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Making the Transition Back to College Easier with a Counselor’s Help

Going back to college can be both exciting and overwhelming. Whether you’re a freshman or returning for another year, the transition can bring new challenges. Speaking to a counselor can make this process smoother. Here’s how a counselor can help you with various aspects of your college life.

Coordinating Class and Social Schedules

Balancing academics with a social life is vital for a well-rounded college experience. A counselor can help you coordinate your class schedule with your social activities. They can assist you in finding time for clubs, sports, and social events without compromising your studies. This balance can enhance your college experience, helping you stay engaged and motivated.

Creating New Study Habits 

Effective study habits are key to academic success. If you’re struggling with your current methods or facing new academic challenges, a counselor can provide strategies to improve your study habits. They can introduce techniques like time management, active learning, and setting realistic goals. With their support, you can develop a study routine that works best for you, boosting your productivity and confidence. As for the study habits part, the counselors help combat task paralysis and procrastination/motivation concerns. Disorders like ADHD and Anxiety can make keeping up with scholastic responsibilities more difficult, and a counselor can help build new skills and coping mechanisms.

Finding New Self-Care Strategies

College life can be stressful, making self-care more important than ever. A counselor can help you identify self-care strategies that fit your lifestyle and needs. Whether it’s regular exercise, mindfulness practices, or hobbies, they can guide you in integrating self-care into your daily routine. This can help you manage stress, stay healthy, and maintain a positive outlook throughout the school year.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we understand the challenges of returning to college. Our counselors are ready to help you navigate this transition with ease. We offer free 15-minute screenings to get you started, and we can set up an evaluation to create a personalized plan for your success. Reach out to us today, and let us support you on your college journey.

 

Empowering Parents and Caregivers of Special Needs Children: The Impact of Mental Health and Peer Support

Parenting is an adventure full of joyful moments, challenging times, and learning opportunities. While parenting is tough and offers both challenges and chances for growth, raising a child with special needs comes with its own unique set of difficulties and rewards. Parents and caregivers of special needs children often have to attend multiple specialist appointments, ensuring their child receives the right care and support at school and other settings. They also participate in meetings to advocate for their child’s needs, research and locate specialized treatments and services, and spend additional money on treatments not covered by insurance. Additionally, they must learn about their child’s unique requirements and take care of themselves to manage the physical and emotional demands of caregiving. It’s no wonder that parents of special needs children are often called superheroes.

Understanding the Challenges

Parents and Caregivers of special needs children face many challenges that can affect how they feel:

  • Chronic Stress: Attending multiple doctor and specialty visits, therapy sessions, school meetings, and daily care routines can be challenging.
  • Emotional Impact: Parents of children with special needs often feel guilt, frustration, worry, or isolation. They may struggle with a lack of support or finding others who understand their situation. Social events can be challenging due to their child’s unique needs, and they may experience grief over a different parenting journey than they had imagined.
  • Financial Pressure: Special treatments and therapies can be costly and not always covered by insurance, adding even more stress.
  • Navigating Systems: It’s hard to know where to receive support, understand the different available services’ processes, and get timely and accessible services.

The Role of Mental Health

As a parent or caregiver, taking care of your own mental health is not always on the top of the priority list when there are so many other things that need care, but it is equally as important. We cannot pour from an empty cup. Learning ways to handle stress and anxiety brings an opportunity to give yourself support, model support for other parents and caregivers, and model for your children that taking care of yourself and their own mental health is essential, strong, and normal. Even superheroes have a little support, and that’s okay.

  • Managing Stress: Learning to navigate stress helps parents and caregivers face challenges and increase their ability to respond to difficulties versus react. 
  • Emotional Support: Having someone to talk to who can be a listening ear, a shoulder to cry on, or give a hug that takes our breath away can make a difference; who’s your superhero sidekick or team? 
  • Self-Care: Taking time to yourself that’s just for you helps you to understand your own unique needs, be more present for your child and loved ones, and respond accordingly in times of stress. Make a list of self-care ideas, something sustainable and achievable. 
  • Building Resilience: Developing self-awareness around your own mental health needs, managing your emotions, and accessing support when needed helps parents deal with tough times; you’re adding tools to your superhero tool belt. 

