Immediate danger? Call 911. Health advice: call 811. Suicide crisis support: call or text 988.

One-to-one structured DBT care

DBT Individual Therapy

When intense emotions make it difficult to use what you know, individual DBT gives you space to work through your own situations and practise responses that support your goals.

You don’t need to choose a program before contacting us. Intake does not commit you to treatment.

Your care at a glance

Appointments

Weekly individual sessions, commonly 50 minutes.

In your session

Review your diary card, understand a difficult situation, and practise a response.

Between sessions

Agreed practice; secure support when included in your treatment plan.

Delivery

Secure online care across Saskatchewan when appropriate.

Fit and safety

Could this support fit your needs?

This service may be right for you if…

  • You need one-to-one treatment rather than skills education alone
  • Your patterns involve significant risk, self-harm, suicidal thinking, impulsivity, severe avoidance, or repeated relationship rupture
  • You are willing to review what happened between sessions and practise new responses
  • You want a treatment plan with clear priorities rather than open-ended supportive conversation

A different pathway may be safer or more useful when…

  • Immediate danger, acute mania, psychosis, intoxication, or medical instability requires emergency or medical care first
  • A structured skills group may be enough when risk is lower and the primary goal is learning DBT tools
  • Guided Self-Help may fit when weekly therapy is not needed and self-directed work is realistic
Program structure

What usually happens in a DBT individual session

The session is structured enough to preserve direction and flexible enough to respond to what occurred during the week.

1. Review the week

Use the diary card, recent events, urges, behaviours, and skill use to identify the highest-priority target.

2. Analyse the pattern

Map vulnerabilities, prompting events, links in the chain, consequences, and points where another response could become possible.

3. Practise a new response

Rehearse specific DBT skills, communication, problem solving, exposure, validation, or contingency changes.

4. Make the plan usable

Leave with a concrete practice plan and a clear understanding of what will be reviewed next time.
Treatment priorities

We do not try to address everything at once.

01 · Life-threatening behaviours

Start with safety and behaviours that threaten life.

02 · Therapy-interfering behaviours

Address barriers on either side of the therapeutic relationship.

03 · Quality-of-life interfering behaviours

Work on patterns that disrupt relationships, health, work, and daily living.

04 · Skills acquisition and life-building

Build capabilities throughout treatment while moving towards meaningful goals.

These are Stage 1 treatment priorities. Skills are taught and practised throughout; life-building is not a promise of a fixed or linear recovery sequence.

Behavioural analysis

Find a point of choice.

When intensity takes over
Trigger. Something happens. Emotion + body. An interpretation, a surge, a physical cue. Urge. The pull towards a familiar response. Choice point. More choice becomes possible here. Notice the urge and bring in a practised skill. Familiar response. Brief relief may bring a familiar cost. Skilful response. A different action may change what happens next.

A simplified behavioural chain. Vulnerabilities and consequences are explored together in treatment.

Illustrative example · not client data

Your week in DBT.

A fictional diary-card entry for discussion in treatment
Important eventA difficult conversation
Emotion intensityAnger: 4 out of 5
UrgeSend repeated messages: 4 out of 5
Target behaviourRepeated messages: 0
Skills usedPause, observe, check the facts
Progress markerWaited, then made one clear request

Reviewed together

What happened? What came before it? What helped, and what did not? What will we practise next?

The public report is fictional. Your clinician will explain whether reports are included, how to submit your diary card, and when it is reviewed. Diary submissions are not continuously monitored or an emergency contact channel.

Between-session and practical support

The work between sessions is part of treatment

DBT aims for skills to become available when pressure is high. Depending on the treatment plan, support can include diary cards, assigned practice, secure messaging, digital learning materials, crisis planning, and coordination with other professionals.

Diary cards

Track target behaviours, urges, emotions, and skill use so treatment is based on patterns rather than memory alone.

Skills and assignments

Practise selected methods in the situations where the old pattern usually takes over.

Between-session coaching

When included, brief contact helps apply skills before the situation becomes a full crisis—not process an entire therapy session by message.

Messaging and learning materials

When included in your treatment plan, secure messaging can help clarify assigned practice and connect it to the next appointment. Selected clients also receive learning materials through the STG Online Clinic. Your clinician explains what is available and the agreed response boundaries.

Fees and access

Fees and practical details

Individual counselling currently ranges from $140 to $225 per 50-minute session. Private-insurance reimbursement depends on the assigned clinician and plan. Public-benefit coverage requires confirmation of client eligibility, provider status, service type, and authorization; current Métis Nation–Saskatchewan funding should not be assumed.

YOUR QUESTIONS

Questions you may have

No. Intake considers the behavioural pattern, risk, functioning, current supports, goals, and whether DBT is clinically appropriate.

Comprehensive DBT includes both individual therapy and skills training. Some people receive individual DBT-informed care or another pathway when the full model is not indicated or available.

A brief weekly record of target behaviours, urges, emotions, and skills. It helps the session focus on what actually happened rather than relying only on recall.

DBT can support routines, distress tolerance, emotion regulation, and relationships, but it does not replace medical assessment or medication management for bipolar disorder.

No. Call 911 or go to the nearest emergency department for immediate danger. HealthLine 811 and 988 are additional crisis resources.

Related pathways

You may also be interested in…

DBT Skills Training

Learn and repeatedly practise the four DBT skills modules.

Comprehensive DBT

Combine individual DBT, skills training, coaching, and therapist consultation when the full model is indicated.

DBT-PE for PTSD

Consider trauma-focused work after sufficient stability and readiness have been established.

You can work out the next step with us.

Tell us what has been difficult and what you hope to change. A clinician reviews your needs and explains the recommended support, practical arrangements, and next steps.

No referral is needed to contact the clinic. Your funding provider may have separate referral or authorization requirements.