Fast pace, constant noise, crowds, stimulation, never enough downtime, city living can genuinely trigger or worsen anxiety. Therapy teaches anxiety management skills, helps you figure out if you need to change your lifestyle or just cope better, and addresses underlying anxiety that the city is exacerbating. Some people need to leave cities for their mental health. Others learn to create pockets of calm within urban chaos.

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.

Take it seriously. Physical aggression is serious and requires immediate intervention. Physical aggression indicates poor impulse control, learned belief that violence is acceptable, and an urgent need for skills. Most people can learn healthy responses to anger even after a physically aggressive history. In therapy you’ll learn to address your anger by understanding escalation patterns, developing early warning systems, using time-out skills, and addressing beliefs justifying physically aggressive behavior. If you recognize a pattern of this behavior, don't minimize it, seek help immediately. Therapy addresses this, but safety comes first.

Everyone worries. Anxiety disorder is when worry is excessive, persistent, and interferes with daily life. Anxiety disorders feel overwhelming and constant, resists logical thinking, and dominates thoughts throughout the day, causing significant distress. If you're unsure whether you have an anxiety disorder versus normal amounts of worry, assessment by a licensed therapist will help clarify. It’s important to note that you don't need an official diagnosis to benefit from therapy, and if worry is causing distress or limitation in your life at all, therapy can certainly help.

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

That's what DBT addresses, building tolerance for emotions and reducing reactivity. Emotional intensity is a primary BPD symptom and DBT teaches critical emotion regulation skills. DBT helps you understand emotions, decrease suffering from emotions, and change emotions. Many people with BPD describe emotions as overwhelming and more intense than the situation warrants. Treatment teaches you to make effective decisions despite intense feelings and reduce intensity through skills over time. Through a consistent practice of DBT skills, most people notice a gradual decrease in emotional intensity.

DBT stands for Dialectical Behavior Therapy. It was originally created for people with borderline personality disorder who were suicidal and self-harming, but it turns out the skills are useful for lots of different issues. DBT helps with intense emotions, impulsive behavior, relationship problems, and basically any situation where your emotions feel overwhelming and out of control. You don't need to have BPD to benefit from DBT, plenty of people use it for depression, anxiety, eating disorders, substance use, anger issues, ADHD, trauma & ptsd, or just general emotional regulation struggles. The core idea is teaching you practical skills to manage emotions, tolerate distress, communicate effectively, and stay present.

PLEASE is an acronym for reducing emotional vulnerability through physical self-care: PL—treat physical illness (get medical care, take prescribed meds), E—balance eating (regular meals, not too much or too little), A—avoid mood-altering drugs (alcohol and drugs mess with emotional regulation), S—balance sleep (enough sleep but not too much), E—get exercise (physical activity regulates mood). This sounds obvious but when you're depressed or stressed, these basics often go out the window. PLEASE skills recognize that physical state affects emotional state, if you're exhausted, hungry, and hungover, of course your emotions are more intense. Taking care of your body makes all other DBT skills easier to use.

DBT was specifically developed for BPD and is the gold-standard evidence-based treatment for it. The self-guided program goes through the same skills used in comprehensive DBT therapy for BPD. So, yes the DBT self guided program will certainly be helpful for BPD. Many people who have BPD couple the DBT self guided program, with individual therapy with a DBT specialist &/or online group therapy that focuses on DBT skills.

Yes, you can log in from any device with internet connection using your account credentials. You can also download the worksheets or reading manuals so they're always accessible even without internet connection.