Intensive Outpatient Program

Welcome to our Adult Intensive Outpatient Program

 

Dialectical Behavior Therapy (DBT) treats the underlying causes of many behaviors which are linked to painful and distressing emotions. Most people who abuse alcohol, drugs, sex, food, and just about anything else do so to try and “self-regulate” the pain of distressing emotions. We specialize in treating people who struggle with emotion regulation, moods, self-harm, suicidality, relationships, and poor self-image. In fact, many people who struggle with dysregulated, distressing emotions find help with DBT.

We offer a comprehensive Adult Intensive Outpatient Program (ages 18+) to fit your needs. This is an accelerated format which is more intensive that our standard 16-week skills group. The program includes a menu of services such as individual therapy, DBT coaching/case management, group skills training, yoga/mindfulness classes, art therapy, and dietary support if indicated.

A 90-minute assessment is required for admission to the Adult Intensive Outpatient Program. Your treatment is customized by a Master’s level licensed clinician who uses information gained in the initial session and clinical assessment to best determine a treatment plan for you.

Groups are small and generally do not exceed eight (8) people for the purpose of allowing a safe, intimate environment.

Q. WHAT IS THE ADULT INTENSIVE OUTPATIENT PROGRAM?
The Adult Intensive Outpatient Program, for ages 18+, encourages you to remain in control of your own life. You can still live at home, go to work, get a job, and attend school while beginning to rebuild your personal life with the help and support you receive from the clinical, emotional, and peer support systems provided. The Adult Intensive Outpatient Program offers you a minimum of 10 hours of services weekly.

You will receive weekly individual therapy with your DBT clinician as well as weekly sessions with your assigned ‘Coach in Action’/case manager and acquire DBT skills in 3 hour groups 3 days a week. The Adult Intensive Outpatient Program offers a morning track from 9 -12pm as well as an evening track from 5 – 8pm to best meet individual needs.

Our Adult Intensive Outpatient Program includes the following:

Mindfulness: Participants are taught how to focus the mind, direct their attention, and observe and describe what they are feeling and thinking in the moment without judgment.

Distress Tolerance: Participants are taught effective ways to distract and soothe themselves while considering pros and cons of their actions. These skills are used to replace maladaptive behaviors such as angry outbursts, binge eating, substance use, and self-injury.

Emotion Regulation: Participants learn how to identify and label their emotions, how to increase positive moods, and how to become less vulnerable to negative moods such as chronic depression, anxiety, or anger.

Interpersonal Effectiveness: Participants address difficulties in maintaining consistent and healthy relationships by acquiring skills such as how to ask for what you want, how to say no, and how to maintain self-respect and independence.

Weekly Consultation Team: Our DBT treatment team meets weekly for 120 minutes to share feedback and discuss methods to ensure effective and compassionate treatment. Time is spent discussing any aspects of the treatment that may interfere with a participant’s progress – all the while keeping each other practicing within a dialectical framework.

Individual Psychotherapy: Participants must meet with an individual DBT therapist weekly to strengthen and apply the skills taught. Participants will be assigned diary cards to complete and engage in Behavior Chain Analysis in session to bring about greater awareness of their behaviors, thoughts, feelings, and actions. These are 50 minute sessions.

Phone Coaching: When patients feel unsure of how to approach a particular issue or situation, they are encouraged to contact their individual therapist for help is using DBT skills. This is designed to help and support the use of skills in daily life.

Coach in Action/Case Management: Participants will meet weekly for 45 minutes with their coach/case manager to bring about greater collaboration and support towards building a “Life Worth Living”.

Q. WHO IS ELIGIBLE FOR THE ADULT INTENSIVE OUTPATIENT PROGRAM?
The Intensive Outpatient Program is designed for people who are struggling with problems associated with behaviors such as substance use and abuse, eating disorders, mood disorders such as anxiety and depression, and personality disorders like Borderline Personality Disorder.

Eligibility for the Adult Intensive Outpatient Program is determined by a mandatory clinical 90-minute assessment which is conducted as part of the admissions process.  The Adult Intensive Outpatient Program is customized for each person, guided by the initial assessment and follow up.

Q. HOW LONG IS THE ADULT INTENSIVE OUTPATIENT PROGRAM?
Our Adult Intensive Outpatient Program curriculum runs for a period of six (6) weeks but we recognize that each patient has different needs. Some of our patients require more support and may sign up again to strengthen their skills and solidify their ‘recovery’ and then move into a 16-week Skills Training followed by our Advanced Skills Group.

DBT is an evidence-based treatment and research shows that 6 months to 1 year of continued treatment inclusive of step-down levels of care, is highly advisable. Your assigned DBT Case Manager will oversee your progress and make appropriate recommendations in an individualized treatment plan with you collaboratively.

Q. WHAT TYPES OF ACTIVITIES AND THERAPIES ARE INVOLVED WHEN PARTICIPATING IN THE ADULT INTENSIVE OUTPATIENT PROGRAM?
In the Adult Intensive Outpatient Program, you receive services primarily through skills group training and are also assigned an individual therapist and case manager with whom you will meet on a weekly basis while in treatment.  The program incorporates fifty (50) minutes of mindfulness practice (yoga or art) led by our Master’s level practitioners and two (2) hours of skills group training led by intensively and comprehensively trained DBT clinicians.  Modules of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness are introduced in an experiential and interactive framework throughout the six (6) week curriculum.

 

Q. ARE FAMILY MEMBERS AND LOVED ONES ALLOWED TO COME ALONG TO INTENSIVE OUTPATIENT SESSIONS?
Research shows that individuals whose families are involved in treatment have a much better prognosis and higher success rate overall. The DBT Center of Orange County will make a concerted effort to include family members in treatment whenever possible. The goal of the family education program and Family Connections is to provide family members with information and support that will assist our patients in their ‘recovery’ and healing.

A family education group called Family Connections is held on an on-going basis on Sunday evenings. This is a FREE program facilitated by NEABPD that provides family members with education, information, and support to aide their loved one in their ‘recovery’ process.

In addition to the FREE Family Connections program, we offer private sessions with our family therapist to help family members experience validation and effective communication.

Q. HOW DO I PAY FOR THE INTENSIVE OUTPATIENT PROGRAM?
At the DBT Center of Orange County, we accept cash, check, and credit cards. We are contracted with a Third-Party Billing service that will be happy to verify insurance benefits for you. Please call our office for more information on using insurance benefits.

If you believe our Intensive Outpatient Program will meet your needs, please call us at (949) 480-7797 to schedule an appointment, or complete the contact form on our website in order that we can contact you with more important information about the Intensive Outpatient Program.

Let us help you take your next steps.

To schedule an appointment or arrange for an individual assessment, please call us at 949-480-7797.