The Power of Peer Support

Talking to other parents and caregivers who are going through similar situations can help:

  • Shared Experiences: Connecting with other parents and caregivers who understand what you’re going through can encourage connection and help you feel less isolated.
  • Practical Tips: Other parents and caregivers can give guidance based on their own experiences that might help you or lead you to additional resources. It’s important for superheroes to come together when needed. 
  • Feeling Empowered: Knowing that other parents and caregivers support you can boost your confidence and give you inspiration. 

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we know how important mental health and support are for parents and caregivers of special needs children. Here’s what we offer:

  • Free 15-Minute Screening: Call us to set up a free 15-minute talk with one of our counselors. It can help you decide if therapy might be helpful for you.
  • Therapy that Fits You: Our counselors are experts at helping parents with treatments that work and are tailored just for you.
  • Peer Support Groups: Join other parents and caregivers like you in groups where you can share stories, learn, and support each other. 

Supporting parents and caregivers of special needs children means caring for both the kids and the parents and caregivers themselves. When we focus on mental health and peer support, we partner with parents and caregivers to assist in providing the superhero strength they need for their journey.  

 

Contact Carolina Therapy Connection at 252-341-9944 or visit carolinatherapyconnection.com to learn more.

 

What is Play Therapy in a Mental Health Setting? 

Play Therapy is a type of therapy that uses play to help children understand and deal with their emotions and problems. It’s a natural way for kids to express themselves and work through issues they may face. In a mental health setting, Play Therapy can be very helpful in addressing various psychological problems, offering many benefits for young patients.

Appropriate Age Range for Play Therapy

Play Therapy is usually for children aged 3 to 12 years. However, it can also be adjusted for older kids and teens who might benefit from it. This flexibility makes Play Therapy accessible and useful for different age groups, ensuring that each child gets the support they need in a way that works for them.

Who Can Benefit from Play Therapy?

Play Therapy can help children with many emotional and behavioral problems, including:

  • Anxiety and depression
  • Trauma and PTSD
  • Behavioral disorders
  • ADHD
  • Autism Spectrum Disorders
  • Social and relationship issues
  • Grief and loss

Children can deal with complex emotions and experiences by playing in a safe and supportive environment. This therapy is also great for kids who may struggle to talk about their feelings, as it lets them communicate through play.

The Process of Play Therapy

The Play Therapy process has several stages, each tailored to the child’s needs:

  1. Assessment: The therapist first understands the child’s needs, behaviors, and family situation.
  2. Building Rapport: Creating a trusting relationship between the therapist and the child is crucial. This is done through engaging and non-directive play.
  3. Therapeutic Play Sessions: In these sessions, the child can play with various toys and materials. The therapist watches and interacts, using specific techniques to address the child’s problems.
  4. Parental Involvement: Parents or caregivers are often involved in the therapy process, receiving guidance to support the therapy at home.
  5. Evaluation and Progress Monitoring: The counselor regularly checks the child’s progress and adjusts the therapy as needed.

Positive Impact on Mental Health

Play Therapy provides deep insights into a child’s emotional world and helps them develop healthier coping skills. It builds resilience, enhances emotional intelligence, and improves problem-solving abilities. By working through their issues in a playful and non-threatening way, children can achieve significant psychological growth and stability.

How Can Carolina Therapy Connection Help?

At Carolina Therapy Connection, we understand how powerful Play Therapy can be. Our team of skilled mental wellness counselors is here to support your child’s mental health journey. We offer free screenings to see if Play Therapy is the right fit for your child. Contact us today to schedule a screening and take the first step toward your child’s mental well-being.

 

Understanding Eye Movement Desensitization and Reprocessing (EMDR) Therapy

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a special treatment that helps people heal from trauma and other difficult experiences. Created by Francine Shapiro in the late 1980s, EMDR is now used to treat many mental health issues.

