Individuals with emotional vulnerability often have high sensitivity and quick reactivity to emotional situations and may react with ineffective or extreme responses. This reactivity may contribute to a higher sensitivity to the next event and create what may feel like an emotional roller coaster or a constant state of crisis leaving them feeling out of control, hopeless, or even suicidal. The inability to regulate intense emotions can result in difficulties stopping ineffective behaviors such as substance use, self-injury, disordered eating, high conflict in relationships, and suicidal thinking and attempts at taking one’s own life. DBT has been specifically designed and researched to provide skills and support in ending these behaviors and creating a life worth living.
DBT has four primary modes of treatment delivery. This is different than many other psychotherapies that consist of just one mode or aspect of treatment, such as individual therapy. DBT is a highly researched and effective treatment for those suffering from multiple presenting problems associated with emotion dysregulation and for those diagnosed with Borderline Personality Disorder.
DBT individual therapy is focused on enhancing client motivation and helping clients to apply the skills to specific challenges and events in their lives. In the standard DBT model, individual therapy takes place once a week for as long as the client is in therapy, and it runs concurrently with DBT skills training.
Problematic behaviors evolve as a way to cope with a situation or attempt to solve a problem. While these behaviors might provide temporary relief, they often are not effective in the long-term. DBT assumes that clients are doing the best they can, AND they need to learn new behaviors in all relevant contexts. The function of DBT Skills is to help enhance a client’s capabilities. Skills training is frequently taught in groups during weekly sessions, and the full skills curriculum runs for 24 weeks. Group leaders assign homework to help clients practice the skills in their everyday lives. There are four skills modules taught in DBT:
DBT uses phone and other in-vivo coaching to provide in-the-moment support. The goal is to coach clients on how to use their DBT skills to effectively cope with difficult situations that arise in everyday life. Clients can call their individual therapist between sessions to receive coaching at the times when they need help the most.
A therapist’s work can be difficult for many reasons. The DBT consultation team is essential to help therapists monitor their fidelity to the treatment, develop and increase their skills, and sustain their motivation to work with high-risk, difficult-to-treat clients.
Seeking out therapy is an individual choice that will require commitment, openness, and a willingness to change. There are many reasons why people come to therapy. Sometimes it is to deal with long-standing patterns of problematic behavior, or problems with anxiety, depression, substance abuse, or food. Other times it is in response to unexpected changes in one’s life such as a divorce, loss, or work transition. Working with a therapist can help provide insight, support, and new strategies for all types of life challenges. Overall, Cognitive Behavioral Therapy (CBT) has demonstrated overwhelming research support and can provide long-lasting benefits. Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra help when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired.
Yes, but we are not in-network with all insurance plans. Please check with our office to be certain. Even if we are not in-network, most insurance companies offer out-of-network benefits. If so, you may receive reimbursement by your insurance company, even if you have to pay out of pocket at first. Some feel that this is a good strategy for finding a provider of their choosing, rather than being forced to stay within their insurance network.
Please call our office to speak with our office staff. If you decide to go forward an administrative staff member will set up your first appointment, review your benefits, and direct you to download the forms you will need to complete prior to the first session. You will be guaranteed a safe, comfortable, and private environment.
We are located at 1 East Broad Street, Suite 510 in downtown Bethlehem, PA. Our address is 1 East Broad St. Bethlehem, PA 18018. (Melting Pot Restaurant occupies the first floor).
From U.S. 22, take the PA-378 South exit. Travel about three miles to the Center City exit (exit 3). At the stop sign at the end of the exit, turn left onto Third Avenue. Go 100 yards to traffic light. At the light, turn left onto West Broad Street. Continue through the next two traffic lights onto Broad Street.
From Interstate 78 Take exit 67 for PA-412 toward Hellertown / Bethlehem. Turn right onto PA-412 N / Hellertown Rd for 0.8 miles and turn slight left onto E 4th Street for 0.7 miles. Take a slight right onto Daly Ave for 0.3 miles and turn right onto the Minsi Trail Bridge. After .5 miles take the first left onto East Market Street. Travel for a little over 1 mile and turn right onto Main Street. Take the 2nd right onto Broad Street and we are located on the left.
There is a parking lot on the east side of our building with a meter parking. In downtown Bethlehem there are also two parking garages in walking distance to our practice on Walnut Street and North Street. Meter parking is also available throughout Broad Street.
A general therapy hour typically lasts 53-60 minutes. Evaluation sessions may be scheduled longer to complete initial assessments and undergo an interview to review relevant history. Testing and Assessment sessions are considerably longer and dependent upon the nature of the evaluation. Group therapy sessions are variable based on type of session.
The privacy of information exchanged with your therapist is protected by law. The law also requires your therapist to break confidentiality with or without your permission if you or someone else is at risk of serious harm. Revelations that a child has been or is in danger of harm or neglect are required by law to be reported to Child Protective Services. You and your therapist may decide together that it is in your best interest for Center for Integrated Behavioral Health to exchange information with another party. In that case, your therapist may ask for written consent.
We ask that our clientele notify us 24 hours before their scheduled appointment of a cancellation. Barring any emergency situation within 24 hours of their scheduled appointment, clients who do not contact us before the 24 hour window will be charged a fee of $50.00
During non-business hours our phone is answered by voicemail and we cannot guarantee each call will be answered during business hours. Center for Integrated Behavioral Health has coordinated with Northampton County Crisis Center for 24 hr coverage. Please call them at 610-782-3127. You can also call 911 or proceed to your nearest emergency room.
DBT is an evidence-based cognitive behavioral treatment that helps individuals who are biologically and environmentally predisposed to emotional vulnerability. Our Team has been intensively trained to administer DBT by the treatment’s original developers and most respected researchers and trainers. DBT-BED has been adapted to address binge eating and purging as…