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.

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.

Lifelong patterns can take longer to shift, but therapy still definitely helps. It's never too late. Many people who've had anxiety for a long time achieve significant improvement in therapy. Therapy rewires anxious brain pathways regardless of how long they've existed. With consistent practice, change is absolutely possible.

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..

BPD stigma creates understandable fear about diagnosis. Having a diagnosis can open access to effective treatment. Diagnosis isn't what you are, it just describes what you're experiencing. Diagnosis is often used as a tool for effective treatment planning. That said, if you notice yourself having similar symptoms, you don’t need a formal diagnosis to benefit and many people find tremendous value from DBT even if they are not sure what their diagnosis is or if they have a diagnosis at all since DBT helps with universal skills around emotion regulation, distress tolerance, mindfulness, and interpersonal skills. So, it’s not important to overly focus on diagnosis, but rather to seek DBT treatment if you find that you could benefit in these core areas.

Emotion regulation skills help you understand and change your emotions rather than being controlled by them. Key skills include: identifying and labeling emotions (knowing what you're feeling), understanding the function of emotions (what emotions are telling you), reducing vulnerability (PLEASE skills—taking care of your body reduces emotional reactivity), accumulating positive emotions (short-term: doing pleasant things daily; long-term: building a life you don't want to escape from), opposite action (changing emotions by changing behavior), and problem-solving (addressing the situation causing the emotion). You practice by noticing your emotions throughout the day, identifying triggers, using skills to shift them when needed, and taking care of yourself so you're less emotionally vulnerable.

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 still have access to it permanently. So you can always come back to it when you're ready or motivated again. You can address certain modules in chunks and focus on sections little by little so it feels digestible and manageable.

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.

No, program access is for an individual purchaser only. Sharing login credentials violates our terms of service. Each person needs their own access and must purchase the self guided program separately. This protects the intellectual property of our content and maintains program viability.

If you want to learn DBT skills independently and can self-motivate to work through the material, the DBT self-guided program works well. Also, the DBT self guided program is often used by people who are doing it in tandem with therapy, so that they get additional accountability and adherence to treatment outside of session for optimal outcomes. If you need the relationship with a therapist, personalized guidance, or have complex mental health needs, having DBT therapy is essential and it's totally normal to do DBT therapy simultaneously while also getting benefit from the DBT self guided program. It’s normal to do multiple things at once, so it’s important to match learning format to your needs, learning style, and the level of intensity of support that you need.

Online therapists often have more flexible scheduling than local offices, early morning, evening, weekend slots. You can schedule around planting season or harvest when you're working crazy hours, then do more frequent sessions during slower times. Some therapists are willing to work with irregular schedules. We offer sessions at all times of day so can can usually flex with your calendar and have you do what's convenient for your schedule.