Services Dr. Vay Provides

• Comprehensive DBT
  • Individual Dialectical Behavior Therapy (DBT)
  • DBT Skills Training Group
• Family DBT
• DBT Prolonged Exposure (DBT PE)
• Parent Coaching
• Radically Open Dialectical Behavior Therapy (RO DBT)
• Standard Psychotherapy
• Clinical Consultation

For guidance on identifying a comprehensive DBT program, visit the DBT-Linehan Board of Certification resource for consumers and family members.

DBT-LBC Recommendations for Family Members

DBT vs. Radically Open DBT (RO‑DBT)

Although Dialectical Behavior Therapy (DBT) and Radically Open DBT (RO‑DBT) share common roots in behavior therapy and dialectics, they are designed for different emotional patterns.

DBT — for Undercontrol

DBT was developed to help individuals who struggle with undercontrol, meaning emotions can feel intense, overwhelming, or hard to manage. It’s commonly used for concerns such as borderline personality disorder, self‑harm, impulsiveness, substance misuse, and mood instability. The focus is on emotion regulation, distress tolerance, and reducing crisis behaviors.

RO‑DBT — for Overcontrol

RO‑DBT was developed for individuals who struggle with overcontrol, meaning emotions are tightly restrained, perfectionism is high, and connection with others may feel difficult. It’s often used with chronic depression, anorexia nervosa, obsessive‑compulsive personality traits, and treatment‑resistant anxiety. The focus is on increasing flexibility, emotional expression, and social connectedness.

Core Philosophy

• DBT emphasizes Radical Acceptance — learning to stop fighting reality.
• RO‑DBT emphasizes Radical Openness — actively seeking feedback, questioning rigid beliefs, and being willing to learn from discomfort.

In Summary

• If emotions feel chaotic and out of control, DBT may be the right fit.
• If emotions feel overly contained and connection feels distant, RO‑DBT may be more appropriate.

Both are evidence‑based and highly structured treatments; the difference lies in the emotional style they are designed to address.

A DBT-LBC, Certified Clinician™ hasn’t just taken a DBT training or uses DBT skills in sessions. It means their practice has been independently evaluated and verified for adherence to the model as it was developed by Marsha Linehan through the DBT-Linehan Board of Certification.

You can reach me anytime via the contact page or email at Drvay13@gmail.com

I am not in-network with any insurance plans and do not accept insurance directly. I am considered an out-of-network provider.

If you have out-of-network benefits, I am happy to provide you with a monthly superbill that you may submit to your insurance company for possible reimbursement. Reimbursement rates vary by plan, so I encourage you to contact your insurance provider directly to understand your specific out-of-network benefits, deductible, and reimbursement rate.

Please let me know if you have any questions about this process. I am happy to help you navigate it.