Dialectical Behaviour Therapy (DBT) is a twice weekly programme for people who experience difficulites in regulating emotions, including those with borderline personality disorder (BPD) or traits. It entails individual therapy and skills classes. There is no specific diagnostic requirement for participation in the programme. If intense emotions, unmanageable distress or problematic behaviours interfere with your ability to be an effective human being, for example in the context of personal or professional relationships, DBT might be just what's needed. It will assist you in coping effectively with self-harm, extreme emotional sensitivity, mood swings, ADHD, eating difficulties, anger, depression, anxiety, intense relationships, impulsivity, and ultimately in building a fruitful, satisfying life.


Entry points onto the programme

Core Mindfulness: Early 2020
Distress Tolerance: 30th October (Angel)
Emotion Regulation: 28th October (Leytonstone) and 9th November (King's Cross)
Interpersonal (Relationship) Effectiveness: 15th October (Leytonstone) and 29th October (Angel)
Advanced DBT Skills: 7th January 2020 (Angel)

Where and When?

You can commit to attending the full DBT skills programme (four modules) at one of the following three locations.

KING'S CROSS, CENTRAL LONDON: We hold two DBT skills classes at Barnsbury Community Centre, 10 Jays Street, London, N1 0TJ on Saturdays: the first one is between 10am and 12pm and the second one between 12:15pm and 1:45pm. People who are on the full programme are given priority to join the 10am class. Nearest stations are Kings Cross, Caledonian Road or Caledonian Road & Barnsbury.

The next entry point into these classes is on 9th November 2019 when we begin the 12-week class in Emotion Regulation Skills. The fee is £85 per session (£1,020) for the 10am class and £75 per session (£900) for the 12:15pm class. This class will be followed by modules in Core Mindfulness and the Middle Path (15th February 2020), Distress Tolerance (to be confirmed) and Interpersonal Effectiveness Skills (to be confirmed). Please note that the sessions will not be held on 28th December and 4th January.


LEYTONSTONE, EAST LONDON: DBT classes in this location are held on Mondays from 5:45pm to 7:15pm and Tuesdays from 1:30pm to 3:15pm at the United Free Church, 55 Wallwood Road, London, E11 1AY which is a short walk away from Leytonstone station.

The next entry point into the Monday group is on 28th October 2019 when the 12-week class in Emotion Regulation Skills is scheduled to begin. The fee is £900 (£75 x 12 sessions). It will be followed by classes in Interpersonal Effectiveness (3rd February 2020), Core Mindfulness (TBC) and Distress Tolerance Skills. Please note that sessions will not be held on Mondays that fall on Bank Holidays.

The next entry point into the Tuesday 1:30pm group is on 15th October 2019 when the 8-week class in Interpersonal Effectiveness Skills is scheduled to begin. The fee for this class is £600 (£75 x 8 sessions). It will be followed by classes in Distress Tolerance Skills (10th December 2019), Emotion Regulation Skills (to be confirmed) and Core Mindfulness (to be confirmed).


ANGEL, ISLINGTON: DBT skills classes are run in Angel on Tuesdays from 4:15pm to 5:45pm and Wednesdays from 6pm to 8pm at Brighter Spaces, 2A Prebend Street, Islington, London, N1 8PT. People who are on the full programme are given priority to join the Wednesday group.

The next entry point to the Tuesday group is on 29th October when the 8-week class in Interpersonal Effectiveness Skills is scheduled to begin and the fee is £600 (£75 x 8 sessions). It will be followed by classes in Core Mindfulness (14th January 2020), Distress Tolerance (25th February 2020) and Emotion Regulation Skills (TBC).

The next entry point to the Wednesday group is on 30th October when the the 8-week class in Distress Tolerance Skills is scheduled to begin. The fee for this class is £680 (£85 x 8 sessions). It will be followed by modules in Emotion Regulation (8th January 2020), Interpersonal Effectiveness (TBC) and Core Mindfulness and the Middle Path (TBC).

Our next 12-week Advanced DBT Skills Module will be held weekly on Tuesdays from 6pm to 7:30pm. The fee is £80 per session (£960). The next entry point will be 7th January 2020. Please contact us to express interest.

What is Dialectical Behaviour Therapy?

