Learn Dialectical Behavior Therapy at your own pace in South Dakota. 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.
South Dakota’s mental health needs are substantial, and access constraints are measurable. The mental illness prevalence rate in South Dakota is 24.9 percent among adults, and about 230,642 South Dakota residents experiencing mental illness are isolated from care across the state’s 77,116 square miles. In South Dakota, 18.2 percent of adults who needed mental health care did not receive it, reflecting a gap that affects residents seeking structured skills-based support such as DBT. Capacity limits show up in the workforce numbers as well: South Dakota has 234.4 mental health providers per 100,000 residents. At the county level, 82.02 percent of counties are designated as Mental Health Professional Shortage Areas, a designation that aligns with the day-to-day reality of limited appointment availability. When residents do find a provider, the average wait time for therapy in South Dakota is 8–12 weeks, which delays the start of care and can interrupt continuity for people trying to build consistent coping routines.
Geography intensifies these statistics in practical ways. With 924,669 residents spread across 66 counties and a population density of 11.99 people per square mile, the distance between residents and specialized services becomes a predictable barrier rather than an occasional inconvenience. Many residents face average 30-mile distances to reach qualified clinicians, turning a single appointment into a 60-mile round trip that costs $7.92 per session at a gas price of $3.30 per gallon. For weekly care, that travel adds up to $411.84 annually in fuel alone, before accounting for time away from work or caregiving. Winter storms can make travel dangerous or impossible for weeks at a time, and those disruptions compound the 8–12 week wait window by increasing cancellations and rescheduling pressure. Income context matters because these barriers are not evenly absorbed: South Dakota’s median household income is $72,421, and repeated travel costs and time demands can become a meaningful constraint for residents already trying to manage symptoms. In a system where 82.02 percent of counties are shortage areas and provider availability is limited to 234.4 per 100,000 residents, the 18.2 percent unmet-need figure reflects a statewide pattern of delayed starts, fewer choices, and reduced consistency in care.
UNDERSTANDING THE CHALLENGE
South Dakota's 924,669 residents face significant barriers to structured DBT skills training across the state's 77,116 square miles. With 24.9 percent experiencing mental illness annually, or 230,243 residents experiencing mental illness, and only 234.4 mental health providers per 100,000 residents, demand for evidence-based skills work far exceeds supply. In-person DBT programs typically run 24 or more weeks of weekly attendance, and South Dakota's dispersed rural geography means many residents live 30 or more miles from the nearest qualified DBT clinician. Add gas and vehicle costs for weekly round-trip travel, along with a 8 to 12 week average wait to begin care, and access becomes prohibitively difficult. For South Dakota's median household income of $72,421, 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 travel and time are counted.
South Dakota's widely dispersed population spreads 230,243 residents experiencing mental illness across 66 counties where the nearest qualified DBT clinician can be 30 or more miles from home. Adding a 24-week in-person DBT program means South Dakota residents lose 2 or more hours per session to round-trip travel across rural highways, with weather and seasonal road conditions adding further disruption for weeks at a time. For South Dakota's median household income of $72,421, national average DBT session rates of $150 to $250 make a full skills sequence financially punishing before travel is counted. The result: most South Dakota 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 South Dakota's 230,243 residents needing structured DBT skills across the state's 77,116 square miles, the Grouport DBT Self-Guided Program removes the long rural commutes, thousands of dollars in annual gas and travel costs, and 8 to 12 week waitlists that make traditional in-person DBT programs impractical. South Dakota 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 are no long drives across the state, no gas or vehicle costs, no 2-hour time blocks lost to round-trip travel, and no waitlist between deciding to start and beginning the first module. 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 South Dakota 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 South Dakota by delivering the full program as on-demand video lessons with lifetime access. Residents can begin the same day they purchase instead of waiting 8 to 12 weeks for a local opening, watch and rewatch lessons on their own schedule around work, caregiving, or shift-based hours, and skip the long rural commutes and thousands of dollars in annual gas and travel costs that weekly in-person attendance would require. Across South Dakota's 66 counties, that means the same evidence-based curriculum is available whether a resident lives in Sioux Falls or a more rural community.
