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

Six-month bridge from stability to a fuller life

DBT Next Steps

A structured online pathway for DBT graduates who are no longer in constant crisis but remain stuck in avoidance, inconsistent routines, difficult relationships, or a life that has not yet expanded.

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

Your care at a glance

  • Six-month structured online program
  • Weekly two-hour meetings
  • For people with a DBT foundation who are stable enough to build
  • Monthly themes plus a repeatable accountability loop
Fit and safety

Could this support fit your needs?

This service may be right for you if…

  • You completed DBT, DBT skills training, or equivalent work
  • You are not currently in frequent crisis and can participate consistently
  • Avoidance, procrastination, perfectionism, isolation, or unstable routines keep life smaller than you want
  • You are ready to complete assignments and action steps between sessions

A different pathway may be safer or more useful when…

  • Frequent life-threatening behaviour or active crisis requires a higher level of DBT support
  • You need a first DBT skills foundation before advanced life-building work
  • Acute medical, psychiatric, substance-related, or safety concerns need stabilization first
Program structure

Six monthly life-building themes

Each month addresses a different barrier to sustaining a life worth living while the same weekly accountability loop keeps goals connected to action.

Month 1 — Perfectionism and reinforcement

Reduce all-or-nothing standards and build reinforcement for gradual, consistent behaviour.

Month 2 — Relationships

Practise participation, boundaries, repair, reciprocity, and reducing avoidance in connection.

Month 3 — Time management

Create realistic routines, action steps, prioritization, and recovery plans for disrupted weeks.

Month 4 — Emotions

Use emotion-regulation and distress-tolerance skills in the context of real goals and responsibilities.

Month 5 — Succeeding after DBT

Strengthen self-coaching, relapse prevention, maintenance, and decisions about future support.

Month 6 — Mindfulness in application

Use awareness, participation, and wise-mind decision making across the life you are building.
Clinical rationale

Stability is not the same as living

After crisis behaviour decreases, people can still remain isolated, avoidant, under-engaged, or unsure how to build a sustainable adult life. Next Steps uses DBT principles, behavioural accountability, and concrete monthly themes to convert stability into participation and direction.

Make life larger

Move toward community, purpose, relationships, work, learning, routines, and activities that matter.

Reduce avoidance

Break goals into visible actions, review what blocked them, and recommit without turning setbacks into abandonment.

Build self-management

Use a repeatable process for planning, acting, reviewing, troubleshooting, and recovering from drift.
Between-session and practical support

Progress is defined in real-world terms

The goal is not to become better at talking about a life worth living. It is to make behaviour, routines, relationships, and participation measurably more workable.

Action steps

Each ambition becomes a small observable step that can be completed and reviewed.

Troubleshooting

Missed actions are analyzed for barriers, vulnerability, avoidance, skills, environment, and unrealistic planning.

Recommitment

The system treats setbacks as information and returns quickly to the next useful action.
Fees and access

Fees and practical details

Group fees and payment arrangements are confirmed during intake. Graduate, skills-training, or group formats may be excluded by some private or public benefits, even when individual psychotherapy is eligible.

YOUR QUESTIONS

Questions you may have

No. Skills Training teaches the foundational modules. Next Steps assumes that foundation and focuses on generalization, accountability, and life-building.

No. The key question is whether you are stable enough to participate consistently and work on goals beyond crisis stabilization.

No. It is a structured change program with monthly themes, assignments, action steps, review, and troubleshooting.

Six months, with weekly two-hour online meetings.

A larger and steadier life: more participation, more reliable routines, healthier relationships, reduced avoidance, and increased self-sufficiency.

Related pathways

You may also be interested in…

DBT Skills Refresher Plus

Re-ground and strengthen skill use before beginning a longer life-building pathway.

DBT Skills Training

Build the full introductory DBT skill foundation.

DBT Individual Therapy

Address personalized patterns that continue to interfere with life-building goals.

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.