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Dialectical Behavioral Therapy (DBT) Coursework is used as a didactic adjunct to individual psychotherapy, process groups, and other psychological and psychiatric interventions. DBT is a bio-social-psycho-educational approach, utilizing worksheets, reading, group discussion, and lecture, with the stated goal of self-discovery and understanding emotional processes. An open group format is utilized so that an individual can enter the group at any point during any of the four components without being confused. There are four components to DBT: Distress Tolerance/Crisis Management; Emotional Regulation/Process Evaluation; Mindfulness/Awareness and Insight; Interpersonal Effectiveness/Understanding Relationship Dynamics. Distress Tolerance/Crisis Management Distress Tolerance identifies tools to improve coping with painful events by building resiliency, softening reactions, refocusing on the present, self, and what is possible. Key concepts include Radical Acceptance as a process, Self-Soothing vs. self-indulgence, and Turning the Mind. Emotional Regulation/Process Evaluation Emotional Regulation helps identify and observe present moment feelings, internal and external causes, balancing emotions and checking-the-facts, and understanding how emotions affect thoughts and behavior, and how to modulate emotional responses. Mindfulness/Awareness and Insight Mindfulness teaches practices to increase awareness, inner wisdom, reduce judgmentality and increase understanding, observe environment, emotions, body, and thoughts, and decrease self-destructive behavior. Interpersonal Effectiveness/Understanding Relationship Dynamics Interpersonal Effectiveness provides new tools to express your values, beliefs, wants and needs, understand relationship hierarchies vs. peer to peer relationships and ‘rules’ that apply, negotiate solutions, set limits, treating yourself and others with respect, and balancing immediate vs. long-term relationship goals.