DBT has emerged as a highly effective evidenced based treatment. It targets under-controlled or emotionally dysregulated behavior through a skills-based approach that addresses the needs of individuals who struggle with strong and difficult emotions, impulsivity, and chaos in their lives. Standard treatment includes weekly individual and group therapy. The skills groups are made up of 4 modules (a total of 24 weeks): core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. You can enter and leave the class at the beginning of a module. Visit https://www.sanantoniodbtcbt.com for current class times.

Hosted by Center for Dialectical & Cognitive Behav Therapies
Licensed Professional Counselor, LMHC, LPC-S, LCSW, PsyD
Group meets in San Antonio, TX 78209
DBT has emerged as a highly effective evidenced based treatment. It targets under-controlled or emotionally dysregulated behavior through a skills-based approach that addresses the needs of individuals who struggle with strong and difficult emotions, impulsivity, and chaos in their lives. Standard treatment includes weekly individual and group therapy. The skills groups are made up of 4 modules (a total of 24 weeks): core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. You can enter and leave the class at the beginning of a module. Visit https://www.sanantoniodbtcbt.com for current class times.
Alpha Mike (Abort Mission): Veteran Society of Suicide Survivors (AM/VS3). Alpha Mike, a therapy group led by retired Army Major (Infantry), former Airborne Ranger (enlisted), with deployments to Colombia and Afghanistan. VS3’s mission: teach veterans the “How” of their suicide ideation; the pathway they took from situation normal to the terminal act of self-destruction. Suicide is a process, not impulsive, nor independent event; it is a decision, a derived ‘path of least resistance’ to end suffering, pain, guilt, shame, etc. Abort Mission! Consolidate and Reorganize, and Reconstitute; Take Charge of Your Life’s Mission!

Hosted by Sergio R. Villarreal
Licensed Professional Counselor, LPC, MS, MA, MJA
Group meets in San Antonio, TX 78217
Alpha Mike (Abort Mission): Veteran Society of Suicide Survivors (AM/VS3). Alpha Mike, a therapy group led by retired Army Major (Infantry), former Airborne Ranger (enlisted), with deployments to Colombia and Afghanistan. VS3’s mission: teach veterans the “How” of their suicide ideation; the pathway they took from situation normal to the terminal act of self-destruction. Suicide is a process, not impulsive, nor independent event; it is a decision, a derived ‘path of least resistance’ to end suffering, pain, guilt, shame, etc. Abort Mission! Consolidate and Reorganize, and Reconstitute; Take Charge of Your Life’s Mission!
We offer 3 types of groups for adolescent clients: Multifamily DBT Skills Group, Adolescent DBT Skills Group, and an Adolescent RO DBT Skills Class. Additionally there are DBT and RO DBT classes for parents/support persons. Visit https://www.sanantoniodbtcbt.com for current class times and more information.

Hosted by Center for Dialectical & Cognitive Behav Therapies
Licensed Professional Counselor, LMHC, LPC-S, LCSW, PsyD
Group meets in San Antonio, TX 78209
We offer 3 types of groups for adolescent clients: Multifamily DBT Skills Group, Adolescent DBT Skills Group, and an Adolescent RO DBT Skills Class. Additionally there are DBT and RO DBT classes for parents/support persons. Visit https://www.sanantoniodbtcbt.com for current class times and more information.
Online Groups
This skills group helps teens learn practical tools to manage intense emotions, improve relationships, and develop healthier coping strategies. Many teens struggle with emotional overwhelm, impulsive behaviors, low self-esteem, or self-harm urges. DBT skills can help teens build confidence and learn how to respond to difficult situations in more effective ways. Teens will learn and practice skills in: • emotion regulation • distress tolerance • mindfulness • assertive communication and healthy relationships, Sessions include psychoeducation and interactive exercises. The group environment helps teens feel supported while learning skills they can use in everyday life. Monthly payment structure. Light snacks/drinks provided.

Hosted by Megan Yale
Licensed Professional Counselor, LPC-S, LMFT-S, LCDC, CCST
Group meets in Austin, TX 78754
This skills group helps teens learn practical tools to manage intense emotions, improve relationships, and develop healthier coping strategies. Many teens struggle with emotional overwhelm, impulsive behaviors, low self-esteem, or self-harm urges. DBT skills can help teens build confidence and learn how to respond to difficult situations in more effective ways. Teens will learn and practice skills in: • emotion regulation • distress tolerance • mindfulness • assertive communication and healthy relationships, Sessions include psychoeducation and interactive exercises. The group environment helps teens feel supported while learning skills they can use in everyday life. Monthly payment structure. Light snacks/drinks provided.
We have multiple Adolescent DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $80/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/

