Yes, absolutely. Online therapy actually works great for rural areas since you don't need to drive an hour each way to see someone. You just need internet and a private space. Grouport therapists work with people in rural communities all the time—small towns, farm country, mountain areas, wherever. As long as your therapist is licensed in your state and you have decent enough internet for a video call, you're all set.

Therapy sessions are just therapy which includes talking with a therapist. Medication is entirely separate. If you need medication, you'd see a psychiatrist or psychiatric nurse practitioner. That's a different provider with a separate cost, plus prescription costs. At Grouport, we only do therapy, like group therapy, individual therapy, couples therapy, family therapy, combination of group and individual therapy, IOP, and a DBT self guided program. If you need medication management that would be done elsewhere and we can provide referrals for that.

That's exactly when therapy matters most. Relationships often improve as anger becomes manageable. Aside from individual work which is typically done in individual therapy and group therapy, sometimes couples and family therapy is also needed to address the impact that anger has had on relationships.

Numbing is a trauma response. Your brain protects you from overwhelming emotions by shutting down feelings. As trauma processing occurs, intense negative emotions might surface at first and eventually positive emotions come back. Feeling again is a sign of healing. Therapy helps you reconnect with emotions safely.

This describes most anxiety to worry about potential future events or outcomes. This is anxiety’s specialty. Worry gives the illusion of control that if you think about it enough you can prevent it, but that actually backfires and only maintains anxiety. Therapy helps you develop problem solving when possible and acceptance when not rather than trying to control the future through worry. Learning to stay present despite not knowing what will happen is a core skill to address anxiety that with consistent practice you can learn over time. Therapy helps you manage uncertainty so the anxiety can subside.

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

Distress tolerance is for crisis, when emotions are already at 10/10 and you just need to survive without making things worse. You're not trying to fix anything, you're riding out the crisis wave. Emotion regulation is for everyday emotional management, reducing how often you hit crisis level, changing emotions that don't fit the situation, and decreasing emotional suffering generally. Think of distress tolerance as emergency skills and emotion regulation as preventive maintenance. You use distress tolerance when you're already overwhelmed, you use emotion regulation to avoid getting that overwhelmed in the first place.

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.

No, program access is for an individual purchaser only. Sharing login credentials violates our terms of service. Each person needs their own access and must purchase the self guided program separately. This protects the intellectual property of our content and maintains program viability.

Try the skills anyway and see if they work for you practically. DBT is an evidence-based treatment and is helpful for many people, so if you’re struggling with emotion regulation, distress tolerance, mindfulness, or interpersonal challenges then gaining these skills can be tremendously beneficial. What matters the most is whether the techniques actually help you manage your emotions better. Ultimately, in addition to DBT, you can also explore alternatives like CBT, ACT (Acceptance and Commitment Therapy), or other approaches.

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