periods when emotional dysregulation, relationship conflict, or distress tolerance challenges can intensify. Capacity limits are also structural: Hawaii has 310.7 mental health providers per 100,000 residents, and 66.89 percent of counties are designated as Mental Health Professional Shortage Areas. Even with a median household income of $98,317, affordability and availability do not automatically align when appointment supply is constrained and demand is high.
In practical terms, these numbers describe a system where residents often spend weeks trying to secure an opening, then face additional friction in maintaining consistent support. An 8–12 week delay can disrupt momentum for people who are ready to start skills work immediately, especially when DBT is sought for emotion regulation and interpersonal effectiveness that benefit from steady practice. Provider availability is not evenly experienced across the state, and when 66.89 percent of counties are shortage areas, residents may have fewer options for scheduling, fewer choices for fit, and less flexibility for recurring appointments. The 11.1 percent unmet need figure reflects more than personal preference; it reflects what happens when demand outpaces capacity and residents cannot obtain timely care. With 21.5 percent of adults experiencing mental illness, the pool of residents who could benefit from structured skills support is large, and the 310.7 providers per 100,000 residents must serve that need across multiple levels of care. For Hawaii residents, the result is often a tradeoff between waiting, traveling, or going without consistent support, even when motivation to begin DBT skills training is high.
UNDERSTANDING THE CHALLENGE
Hawaii's 1,446,146 residents face significant barriers to structured DBT skills training across the state's 10,931 square miles. With 21.5 percent experiencing mental illness annually, or 311,921 residents experiencing mental illness, and only 310.7 mental health providers per 100,000 residents, demand for evidence-based skills work far exceeds supply. In-person DBT programs typically run 24 or more weeks of weekly attendance, and Hawaii's 28-minute average commute translates to about 48.5 hours annually in travel time alone. Add $5 to $20 per session in major metros like Honolulu and Hilo, or $260 to $1,040 yearly, along with an 8 to 12 week average wait to begin care, and access becomes prohibitively difficult. For Hawaii's median household income of $98,317, a full national-average DBT sequence at $150 to $250 per session turns skills training into a multi-thousand-dollar out-of-pocket cost before parking and time are counted.
Hawaii's 100 percent urban population concentrates 311,921 residents experiencing mental illness into 5 counties where demanding professional work culture and Hawaii's 28-minute average commute already consume about 48.5 hours annually in travel time alone. Adding a 24-week in-person DBT program means Hawaii residents lose 2 or more additional hours per session to congested traffic and $5 to $20 per session in major metros like Honolulu and Hilo, or $260 to $1,040 yearly before session fees. For Hawaii's median household income of $98,317, national average DBT session rates of $150 to $250 make a full skills sequence financially punishing before travel is counted. The result: most Hawaii residents either skip DBT skills training entirely or start and stop through fragmented sessions that lose the repetition and continuity DBT skills work depends on.
For Hawaii's 311,921 residents needing structured DBT skills across the state's 10,931 square miles, the Grouport DBT Self-Guided Program removes the annual commute time, $260 to $1,040 in annual parking costs, and 8 to 12 week waitlists that make traditional in-person DBT programs impractical. Hawaii residents watch 48 therapist-recorded video sessions built by clinicians who specialize in DBT, streamed from home or office on any device, at their own pace and on their own schedule. There are no long drives through congested traffic, no parking in Honolulu and Hilo, no 2-hour time blocks away from demanding careers, and no waitlist between deciding to start and beginning the first module. At $500 one-time for lifetime access, the program costs less than a single quarter of national-average DBT sessions at $150 to $250 each, and Hawaii residents can revisit any lesson, worksheet, or module as often as they need across the four DBT skill areas of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
The Grouport DBT Self-Guided Program removes the practical barriers of accessing structured DBT skills training in Hawaii by delivering the full program as on-demand video lessons with lifetime access. Residents can begin the same day they purchase instead of waiting 8 to 12 weeks for a local opening, watch and rewatch lessons on their own schedule around work, caregiving, or shift-based hours, and skip the commuting time and $260 to $1,040 in annual parking costs that weekly in-person attendance would require. Across Hawaii's 5 counties, that means the same evidence-based curriculum is available whether a resident lives in Honolulu, Hilo or a more rural community.
Beyond session fees, Hawaii's cost of living extends to therapy-related expenses. In Honolulu and Hilo, parking adds $5 to $20 per session, totaling $260 to $1,040 yearly for weekly appointments. Hawaii's 28-minute average commute each way also adds about 48.5 hours annually in travel time alone for weekly care, which can translate into missed work time or reduced flexibility for residents with fixed schedules. These hidden costs are not evenly distributed: residents in dense urban areas may pay more in parking and lose more time to congestion, while residents farther from provider hubs may face longer drives across the state's 10,931 square miles. The Grouport DBT Self-Guided Program removes parking costs entirely and eliminates the appointment-based time burden, letting Hawaii residents study each of the 48 lessons in whatever time window their schedule allows.
Hawaii's 8 to 12 weeks average wait time for therapy equals 56 to 84 days without professional support, which can be especially disruptive when residents are seeking structured skills for emotion regulation and distress tolerance. Delays can also reduce continuity, since residents may need to restart intake processes or accept less workable appointment times once openings appear. The Grouport DBT Self-Guided Program removes this delay entirely: Hawaii residents get immediate access to the full 48-session curriculum on purchase, so skills work can begin the same day the decision to start is made.
Susana Potter, LMHC, explains how this DBT self-guided program can help you build essential skills for emotional wellness.



