Therapy Services
Individual Therapy
The Middle Path offers individual therapy using various evidenced-based treatment approaches tailored to your individual needs and goals including Dialectical Behavior Therapy (DBT), DBT-PTSD, Cognitive Behavior Therapy (CBT), Mentalization Based Therapy (MBT), and Exposure and Response Prevention (ERP). For those who are committed and meet the requirements of engaging in comprehensive DBT treatment, The Middle Path provides adherent DBT individual therapy, which includes your clinician's participation on a weekly consultation team with other DBT therapists, and access to your clinician for after-hours, on-call DBT skills coaching.
Parent Coaching
The Middle Path offers DBT parent coaching and guidance that is tailored to your family's treatment goals. Parent coaching can include parent DBT skills training, and support and validation combined with strategies for limit setting and behavior change. Please see our Parent's Guide to Treatment at The Middle Path for an introduction to DBT treatment and detailed information about family and parent roles in DBT treatment.
Family Therapy
Family Therapy at the Middle Path helps your family acheive focused goals such as increasing effective communication, modeling and practicing of validation skills, creating and implementing effective behavior plans, and engaging in family behavior chain analysis to better identify, understand and target problem behaviors in family interactions and relationships.
Group Therapy
The Middle Path offers DBT Skills Training Groups and DBT Skills Integration Groups
Consultation Services
DBT Consultation/Training
Lin-Ann Ching offers expert, specialized DBT consultation and training for individual practitioners or practices . I offer DBT case consultation to clinicians for individual cases, or if you are setting up a DBT Program or Consultation team at your group practice, I offer consultation to your program/staff on how DBT can be implemented most effectively with your clients or staff. I am also available to join treatment team meetings or individual client sessions to offer DBT Consultation directly to clients. I also offer on-site and online DBT trainings for clinicians, program and milieu staff, physicians, educators, students or other health/education providers.
DBT Supervision
Lin-Ann Ching offers supervision in DBT for clinicians practicing DBT directly with clients. I can help you ensure you are staying adherent to DBT principles and protocols, implementing DBT in the most effective manner, and supporting your growth as a DBT clinciain alongside your DBT Consultation Team. I am independently licensed as a social worker in California, Massachusetts and New York, so Associate/Master's Level social workers can count these supervision hours towards independent social work licensure in these states.
Family Therapy at the Middle Path helps your family acheive focused goals such as increasing effective communication, modeling and practicing of validation skills, creating and implementing effective behavior plans, and engaging in family behavior chain analysis to better identify, understand and target problem behaviors in family interactions and relationships.
Family Therapy
DBT Skills Training Group
This group provides DBT skills training for adolescents and young adults in the four basic modules of Dialectical Behavioral Therapy: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness, along with the new additional fifth skills module developed specifically for adolescents known as Walking the Middle Path.
Each module is taught in a four-to-six-week curriculum, with a total of 24 weeks (6 months) to complete training in all five modules. This group takes a didactic approach with a focus on skills acquisition and strengthening.
Skills knowledge and practice is reinforced through in-session skills practice
and weekly homework practice assignments.
DBT Skills Training Group is one component of comprehensive Dialectical Behavioral Therapy which includes individual therapy with a trained DBT therapist, access to on-call skills coaching with an individual DBT therapist, and the individual therapist's participation on a DBT consultation team. It is strongly recommended that group members are also engaged in individual therapy with a trained DBT therapist.
If suicidal behaviors, other "Target I" or high-risk behaviors are present,
we do require that group members are engaged in individual DBT therapy in order to participate in this group.
Additional Group Information
Group attendance requirements
DBT Skills Training Group
requires a minimum 6-month commitment.
Missing four consecutive groups
will result in termination from the group.
Recommended materials to reference:
DBT Skills Manual for Adolescents
by Jill H. Rathus & Alec. L. Miller
DBT Skills Training, Handouts and Worksheets
by Marsha M. Linehan
DBT Skills Integration Group
This group welcomes individuals who have a solid foundational knowledge of the four basic modules of Dialectical Behavioral Therapy Skills (Mindfulness, Distress Tolerance, Emotion Regulation and Interpersonal Effectiveness) who seek a forum in which to reinforce, problem solve, and discuss the application of these skills to support their individual DBT Treatment. This agenda-based group focuses on group members’ practice and integration of DBT skills in the relevant contexts of home, school, vocation, social relationships, and community.
The group structure includes a combination of peer skills-coaching, problem solving, and reinforcement of DBT skills practice. A smaller portion of the group will be focused on didactics, and review of DBT skills.
It is strongly recommended that clients are engaged in individual therapy with a trained DBT therapist
when participating in this group.
Additional Group Information
Group attendance requirements
DBT Skills Integration Group
requires a minimum 3-month commitment.
Missing three consecutive groups
will result in termination from the group.
Recommended materials to reference:
DBT Skills Manual for Adolescents
by Jill H. Rathus & Alec. L. Miller
DBT Skills Training, Handouts and Worksheets
by Marsha M. Linehan