Benefits of EMDR Therapy

This therapy has several advantages:

  1. Quick Results: EMDR often works faster than regular talk therapy. Many people feel better after just a few sessions.
  2. Trauma Treatment: EMDR is very good at treating post-traumatic stress disorder (PTSD) and other trauma-related problems.
  3. Whole-Person Healing: EMDR addresses the root cause of distress, helping people feel better overall.
  4. Versatile: EMDR can help with anxiety, depression, phobias, chronic pain, and grief.
  5. Less Need for Medication: Some people find they need less medication when using this method.

The EMDR Therapy Process

This therapy has eight phases:

  1. History Taking: The counselor learns about your history and plans your treatment.
  2. Preparation: The counselor explains how this type of therapy works and teaches relaxation techniques.
  3. Assessment: The counselor identifies specific memories and the negative beliefs and feelings connected to them.
  4. Desensitization: The counselor uses bilateral stimulation, like guided eye movements, to help you process the traumatic memory and lessen its emotional impact.
  5. Installation: Positive beliefs replace the negative ones linked to the traumatic memory.
  6. Body Scan: You check for any leftover physical tension related to the memory.
  7. Closure: The counselor ensures you feel safe and stable before the session ends.
  8. Reevaluation: The counselor checks your progress and addresses any remaining issues in future sessions.

Differences Between EMDR and Other Therapies

EMDR is different from other therapies in a few ways:

  • Eye Movements: This type of therapy uses bilateral stimulation, like eye movements, to help process memories, which is different from regular talk therapy.
  • Memory Focus: EMDR targets specific memories and the negative feelings linked to them rather than just focusing on current symptoms.
  • Faster Relief: Many people feel better faster with this type of therapy when compared to other types of therapies.

Who is Appropriate for EMDR Therapy?

This therapy can help many people, including those who:

  • Have experienced trauma, like abuse, accidents, or natural disasters.
  • Suffer from PTSD or other trauma-related conditions.
  • Struggle with anxiety, depression, or phobias.
  • Have unresolved grief or loss.
  • Experience chronic pain or distress related to illness.
  • Want an alternative to traditional talk therapy or medication.

How Can Carolina Therapy Connection Help?

Carolina Therapy Connection offers EMDR therapy as part of our mental wellness and counseling services. Our trained counselors are ready to help you find relief from trauma and other distressing issues. We provide a free screening with one of our mental wellness counselors to get you started. Contact us today to schedule your screening and take the first step toward healing.

For more information or to make an appointment, visit our website or call our office. We look forward to helping you improve your mental well-being.

 

The Benefits of Teletherapy in Mental Health Settings

Teletherapy has become very popular in recent years. It uses technology to provide mental health services through video calls, phone calls, or online chats. This method makes getting help easier for many people. In this blog, we’ll look at the benefits of teletherapy, who can use it, and how it can help everyone.

What is Teletherapy?

Teletherapy, or online therapy, lets you talk to a counselor from home using your computer or phone. This means you don’t have to travel to a counselor’s office to get help.

Benefits of Online Therapy

  1. Accessibility and Convenience: Online therapy makes it easier to get help no matter where you live or how busy you are. You can have therapy sessions from home, work, or any private place.
  2. Comfort and Privacy: Being in your own space can make it easier to talk and open up during therapy. Teletherapy also keeps your therapy sessions private since you don’t have to go to an office.
  3. Flexibility: You can schedule therapy sessions at times that work best for you, including evenings and weekends.
  4. Continuity of Care: If you travel a lot or have a busy schedule, teletherapy allows you to keep having regular sessions with your therapist, no matter where you are.
  5. Reduced Stigma: Some feel embarrassed about visiting a counselor’s office. Virtual sessions can help reduce this embarrassment and make it easier to seek help.

Who Can Benefit from Virtual Sessions?

Teletherapy is great for many different people, including:

  • Busy Professionals: People with demanding jobs can easily fit virtual sessions into their schedules.
  • Parents and Caregivers: Teletherapy allows parents and caregivers to get support without needing to find someone to watch their kids.
  • Individuals with Mobility Issues: Teletherapy is perfect for people with difficulty traveling due to physical disabilities or chronic illnesses.
  • Rural Residents: People living in remote areas can get mental health services that are unavailable nearby.
  • Students: College students can fit virtual sessions into their busy academic schedules.
  • Anyone Seeking Convenience: Virtual sessions are ideal for anyone who wants ease of getting therapy from home.

