Learn Dialectical Behavior Therapy at your own pace in North Carolina. 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.
North Carolina’s mental health access constraints are measurable and widespread.
North Carolina has 11,046,024 residents spread across 53,819 square miles, and 100 counties that must rely on a limited behavioral health workforce. The mental illness prevalence rate in North Carolina is 22.2 percent among adults, which corresponds to 2,452,217 residents experiencing mental illness. Yet need does not translate into timely care: in North Carolina, 21.3 percent of adults who needed mental health care did not receive it. Capacity limits show up in both staffing and scheduling. North Carolina has 327.2 mental health providers per 100,000 residents, and 87.48 percent of counties are designated Mental Health Professional Shortage Areas. Even when a resident is ready to start care, the average wait time for therapy in North Carolina is 12 to 16 weeks, delaying support during periods when symptoms can intensify and daily functioning can deteriorate.
These numbers create a practical, day to day bottleneck for residents seeking DBT skills support, especially when consistent practice and continuity matter. A statewide shortage designation across 87.48 percent of counties means many residents are competing for the same limited appointment slots, and the 12 to 16 weeks wait time becomes a predictable outcome rather than an exception. With 327.2 providers per 100,000 residents serving 11,046,024 people across 53,819 square miles, access is shaped by distance, scheduling scarcity, and uneven distribution of clinicians across the state’s 100 counties. For the 2,452,217 residents experiencing mental illness, delays can affect work attendance, school performance, and relationship stability, while the 21.3 percent unmet need figure reflects how often residents reach a dead end after trying to find care. In this environment, DBT is not only about learning skills; it is also about whether residents can start and sustain support without being pushed into long waits or repeated rescheduling that disrupts progress.
UNDERSTANDING THE CHALLENGE
North Carolina's 11,046,024 residents across the state's 53,819 square miles face significant barriers to structured DBT skills training, with statewide demand outpacing provider capacity. With 22.2 percent experiencing mental illness annually, or 2,452,217 residents experiencing mental illness, and only 327.2 mental health providers per 100,000 residents, appointment availability is limited even in areas where DBT-trained clinicians are concentrated. In-person DBT programs typically run 24 or more weeks of weekly attendance, and North Carolina residents commonly face a 12 to 16 week average wait before the first session, with additional delays when appointments need to be rescheduled. For North Carolina's median household income of $69,904, 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 insurance network limitations are factored in.
North Carolina's 2,452,217 residents experiencing mental illness compete for a limited number of DBT-trained clinicians across 100 counties, meaning residents often accept the first appointment offered rather than the best clinical fit. Adding a 24-week in-person DBT program means North Carolina residents must maintain consistent attendance over multiple months in a system where scheduling flexibility is scarce and rescheduling can push care weeks further out. For North Carolina's median household income of $69,904, national average DBT session rates of $150 to $250 make out-of-pocket costs prohibitive, and insurance network gaps often narrow the pool of in-network DBT specialists further. The result: most North Carolina 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 North Carolina's 2,452,217 residents needing structured DBT skills, the Grouport DBT Self-Guided Program removes the 12 to 16 week waitlists, appointment scarcity, and insurance network limitations that make traditional in-person DBT programs difficult to sustain. North Carolina residents watch 48 therapist-recorded video sessions built by clinicians who specialize in DBT, streamed from home on any device, at their own pace and on their own schedule. There is no waitlist between deciding to start and beginning the first module, no dependence on limited provider availability, and no need to fit a rigid weekly session schedule around work or other obligations. 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 North Carolina 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 North Carolina by delivering the full program as on-demand video lessons with lifetime access. Residents can begin the same day they purchase instead of waiting 12 to 16 weeks for a local opening, watch and rewatch lessons on their own schedule around work, caregiving, or shift-based hours, and skip the multi-month waitlists and thousands of dollars in annual out-of-network session costs that weekly in-person attendance would require. Across North Carolina's 100 counties, that means the same evidence-based curriculum is available whether a resident lives in a major city or a more rural community.
