Mental Health Professionals
Do you have a client who is often in crisis?
Have you consulted with your colleagues or supervisor about a client, but still feel “stuck” and unsure of how to help?
Do you have a client whose symptoms and behaviors feels like “too much” for private practice?
If any of these sound familiar, it might be an indication that the client you’re concerned about is in need of a higher level of care than you can provide in your private practice. Therapists often feel at a loss when a client’s symptoms and behaviors are “too much” for traditional therapy but don’t require hospitalization or in-patient treatment.
That’s where we come in.
It may be that your client is going through an exceptionally challenging time and needs more frequent sessions than you can offer. Or, it might be that this client has a more severe diagnosis than is appropriate for private practice and they require more hands-on therapeutic support. In either instance, referring to a program like the ones we offer might be the next step for your client.
The IOP and DBT programs at Village Counseling and Wellness are designed specifically to treat clients whose clinical needs are not a good fit for private practice and who do not require hospitalization. Clients like this often require two or more therapy contacts a week, which is why our programs integrate individual therapy, family therapy, group sessions, and phone coaching into treatment.
In addition to the robust clinical treatment, our care also includes weekly consultation meetings for clinicians. Our DBT therapy team meets regularly to assist each other in providing effective and compassionate treatment. If even one of these parts is missing, DBT treatment is no longer evidence-based or as effective as it could be.
Learn More About Our Programs
The programs at Village Counseling and Wellness are DBT-based and focus on 4 clinical areas:
Mindfulness: This means being aware of your own experience, exactly as it is unfolding without judging it or needing to respond to it.
Interpersonal Effectiveness: How to be more effective with others: asking for things or saying no in such a way that you get what you really want, maintain relationships and keep your self-respect.
Emotional Regulation: Learning to understand, moderate or change your emotions so they work for you, not against you. It also means becoming less vulnerable to problem emotions in general.
Distress Tolerance: How to experience distressing, aggravating or upsetting events without resorting to destructive or unwanted behaviors.
We are pleased that every therapist at Village Counseling and Wellness has received extensive training in DBT and participates weekly in a DBT consult team focused on providing the best possible treatment for your client.
Therapists who are considering a higher level of care for clients often have several questions about referring a client to a program like ours.
Frequently Asked Questions
There is no one answer to this question. It depends upon your client’s needs, their diagnosis, the level of care required right now, and your clinical experience/training. To help you better understand when you may need to refer your client to a DBT program, check out our Top Reasons to Refer a Client to DBT.
The answer to this question is two-fold. For our Teen Anxiety Group, the answer is yes absolutely – we want our clients in the teen anxiety group to benefit from continued individual support as well as group support.
For our IOP and DBT programs, the answer is most often no. Research indicates that best results for clients in a DBT program come from an immersive DBT experience, which includes individual therapy, group skills training, and between-session phone coaching, with all clinicians participating in a DBT consultation team. Additionally, DBT is generally more skills-based where as therapy is often times more process-oriented – this has the potential to confuse the client (you might be trying to “open them up” while we are trying to stabilize by “wrapping them up”). Similar to a language immersion program, DBT is most effective when client commits to living in DBT-world for a while. At Village Counseling and Wellness, we believe that the best way for a client to become fluent in DBT is to fully immerse themselves in our treatment center – we want clients to speak only DBT for the length of time in our program.
Our Intensive Outpatient Program (IOP) is an 8-week program that covers all DBT skills. Graduation from this program varies based on each individual client. Some clients may stay longer if needed and some may step down to our comprehensive adult DBT program if necessary. Our comprehensive adult DBT program is usually a year-long commitment, but often less if the client has already done IOP with us. Our teen DBT program is usually a 24-week comittment.
Yes, your client has worked hard in our program and we want to solidify their success by making sure they have what they need after discharge.
We are in-network with Aetna for IOP and we offer courtesy billing for PPOs. Through courtesy billing, we bill insurance for treatment and apply the funds to future treatments when reimbursement comes in or reimburse your client if they have been discharged. We do not provide superbills.
Often therapists are fearful that a client will feel abandoned if refered to DBT. While that may occur, it is much more of a caring act to get a client to a treatment program that will create a life worth living in the long run rather than help them feel better right now. When told that they are being referred to a program that is appropriate to their particular symptoms in a caring way, there is often an understanding on the part of the client. Clients who need DBT generally have a high sensitivity to feeling abandoned and therapists’ fear of clients feeling abandoned can be a barrier to clients getting appropriate treatment. Imagine your primary care physician – they are not going to do surgery on you no matter how much they love and care about you; they are going to refer you to a specialist. It should work the same way in mental health services.
If you’re concerned about a client and are interested in referring them to one of our programs, please reach out and connect with us. We’re here to help and we’d love to talk with you.