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.

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.

Everyone feels sad sometimes and sadness passes. Depression however persists, affecting sleep, energy, interest, concentration, and how you see yourself. Depression feels like nothing will ever improve and no activities bring pleasure. If you're struggling with persistent low mood affecting your life, therapy focused on depression treatment will help.

Borderline Personality Disorder involves intense emotions, unstable relationships, poor sense of self, impulsivity, and fear of abandonment. Dialectical Behavior Therapy (DBT) was specifically developed for BPD and works well. In DBT, you’ll focus on emotion regulation, fluctuations in mood, anger, distress tolerance, mindfulness, and interpersonal skills. Comprehensive DBT includes weekly individual therapy with a DBT specialist and a weekly DBT skills group therapy session. There are less intensive formats and also more intensive formats that help to address BPD. So the level of intensiveness in therapy is based on your symptoms and needs, but the main thing is to ensure you are doing DBT therapy in some capacity as that’s what enables progress.

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.

DBT was literally created for this. If you're self-harming or having suicidal thoughts, DBT provides crisis survival skills to get through urges without acting on them. Skills like pros and cons listing reasons to resist the urge versus reasons to give in, TIP skills physically changing your body state to reduce emotional intensity, and distraction ACCEPTS skills. You also work on understanding what function self-harm or suicidal thinking serves, usually it's to escape unbearable emotional pain, and finding alternative ways to meet that need. DBT doesn't judge self-harm as bad or treat you like you're manipulating, it acknowledges you're in genuine pain and teaches you other ways to cope. Comprehensive DBT includes phone coaching so you can reach your therapist during urges.

No, videos are not downloadable. They must be streamed from the platform to protect intellectual property and prevent unauthorized sharing. So by simply logging in you can watch videos anywhere that you have internet connection.

The self-guided program includes clear video recordings of the therapist going over the material, detailed worksheets, and reading manuals. Many DBT concepts take time and repeated going through to understand, so revisiting content multiple times often clarifies initially confusing material. If you need personalized explanation, live therapy or our DBT skills groups provide that, though requiring scheduled attendance. Our DBT self guided program is laid out clearly and is self intuitive so it's very thorough and easy to follow on its own. Many people couple the DBT self guided program with live online individual therapy or an online DBT skills group for additional accountability around adhering to DBT skills if still needed.

No live sessions. You're teaching yourself the skills using the program as your guide. So by watching the therapist recorded videos and reading the worksheets on your own, that’s how you’ll build DBT skills through the self-guided program. DBT therapy can include weekly individual sessions, skills groups, coaching or some combination, whereas the self-guided program is the educational component that can be done on your own time. It works well for motivated self-learners, supplement to other therapy, or those who have unpredictable schedules where they need to do self paced work when it's convenient for them. You also get lifetime access for the DBT self-guided program so it's a great tool you can reference to revisit certain skills or sharpen certain areas that you need to refocus on.

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.

Yes! You can use your HSA (Health Savings Account) or FSA (Flexible Spending Account) debit card to pay for Grouport services. This gives you tax savings, you're paying with pre-tax dollars. Most online therapy platforms, including Grouport, are set up to accept HSA/FSA cards at checkout.