anonymous asked:

how much does dbt cost? how do ppl afford it?

This really depends on which country you’re in, and it also depends on how much your insurance covers, if you are insured. DBT is very expensive, unfortunately, and I’ve read it can cost up to $46k per year. Any research I do on cost seems to vary depending on the clinic and the location, so I can’t give you a real answer. If you’re paying for it on your own, you can probably expect anywhere from $100-200 per session, though with insurance, you may have something like a $20-50 copay, but that may not be entirely accurate. It varies.

The high cost and lack of availability is the reason I haven’t been able to do DBT myself. Some people can afford it because they may live in countries where healthcare isn’t as ridiculous as it is in the US, and some people may have better insurance.


It really depends on your area, what country you’re in, whether it’s through a hospital or private, etc.  Since Mea gave you an American answer, I’ll give you a Canadian one.

I’m Canadian, and while a hospital in my area offers a free DBT program through them, I’m ineligible because of my postal code.  Most people in Canada, if they get DBT at all, get it through a hospital so it’s free. Unfortunatly only a few hospitals in the country have DBT programs and they’re very hard to get into and have incredibly long waiting lists (some places it’s 3 years).

So I have to go to a private DBT centre and the financial burden is pretty significant.  DBT can be more expensive than other forms of therapy since you usually have to pay for the group component as well as the individual therapy.  Depending on where you are and what type of therapist you’re seeing, individual therapy for DBT at my centre is anywhere between $120-175 CND.  When I went to DBT in Atlantic Canada, it was $140/h with a registered psychologist who trained with Marsha Linehan, rather than out here in Vancouver where a registered psychologist trained in DBT costs $175.   For full DBT, usually you’re looking at one individual session a week and then one group session a week, which can add up to around $10,000 if you go every single week in a year at the highest pay rate.  Which is why we’re careful to stress how difficult it is to access therapy for so many people, because the financial burden is just so huge.

Some therapists help low-income clients out by having a sliding scale payment method, where basically your financial capabilities determine what you end up paying. However, many therapists don’t do this and it’s virtually impossible to find other funding for therapy.  There really aren’t any grants for this sort of thing, and extended health insurance (at least in Canada) is generally very bad at covering an adequate amount of psychologist visits for health insurance to be of any use to me.  The only financial assistance that has ever been suggested to me is going on disability and using that monthly amount of money to pay for therapy, which is possible.  But most people who are eligible to go on disability need that money to pay rent and feed themselves, so it’s not a very good solution.

Unfortunately the way people afford therapy most of the time is either 1) they’re rich enough to be able to finance it with no problems or 2) people go into debt to get the therapy they need.   Otherwise, people can’t go to therapy most of the time, or they can’t go often enough to get the amount of help they really need.

I wish I had better news for you, but mental health care is very inaccessible for the vast majority of people.  DBT is even worse in most cases because it’s so specialized.  That’s why on this blog we try to give people as many tools as possible to manage their disorder on their own, because we recognize that therapy isn’t an option for probably most of our followers.  You can always try to walk yourself through DBT, using either some of the worksheets here or here, or by buying the DBT Skills Workbook or the DBT Skills Training Manual, both of which you would be using in professional DBT anyway.


I’m also Canadian, and the DBT services are held through the mental health services branch in my town. I live in a smaller town so the branch can handle influx of people and leave the more emergency and life threatening stuff for the hospital. It’s all free for me, but since it is a smaller town, we have what my therapist calls “DBT light”. No one here is certified to do the full DBT course and so they’ve had to develop a light form that doesn’t full address most things.


anonymous asked:

Is it possible to build a healthy relationship while I'm still in recovery from BPD? There's this guy I like, but I don't feel like anyone could ever like me the way I am now. What if he thinks that I'm too sensitive?

Yes it’s possible! I’ve been in a healthy relationship with my significant other coming up on 3 years. Of course, there will be ups and downs just like any relationship, and with ours it can be harder because I have bpd and he has anxiety. But if you both care about each other, keep communication open the best you can, and keep all your interactions as compassionate as possible, it can happen. It can be difficult, and it takes a ton of effort, but it can work.

If this guy you like thinks you’re too sensitive, he probably will be no good for you. Everyone needs to go through the learning process that sensitivity isn’t bad just because the entire world is constantly teaching us that feelings are bad and if you have them, it’s Too Many. But feelings are good and important!! For some people, the unlearning process is really fast once they themselves realize they don’t have to stifle their feelings, and get to experience their emotions in a freer way. So if he thinks you’re too sensitive, you can try to help him unlearn the “feelings=bad” idea from society, but if he’s unwilling, hes not worth your time.

You’re so strong, you’re trying to recover, you deserve someone who will support you




anonymous asked:

Could it be a behavior of bpd to get so overly excited that you end up unintentionally hurting yourself? For example I know that when something happens on tv that gets me wound up I end up hitting myself in the face and I can barely control it.

I know people with bpd report a lot of different physical reactions when they’re emotions are on high, things like light and sound sensitivity or headaches, etc. Your brain is kind of like a machine and when it’s overworked or overheating, theres a higher chance for it to make a mistake.

When your brain is firing on all cylinders for something you’re excited about, it can take energy from other parts. When I get excited I get my words all mixed up, when I’m stressed, I run into things I normally would avoid with ease. When I’m having an episode I accidentally hurt myself a lot and experience a lot of light and sound sensitivity.


anonymous asked:

How do the Mods feel about the movie "Girl Interrupted"?

I personally have never watched or read it because it is the one thing people use to discredit and invalidate me when I bring up my diagnosis. They assume I only think I have bpd because I’ve read or seen it, and that fact that I haven’t is the only way a lot of people take me seriously. I would like to watch or read it one day, but its become such a “thing”, I’m not sure I’ll be able to.I have heard it can be a good read for understanding and a good example of representation, though, but I couldnt say for myself.

Any other mods?