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How to work with MetroNYDBT Center
Process to work with us
Please call 212-560-2437
What is DBT?
Developed at the University of Washington by Marsha Linehan, Ph.D., Dialectical Behavior Therapy (DBT) was originally developed to treat interpersonal chaos, intense emotional swings, impulsiveness, confusion about the self (identity), and suicidal behavior. It is based on a bio-social theory that states that problems develop from the interaction of biological factors (physiological makeup) and environmental factors (learning history), which together create difficulty managing emotions. DBT is therefore appropriate for a range of additional problems that relate to emotion dysregulation, including substance use problems, eating disordered behavior, and anger-related problems. A great deal of research has been conducted on the effectiveness of DBT and, in general, DBT appears as effective or more effective than other psychotherapies for the problems mentioned above.
To reach the ultimate goal of DBT—creating a life worth living—the therapy balances validation with changing problem behavior. DBT aims to help change the behavioral, emotional, and thinking patterns associated with problems in living, while promoting the development of wise mind.
Is DBT only for people with Borderline Personality Disorder?
No. While DBT was originally created for individuals with BPD who are chronically suicidal and suffering is now used to treat individuals with a multi diagnosis of difficulties with emotion dysregulation distress tolerance and interpersonal relationships.
How long is this treatment?
As DBT therapists we are asking you to commit to 27 weeks of comprehensive DBT treatment. Most adult DBT research suggests that is not until the individual has completed the curriculum two times that real change will take place.
What rules exist in your program?
The only real rule in DBT is that if you miss four consecutive individual sessions or four consecutive DBT skills groups you are discharged from the DBT program at Metro NY DBT Center and can only work if a person is attending treatment. There are other guidelines for DBT treatment at Metro NY DBT Center.
Can I be kicked out of your program?
The only way to be discharged from our program is to absence out of treatment. In Dialectical Behavior Therapy (DBT), if you miss four consecutive individual sessions or four consecutive DBT skills group sessions, you will absence out of treatment. If you absence out of treatment, you will be discharged from our program and referred for treatment outside of Metro NY DBT Center. This is based on the idea that DBT can only benefit a client if this client is attending treatment sessions. Should you be discharged from our program, you may reapply for treatment after three months, to be reconsidered for DBT treatment at Metro NY DBT Center. Most other issues that come up will be worked on with your therapist with the goal of helping you not absence out of treatment. Behaviors that occur in group that are destructive or threaten the safety of the environment for other clients or the facilitators may lead to being discharged from group. In order to return to that group a plan will be created to prevent behaviors from reoccurring. As long as your treatment plan is in place without your missing four groups in a row you will not be discharged.
How can I be excused for an absence?
While there are understandable justified and valid reasons for missing a session, there are no excused absences in Dialectical Behavior Therapy at Metro NY DBT Center.
Can I create friendships with other clients while in your DBT program?
Yes, clients who join the program often feel comforted by the similarities they have with others in the program. Connecting with peers can help you practice your skills and feel supported. However, we do not encourage private relationships with other clients. Connections with peers and activities with peers can be discussed in individual sessions. Clients are deterred from discussing suicide, self harm, or substance-abuse with each other in group or outside the program.
What if I do not like the therapist I am assigned to?
You will be assigned to a therapist based on who is available for a new client. All of the members of our team collaborate with each other on consultation team. Each of our team members are capable of providing you the most effective services. We believe that even if you do not feel like the assigned therapist is the best fit for you, that therapist can still help you learn, practice and generalize skills. We encourage clients to discuss dissatisfaction directly with their clinician.
How much work is there between sessions?
Each week you will be expected to complete a homework assignment for your skills group. This homework usually involves practicing a skill and completing a worksheet. You will also complete a daily diary card that you bring to your individual sessions. At times your individual therapist will also ask you to complete homework. Clients who complete their homework and DBT diary card tend to have more success in Dialectical Behavior Therapy.
Do you take insurance?
At the current time Metro NY DBT Center does not accept payment from any health insurance company. We are considered an out-of network provider. We are happy to provide you with a receipt of services which you can submit to your insurance agency. Reimbursement will depend on you out of network benefits. Metro NY DBT Center does not guarantee any reimbursement. The only way to guarantee reimbursement is to use an in-network provider though your health insurance.
What is a Good Faith Estimate?
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
Who can benefit?
Metro NY DBT Center is for individuals with complex symptoms of mood dysregulation, emotion dysregulation, and interpersonal dysregulation. Our goal is to reduce life-threatening behaviors and improve one’s overall life experience.
Do you have “intensively trained” DBT clinicians?
All of the clinicians at Metro NY DBT Center have been intensely trained in Dialectical Behavior Therapy. Each clinician participates in supervision, didactic training, continuing education courses and a consultation team.
How many members attend each group?
Our groups can range from 2 to 9 people.
What should I do if I experience a crisis while in treatment?
Please call 911 in the event of an emergency or life-threatening situation.
Do you provide all modalities of DBT treatment?
The team at Metro NY DBT Center provides intake, individual therapy, group skills training, phone coaching, and clinician’s sit on a consultation team. Many of our clients are coordinating care with psychiatrists in the community.
Which group am I placed in?
After a client’s intake and four pretreatment sessions, a client is referred to a skills group. This referral is determined by a client’s age, availability, and clinician goals.
Do you offer multifamily groups for families?
Yes, Metro NY DBT Center has 3 multifamily groups that ask a caregiver and teen to be present.