Intake Process

1.     Can we pick our own therapist? What if I don’t like my assigned therapist? 

The expert Intake Specialists at DBT Eastside make every effort to match each incoming client with a therapist who they believe will be the best match – in expertise, personality and availability. If after a few sessions the therapist and client determine that it is not a good fit, every effort will be made to accommodate the client and find another therapist – subject to therapist availability.

2.     What if I change my mind and decide that I want a DBT Eastside therapist after starting the Groups Program? 

In that case, the client may reach out to their Group leaders or call our DBT mainline and every effort will be made to find them a good fit.

3.     Do I have to pick a specific group to attend, or can I change week to week? 

We ask that Clients and Parents/Affected Others choose (an open) group to attend weekly, as that creates the best environment for them to feel comfortable, safe and learn the DBT skills. However, if groups are missed due to illness or pre-planned activities, clients are encouraged to sit in on another similar group held the same week. Clients may also change groups if circumstances in their lives change – such as a new job or school schedule.

4.     Can I attend a Group before I start meeting with my DBT Eastside therapist? 

Clients may not attend Group until meeting with a DBT Eastside Intake Therapist and may only attend group at the discretion of the Intake Specialist and Group Leader. Sometimes clients start in our program with an ambivalence to attending Groups. In that case, we recommend that those clients meet with their individual DBT therapist before they try the Group.

5.     Do I need to buy a workbook? 

Yes, the DBT Eastside Intake Specialist will go over all materials needed for our Program, including the DBT SKILLS Training Handouts and Worksheets book by Marsha M. Linehan. Group Leaders have extra copies that clients may use (but not write in) if materials are not yet purchased when Group has begun.


TREATMENT

1.     What if I want to keep my own outside therapist?  

DBT clients may choose to enroll in our DBT Groups Program and see an outside therapist - though they would then be opting OUT of Gold Standard DBT and Phone Coaching. We require that the outside therapist fill out and return our Referral Form. Clients must continue with 1:1 therapy while participating in groups; Parents and Affected Others are an exception to this policy.

2.     Can I get the Gold Standard Phone Coaching if I don’t see a DBT Eastside therapist? 

Unfortunately, no. Clients, Parents and Affected Others may get Phone Coaching only if they are working with or formally consulting 1:1 with a DBT Eastside therapist and attending Group Sessions.

3.     What support do you provide for Parents and Affected Others?  

At DBT Eastside we recognize that Parents and Affected Others come in to our program with needs themselves, including how best to support their loved ones. Through our Parent/Affected Others Groups they have the opportunity to learn DBT skills and ask questions specific to their family’s needs – along with other families going through the same thing. In addition, Parents/Affected Others may reach out to their group leaders, who will refer them to a DBT Eastside therapist for 1:1 coaching.

4.     Do BOTH Parents have to go to the Parent Group? 

It is mandatory that at least one parent / caregiver attends group for clients under 18, and highly recommended that both parents attend. Two  adults (combination of parents, step-parents, parent's partner, or caregivers) may attend for the one $75 fee. We have found that clients “get better faster” when both Parents participate. Should a family be interested in having more than two adults attend, please discuss arrangements with the Intake Specialist.

5.     My child is 18 or over – do I have to participate in the Parent/Affected Others Group? 

If their child is 18 or over and not living with them, Parents are not required to sign a contract to attend the DBT Parent/Affected Others groups - however we strongly suggest that they consider it, as evidence suggests that clients “get better faster” when Parents attend groups.

6.     What does the 1:1 Coaching for Parents, Families and Affected Others look like?  

Parents and Affected Others may request personalized 1:1 consultation or therapy from a trained DBT Eastside therapist – though NOT the therapist working with their child or loved one. At times this coaching may include family sessions done in collaboration with their child’s individual therapist.


GROUP

1.     I’m scared that my teen will be exposed to other teens in their groups who do high-risk behaviors.

It is a Group Rule at DBT Eastside that problem behaviors, such as cutting, drug and alcohol use, suicidal ideation/gestures and sexual activity, are not discussed outwardly in group. That said, if those behaviors come up, they are addressed in a sensitive way by the group leaders, educating group members about the risks of those behaviors while not condoning those behaviors.

