Build practical skills. Strengthen connection. Create lasting change.
Online DBT skills groups offer more than support—they provide a structured space to develop new tools, deepen self-understanding, and connect with others who truly understand.
Why Group Therapy Works
Many people feel hesitant about joining an online therapy group. In reality, research consistently shows that group therapy can be just as effective as individual therapy for many concerns—and offers unique benefits that individual therapy simply can't provide.
In group therapy, you can:
Practice new skills in real time
Learn from others facing similar struggles
Receive encouragement and feedback
Feel less alone
Build confidence in relationships
Discover that others understand your experiences
Often people worry they'll be expected to talk in front of strangers. In our groups, participation happens at your own pace. Some members prefer to mostly listen, while others share more frequently. Both are welcome.
Group members often tell us they leave sessions feeling:
Understood
Hopeful
Less alone
More confident
Equipped with practical skills
Skills for Intense Emotions: DBT Skills Group
Feel like emotions take over before you can think clearly?
Dialectical Behavior Therapy (DBT) is an extensively researched psychotherapy and is shown to help people improve emotion regulation, tolerate distress, and strengthen relationships. DBT provides clear, actionable strategies to regulate emotions, tolerate stressful situations, and navigate relationships with greater ease.
Originally developed for individuals experiencing chronic emotion dysregulation, DBT is now used to help people with a wide range of concerns, including anxiety, depression, trauma, and relationship difficulties. This group is an excellent companion to individual, couples, or family therapy. You’ll leave with tools you can use right away.
Group Details:
Fridays 12 - 1:30 PM
90-minute virtual sessions
$125 per session
Group leaders: Connor Adams, Stephanie Stiavetti, and Carmen Sepetka
New members can join throughout the cycle because each skill is valuable on its own and concepts are revisited regularly.
DBT focuses on four sets of skills:
Mindfulness: Develop the ability to slow down, notice what's happening, and respond intentionally
Distress Tolerance: Get through difficult moments without making things worse
Emotion Regulation: Reduce emotional suffering and feel more in control of your reactions
Interpersonal Effectiveness: Ask for what you need, set boundaries, and strengthen relationships
Who is this group for?
This group may be a good fit if you...
Feel emotions intensely
Struggle with anxiety or overwhelm
Experience impulsive behaviors
Have difficulty in relationships
Want practical coping skills
Find it hard to get through stressful situations
Hope to establish closer, more connected relationships
Experience suicidal thoughts, urges to self-harm, or difficulties managing intense emotions
Are diagnosed with Borderline Personality Disorder
Have been recommended DBT by a therapist, psychiatrist, or previous treatment program
What Changes Can You Expect?
Over time, many group members notice they are able to:
Pause before reacting
Regulate overwhelming emotions more effectively
Communicate more confidently
Set healthier boundaries
Navigate conflict with greater skill
Feel less controlled by anxiety or other intense emotions
Build relationships that feel more stable and fulfilling
Your First Therapy Group Doesn’t Have to Be Scary
Starting a therapy group can feel intimidating—but most people quickly find relief in realizing they’re not alone. You’ll be asked to share as you feel comfortable — some group members prefer to mostly listen and focus on learning skills, while others may want to share more. All are welcome!
Here’s what the process looks like:
If you’re already a client in our practice, your individual therapist can directly enroll you in group.
If you’re new to our practice, reach out to let us know you’re interested in group.
Schedule a free, 15-minute phone consultation to determine fit, answer questions, and schedule a group intake.
Complete your group intake.
Join a supportive, respectful, and confidential group environment.
Frequently Asked Questions
How do group intakes work?
Group intakes are a one-time appointment. They are approximately 45 minutes, completed on a secure telehealth platform. Group intakes are $125. The goal is for the group leader(s) to get to know you and understand your goals for the group, and for you to ask any questions you have that may not have been addressed during the consultation call.
How much does group cost?
Each group session is $125. We have several spots reserved for members who need a sliding scale rate - please reach out for more information.
What if I miss a session?
We understand that occasional conflicts arise. If you'll be absent, please let your group leaders know at least 24 hours in advance whenever possible. Because each session builds on previous material, we encourage consistent attendance to get the greatest benefit.
Do I need to be in individual therapy?
It is generally recommended that group members also be engaged in individual therapy. This could be with a therapist at Palim Health, or another therapist.
Is this group confidential?
Yes. We require all group members to join from private spaces and to commit to respecting everyone’s privacy. It is expected that anything personal shared in group stays private within the group.
Is this covered by insurance?
We are an out-of-network practice and do not bill insurance directly. This allows us greater flexibility to provide individualized, confidential care without the limitations often imposed by insurance companies.
How can I use out-of-network benefits?
Many insurance plans offer reimbursement for out-of-network therapy. We recommend contacting your insurance company to ask about your mental health benefits, deductible, and reimbursement rates. We are happy to provide the documentation needed to submit claims.
Can I participate from anywhere in California?
Yes! Groups are offered via telehealth, so members may join from anywhere in California.