Your Questions, Answered

  • I offer comprehensive Dialectical Behavior Therapy (DBT), DBT Prolonged Exposure (DBT PE), Parent Coaching, Radically Open DBT (RO DBT), standard Psychotherapy, and Clinical Consultation.

    Services I provide

    • Dialectical Behavior Therapy (DBT)

      • Evidence-based treatment for emotion regulation, self-harm urges, impulsivity, interpersonal conflict, and crises.

      • Individual therapy, skills training, and phone coaching to generalize skills into daily life.

      • Structured, goal-oriented approach with clear behavioral targets and ongoing progress monitoring.

    • DBT Prolonged Exposure (DBT PE)

    • Parent Coaching

      • Practical, skills-focused coaching to improve parent–child relationships, reduce conflict, and increase overall communication.

      • Support for parents of children across developmental stages and for caregivers navigating neurodiversity, mood or behavior challenges, and transitions.

    • Radically Open Dialectical Behavior Therapy (RO DBT)

    • Standard Psychotherapy

      • Integrative, evidence-informed individual therapy for anxiety, depression, trauma, relationship difficulties, life transitions, and other mental health concerns.

      • Collaborative treatment planning, symptom monitoring, and use of empirically supported techniques matched to your needs.

      • Short-term and longer-term options depending on treatment goals.

    • Clinical Consultation

      • Consultation for clinicians seeking case formulation support, DBT implementation with behavioral rehearsal and role-play demonstrations

      • Review of difficult cases, treatment planning, fidelity to evidence-based models, and support for team consultation structures.

      • Flexible formats: hourly consultation, case consultation groups, and program development assistance.

  • Components of a Comprehensive DBT Program - DBT-LBC

  • Although Dialectical Behavior Therapy (DBT) and Radically Open DBT (RO-DBT) share common roots in behavior therapy and dialectics, they are designed for different emotional patterns.

    DBT was developed to help individuals who struggle with undercontrol, meaning emotions can feel intense, overwhelming, or hard to manage. It’s commonly used for concerns such as borderline personality disorder, self-harm, impulsiveness, substance misuse, and mood instability. The focus is on emotion regulation, distress tolerance, and reducing crisis behaviors.

    RO-DBT, on the other hand, was developed for individuals who struggle with overcontrol, meaning emotions are tightly restrained, perfectionism is high, and connection with others may feel difficult. It’s often used with chronic depression, anorexia nervosa, obsessive-compulsive personality traits, and treatment-resistant anxiety. The focus is on increasing flexibility, emotional expression, and social connectedness.

    Another key difference lies in the core philosophy:

    DBT emphasizes Radical Acceptance, learning to stop fighting reality.

    RO-DBT emphasizes Radical Openness, actively seeking feedback, questioning rigid beliefs, and being willing to learn from discomfort.

    In summary:

    If emotions feel chaotic and out of control, DBT may be the right fit.

    If emotions feel overly contained and connection feels distant, RO-DBT may be more appropriate.

    Both are evidence-based and highly structured treatments, the difference lies in the emotional style they are designed to address.

  • A DBT-LBC, Certified Clinician™ hasn’t just taken a DBT training or uses DBT skills in sessions. It means their practice has been independently evaluated and verified for adherence to the model as it was developed by Marsha Linehan through the DBT-Linehan Board of Certification.

  • You can reach me anytime via the contact page or email at Drvay13@gmail.com

  • I am not in-network with any insurance plans and do not accept insurance directly. I am considered an out-of-network provider.

    If you have out-of-network benefits, I am happy to provide you with a monthly superbill that you may submit to your insurance company for possible reimbursement. Reimbursement rates vary by plan, so I encourage you to contact your insurance provider directly to understand your specific out-of-network benefits, deductible, and reimbursement rate.

    Please let me know if you have any questions about this process. I am happy to help you navigate it.