Application for Low Fee DBT Group
We are offering a new format for DBT that offers 1 hours groups rather than 2 hr groups and is available at a lower fee of $45/session. This group is available to people who are experiencing financial hardship.

The group meets on Tuesday or Thursday evenings from 6:30-7:30pm over telehealth. You must commit to a full module. The three modules that comprise the program are below:
  • Distress Tolerance: 8 weeks
  • Interpersonal Effectiveness: 8 weeks
  • Emotion Regulation: 10 weeks
Please complete the following questions in order to be considered for this program.
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Email *
Name: *
Phone Number
Today's Date *
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Annual Household Income *
Are there other people you are financially supporting? Please describe. *
What other sources of financial support do you have? *
Do you have out of network insurance benefits? Please describe. *
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This form was created inside of Bay Area Mental Health. Report Abuse