Services / Group therapy

Dialectical Behavior Therapy Skills Group

Dialectical Behavior Therapy (DBT) is a structured, skills-based treatment that combines acceptance and change. Rather than open-ended discussion, group members learn and practice specific skills for managing intense emotions, tolerating distress, and handling relationships.

Who the group is designed for

The group is designed for adults who experience emotions intensely and have difficulty regulating them — including people who struggle with self-harming behaviors, chronic emotional instability, impulsivity, or relationships that feel repeatedly overwhelming. It works alongside individual therapy rather than replacing it.

Format and fees

  • Weekly sessions — the group meets once a week.
  • 90 minutes per session.
  • $50 per session.
  • Facilitator — Mark Hankla, MA.

The four skill modules

Emotion Regulation

Identifying and naming emotions, reducing vulnerability to painful emotional states, and changing emotions that don't fit the facts of a situation.

Interpersonal Effectiveness

Asking for what you need, saying no, and managing conflict while maintaining relationships and self-respect.

Distress Tolerance

Getting through crisis moments without making things worse, and accepting reality as it is when it cannot be changed immediately.

Mindfulness

Paying attention to the present moment on purpose, without judgment — the foundation the other three modules build on.

How to join the group

Group members are accepted by referral. Referrals — including self-referrals — go through the group facilitator, Mark Hankla, MA, who meets with prospective members before they join to make sure the group is a good fit. Contact the office to be put in touch with Mark, or ask your current therapist to refer you.