Starting Dialectical Behaviour Therapy (DBT) can be a life-changing step, but many people face barriers that make it difficult to join a group. Whether it’s anxiety about meeting new people, concerns about commitment, or uncertainty about whether DBT is the right fit, these obstacles can prevent individuals from accessing the support they need. In this blog, we explore overcoming barriers to joining a DBT group.

 

Barrier 1: Fear of Group Therapy

Many people feel nervous about the idea of discussing personal struggles in a group setting. If you’ve never participated in group therapy before, you may worry about being judged, feeling exposed, or struggling to speak up.

How to Overcome It:

• Acknowledge your fear. It’s completely normal to feel apprehensive. Many people in DBT groups start with similar concerns but find the experience supportive and validating.
• Understand the structure. DBT groups focus on learning and practising skills rather than sharing deeply personal stories. You can engage at your own pace.
• Connect with the facilitator. If you’re anxious, consider speaking to the group leader beforehand to discuss your concerns and ask any questions.

 

Barrier 2: Commitment Concerns

DBT requires a commitment to weekly sessions, often for six months or more. Some people worry they won’t be able to stay engaged for that long.

How to Overcome It:

• Take it one step at a time. Rather than focusing on the entire programme, commit to attending the first few sessions and see how you feel.
• Understand the benefits. DBT is a structured, evidence-based therapy designed to create lasting change. Sticking with it can significantly improve your quality of life.
• Plan ahead. If scheduling is a concern, work out how to fit sessions into your routine and discuss flexibility options with the provider.

 

Barrier 3: Worry About the Cost

For some, financial concerns are a major obstacle to accessing DBT.

How to Overcome It:

• Explore funding options. Some DBT programmes offer payment plans, reduced fees, or funding through the NHS or charities.
• Consider the long-term investment. While therapy can be costly, the skills you learn in DBT can help reduce crisis situations, hospitalisations, and other long-term expenses.
• Prioritise your well-being. Mental health is just as important as physical health. If you would invest in a gym membership or a personal trainer, consider therapy an investment in your future.

 

Barrier 4: Doubts About Whether DBT Will Work

Scepticism about whether DBT is the right approach can prevent people from giving it a try.

How to Overcome It:

• Learn about the evidence. DBT has been extensively researched and is proven to be effective for emotional dysregulation, self-harm, borderline personality disorder (BPD), and other mental health challenges.
• Speak to past participants. Hearing success stories can provide reassurance and motivation.
• Be open-minded. You don’t need to be convinced before starting. Give it a try and evaluate whether it works for you.

 

Barrier 5: Feeling ‘Not Sick Enough’ or ‘Too Sick’ for DBT

Some people worry that they don’t struggle enough to need DBT, while others fear their difficulties are too severe.

How to Overcome It:

• Trust the referral process. If a professional has recommended DBT, it’s because they believe it could be beneficial.
• Recognise that DBT is for a range of difficulties. It helps people with emotional intensity, relationship struggles, and distress tolerance—challenges that exist on a spectrum.
• Understand that there’s no ‘perfect’ time. You don’t have to wait until things get worse to seek help, and you’re never ‘too far gone’ to benefit from DBT.

 

Barrier 6: Logistical Challenges

Transport issues, work commitments, and childcare responsibilities can make attending a DBT group feel impossible.

How to Overcome It:

• Look for flexible options. Some DBT groups offer evening sessions or virtual participation.
• Arrange support. If childcare is a concern, explore family or community options to help with responsibilities during sessions.
• Prioritise your mental health. While it may be inconvenient to make adjustments, the long-term benefits of DBT often outweigh the short-term challenges.

 

Final Thoughts

Joining a DBT group is a significant step towards building a life worth living. While barriers may arise, each one has a solution. By recognising and addressing these concerns, you can move closer to accessing the support you need.

If you’re considering DBT but feel unsure, reach out to a provider for more information. You don’t have to do this alone—help is available.

 

 

 

 

 

For more information on
Dialectical Behaviour Therapy

Contact DBT-UK

info@dbt-uk.co.uk  |   +44 (0) 7541 458 851