Out here, if you want a true DBT group, you have to pay out-of-pocket. None accept any type of insurance. Then there's the individual therapists trying to run a DBT group, but aren't actually trained. Lastly, there's the clinics. Because of budget restraints, most have been modified.

Mine cut out mindfulness and mixed it throughout the other modules, and they don't have any individual Ts at all (not just for the group).

I doubt my facilitators have any real training. My guess is that they are simply following handouts? I don't know. The facilitators seem kinda stupid to me. And the handouts suck. Our homework this week was to be aware of any "blocks" in communication and write it down on the back of the handout. To me that seems extremely unstructured and very vague.

I think the problem is also that DBT was originally intended for BPD, but since the skills are useful for other diagnoses, it's been modified to encompass more types of people. Maybe it's because of this or maybe because of the population of the clinic, but I feel like the group is "dumbed down".

I'm sticking it out though. Maybe it will get better? Maybe I'll learn something new? If not, at least I will have done what my T, Pdoc, and insurance wanted me to do.