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Distress Tolerance and Radical Acceptance Skills Module

Day Start End
Tuesday5:00 pm6:30 pm

Distress Tolerance and Radical Acceptance Skills Module

Module Schedule: November 5, 2019 – December 17, 2019; No group on November 26, 2019

In this short 6 week module we will first learn Distress Tolerance skills to help us reduce intensity when our emotion minds start to take over. We will learn Evidence-Based skills to help us distract ourselves from or immediately cope with overwhelming emotions like panic, cravings, anger, or fear that keep us stuck in ineffective patterns.

Then, we will learn Radical Acceptance Skills. Radical Acceptance skills help us tolerate our reality just as it is, without adding or subtracting anything. In time, we achieve the quieting of intense desires freeing us from cravings and unhealthy patterns. Radical Acceptance is the way to turn suffering that cannot be tolerated into pain that can be tolerated. Radical Acceptance is the ultimate goal of DBT.




The Distress Tolerance and Radical Acceptance Skills Module is 6 weeks in length. Tuition of $400 for the 6 week module is due at the first group.

Your insurance may cover the groups and/or a Superbill can be provided to file with your insurance company.  

Please email me with questions and to confirm your spot and/or schedule an initial consultation.


Participants must have:

DBT® Skills Training Handouts and Worksheets, Second Edition

Book by Marsha M. Linehan

The DBT Skills Group is a big commitment.

In order to be in a group:

  • Clients must be willing to work hard and participate fully.
  • Clients must participate in weekly individual therapy. (Therapist does not need to be a DBT therapist)
  • Clients must be willing to complete weekly homework assignments.
  • Clients are strongly encouraged to commit to completing two cycles of skills modules (approximately 14 months).

What Happens in a DBT Skills Group?
The DBT Skills Groups cover four training modules: Core Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance. Each module is designed to help you gain a better sense of emotional control and tolerate the moment by being more mindful of the present. DBT Skills Group is NOT a process group, it is more like a class. Participating in the group requires homework outside of group. It requires adopting a general willingness to make healthy but difficult changes in your life. The group is conducted in an extremely supportive and nonjudgmental space.  During the group participants may be asked to share relevant experiences from their week for the purpose of exploring which skills were used or not used. During the second half of the group, a new skill is taught using didactic techniques, role plays and discussions. In general, clients are discouraged from discussing details about suicidal or self-harming behavior in the group as it may be triggering to others.  These behaviors are to be discussed in individual therapy. Participating in the group requires a 14 month commitment as it takes about 6-7 months to complete one round of skills; it is highly suggested that clients who stay for 2 rounds of skills are better able to fully absorb and apply the skills in their lives.

Is the DBT Skills Group right for me?
DBT groups are appropriate for a wide variety of clients dealing with difficulties regulating emotion in various problem areas including: depression and anxiety, emotion regulation, all eating disorders including binge eating disorder, chronic relational issues, impulsivity, self-harm, suicidal thoughts and poor frustration tolerance.

If you are someone who is highly sensitive and struggles with emotion regulation, this group might be a good fit.  Also, if you have frequent interpersonal conflicts or simply want to be better at managing your relationships, DBT would be very helpful.  You do not have to have a diagnosis of Borderline Personality Disorder (BPD) to participate in the group; in fact, DBT can be an amazing resource for any individual.  DBT helps improve your ability to ask for what you need and create better boundaries with others by learning to say no – all with the right degree of intensity.  DBT helps to decrease excessive worries and anxieties that lead to decreased self-esteem and self-harming thoughts and behaviors.  DBT will teach you to find the right balance between tolerating emotions vs. learning to distract from them, change them or reduce their intensity.  The overall goal of the group is to have a life worth living.

How Do I Join DBT Skills Training?

Please provide a referral from your individual therapist or register for an intake session with Dr. Raphaeli.