12-week Advanced Dialectical Behavior Therapy (DBT) Skills Group

Who is the Advanced DBT Skills Group For?

This DBT Skills group is for anyone who took the Basic Group and wants to learn even more. DBT is a very comprehensive treatment modality. Therefore, it helps to have a long-term learning to strengthen the implementation of the skills taught.

Click here if you have not participated in our basic DBT skills group.

Starting July 12th, Elliott Counseling Group will run a 12-week Advanced Dialectical Behavior Therapy (DBT) Group. It will take place every Tuesday evening from 6-7:30pmCT online. 

To attend our advanced group, you must have participated and completed a DBT group in the past or have a solid understanding of DBT.

What is DBT?

Dialectical Behavior Therapy (DBT) is a skills-based treatment modality. Primarily, DBT is used to help treat extreme emotional instability (clinically called emotional dysregulation). When one is emotionally dysregulated, their emotions are so intense that one cannot manage them. As a result, it leads to challenging behaviors that can impede life, such as self-harm, self-destruction, and impulsiveness. Through the treatment of DBT, you learn skills to find peace and stability during a crisis or heightened emotions. Marsha Linehan, Ph.D., the creator of DBT, designed it to treat a wide range of mental health issues, including depression, post-traumatic stress disorder, and borderline personality disorder.

How is DBT used?

DBT effectively treats various behaviors, mental health diagnoses, and symptoms. DBT is for you if you experience anger outbursts, chaotic relationships, intense fluctuating moods, feelings of detachment, or emotional dysregulation. Additionally, DBT is a skills-based treatment often used with individual counseling. Therefore, we will teach various skills to practice and use throughout this group in your day-to-day life. These skills fall into four categories. Those categories include core mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Therefore, each week we will focus on teaching new skills and assist you in integrating them into your life.

What will the Advanced DBT Skills Group cover?

In the Advanced Group, we will expand on each of the four categories. So if concepts like radical acceptance, self-soothe, and behavior chain analysis had you wanting more, this is for you. We will cover more complex skills and take time to focus on implementing these skills in your life.

Week 1: Review of Basic Skills Group

Highlights of this week:
  • Do an introduction to the Advanced DBT Skills Group.
  • Introduction of group members and group leaders
  • Recap what was covered in the Basic DBT Skills group to refresh everyone

Week 2: Biosocial Theory in DBT

Highlights of this week:
  • We will cover what the biosocial theory is in DBT. In essence, biosocial theory suggests a biological connection and vulnerability when it comes to emotions. Additionally, that connection is influenced by our social and environmental factors.
  • Discuss how trauma and our environment have the ability to change the brain.

Week 3: Emotions, Thoughts, and Behaviors

Highlights of this week:


  • First, we will cover behavioral chain analysis in more depth.  When doing a chain reaction analysis, a person uncovers the key areas (links) that ultimately resulted in problematic behavior. In doing this analysis you’ll gain insight into what areas contribute to the problematic behavior and solutions for changing that behavior.
  • Then we will talk about the mind-body connection. The idea of this holistic view is that you can’t take care of one without acknowledging it. Our physical health directly impacts our mental and emotional health. Your physical wellness can be armor against mental illnesses.
  • Lastly, we will go into mindfulness use. When practicing mindfulness, you’re focusing on the here and now. If a thought enters, whether about the past or future or something else, you allow them to pass without contributing judgment.

Week 4 & 5: Advanced Mindfulness

Highlights of this week:


  • First, we will talk about what advanced mindfulness is and how to put it to practice.
  • Then. we will go over cognitive diffusion. The main goal of cognitive diffusion is to create separation between ourselves and our thoughts. Our attachments to negative thoughts can result in problematic behaviors and suffering.
  • Finally, we will teach and practice guided imagery. Through practicing imagery, you are able to change the moment.

Week 6 & 7: Advanced Emotional Regulation

Highlights of this week:


  • Define and identify cognitive distortions that we use in our day-to-day life
  • Find ways that these thoughts tend to distort our reality
  • Learn to challenge these cognitive distortions to better regulate our emotions
  • Gain more insight into emotional regulation skills that will assist us in managing very intense or unwanted emotions

Week 8 & 9: Advanced Distress Tolerance

Highlights of this week:


  • Cover how to self-soothe with mindfulness and the five senses. For example, one way that you can remember this technique is to think of soothing all five of your senses.
  • Go over the concept of radical acceptance. This is the idea that it is our attachments and judgments that hold us back. With radical acceptance, you learn to non judgementally accept situations that are out of your control. By doing so, you heal more by letting go of the pain and suffering.

Week 10 & 11: Advanced Interpersonal Effectiveness

Highlights of this week:


  • We will cover how to use positive reinforcement as a powerful skill to change behavior.

Week 12: Review Advanced DBT Skills & Group Closing

Highlights of this week:


  • First, we will review the skills learned
  • Then, answer any wrap-up questions
  • Finally, there will be an informal graduation ceremony and completion certificate provided

How do I get enrolled in the Advanced DBT Skills Group?

Get In Touch With Client Care

First, please call or email our Client Care department to get signed up. 


Get Registered & Set-Up

Our client care representative can speak with you about the appropriateness of DBT for you, expectations for the group, etc. 



Get Started

In addition, we recommend that you seek individual therapy to supplement this group, and we will work with you to set this up as well during registration.  

See What Our Clients Have Said About Working with Elliott Counseling Group 

I find everything to be very accommodating. I have had a few therapists in my time.

With the help of the Elliott Counseling Group, I am finally myself again. Thanks for having such great people at every level of your group.

My time so far with my therapist has been life-changing, as I'm finally realizing a lot about myself and all the unique aspects of who I am that create me.

This is a new experience and better than the symptom management I tended to do at other places. My life is changing for the better.