What Does the Intensive Outpatient Program Include?
Our Intensive Outpatient Program (IOP) offers the care needed while still allowing participants to go about their daily routines. The Intensive Outpatient Program is designed help patients to renew family, work and other responsibilities of daily life, while still receiving treatment services. Participants meet three times a week for six weeks to participate in our three or the five day DBT-IOP. This type of structure allows program participants to continue to work, go to school, and return home each day while still receiving the intense care they need to be successful.
Structure and Design
The DBT-IOP is in the Counseling Solutions Killeen, TX office. Our program is limited to a maximum of seven clients. Research supports our philosophy that DBT should be delivered individually as well as in a small group setting for maximum long-term effectiveness.
Each client meets with their primary therapist weekly as well, not during the IOP hours. Family sessions and/or relationship counseling may also be recommended by the DBT therapist..
All professional appointments need to be scheduled outside of the DBT-IOP program hours in order to avoid missing groups. Every effort will be made to accommodate the client in scheduling these appointments directly prior to or after the IOP for their convenience.
We offer two options for DBT-IOP:
OPTION 1
3 Day DBT-IOP
Monday, Wednesday Friday: 9-12:30
Check In by 8:50 AM, M, W, F
This includes Trauma -focused mindfulness/movement from 9-10:15 AM and DBT Skills Group from 10:30-12:15.,
OPTION 2
5 Day Extended DBT-IOP
Monday – Friday, 9-12:30
Check in by 8:50 AM, Monday -Friday
This includes Trauma -focused mindfulness/movement from 9-10:15 AM and DBT Skills Group from 10:30-12:15 on Monday, Wednesday, and Friday.
Tuesday and Thursday also begins with mindfulness through movement but utilizes different approaches daily in order to teach the clients many options to utilize on their own. After the mindfulness exercise, the client will be attending psychoeducational seminars, motivational groups, specific trauma-based processing activities centered on their specific needs.
At 10:30, each client will be accompanied to Horsin’ Around Recovery Ranch’s horse arena, on the back six acres of our property. For 1.5 hours, the client will interact with their psychotherapist and horse specialists. Much research has been done as to the affectiveness of horses in treating PTSD, mood disorders, anger issues, etc. The Recovery Ranch also houses miniatures and assorted other smaller animals for therapeutic approaches.
What is DBT?
Dialectical Behavioral Therapy (DBT) is an in-depth look at self and the world around us. It teaches us to accept this “life” in the present moment and to be present in everything we do. It helps us work through and provides us with new skills to manage painful emotions and decrease conflict in relationships. DBT can be overwhelming at times because we must work at facing negative emotions and thoughts to increase tolerance of them, rather than trying to escape from them. It makes us reflect on our problems and look at how our thoughts and emotions can cause them, but in return it provides us the strategies to manage and change if they are indeed the cause of the problems. It gets us to really look at the relationships in our lives. DBT provides you techniques that allow a person to communicate with others in a way that meets the objective they are trying to obtain, maintain their self-respect, and learn to either let go of or strengthen those relationships. It is finding a way to hold two perspectives at once, finding a balance between them, and avoiding the black and white or the all-or-nothing thinking. It is about validating us and others when the emotions and thoughts are based on facts, not assumptions.
What can I expect DBT skills groups to be like?
DBT skills group meet once a week for an hour and fifteen minutes. We ask that you are willing to commit to six weeks to complete the program. The group will review homework, teaches new skill(s), and assigns homework. These groups are education driven not “process” or “talk” oriented. Group members are strongly encouraged to share their homework and other examples of skill use to help enhance the skills are being used as effectively as possible.
Is DBT-IOP covered by insurance?
Prior to beginning the DBT-IOP, a client must meet with our intake coordinator(s). They will assist in contacting insurance to aid client in determining what their insurance covers, the deductible, and what will be billed vs due out-of-pocket.
Do you have to have insurance to join the DBT-IOP?
No. Some clients do not have insurance or have chosen to pay out of pocket for the DBT-IOP.
What is the foundation of Dialectical Behavior Therapy (DBT)?
Dialectical Behavior Therapy (DBT) is a new type of psychotherapy or “talk therapy.” Developed by Marsha Linehan, Ph.D., DBT was first introduced over a dozen years ago as a treatment for Borderline Personality Disorder (BPD). People with BPD experience intense emotions which lead to actions such as self-injury, anger outbursts or abrupt ending of important relationships. Although these actions temporarily reduce emotional pain they often wind up causing independent problems that can make life even more difficult.
Historically, BPD has been thought of as one of the most difficult problems to address effectively. Several research studies, often referred to as clinical trials, have demonstrated that DBT is an effective treatment for adults with BPD. Both the American Psychological Association and the American Psychiatric Association currently consider DBT to be a first-line treatment for BPD.
As a result of DBT’s success in treating adults with BPD, it has also been modified so that it can be used with other difficulties such as eating disorders, substance use, and anger management.
For DBT to be successful, the treatment must do two things effectively: (1) teach skills that people need in order to move closer toward their life goals, and (2) help people cultivate an ability to work these skills into their daily lives. Our Accelerated DBT Program is designed to help participants achieve both of these goals.
What happens after the completion of the six-week DBT-IOP?
For some this is all that is needed, and no further DBT treatment is required. Others will transition into our standard DBT Clinic. If needed, it is also possible to repeat the DBT-IOP.
What is the difference between the DBT-IOPs and the DBT Clinic?
The IOPs (three day and five day) are for people who experience maladaptational functioning in their every day lives/quality of life due to their diagnosis and/or a problematic lack of coping skills. The IOPs are an intensive approach to address the behaviors more quickly without being admitted to a hospital setting. If a client misses part of one day, they will not receive credit for that day nor will there be a “redo” of that day’s lessons. It is IMPERITIVE the client attend each three hour day for maximum benefit.
The DBT Clinic meetings will occur 1-2 times per week, one hour each. The groups are still 7 or less, led by our Certified DBT Therapists. The client attending the Clinic is not experiencing malaptive behaviors on a daily basis that compromise their quality of life/job/school. This approach is not as intensive as the IOPs. Many of our clients prefer to complete the five day IOP while in crisis in order to stabilize behaviors and structure. They then choose to attend the DBT Clinic for maintenance. The DBT Clinic is comprised of 28 lessons. These are either done in 14 or 28 weeks. Classes can be made up if needed.
How do I get in to the programs?
- Call 254.519.1144. Leave a message if it is after hours. We will call you back.
- Email us at counselingsolutions4you@gmail.com.
- We will assist you in the next steps required.
What is the procedure for the IOPs?
- You will need a referral from a licensed mental health professional. We have a form.
- You need to schedule an intake and testing with our DBT professional (about 45 minutes).
- A needs assessment for you will be completed so we can individualize our program to meet your specific needs. Although some of our curriculum is group based, each client has a specific needs profile that will guide their therapy and wellness.
**we maintain a waiting list for our programs if needed
COUNSELING SOLUTIONS
14138 South Highway 195
Killeen, Texas 76542
254.519.1144
Facebook @ counselingsolutionskilleentx