Radically Open Dialectical Behavior Therapy (RO DBT) in Virginia

Mindful Innovations offers offers Radically Open Dialectical Behavior Therapy (RO DBT) for adults who are highly self-controlled, perfectionistic or emotionally guarded, and who feel lonely or stuck despite working hard. We provide individual RO DBT and skills classes online anywhere in Virginia.

If you're the person who holds it all together but rarely feels close to anyone, RO DBT can help you loosen up, connect with others and feel more at ease in your own life.

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What Is Radically Open DBT?

RO DBT may be a good fit if you:

  • Hold yourself to very high standards and struggle when things aren't done "right"

  • Rarely show emotions, or feel others can't tell what you're feeling

  • Feel distant, lonely or different from other people

  • Find it hard to be spontaneous, relax or accept feedback

  • Have chronic or treatment-resistant depression

  • Struggle with restrictive eating, such as anorexia nervosa

  • Have obsessive-compulsive personality traits or long-standing anxiety

Who DBT Can Help

DBT may be a good fit if you experience:

  • Intense emotions that feel hard to control

  • Self-harm or recurring suicidal thoughts

  • Borderline personality disorder (BPD) or BPD traits

  • Impulsive behaviors, such as substance use, binge eating or spending

  • Frequent conflict or unstable relationships

  • Chronic feelings of emptiness or anger

  • Emotional overwhelm alongside depression, anxiety, PTSD or ADHD

The Four DBT Skills

DBT teaches skills in four areas, each aimed at a different kind of struggle.

Mindfulness

Noticing what you're thinking and feeling in the moment without judging it. Mindfulness is the foundation for every other DBT skill.

Distress Tolerance

Getting through a crisis without making it worse. You'll learn short-term tools for surviving urges and painful moments you can't change right away.

Emotion Regulation

Understanding your emotions, reducing how vulnerable you are to them, and changing the ones you want to change.

Interpersonal Effectiveness

Asking for what you need, saying no, and handling conflict while keeping your relationships and your self-respect intact.

What Our DBT Program Includes

Comprehensive DBT:

  • Weekly individual therapy to apply skills to your own life and goals

  • Weekly skills group (60 minutes) where you learn and practice the four skill areas

  • Between-session phone coaching for help using skills in real moments

  • Therapist consultation team that meets weekly so your clinicians stay effective and consistent

DBT-informed therapy: Individual therapy that teaches and uses DBT skills, without the full program structure. A good option if you want the skills but don't need or can't commit to comprehensive DBT.

What to Expect When You Start DBT

You'll start with an intake assessment to make sure DBT is the right fit. Your therapist will then talk with you about your goals and the commitment involved.

A full cycle through all four skills modules takes about [six] months, and many people complete [two cycles / a year]. You'll get homework, such as practicing skills and tracking emotions on a diary card, because practice between sessions is where most of the change happens.

Start DBT Therapy in Your Home Today

Ready to take the next step? Book a free 15-minute consultation to ask questions and see if DBT is a good fit.

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