DBT Therapy

The DBT (Dialectic Behavior Therapy) Project
at Psych Associates of Maryland


Dialectical Behavior Therapy

What is Dialectical Behavior Therapy?

Dialectical Behavior Therapy (DBT) is an evidence-based Cognitive-Behavioral Therapy that focuses on symptoms, not diagnosis, and solutions, not problems, making this an effective treatment for anxiety, depression, bipolar disorder, personality disorders (particularly borderline personality disorder), posttraumatic stress disorder, and eating disorders. DBT can be effectively delivered to clients both individually and in group and for multiple populations such as those experiencing depression, bipolar disorder, ADHD, trauma, aggression, impulsiveness, grief, anxiety after a traumatic loss, comorbid and stand-alone substance use, and non-suicidal self-injury.  

DBT Skill Training groups will be held twice weekly for an hour each. The group will be closed, but new members may be added at the end of each module when mindfulness skills are reviewed.  DBT Skills Training groups generally take six months to complete in its entirety and can be repeated as needed for individuals who may need to continue to review skills to help build a life worth living.  

DBT allows participants to learn to recognize, change and control emotional states with four skillsets: Distress Tolerance, Interpersonal Effectiveness, Emotional Regulation and Mindfulness. Research shows participants have a decrease in self-harming behaviors, suicidality, substance use and other harmful behaviors upon learning these skills.  

Dialectic behavior therapy

Levels of Care

DBT Training & Treatment

DBT levels of care are decided at admission following the completion of an intake. The following levels of care are available based on individual symptoms and levels of need. To schedule an intake appointment or for more information, please email DBT@pamllc.us. During the intake we will answer questions, as well as explain and determine the appropriate level of care.

Level I Care

At the most intense level of treatment the team sees an individual 3 times a week.

  • Twice weekly individual therapy sessions*
  • Weekly Adolescent DBT skills groups – Held in the evenings to accommodate for school
  • Weekly Adult DBT skills groups – Held in the evenings to accommodate work schedules
  • DBT Skills for Caregivers – Each caregiver regularly engaging with adolescent participants will be provided supporting materials to assist with implementation of skills learned in group

This level of treatment will offer coaching calls from individuals with recent instances of self-harm or hospitalization.  These calls are typically short in duration and if more extensive intervention is necessary the on-call therapist may send the individual/family to the Emergency Room for evaluation.  Additional more intensive options may be discussed during intake.

*Offered based on need and therapist availability. If seeing another therapist for individual therapy, you are welcome to continue with that therapist. Individual therapy is required for Level 1 treatment.

**This group is currently on hold with an estimated start in June 2021.


Level II care typically includes only one individual therapy session a week.  The group schedule remains the same.  At this level, there is less need for in between session intervention and significantly less safety issues.  Normally at this level less coordination is necessary because the client has made some progress and the outside parties are in maintenance mode.


Level III care is engaging in weekly DBT skills group sessions.

Costs and Insurance Questions

Psych Associates of Maryland accepts insurance and private pay for services. All payments are due at the time of service. Specific questions associated with cost will be covered during intake consultation.  

More Information About DBT

DBT is built on a foundation of mindfulness, something that is practiced continuously throughout every session.  Change, while important, is not the immediate primary focus of DBT, and is recognized that this takes time to progress.  Acceptance, validation, and awareness are integral parts of DBT treatment.

Acceptance is achieved through a dialectical experience.  Dialectics focus on identifying contradictory facts and ideas in an integrating manner to resolve those apparent contradictions that occur in therapy, work, school, and personal lives to balance thoughts, feelings, and actions.  Focusing on dialectics allows clients to move from beliefs that may be extreme positions.

For more information about DBT, including additionally resources that may be accessible to you, check out this site.

Additional Resources

If you are having thoughts of hurting yourself or someone else, and/or are in crisis and need immediate help- please call 911, go to the nearest emergency room, or contact one of the following mental health crisis hotlines listed below.

Baltimore Crisis Response 

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Baltimore Crisis Response Inc. (BCRI)

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Anne Arundel County Crisis

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Hartford County Crisis Team

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Howard County Crisis Team

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Montgomery County Crisis Response Team

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Prince George’s County Crisis Response

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St. Mary’s County

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Maryland-Statewide Crisis Hotline 

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Crisis text line in the US

Text Connect to 741741

National Domestic Violence Hotline

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National Suicide Prevention Lifeline

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National Hopeline Network: 

Call Now

Montgomery County Crisis Response Team

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National Council on Alcoholism & Drug Dependency Hope Line

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National Crisis Line - Anorexia and Bulimia:

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See whether DBT can benefit you!

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