 

How Teletherapy Benefits the Everyday Person

Teletherapy can help people improve their mental health every day. It makes getting support easier, more flexible, and more private. Virtual sessions help people take care of their mental health without dealing with the challenges of traditional therapy.

 

How can Carolina Therapy Connection help?

Meet Imani Rodriguez; she is here to explain the benefits of online therapy for all ages!

 

We can help by setting up a free screening with one of our mental wellness counselors to get started! At Carolina Therapy Connection, we offer high-quality teletherapy services that fit into your life. Contact us today to learn more about our virtual session options and take the first step toward better mental health.

 

Zones of Regulation

What are the Zones of Regulation?

The Zones of Regulation is a curriculum that your child’s therapist may use to help your child develop self-regulation skills. Self-regulation is “the ability to achieve the preferred state of alertness for the given situation.” Other terms often interchanged for self-regulation include self-control, impulse control, and self-management. The curriculum focuses on lessons and activities to help the child identify their different “Zones” and strategies to increase self-regulation. Additionally, your child will be able to increase their understanding of emotions and coping skills. 

The Zones: Self-Regulation

“The Zones of Regulation creates a system to categorize how the body feels and emotions into four colored Zones with which the students can easily identify.” 

There are four zones within the Zones of Regulation

  • Blue Zone
  • Green Zone
  • Yellow Zone
  • Red Zone

The Blue Zone is a state of low alertness. Feelings can include sad, tired, sick, or bored. 

 

The Green Zone is a state of ideal alertness. This includes feeling calm, happy, or focused.

 

The Yellow Zone is a state of heightened alertness. Feelings can include frustration, worry, excitement, silliness, or fear. 

 

The Red Zone is a state of extremely heightened alertness. This includes anger, rage, extreme fear, and explosive behavior. 

 

How are the Zones used?

Your child’s therapist will work with them to identify which Zone they are in and strategies to help them self-regulate within each Zone. They will work together to develop a “toolbox” with strategies and techniques for obtaining optimal alertness in everyday situations. It is important to understand that no zone is “bad,” and all are expected from time to time. Instead, the intention is to help your child identify tools and coping strategies to self-regulate within each Zone. 

 

What can Carolina Therapy Connection help?

For the Zones of Regulation to work as intended, home carryover is super important. Strategies include using the same language and talking about the Zones within the home and community environments. Applying strategies to yourself can also increase carryover. For example, you may say, “This is super frustrating, and I am starting to go into the Yellow Zone. Maybe I will take some deep breaths.” Additionally, validate the zone that the child is in and help them implement the strategies and tools to self-regulate. Your child’s therapist can share the language and strategies used with the Zones of Regulation to increase carryover at home. 

 

By: Carolina Zissette, OT

 

Nurturing Mental Wellness in Children: The Vital Role of Pediatric Therapy

In today’s fast-paced world, children face many challenges that can impact their mental well-being. From academic pressures to social dynamics, the stressors they encounter can take a toll on their emotional health. As parents and caregivers, it’s essential to recognize the signs of mental distress in children and provide them with the necessary support to thrive.

At Carolina Therapy Connection, we understand the importance of nurturing childhood mental wellness from an early age. Our comprehensive counseling services are designed to address various issues, empowering children to develop coping mechanisms and build resilience for life’s challenges.

Understanding Childhood Mental Wellness

Childhood is a crucial period for mental development. It’s a time when children form their perceptions of the world and learn how to navigate their emotions. However, factors such as family dynamics, peer relationships, academic pressures, and societal expectations can influence their mental health.

As children grow and develop, they may encounter difficulties that affect their emotional well-being. These challenges can manifest in various ways, including:

  1. Behavioral Changes
  2. Sudden changes in behavior, such as increased irritability, withdrawal, or aggression, may indicate underlying emotional struggles.
  3. Academic Decline
  4. Difficulty concentrating, declining academic performance, or reluctance to attend school could be signs of anxiety or other mental health issues.
  5. Physical Symptoms
  6. Headaches, stomachaches, and other physical complaints without underlying medical causes may be linked to stress or emotional distress.