Beyond session fees, South Dakota's rural geography adds substantial travel-related costs to weekly therapy. In much of South Dakota, the nearest qualified DBT clinician can be 30 or more miles away, and weekly round-trip travel across the state's 77,116 square miles adds up to significant annual gas and vehicle expense. Time is another cost: rural commutes to a therapy appointment can consume 2 or more hours per session in transit alone, on top of the appointment itself, which can translate into missed work time or reduced flexibility for residents with fixed schedules. Seasonal weather can disrupt care further, turning routine appointments into missed sessions when road conditions deteriorate. The Grouport DBT Self-Guided Program removes travel entirely and eliminates the appointment-based time burden, letting South Dakota residents study each of the 48 lessons in whatever time window their schedule allows.
South Dakota's 8 to 12 weeks average wait time for therapy equals 56 to 84 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: South Dakota 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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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.
You can cancel anytime. If you lose income, just cancel your membership until you're working again. Grouport doesn't lock you into long contracts. Some people do therapy for a few months, take a break when money's tight, then come back later. That's totally fine. You can also ask about lower-cost options like online group therapy instead of individual, or reducing frequency from weekly to every other week.
Sometimes. If your medical expenses (including therapy) exceed 7.5% of your adjusted gross income, you might be able to deduct the excess on your taxes. Most people don't hit that threshold. Using HSA/FSA gives you tax savings another way through pre-tax dollars. Consult a tax professional about your specific situation.
Anger management therapy teaches you to recognize triggers, pause before reacting, and express frustration without destruction. Therapy also helps you distinguish between justified anger that’s expressed appropriately versus disproportionate anger that’s unhealthily expressed. Treatment teaches you how to manage anger effectively without being triggered by every small thing or having a non rational response.
Complex trauma has a wide impact. It can create widespread life impacts from relationships, work, identity, emotions, to physical health. Complex PTSD includes difficulty trusting/connecting with others, negative self concept, dissociation, and even feeling fundamentally damaged. Multiple traumas need processing and rebuilding a sense of self is gradual. Addressing these challenges in phases incrementally can be helpful. Complex trauma developed over years and can take substantial time to heal. Therapy addresses the whole picture and meaningful improvement is absolutely possible with specialized treatment.
Avoidance is how anxiety grows. It provides temporary relief but maintains anxiety long-term. The hardest part is that facing things you have avoided initially can feel worse than continuing to avoid. Your brain is screaming this is dangerous even when it's not. Therapy supports you through this short term discomfort for long term freedom. Most people say exposure was scary and difficult to do but ultimately the most valuable part of treatment. Exposure is always gradual and collaborative and you're never forced beyond what you can manage with support and skills. You’ll establish a pace that makes sense with your therapist and hold accountable to that even as things can fluctuate. Therapy helps you gradually re-engage.
Long-term depression takes time to shift, but change is still possible. Don't give up even if it's hard and you’ve been dealing with it for a long time. It’s important to make a persistent effort as that maximizes the possibility of improvement.
Yes, DBT was designed specifically for people in crisis with suicidal behavior and severe emotion dysregulation. If you're currently unstable, you might need comprehensive DBT individual therapy, skills group, phone coaching at an intensive level rather than just skills group alone. So often people will combine multiple DBT groups with individual therapy at the level that’s right from them or in an IOP format. The structure and frequent contact help keep you safe while teaching you skills to stabilize. Some DBT programs require commitment to certain safety agreements like calling before self-harming, but crisis is absolutely not a barrier to starting DBT. It's actually the ideal time since you need the skills most urgently. If symptoms are pronounced, you will need intensive care. If you’re in an immediate crisis or when you are in crisis, you’ll need immediate crisis care that will be separate from the work you are doing in DBT. Meaning, DBT skills are learned over time and can help you in times of crisis once you master them through consistent therapy but it's not a substitute for crisis resources if you’re in immediate crisis and need immediate help.
Yes. Behavioral activation (opposite action—getting active even when depression says stay in bed, engaging in pleasant activities) is a key DBT skill for depression. PLEASE skills (self-care basics like sleep and exercise affect mood). Building a life worth living (accumulating positive experiences long-term). Mindfulness (observing depressive thoughts without believing them or ruminating). Problem-solving (addressing actual problems contributing to depression). DBT doesn't make depression magically disappear, but it gives you tools to function despite it and gradually reduce its intensity. For severe depression, DBT works best combined with other treatments.
Yes, there is a community forum that you get access to and through that community forum you can interact with others who also have done or are currently doing the DBT self guided program.
Yes, lifetime access includes any updates and improvements made to the program. You can check the platform periodically for notifications about new content, though you'll likely be notified via email if additions occur.
If you have an address in South Dakota, 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.