Bloom: DBT for Teen Girls at Emerge Mental Health is a 20-week virtual program designed to help teen girls aged 13-18 overcome self-harm. It uses Dialectical Behavior Therapy (DBT), a proven method to manage emotions and build healthier coping strategies. Serving teen girls in Detroit, Grand Rapids, Ann Arbor, and all of Michigan.
Self-harm, or non-suicidal self-injury (NSSI), is when teen girls intentionally harm their bodies—often through cutting, scratching, or burning—as a way to cope with overwhelming emotions, stress, or trauma. It’s not about seeking attention but expressing inner pain when words feel insufficient.
Through Bloom DBT, we empower teen girls with Dialectical Behavior Therapy (DBT) tools to find healthier ways to manage emotions, build resilience, and foster self-worth in a safe, supportive environment.
Teen girls often struggle with intense emotions, conflicts with family or peers, and feelings of low self-worth. These can lead to self-harm as a way to cope, with studies showing up to 30% of teen girls have intentionally harmed themselves (Nonsuicidal Self-Injury Among a Representative Sample of US Adolescents, 2015).
Teen girls are particularly vulnerable to self-harm due to a combination of biological, social, and emotional factors. Some of the key issues they face include:
Dialectical Behavior Therapy (DBT) is a proven, evidence-based treatment specifically designed to address the complex emotional and behavioral issues that contribute to self-harm. Here’s how DBT helps teen girls:
Backed by research, DBT has been shown to significantly reduce self-harm and suicidal behaviors in teens. A 2018 randomized clinical trial confirmed DBT’s efficacy in reducing self-harm among high-risk youth (Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial | Pediatrics | JAMA Psychiatry).
Our program addresses the unique challenges faced by teen girls, including emotional, social, and cultural pressures.
By involving both teens and their families, we ensure long-term success and generalization of skills beyond the program.
Available online, making it accessible for families across different locations and schedules.
- Reduced self-harm incidents and improved emotional regulation.
- Stronger relationships and increased self-confidence.
- Long-term emotional well-being through lifelong skills.
Purpose: To introduce DBT, explain the treatment model, and set goals.
Activities:
- Individual weekly sessions with teen to explain DBT components, and assess needs.
- One session with the teen and parent(s) to set treatment goals and discuss expectations.
- Introduction to basic mindfulness and distress tolerance skills to provide immediate coping strategies.
- Customized treatment and safety and safety plans.
- Homework assignments to practice skills outside sessions, reinforcing learning.
Weekly sessions for teens and their parents/family, structured into the following modules:
Mindfulness Skills (Weeks 3-4): Focus on being present, observing thoughts and emotions without judgment, and practicing non-judgmental awareness.
Distress Tolerance Skills (Weeks 5-8): Equip teens with crisis survival strategies, such as distraction, self-soothing, and radical acceptance, to cope without self-harm.
Emotion Regulation Skills (Weeks 9-12): Teach understanding and managing emotions, including identifying triggers, reducing vulnerability, and increasing positive emotions.
Interpersonal Effectiveness Skills (Weeks 13-16): Focus on improving relationships, communication, and assertiveness, addressing common adolescent challenges.
Review and Integration (Weeks 17-20): Consolidate skills, address challenges, and plan for long-term maintenance, ensuring sustainability of gains.
- Homework assignments to practice skills outside sessions, reinforcing learning.
Purpose: To apply DBT skills to the teen’s specific challenges, address therapy-interfering behaviors, and ensure personalized support.
Activities:
Weekly sessions focused on:
- Behavioral chain analysis to understand self-harm triggers and develop alternative responses.
- Applying skills to real-life situations, balancing validation and problem-solving.
- Use of diary cards to track behaviors, emotions, and skill use, providing data for therapy progress.
Purpose: Provide immediate support for skill application during crises, enhancing real-time coping and preventing escalation.
Details: Teens can call or message their therapist 24/7 for skill coaching, focusing on applying learned skills when emotions are high or urges to self-harm are present. This aims to prevent worsening situations and enhance clarity for future decision-making.
Purpose: Parents are equipped to support their teen’s progress, manage their own emotions, and set effective limits, recognizing the critical role of family in adolescent mental health.
Activities:
Bi-weekly 1-hour parent skills training sessions, covering:
- How to support their teen’s skill use, such as reinforcing mindfulness practices.
- Managing their own emotional responses to reduce family conflict.
- Setting effective limits and boundaries to create a supportive home environment.
Customized Treatment Plan and Therapy: Through comprehensive assessments and collaborative consultations, our therapist crafts personalized strategies that combine evidence-based therapies, innovative techniques, and compassionate support.
Crisis Planning: Development of a personalized safety plan for high-risk situations, outlining steps to take during crises, such as contacting a therapist or using distress tolerance skills.
Homework and Practice: Weekly assignments and diary cards to reinforce skill use, ensuring active engagement and tracking progress.
If your teen daughter is struggling with self-harm, Bloom: DBT for Teen Girls offers a compassionate, evidence-based path to recovery. Our online 20-week program at Emerge Mental Health is designed to empower teen girls with the skills they need to thrive. Serving teen girls in Detroit, Grand Rapids, Ann Arbor, and all of Michigan.
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