This is actually one of the biggest reasons rural people choose online therapy. In a small town, everyone knows if your truck's parked outside the therapist's office. With online therapy, nobody knows you're getting help. You're at home, the therapist doesn't live in your community, and there's zero chance of running into them at the feed store or church. It's completely private. That privacy alone makes online therapy worth it for a lot of rural folks who'd never go to in-person therapy because word gets around.

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.

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.

Yes. Anxiety is one of the most treatable conditions. Therapy gives you tools to manage it rather than be controlled by it. Cognitive Behavioral Therapy (CBT) is specifically helpful for anxiety. Many people address anxiety through a combination of individual therapy and group therapy. The key is consistent attendance and practicing skills between sessions since anxiety improves through facing fears and building new neural patterns.

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.

Acting without considering consequences is a typical BPD symptom and this is why impulse control is a key DBT skill area. Impulsive behaviors can include substance use, reckless driving, unsafe sex, spending sprees, binge eating, quitting jobs/relationships abruptly, and aggressive outbursts. DBT skills help impulsivity by teaching you to manage urges without acting, reduce emotional intensity that fuels impulsivity, and understanding patterns that lead to impulsive acts. You’ll learn to identify triggers and early warning signs and build tolerance for discomfort without the need for impulsive relief. Impulsivity often decreases relatively early in DBT as distress tolerance and emotion regulation improve. The goal is reducing frequency and severity making impulsivity manageable rather than leading to harmful consequences.

Definitely, DBT has a whole set of anger skills. DBT anger skills include opposite action (acting kind when angry instead of attacking), check the facts (figuring out if your anger fits the situation), problem-solving (addressing the actual problem fueling your anger), pros and cons (evaluating consequences before acting on anger), and DEAR MAN (expressing anger assertively rather than aggressively). You also work on reducing vulnerability to anger through self-care (PLEASE skills—sleep, exercise, healthy eating, managing illness). DBT doesn't say anger is bad, but it teaches you to express it effectively rather than destructively. Anger is valid information about boundary violations or injustice, rage that destroys relationships isn't useful.

Look for therapists who are specifically trained in DBT and have extensive background in DBT. Comprehensive DBT programs that include individual therapy + DBT skills group at different levels of intensiveness depending on your needs are helpful. Grouport offers DBT skills groups and DBT individual therapy online as well as IOP programs that are focused on DBT. DBT is our #1 specialty so you’ll be in good hands in our DBT groups, DBT individual therapy or a combo of both, or through more intensive support like IOP. We also offer a DBT self guided program which is helpful for people who prefer a self paced format or want additional accountability in between sessions.

It's skills education, not therapy, so it’s just entirely different from each other. For many people, if you have strong motivation and good learning skills, self-guided DBT provides sufficient support. However, it does not replace therapy. For serious mental health issues, you may still need actual therapy. This can be a supplement, complementary to, or a starting point, not a replacement for therapeutic relationship. The people who do the self guided program typically want a self paced format to learn the skills on their own time, or they are looking for additional accountability and adherence to treatment outside of session that they can practice on their own time so they want to be able to review skills on their own time outside of a therapy session. Many people use both, therapy provides support and personalization while the self-guided DBT program provides skills that you can learn at your own pace.

Completion time varies by individual pace. The curriculum has a years worth of tangible curriculum so it's intended to be done in chunks where you can really internalize each module before moving on to the next. Little by little you make progress on a specific skill, and you revisit modules so you can master them over time. You can always go back and revisit a module at any time to re-sharpen those skills. DBT skills require ongoing practice, so with consistent effort and practice and implementing them in your day to day life, that’s when you’ll see the greatest results.

Definitely. Distress tolerance and emotion regulation skills apply directly to anger management. Lots of DBT techniques are helpful for managing rage, lashing out in relationships, and irritability.

Different therapists emphasize different aspects of DBT as no two therapist styles are the same. If something conflicts with what your therapist is teaching you in your sessions, talk to them about it. They know your specific situation and can adapt where appropriate. The program should complement therapy, not create conflict.