Beyond session fees, North Carolina's constrained provider network adds hidden costs to weekly DBT therapy. Residents often search across multiple insurance networks to find a DBT-trained clinician taking new patients, and even when one is found, the 12 to 16 week average wait time can push starting care into a different billing cycle or coverage year. Missed or rescheduled sessions can extend the wait weeks or months further, disrupting the repetition DBT skills practice depends on. When in-network options are limited, residents may also travel outside their immediate area to reach an available clinician, adding travel time and fuel costs to per-session expenses. The Grouport DBT Self-Guided Program removes these cascading barriers by making the full 48-session curriculum available on-demand, letting North Carolina residents study each lesson in whatever time window their schedule allows without waiting on provider availability.
North Carolina's 12 to 16 weeks average wait time for therapy equals 84 to 112 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: North Carolina 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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One-time payment • Instant access • No subscription
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:












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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.
Generally yes. In-person private practice therapy in cities often costs $200-400+ per session. Grouport costs less because there's no office rent, smaller geographic markets to draw from, and efficiency of scale. You also save on transportation costs and time. Online therapy has made affordable therapy accessible to people who couldn't afford traditional in-person rates.
Therapy can help, and some situations require court-ordered anger management. Get support before it escalates further. Lasting change requires internal commitment and recognition that behavior was unacceptable regardless of what provoked it.
Trauma includes any event where you experienced or witnessed actual/threatened death, serious injury, or sexual violence. This can include war, assault, abuse, accidents, disasters, witnessing violence, sudden loss or anything overwhelming to the nervous system. It can be a single event or repeated that causes PTSD.
Previous unsuccessful therapy doesn't mean therapy can't help. Having a different therapist, a different approach, and it being a different time can make a major difference. There are so many factors that go into successful therapy. It’s important to try again even if you have failed previously. Discuss your previous experience with your new therapist so they can avoid what didn't work and try different approaches..
Many people with BPD have unsuccessful previous treatments before finding DBT. And even if they have had DBT it wasn’t necessarily quality DBT or at the level of intensiveness that was right for them. In fact many people come to us and relay exactly this, and then are quickly surprised by how life changing our DBT therapy can be. Past failures don't predict future outcomes. It’s important to seek DBT-specific treatment, work with a therapist who has extensive training in BPD, and be committed to full treatment length. Many people succeed in DBT after years of failed treatments. The key is specialized and committed treatment.
DBT is used for eating disorders, especially binge eating disorder and bulimia. There's even a specialized version called DBT-ED (DBT for Eating Disorders). Eating disorder behaviors often serve the same function as self-harm—regulating overwhelming emotions. DBT teaches you to identify emotional triggers for eating disorder behaviors, use skills instead of restricting/binging/purging, tolerate distress without resorting to eating disorder behaviors, and build a life worth living beyond the eating disorder. Mindful eating is also part of DBT by paying attention while eating rather than using food to numb out. That said, eating disorders often require specialized treatment beyond just DBT, including medical monitoring and nutritional support.
You can learn the basics from books or online resources, but actually applying them when you're in crisis is way harder without support. DBT skills are simple to understand but difficult to use consistently when you're emotionally overwhelmed—which is exactly when you need them. A therapist or DBT skills group provides accountability, coaching through difficult moments, help troubleshooting when skills aren't working, and support when you're struggling to practice. That said, if you’re not ready to do therapy or you prefer a self paced program, or you’re looking for additional accountability in between sessions self-guided DBT can definitely help. Grouport has a self-guided DBT program designed for people who want to learn the skills on their own timeline or are looking for additional support in between sessions.
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.
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.
It’s designed for adults and older teens. Younger children need more developmentally appropriate skill building. However, many parents learn DBT skills themselves and teach their children in a style that makes sense for their learning and promotes consistent practice.
If you've tried to find a therapist and can't, you're probably in one. Officially, you can check the HRSA shortage area database, but practically speaking if the nearest therapist is an hour+ drive, if wait lists are 3-6 months, if your area has fewer than one mental health provider per 30,000 people, you're in a shortage area. It's designated based on provider to population ratios.
If you have an address in North Carolina, 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.