Hosted by Austin DBT Associates
Licensed Professional Counselor, LCSW, LPC, LMSW, LPCI, LCDC
Group meets in Austin, TX 78759
We have multiple Adolescent DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $80/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/
DBT is a state-of-the-art, evidence-based treatment for adolescents who experience challenges managing intense emotions, problematic thoughts, and unsafe behaviors. DBT skills include mindfulness to practice non-judgmental, present-moment awareness, strategies to improve communication, reduce family conflict, manage emotions, and tolerate distressing situations. DBT skills groups are run like a small workshop and are a helpful addition to ongoing individual therapy. Facilitated by Dr. Parker, Dr. Dell, and/or Dr. El-Behadli, experienced psychologists who have trained at world-class institutions and specialize in working with adolescents. Visit www.clearmindcollective.com to register.

DBT is a state-of-the-art, evidence-based treatment for adolescents who experience challenges managing intense emotions, problematic thoughts, and unsafe behaviors. DBT skills include mindfulness to practice non-judgmental, present-moment awareness, strategies to improve communication, reduce family conflict, manage emotions, and tolerate distressing situations. DBT skills groups are run like a small workshop and are a helpful addition to ongoing individual therapy. Facilitated by Dr. Parker, Dr. Dell, and/or Dr. El-Behadli, experienced psychologists who have trained at world-class institutions and specialize in working with adolescents. Visit www.clearmindcollective.com to register.
We have multiple Adult DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $65/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/

We have multiple Adult DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $65/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/
We have multiple Adolescent DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $80/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/

We have multiple Adolescent DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $80/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/
We have multiple Adult DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $65/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/

Hosted by Austin DBT Associates
Licensed Professional Counselor, LCSW, LPC, LMSW, LPCI, LCDC
Group meets in Austin, TX 78759
We have multiple Adult DBT and RO DBT classes available Monday-Thursday virtually or in person. Please contact our office to get current scheduling options. Our classes run 90min long, $65/wk and you'd pick 1 class schedule to consistently attend. Feel free to complete our request form to expedite services. austindbtassociates.com/request-form/
Teen Support Group for ages 12-15 focused on anxiety, depression, emotional regulation, identity development, social skills, and family relationships. This weekly in-person therapy group combines guided discussions with interactive activities to help teens strengthen coping skills, improve self-confidence, and build meaningful peer connections. Group therapy provides a supportive environment where adolescents can practice healthy communication, process challenges, and learn they are not alone. Ideal for teens seeking additional support alongside individual therapy or as a step-down from PHP or IOP services. Held weekly in West Lake Hills, TX.

Hosted by Brianda Garcia
Licensed Professional Counselor, MA, LPC
Group meets in West Lake Hills, TX 78746
Teen Support Group for ages 12-15 focused on anxiety, depression, emotional regulation, identity development, social skills, and family relationships. This weekly in-person therapy group combines guided discussions with interactive activities to help teens strengthen coping skills, improve self-confidence, and build meaningful peer connections. Group therapy provides a supportive environment where adolescents can practice healthy communication, process challenges, and learn they are not alone. Ideal for teens seeking additional support alongside individual therapy or as a step-down from PHP or IOP services. Held weekly in West Lake Hills, TX.
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How does therapy for self-harm work?
A person may turn to self-injury so that they can distract themselves from their stress, depression, anxiety, or upsetting circumstances. Therapy can address the cause of an individual’s suffering. A therapist can help a person understand why they may want to self-harm and help the person learn new methods of coping. A person may have poor emotion regulation, and treatment such as cognitive behavioral therapy (CBT) is helpful for breaking this behaviour. In addition, treatment such as dialectical behavior therapy can help a person manage their tolerance of distress.
Which therapies are best for self-harm?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, and mentalisation-based therapies, among others. Cognitive behavioral and dialectical behavior therapies are common approaches for people who have painful thoughts and past traumas. These therapies help an individual cope with distress, regulate emotions, and manage impulsive urges.
Does the tendency to self-harm mean the person is suicidal?
Having this urge does not mean the individual suffers from suicidal ideation. People who want to self-injure look to distract or alleviate themselves from the pain they are experiencing. People with suicidal tendencies want to end life altogether. However, this does not mean a person with the intent to self-harm will not attempt suicide.
How often and how long are therapy sessions for self-harm?
As with any type of therapy, sessions depend on the individual. Clients may see improvement within 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, maybe, a six-month period. People, especially those with co-occurring conditions like depression and anxiety, may need to continue therapy for up to 12 to 18 months.