Recognizing these signs early on is crucial for addressing children’s mental health needs and preventing further complications.

The Role of Pediatric Therapy in Promoting Mental Wellness

Pediatric therapy plays a vital role in supporting children’s mental wellness. Our team of skilled therapy providers specializes in working with children and adolescents, providing a safe and nurturing environment for them to express their thoughts and feelings.

Through evidence-based therapeutic techniques tailored to each child’s unique needs, we help them:

  1. Develop Coping Skills
  2. Children learn healthy coping mechanisms to manage stress, anxiety, and other emotional challenges.
  3. Build Resilience
  4. Children develop resilience to bounce back from setbacks and adversities by fostering a sense of self-esteem and self-efficacy.
  5. Improve Communication
  6. Effective communication is key to expressing emotions and resolving conflicts. Our therapists help children improve their communication skills, both verbally and non-verbally.
  7. Strengthen Relationships

Healthy relationships are fundamental to children’s well-being. We work with families to improve communication and strengthen familial bonds.

Promoting Childhood Mental Wellness for a Brighter Future

At Carolina Therapy Connection, we believe every child deserves the opportunity to thrive emotionally and socially. Promoting mental wellness from an early age lays the foundation for healthier, happier futures.

If you’re concerned about your child’s emotional well-being or want to learn more about our counseling services, we’re here to help. Contact us today to schedule a consultation with one of our experienced pediatric therapists.

Together, we can empower children to overcome obstacles, embrace their strengths, and live fulfilling lives. Let’s work together to nurture their mental wellness and unlock their full potential.

 

Our NEW Mental Wellness and Counseling Services

Mental Wellness and Counseling Services at Carolina Therapy Connection

Carolina Therapy Connection is SO excited to begin providing Mental Wellness and Counseling Services! Do you ever feel like everyday is similar to jumping on the hamster wheel?! You expend all your energy day after day and it leaves you feeling empty, anxious, and overwhelmed. Whether you are a parent/caregiver, teen trying to navigate the world, or just someone that feels anxious and overloaded by life’s expectations, our licensed clinicians are here to come alongside you and help you to reach your fullest potential. We believe through the power of relationship and the therapeutic alliance, you possess the tools to navigate all of the road blocks and stepping stones in your life. Our hope is that you walk away from each session feeling heard and valued and the skills you are able to tap into will help alleviate some of those feelings of overwhelm.

What clinical approaches are used within our Mental Wellness and Counseling services?

Our services cover a wide range of interventions aimed at improving a child, teen, and family’s overall emotional well-being. These include:

Client-Centered Therapy

The concept of client centered therapy might seem obvious — after all, almost all kinds of humanistic counseling essentially focus on the client. However, what sets this type of therapy apart, is that it centers the client in a more positive and inclusive manner, providing deeper insight into the adversity they are facing, while also maximizing their ability to resolve it on their own. Many professionals use this ‘talk therapy’ as a support process that encourages positive change within the client. Client centered therapy was developed originally in the early 1930s with the ideology that no other person’s ideas or advice could be as valid as the particular individual’s experience, and that exploring those experiences in a supportive, nonjudgemental environment is necessary in order to achieve a positive therapy experience. It emphasizes that the client’s experience is just as valid as a professional’s insight, and therefore the two parties in the therapeutic relationship should be viewed as equals.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CPT) is an evidenced-based psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications. (American Psychological Association, 2017).

CBT is based on several core principles, including: 

  1. Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
  2. Psychological problems are based, in part, on learned patterns of unhelpful behavior.
  3. People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.

CBT treatment usually involves efforts to change thinking patterns by:

  1. Learning to recognize one’s thoughts that create problems, and to reevaluate them in light of reality.
  2. Gaining a better understanding of our behavior and emotions.
  3. Using problem solving skills to cope with various situations.
  4. Learning to develop a greater sense and empowerment of our own abilities.

CBT treatment also usually involves efforts to change behavioral patterns. These strategies might include:

  1. Facing fears rather than avoiding them.
  2. Using role play to prepare for real-life situations.
  3. Learning to calm and relax one’s mind and body.