2.     What if we recognize other clients/families participating in the DBT Eastside Program?

All participants in the DBT Eastside Program agree to maintain confidentiality.

3.     Do you encourage friendships among Group members?  

Clients in our groups do sometimes become friends, though DBT Eastside does not encourage it and we do not accept responsibility for interactions outside of DBT Groups or off the DBT Eastside premises, including the building hallways, lobby, and parking lot.

4.     What if I (if I am an Adult Client) or my child (if I am a Parent) wants to date another group member? 

We strongly discourage dating between group members. If/when that occurs, one member of the couple is asked to attend another group.

5.     What happens if I disclose something in group about suicidal ideation, abuse by an adult (if the client is a minor) or the desire to hurt others? 

In those cases, the DBT Eastside Group Leaders will take action as needed, which may include disclosure to an inside or outside therapist, family member and/or other professionals, as required by law. DBT Eastside professionals are mandated reporters.

6.     Can I go back to being in Group if I decide to leave and am discharged/dropped from the Program? 

Yes, in that case, clients can work individually or with their DBT therapist to make a formal request to the DBT Eastside Board to re-enter the DBT Groups Program using the DEAR MAN format – all on a case-by-case basis.  A decision will be made within a 2-week period and the client and/or their therapist will be notified.

7.     Do people ever get discharged/dropped from the Groups Program involuntarily? 

This happens very seldom, however if clients are seen as disruptive or not appropriate for Group, they may be given “a vacation” for a period of time or discharged/dropped altogether from Group attendance. In most cases this would happen after prior opportunities were given for behaviors to be modified. Clients would not be charged for 4 “missed” groups in that instance.

8.     Can I continue to attend DBT Groups after my Contract ends? 

Yes, many Group members continue to attend (assuming there is room in the Group) on a weekly or casual basis. Clients are not charged for “missed” groups after their Contracts end.

9.     How do I get my teen / loved one to attend DBT Skills Group?

Anxiety, Depression, OCD, ADHD, Bipolar and Other Such Diagnoses definitely get in the way of Clients WILLINGLY wanting to attend DBT Skills Group the first few times. Sometimes it takes a “Carrot” approach to convince them to go…giving them something they want in exchange for attendance.  Just ask your Intake Coordinator for ideas of how to get them there initially.

10.     Why is DBT Skills Group mandatory?

For Adults, Parents & Families, and Teen, please click here for more detailed information on group.


1.     Do you provide receipts and statements for insurance? 

DBT Eastside and therapists who are a part of DBT Eastside do not take insurance and require their fee at the time of service. That is true for our Groups Program as well. After each Group a receipt will be given to each participant or one for a Parent/Affected Other family member if they are attending Group. Clients may use those receipts to seek reimbursement from their insurance providers. Individual therapists give out receipts or monthly statements, depending on the provider. For any questions or additional statements or lost receipts, clients may reach out to our administrative staff. Please note that it may take several days to get a response.

2.     Are Clients and Parents required to pay for Groups missed due to illness, planned events, school or vacations? 

Yes, much like a gym membership, clients are expected to pay for groups held any weeks that DBT Eastside holds groups; exceptions include weeks that DBT Eastside does not hold groups, including 4th of July week, 2 weeks at year end and groups cancelled for inclement weather or other reasons. Exceptions also include long-term, inpatient treatment stays for clients - in that case Group membership is “frozen” until they return from treatment. Clients and affected others may attend alternate groups held the same week as a missed group for no additional charge (Example: If a client who typically attends a Tuesday 5:30PM group misses due to another engagement…they may instead attend any of the other Adult groups offered that week).

3.     What if I decide to quit group? 

Once you have missed four groups in a row, your contract will be ended and you will no longer be automatically charged for group. After that we will assume that you have dropped out from the Groups Program and you will no longer be on contract. Your individual DBT therapist will evaluate on an individual basis if they will continue to work with you or discontinue the phone coaching benefit of Gold Standard DBT.

3.     Do your rates change?

Rates for individual and group sessions are subject to change and notification of any changes will be communicated to clients at the earliest possibly opportunity.

BILLING