The DBT (Dialectical Behavior Therapy) self-guided program will help you learn strategic new skills to replace behaviors and emotions that are causing friction in your daily life and relationships.




A comprehensive year's worth of DBT training designed to help you master emotional regulation and build healthier habits.

A full year of therapist-guided recorded sessions averaging 22 minutes each. Watch at your own pace and revisit anytime.

Homework assignments designed to boost accountability and help you practice skills in real-world situations.

Comprehensive skill manuals for each session with detailed explanations, exercises, and reference materials.

Learn from Susana Potter, LMHC, with over 14+ years of therapeutic experience specializing in DBT.

Connect with peers on your DBT journey through our supportive community forum for ongoing encouragement.

One-time payment for permanent access. Revisit sessions, retake modules, and continue learning for ongoing support.
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A simple, structured approach to mastering DBT skills at your own pace.
Comprehensive skill manuals for each session with detailed explanations, exercises, and reference materials.
Watch weekly videos, complete homework assignments, and read the skill manuals on your own schedule.
Practice in real life, connect with peers in the forum, and revisit materials anytime for reinforcement.
Our program covers all four core modules of Dialectical Behavior Therapy, plus advanced techniques and practical applications.


DBT teaches universal skills that can help anyone, but it's especially effective for those experiencing:












Start Building Skills Today
Join thousands who have transformed their lives with DBT

14+ Years Experience
Susana Potter, LMHC, BC-DMT
Susana is a skilled psychotherapist with over 14+ years of experience in the mental health field. She offers an embodied approach to counseling which includes behavioral techniques such as dialectical behavior therapy, cognitive behavioral therapy, along with integrating unique body-centered techniques such as dance/movement therapy, yoga, and mindfulness.
Susana treats patients with anxiety disorders, mood disorders, personality disorders, eating disorders, trauma & PTSD, and all kinds of life challenges. She helps clients live life in the present moment, and break free from anxiety, depression, and trauma.
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Invest in your mental health with a comprehensive program you can return to again and again.
one-time
Lifetime access to complete program

48 therapist-guided video sessions (17+ hours of content)

