Adolescent (13-18 years) DBT Program

Dialectical Behavior Therapy (DBT) for Adolescents and Young Adults is a clinical program within the Heartwood Program that targets high risk, multi-problem adolescents. We specialize in identifying and treating depression and risky behavior in adolescents, including self-injury, suicidal ideation and suicide attempts, substance use, binging and purging, risky sexual behavior, physical fighting, and other forms of risk-taking.

Marsha Linehan’s initial conceptualization of DBT was developed for adults diagnosed with borderline personality disorder. Our adaptation follows the work of Alec Miller and Jill Rathus, who originally modified DBT for use with adolescents and young adults. Our program targets five areas:

  • Confusion about self
  • Impulsivity
  • Emotional instability
  • Interpersonal problems
  • Parent-teen problems

The treatment has been shown to be effective in treating self-harming adolescents with depression who demonstrate some traits of borderline personality disorder that are beyond that expected of typical adolescent development.

Depression in adolescence is characterized by depressed or irritable mood, changes in appetite and sleep, withdrawal from and loss of interest in usual activities and friends, feelings of hopelessness and worthlessness, agitation and/or fatigue, difficulty concentrating, difficulty making decisions, and suicidal ideation.

Some traits of borderline personality disorder that may be of concern to teens and parents include: unstable sense of self, unstable interpersonal relationships, inappropriate or uncontrollable anger or other emotions, serious mood swings, recurrent self-harm or and/or suicide attempts, chronic feelings of emptiness, and impulsivity that puts the teen at risk.

Teens referred to the DBT Program typically have many or all of the problems listed above, which can lead to difficulties fulfilling their obligations in school and at home. This perpetuates their negative ideas about themselves.


The DBT Program is a comprehensive outpatient service intended to reduce self-harming and other dangerous behavior. It consists of four components:

  • Weekly multifamily skills group (16 weeks)  Teens learn skills to help them cope with the five problem areas identified above and to help in decreasing their target behavior (e.g., cutting, purging)
  • Weekly individual therapy- Teens learn to generalize the skills they are learning in group and gain greater insight into the cognitions and vulnerabilities which contribute to their problem behaviors.
  • Family therapy - Individual therapists may schedule collateral family sessions as needed.
  • Emergency system for coaching - Teens are encouraged to contact their therapist for skills coaching before engaging in their target behavior. Parents learn many of the same skills their teen is learning, as well as others to help improve family functioning.


Our DBT Program is in network with all Blue Cross Blue Shield products (i.e. Carefirst, FEP, Anthem, etc) and we have sucessfully negotiated single case agreements with most other major insurance carriers. To make an appointment, fill out our Service Requests Form or call our intake coordinator at (301) 970-4099.

Facilitator Information

Megan Flynn, LCSW-C, received her bachelor's degree in social work from The Catholic University of America and her master's degree in social work, with a concentration in mental health, from The University of Maryland. As a clinician, she firmly believes in the strength of the human spirit and in each individual's inherent capacity for growth and healing.
Ms. Flynn has worked in a variety of clinical settings, both public and private. She has experience working with clients across the life span, from early childhood to geriatrics, and finds meaning in supporting others in reaching their full potential.

For over a decade, Megan has worked as a DBT skills trainer and is part of a local DBT consulting team. As an individual therapist, she has the ability to provide comprehensive DBT treatment, or DBT-informed treatment when needed. Despite having this background, when appropriate, Megan also takes a more traditional approach to providing a supportive model of psychotherapy; calling on the therapeutic relationship to infuse coping skills and change strategies.

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