July 15, 2017

DBT Depression and Anxiety Group Therapy

NEW Group Starting March 20th: 10 weekly meetings on Tuesday evenings from 630PM-8PM

Group Purpose and Goals

This group is designed to help men and woman manage feelings of depression and anxiety using Dialectical Behavioral Therapy (DBT)  The team is focused on psycho-education, coping skill development and problem improvement. We will train using concepts like radical acceptance, emotional regulation, and mindfulness to help you put depression and anxiety in its place. This is training so you can be there for your family, friends, career, and you.

Different techniques will be used to help develop these skills.  Concepts from the book Depressed and Anxious: The DBT Workbook for Overcoming Depression & Anxiety (Thomas Marra, 2004) will form the bases of the team approach. You will get your own shiny book at the first meeting.  Don’t worry, this is not school and the team leader does not expect you to read the book, but likes you to have it case you choose to read it (reading it would help).

What is DBT?

DBT is evidence based approach to treating a number of emotional and mental health issues. It has been found to be very effective on treating depression and anxiety.

DBT in this group has 5 main parts:

  1. Motivation, purpose, and meaning
  2. Mindfulness
  3. Emotional Regulation
  4. Distress Tolerance/Radical Acceptance
  5. Strategic Behaviors

DBT is focused on developing specific tools and skills to deal with emotional and mental disorders. This approach is primarily psycho-educational.  Many who have been in therapy before find that DBT is much different then other approach they have been in before. So even if you have been in therapy before, DBT may have something to offer you!

DBT Concepts About Mental Challenges and Emotional Regulation

  • Emotions are not good or bad, they simply are. Emotions are the main drivers in most psychopathology, primarily anxiety.
  • The emotions are trying to protect a person, but sometimes they have a paradox impact of making emotional distress worse.
  • Invalidation of the emotions (e.g. you should not have some emotions) lead to a mistrust of the emotions and self.
  • Invalidation (and other emotional and biological factors) leads to emotional sensitivity.  This emotional sensitivity can be displayed both by high emotionality or a feeling of low emotionality, depending on the individual.
  • In those with acute mental problems (e.g. major anxiety/depression), emotional regulation is replaced with emotional avoidance/escape.
  • Automatic emotional responses form the basis of emotional distress/avoidance.
  • You are what you do, not what you feel.

Session Skill Focus:

Session 1- What is DBT? Understand the theory of DBT and how it deals with emotional and mental issues.

Session 2- What is your supreme concern? Motivation, meaning making, and purpose.

Session 3- Mindfulness (starting with something sweet)

Session 4- Mindfulness and Emotion Regulation: Mindfulness to Current Emotions

Session 5- Emotional Regulation Skills Continued

Session 6- Distress Tolerance Skills

Session 7- Distress Tolerance Skills Continued

Session 8- Strategic Behavior Skills

Session 9- Strategic Behavior Skills Continued

Session 10- Bringing all together

Group Make Up

Group Size:

The group will be a closed group with between 4-10 members .  Screened members will join the group on in order when they get all the paper work for the group done and commits to conditions of being in the group. If fewer than 4 people agree to join the group, the group will not take place.

Attendance Expectations

If you join this group it is very important that you can commit to being able to attend all 10 practices. This is a skill development and psycho-education group so the skills build on each other. Additionally, it is important that the group remains stable to give peer support and feedback to help develop the skills discussed and developed. DBT depends on development of all the skills practiced.

Closed Group

This is a closed group: new group members are not added after the 1st meeting and those who come to the 1st meeting are expected to come to all of them.

Group Member Screening:

All proposed group members will have to have a free screening and orientation in person/phone meeting with a group leader before joining the group. This is to ensure that a person is a good fit for the group and not to waste the time of person  It is also the duty of the group coach to ensure a good group.  A diagnosis of anxiety or depression is not required to become a group member (unless you use insurance, then you will probably have to be diagnosed to get your benefits, but that can be discussed at the screening). Click here for the screening form. 

Group Meeting Place: 

 4041 High Street, Columbus, Ohio 43214 (map)

Conveniently located next to the Park of Roses with great parking. On the COTA #2 Bus Line with building very near the N. High and Glenmont bus stop.

About Group Leader Ken Smith, Licensed Professional Counselor

Ken has had experience using DBT in both individual therapy and groups.  He brings many perspectives and fun to group therapy.  Additionally, Ken has run pigs though mazes, took classes in dairy tasting, and has been a consultant in over 300 businesses.  Ken also holds degrees in Animal Science, History, and Animal Welfare/Behavioral Psychology.

 

Cost

  • Self Paying Clients

The total cost for self-paying clients for all 10 sessions is the low price of $400 (less than $27 per hour), and $20 for the DBT book.

Since there is an expectation that the members of the group are committing to come to all the meetings, you will be charged the full amount whether or not you attend the meetings.  Clients paying in cash or check are expected to pay the full amount before or at the beginning of the 1st meeting.  Clients who put a credit card on file can be charged on every session date ($40). You may be able to use your HSA or FSA to pay for group therapy.

  • Insurance

If you have Aetna, United Healthcare/Optum or Out-of-network insurance benefits, you may be able to use it to pay for the group sessions at the negotiated rate. Additionally, you will be charged $20 for the DBT book out of pocket, which insurance will not pay for. Your copay may be higher than your benefit/out-of-pocket fee, so make sure to find out what your benefits are.

Insurance benefits can be very different from policy to policy, even if policies are provided by the same company. It is the responsibility of the group member to confirm with their insurance company that they have group therapy benefits, what the out of pocket cost per session would be to the member, and if you need per-authorization to use your insurance to join the group.  Again, be aware that if you use your insurance, you are responsible to pay the insurance fees, even if it is more than the self-paying fees.   See the questions to ask your insurance form to assist you when you contact your insurance company to see if you want to use it for group therapy.

If you miss a meeting or stop coming to the group, your insurance cannot be billed.  You will be charged $40 for every meeting that you miss/cannot be billed to your insurance. Those members using insurance to pay for group meetings must have a credit card on file. 

Forms

The following forms must be filled out given to the group leader before the first meeting.

  1. Client Information Form 91217 (Fill out the insurance section only if you are using insurance benefits)
  2. Acknowledgment of HIPPA Notice 10.13

At the 1st group meeting, the Group Rules and Leader Disclosure will be gone over.

  1. Team Rules.DBT 10-16-17 (the group leader reserves the right to modify and change the group rules up to the 1st session)
  2. KJ Smith LPC- Team Disclosure and Consent 10-16-17
  3. Authorization for Credit Card Payments

Please make sure to review all the following documentation about your rights and SOPCC policies (you don’t have to print or bring them).

  1. Welcome and Client Rights
  2. Notice of Policies and Practices to Protect Privacy

Please contact Ken via home page contact form or phone to reserve a spot in the DBT group!