48 homework assignments for practical skill-building

48 comprehensive reading manuals for deeper learning

Peer community forum for ongoing support

Lifetime access — revisit sessions anytime
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This program gives you a full year of DBT training — 144 pieces of expert content plus lifetime access. That's less than $10 per week for a complete learning package: video lesson, homework assignment, and reading manual — plus ongoing peer support in our community forum.
Currently, no, Grouport doesn't directly accept insurance as we are out of network. However, many clients get reimbursed through out-of-network benefits. Upon request, Grouport provides detailed receipts you can submit to your insurance company for potential reimbursement. Whether you get reimbursed and how much depends on your specific plan's out-of-network mental health coverage.
Therapy helps you manage your reactions regardless of what triggers them. There is a critical distinction though in that your partner's behavior might be legitimately problematic and need addressing but simultaneously your anger response is your responsibility regardless of your partner's behavior, and also that your anger might be problematic. Individual therapy and group therapy can help you discover if your anger is disproportionate and you need to change. Couples therapy might help to address the challenges together so you can work on the ways it's affecting your dynamic.
Trauma therapy alone is an option and is effective for many people without medication. Many people address trauma and PTSD through a combination of online individual therapy and online group therapy at the level that feels right for their needs, or through a virtual intensive outpatient program that is focused on trauma treatment. So the type of therapy done and the intensity can vary. You should work with your therapist and or psychiatrist to determine the best approach for your situation and preferences.
Therapy is an alternative or complement. Many people do therapy by itself or reduce medication as therapy takes effect. So, it’s really a function of your personal needs.
Grouport's rates are more affordable than traditional therapy. Grouport’s Online group therapy is the most budget friendly option. Grouport's individual therapy averaging $103/session is 50-60% below typical rates, online group therapy averaging $32/session provides evidence-based depression treatment more affordably. You can use HSA/FSA funds for 20-30% tax savings, and submit superbills for insurance reimbursement. Investing in treatment often saves money long-term.
Yes, DBT was designed specifically for people in crisis with suicidal behavior and severe emotion dysregulation. If you're currently unstable, you might need comprehensive DBT individual therapy, skills group, phone coaching at an intensive level rather than just skills group alone. So often people will combine multiple DBT groups with individual therapy at the level that’s right from them or in an IOP format. The structure and frequent contact help keep you safe while teaching you skills to stabilize. Some DBT programs require commitment to certain safety agreements like calling before self-harming, but crisis is absolutely not a barrier to starting DBT. It's actually the ideal time since you need the skills most urgently. If symptoms are pronounced, you will need intensive care. If you’re in an immediate crisis or when you are in crisis, you’ll need immediate crisis care that will be separate from the work you are doing in DBT. Meaning, DBT skills are learned over time and can help you in times of crisis once you master them through consistent therapy but it's not a substitute for crisis resources if you’re in immediate crisis and need immediate help.
Yes. Behavioral activation (opposite action—getting active even when depression says stay in bed, engaging in pleasant activities) is a key DBT skill for depression. PLEASE skills (self-care basics like sleep and exercise affect mood). Building a life worth living (accumulating positive experiences long-term). Mindfulness (observing depressive thoughts without believing them or ruminating). Problem-solving (addressing actual problems contributing to depression). DBT doesn't make depression magically disappear, but it gives you tools to function despite it and gradually reduce its intensity. For severe depression, DBT works best combined with other treatments.
No, the DBT self-guided program doesn't provide continuing education credits for mental health professionals. This program is appropriate for personal learning only.
You still have access to it permanently. So you can always come back to it when you're ready or motivated again. You can address certain modules in chunks and focus on sections little by little so it feels digestible and manageable.
Possibly. HSA/FSA rules vary by administrator. Check with your administrator about whether self-guided mental health programs qualify.
Teens can definitely learn and benefit from DBT skills. Younger teens might need some parent involvement to stay on track, but the content itself works for adolescents. The program works best for motivated teens who want to learn skills, possibly with parent support. For younger teens (13-15), parent involvement in reviewing materials and supporting practice increases success. Mature older teens (16-19) may use independently effectively.
Grouport's prices don't change based on location, which makes it more accessible in expensive cities where in-person therapy is prohibitive. If an average of $103 per session is still tough on your budget for individual therapy, group therapy at $25-$35/session might work. You can also use HSA/FSA cards (pre-tax money), or do sessions every other week to save cost. The reality is mental health care costs money, but online options like Grouport make it less impossible for people in high-cost areas.
If you have an address in Hawaii, Grouport can serve you regardless of your ZIP code.
Start your journey to emotional wellness with evidence-based DBT skills. Join thousands who have found relief through our self-guided program.