Dialectical Behavior Therapy (DBT)

DPT is a research-based practice that uses the skills and strategies balanced in terms of acceptance and change (University of Washington, Dialectical Behavior Therapy). The four skills modules include two sets of acceptance-oriented skills (mindfulness and distress tolerance) and two sets of change-oriented skills (emotion regulation and interpersonal effectiveness).

  • Mindfulness: the practice of being fully aware and present in this one moment
  • Distress Tolerance: how to tolerate pain in difficult situations, not to change it
  • Interpersonal Effectiveness: how to ask for what you want and say no while maintaining self-respect and relationships with others
  • Emotion Regulation: how to decrease vulnerability to painful emotions and change emotions that you want to change

Mindfulness Therapy 

Mindfulness therapy incorporates awareness of thoughts, emotions, feelings, surroundings, and situations into a person’s everyday life. It involves conversations with professionals that help a person develop greater awareness of their thoughts and the world around them. This increased awareness helps them avoid destructive or automatic responses or habits.

Who can receive Mental Wellness and Counseling services?

We will be accepting ALL AGES (not just kiddos!) for these services – so we encourage family and caregiver counseling too! You do not have to be a current or previous patient at Carolina Therapy Connection to receive these services.

Infant & Toddlers (Birth – 5 years old)

  • Attachment issues
  • Tantrums & Aggression
  • Excessive fear, worry or sadness
  • Does not respond to comfort when in distress
  • Lack of interest in peers

Early Childhood (6 years old – 12 years old)

  • Bullying
  • Social anxiety
  • Low self-esteem
  • Pressures of academia
  • Life changes (new schools, location or traumatic events)
  • Changes in family structure and dynamics
  • Physical aggression, defiance and lack of empathy for others

Teens, Adolescents & Young Adults (13 years old – 20+ years old)

  • Depression
  • Anxiety
  • Lack of interest in activities
  • Difficulty concentrating or focusing
  • Difficulty sleeping and completing daily routine
  • Irritability and impulse control

Families & Caregivers

  • Anxiety & depression common among members of the household
  • Difficulty with finding parenting strategies
  • Constant arguments
  • Grief and loss
  • Recent or past traumatic events
  • Adjustments to life changes (i.e. divorce, new members of the household, changes in location)

Who will provide our Mental Wellness and Counseling services?

Meghan Respess Licensed Clinical Social Worker Carolina Therapy Connection

 

Everyone meet Meghan Respess, MSW, LCSW – Carolina Therapy Connection’s FIRST Licensed Clinical Social Worker!

Meghan has 11 years of professional work experience in the mental wellness and counseling field. Meghan graduated from East Carolina University in 2006 with a Family and Community Services degree. She worked in community mental health with both children and adults for several years before returning to East Carolina University to obtain a Masters in Social Work. She graduated in 2011 and then pursued her LCSW. She has experience helping clients with stress and anxiety, parenting issues, motivation, self esteem, confidence, & depression. She also works with children and adults who deal with anger and impulse control. Meghan strives to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.

How will services be provided and what insurance is accepted?

Our Mental Wellness and Counseling services will be provided virtually (tele-therapy platform) OR in-person at our Greenville clinic location. It will consist of individual or family counseling. We will only be accepting Private Insurance and Private Pay only for now. We are in the process of getting credentialed with Medicaid for our counseling services and will keep you updated on when that insurance option is available!

How do I start get started with Mental Wellness and Counseling services?

Getting started is EASY! If you are interested in our mental wellness and counseling services, call or email us to get started today! Our referral coordinator will help answer any questions you may have and make the process as easy as possible for you!

References

APA Div. 12 (Society of Clinical Psychology). (2017, July). What is cognitive behavioral therapy? American Psychological Association. Retrieved February 7, 2023, from https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

American Psychiatric Association (1998). Gold Award: Integrating dialectical behavior therapy into a community mental health program. Psychiatric Services, 49(10). 1338–1340.

University of Washington. (n.d.). Dialectical Behavior Therapy. Behavioral Research Therapy Clinics. Retrieved February 7, 2023, from https://depts.washington.edu/uwbrtc/about-us/dialectical-behavior-therapy/

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