DBT for teens who feel emotions at full volume
Dialectical behavior therapy teaches California adolescents practical regulation, distress tolerance, and interpersonal skills — in structured virtual IOP and outpatient care.
- Joint Commission accredited
- In-network insurance
- CBT & DBT
- California telehealth
12–17
ages served
Virtual
care across CA
DBT
modality
Licensed
clinicians
Skills for intense feelings — not willpower lectures
DBT was developed for people who experience emotions quickly and intensely. Teens learn concrete skills — mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness — with lots of repetition and coaching.
In our virtual IOP, DBT skills groups complement individual therapy. Teens practice in real situations between sessions, with clinicians tracking safety and progress.
In our programs
- Four skill modules — mindfulness to relationships
- Strong fit for emotional dysregulation
- Integrated with virtual IOP groups
- Safety monitoring when self-harm risk exists
What teens practice in DBT
DBT is skills-heavy — teens know which tool to reach for at different intensity levels.
Mindfulness
Notice the present moment without judgment — the foundation for every other DBT skill.
Distress tolerance
TIPP, ACCEPTS, self-soothe — get through crisis moments without making things worse.
Emotion regulation
Understand triggers, reduce vulnerability, and change unwanted emotions over time.
Interpersonal effectiveness
Ask for what you need, set boundaries, and repair relationships — with scripts and practice.
Issues DBT can support in teens
DBT is often recommended when emotions feel unmanageable or relationships are strained by reactivity.
Emotional dysregulation
Fast mood swings, intense reactions, and difficulty returning to baseline after conflict.
Self-harm or suicidal urges
Distress tolerance and safety planning — always with close clinical monitoring, not DIY.
Family conflict
Interpersonal skills reduce escalation cycles at home when everyone is willing to practice.
Peer drama & rejection
Skills for navigating friendships, social media triggers, and boundary-setting.
Anxiety & depression
DBT complements CBT with body-based regulation when thoughts alone aren't enough.
Identity & impulsivity
Pause skills before acting on intense urges — texting, substance use, risky choices.
How online DBT works at home
Skills groups and individual coaching on secure video — diary cards tracked between sessions.
At-home session flow
- 01
Skills notebook ready
A dedicated journal or folder for diary cards and handouts — digital or paper.
- 02
Group + individual video
IOP includes virtual skills groups; individual sessions reinforce personal targets.
- 03
Practice in real life
Teens log skill use daily — clinicians review patterns, not perfection.
Parents may join family sessions to learn validation and coaching language that supports DBT at home.
- HIPAA-compliant telehealth platform
- Private, distraction-free session space
- Coordinated with individual, group & family therapy
- Optional parent check-in before the first session
- DBT diary card templates provided
When virtual DBT is appropriate
DBT in our programs is comprehensive skills training — not a crisis hotline or one-hour weekly check-in alone.
Often a good fit
- Teens 12–17 with significant emotional dysregulation
- Adolescents who benefit from structured skills groups (IOP level)
- Families ready for consistent practice between sessions
- Teens stable enough for virtual participation with home support
- Step-up or step-down within coordinated virtual care
Another level may be needed
- Immediate safety crisis — call 911 or 988 first
- Active psychosis or severe substance use requiring 24-hour care
- Teens who cannot participate safely on video
- Expecting one modality alone without a coordinated treatment plan
- No reliable private space or home supervision for consistent virtual sessions
Where DBT fits in care
DBT skills groups are central to our virtual IOP — and supported in outpatient levels.
9–12 hrs / week
IOP for teens
Structured intensive care when symptoms need more than weekly sessions.
9–12 hrs / week
Virtual IOP
Same clinical intensity through secure telehealth across California.
1–3 sessions / week
Outpatient program
Weekly individual, group, and family therapy with coordinated care.
Flexible scheduling
Teen therapy
Individual counseling as a standalone or step-down level of care.
Connected therapies & conditions
Other therapies
From first call to first session
Most families move from first call to first session within days — not weeks of waiting.
- 01
Free consultation
A confidential call to understand your teen and answer every question — no pressure.
- 02
Personalized plan
We match the right level of care and verify your insurance benefits for you.
- 03
Start virtually
Begin within days — secure video sessions from the comfort of home.
FAQs
What families ask before starting — every answer is a starting point, not a diagnosis.
DBT grew from CBT but adds acceptance, validation, and intensive skills training — especially for intense emotions and self-harm risk.
Full DBT skills groups are central to IOP. Outpatient may include selected DBT modules depending on clinical fit.
A brief daily log of emotions, urges, and skills used — reviewed in session to spot patterns and adjust targets.
Yes. Our virtual IOP runs skills groups and individual coaching on HIPAA-compliant telehealth.
When part of IOP or outpatient treatment, care is billed as mental health therapy. We verify benefits at intake.
See if this modality fits your teen
Book a free consultation — we'll explain how this therapy works in our virtual IOP and outpatient programs, and verify insurance.