Rural communities often have more mental health stigma than urban areas—"we handle our own problems," "therapy is for weak people," "what will people think?". Online therapy sidesteps a lot of that because it's private. You're not publicly seeking help, so you avoid the judgment. And honestly, more rural people are doing therapy than you'd think, they're just not talking about it as much. The stigma is real, but so is the suffering, and eventually a lot of people decide their mental health matters more than what neighbors might think.

It varies a lot. Grouport's individual therapy costs less than traditional in-person therapy, which typically runs $150-$300+ per session depending on where you live. For example, Grouport’s individual therapy sessions average $103/session. Online group therapy is more affordable, Grouport's group therapy is $25- $35/session or $140/month total, that’s less than the cost of one in person individual therapy session. What surprises a lot of people is that self-pay rates are usually cheaper than going through insurance after you factor in copays and deductibles. Online platforms often cost less than in-person because there's no office overhead to pay for. Not to mention, Grouport offers discounts when you combine sessions together or are doing more than one session per week.

Common link. Anxiety can fuel irritability and anger. Many people don't realize their anger problem is primarily an underlying anxiety problem. As anxiety decreases, irritability and anger often improve significantly. Therapy helps distinguish between primary anger versus anxiety driven anger and whether treating anxiety resolves anger or both need separate attention.

Managed is more accurate than cured. Most people learn to live well with anxiety rather than eliminate it entirely. Skills learned in therapy provide tools to manage flare-ups quickly before they escalate.

Depression is highly treatable. Therapy is one of the most effective approaches. Particularly CBT and Behavioral Activation are highly effective for depression treatment. Therapy helps by identifying and challenging negative thought patterns, increasing activities that bring pleasure, and providing support and accountability during difficult times. Most people notice improvement within a couple of weeks of consistent therapy, though deeper work may take longer.

That's one of the goals and identity solidifies over the course of treatment. Identity development is a DBT outcome which emerges indirectly as opposed to being a specific target of treatment. Identity consolidates through values clarification and reduced relationship chaos. As a result of BPD you may not know your preferences or values, or it can change drastically based on who you're with and this can result in feelings of emptiness and profound confusion. As DBT progresses, first, stability increases with more consistent actions and choices, then authentic values emerge, and finally identity of knowing who you are naturally forms.

Distress tolerance skills are for intense moments when you're overwhelmed and problem solving isn't possible yet. The goal is to get through the moment safely. Once emotions settle, you can use other skills to address the underlying issue.

Wise mind is the integration of emotion mind (making decisions based only on feelings) and reasonable mind (making decisions based only on logic and facts). When you're in emotion mind, you do impulsive things that feel right in the moment but aren't actually wise. When you're in reasonable mind, you ignore your feelings and gut instincts. Wise mind considers both, what do my emotions tell me and what do the facts say? It's the sweet spot where intuition and logic come together. Accessing wise mind usually requires some mindfulness and distance from the immediate emotional intensity. You ask "what would my wise self advise?" or "what decision will I feel good about tomorrow?"

DBT teaches four skill sets but within each of these skill sets there are many specific skills that pertain to that overarching concept. Mindfulness - being present in the current moment without judgment and observing thoughts and feelings without being controlled by them. Distress Tolerance - surviving crisis situations without making things worse, managing intense emotions without destructive behaviors, and accepting reality when you can't change it immediately. Emotion Regulation - understanding and naming emotions, managing vulnerability to negative moods and being able to handle the intensity of those feelings as they fluctuate. Interpersonal Effectiveness - getting your needs met in relationships while maintaining self-respect and avoiding destructive behaviors like lashing out, rage, and detachment. For each topic there are plenty of skills to learn to help you master each of those areas.

Contact Grouport support at support@grouporttherapy.com. We will help with any tech issues or billing questions.

The program covers a year's worth of curriculum, so some may be review and other material will be new. Even skills you've heard of before might be taught in more depth than you've previously done. You can still benefit from the program for refreshing and deepening skills you learned before, gaining skills you didn't cover before, and learning additional insights and applications. If you've had partial DBT background, the program provides what you're likely missing. Even if you have an extensive DBT background, DBT skills require ongoing practice and periodic review to maintain effectiveness. So, many people do the self guided DBT program at various different levels of background in DBT so they can have a thorough program to go through and practice skills at their own pace.