DBT focuses on helping people who struggle to be emotionally regulated to learn the skills they need to build a life worth living. It is not uncommon for DBT to be mistaken as a suicide prevention program. While its not a suicide prevention program, it is often helpful for those who are struggling with self-harm (including non-suicidal self injury), suicidal, and parasuicidal behaviors. DBT teaches skills in mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance (including an optional focus on when addiction is the crisis). The dialectical aspect of DBT refers to the ability to hold in mind two opposite or different truths at the same time. An example of this and the main dialect navigated in DBT is acceptance and change.

DBT was created for individuals who are diagnosed with borderline personality disorder. Since then DBT has been found to be helpful for people who are struggling with anxiety, depression, ADHD, relationship issues including codependency, histories of invalidation, impulse control issues, and general emotion dysregulation.

RO-DBT focuses on helping people who struggle with emotional loneliness, inhibition or being risk averse (including struggling to be open with others), rigidity or inflexibility (including autism spectrum disorder or Asperger’s), openness, novelty, perfectionism, avoidant or restrictive eating (including anorexia), and obsessive compulsive behaviors (including obsessive compulsive personality disorder).

Request a time to meet for either a consultation or to set up an appointment. After making the decision to become a client, you will receive an invitation via email to complete standard paperwork to get started including informed consent to participate in treatment, assessments, and provide payment information to be kept on file for billing purposes. When an appointment time has been established you will receive an email and or text (your choice) confirming your appointment. On the day of your appointment you will receive a link to participate in session through a HIPAA complaint Telehealth video platform. The first time you participate in a telehealth session you will be prompted to download an app which will be used for all sessions.

In Network: Chelsea is in network with Kaiser Northern California through All Minds platform.

Out of Network or PPO: Clients who are interested in utilizing insurance to pay for therapy and have a PPO plan can request a form to submit to insurance for reimbursement. Insurance providers may or may not reimburse their consumers for the entire cost of services. It is recommended that clients who are looking to utilize an out of network provider to contact their insurance provider for information.

Private Pay: Fees for sessions are due at the time of service. The fee for an individual, couples, or family therapy is $185. Sliding scale is available on a limited basis. Inquire for more information.

No Show and Late Cancellation Fee Policy: Appointments that are cancelled within 24 hours of the scheduled appointment time or if a client fails to attend incur a $50 late cancellation/no show fee. Clients who have unpaid fees and do not fulfill payment after notification of unpaid fees may be subject to a pause on ability to continue to schedule appointments and/or provided referrals to other providers including community based resources.

Clients receive collaboration of care between Chelsea and other provider in order to facilitate more effective services and when applicable, to facilitate transitions in level of care.

Fees for consultation or deliverables are due at the time of service or after receipt of an invoice for services provided. In cases in which consultation leads to contracts for deliverable items (ex: written content) a deposit is required to begin the work on the project and upon completion of the deliverable item. Rates for deliverable items are determined based upon skill level required, hours spent on the deliverable, and timeframe to complete the deliverable item.