Dialectical Behaviour Therapy (DBT) is one of the most researched treatments for people with difficulties in regulating their emotions. It was originally developed by Dr Marsha Linehan for self-harming individuals who met criteria for borderline personality disorder (BPD). DBT is a team-based programme which entails weekly individual therapy and skills classes, phone skills coaching available seven days a week and DBT team consultation*. It was proven effective in reducing suicidal behaviour, self-injury, impulsivity, disruptions to personal relationships and improving social functioning. DBT is also applied as a treatment for eating and mood disorders, post-traumatic stress disorder, childhood sexual abuse and substance dependency, and is now the go-to treatment for improving emotional regulation skills in those diagnosed with anxiety and ADHD or ADD.

*DBT team consultation is focused on the people who provide DBT, including individual therapists and skills trainers. The consultation team is intended to support them in their work and is designed to help therapists stay competent, motivated and adherent to the model so they can provide the best treatment possible.

What will I learn?

There are four core DBT modules which are attended as part of the full DBT programme. It takes 34 weeks to complete them all once, however, as the research studies conducted on DBT for BPD have all included one year of this intensive treatment, we recommend that clients commit to DBT for one year. This is subject to individual circumstances.


  • Core Mindfulness and the Middle Path consists of 6 weekly sessions and is designed to teach you how to increase your awareness levels, focus better, train your attention, decrease reactivity and judgmentalness, accept current moment experiences, be more dialectical and less controlled by extremes.
  • Distress Tolerance module lasts for 8 weeks and is centred on accepting difficult situations and emotions and finding ways to survive and tolerate the moment without engaging in problematic behaviours such as self-harm, conflict or impulsive substance misuse.
  • Emotion Regulation entails 12 weekly classes and involves learning to recognise and label current emotions, identify obstacles to changing emotions, reduce emotional reactivity, increase positive emotions, and change emotions that are unhelpful or unwarranted.
  • Interpersonal Effectiveness is spread over 8 weeks and teaches effective strategies for asking for what you need, saying no, setting boundaries and coping with interpersonal conflict. This module is of particular relevance to individuals who experience their relationships as chaotic, intense and unstable, and it teaches strategies for maintaining balanced relationships.
  • Advanced DBT Skills is a 12-week module for people who have mastered the skills in each of the core modules listed above and now want to enhance their existing skills and learn new ones. In this module you will learn about the theory and practice of dialectical thinking, validation of self and others, building new relationships, getting people to like you, ending hopeless relationships, mindfulness of others, reinforcement and strategies for changing behaviour, and many others. This module is also open to people who have completed standard DBT elsewhere.

How will I learn?

New skills are presented each week and homework tasks are assigned for participants to practice during the week. Homework is reviewed at the next class. To enhance learning and effective application of newly acquired knowledge and skills people who commit to the full DBT programme will have access to phone skills coaching, which can be accessed at times of heightened distress seven days a week. The goal of this is for people to get better at using the skills when they are needed most, such as during times of intense emotion, crisis or conflict.

Who should join the class?

There is no specific diagnostic requirement for participation in our DBT skills classes. Although DBT was originally developed for people meeting criteria for BPD, the skills we teach can help other people who experience problems with self-harm, extreme emotional sensitivity, mood swings, anger, recurrent depression, anxiety, intense or chaotic relationships, impulsivity and stress.

How to begin?

All individuals interested in joining the full programme will be assessed by a member of the Mind-Reframed team. Following assessment you will be offered a few individual pre-treatment sessions that focus on psycho-education, coming up with your targets for treatment and establishing commitment. This can anything between one and six sessions depending on individual needs before joining the skills classes. Those who would like to attend only some modules without committing to individual DBT can provide a letter of recommendation from their psychiatrist, GP or therapist outlining the history and reasons for referral.

Fees

Fees for the intensive DBT programme (individual therapy, skills class and phone skills coaching) range between £175 and £235 a week. It is also possible to commit to attending the DBT skills groups alone for which the fee is £85 per 2-hour class and £75 per 90-minute class.

To reserve the place 50% of the module fee must be paid at the time of booking which is non-refundable. The remaining part of the fee is due a week before the official start date of the module. It is only possible to commit to a full module and the fees are payable for each of the sessions. This includes sessions that are not attended, missed or cancelled. To find out more about our fees please visit the FEES section of this website. A small number of concessionary rates towards the skills classes is available to people in genuine financial difficulties who are embarking on the twice weekly DBT programme.

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