now accepting patients in AR, WA, CO, LA, TN, GA · text (501) 454-5697 to CONNECT
Are you ready for
a therapy that WORKS?
DBT and RO DBT
can change your life.
HOW WE WILL WORK TOGETHER
DBT and RO DBT are skills-based therapies designed to create real
LASTING CHANGE.
WE START WITH CLARITY
Therapy begins with an intake appointment, followed by 4 pre-treatment sessions to assess emotional patterns, behaviors, relationships, and determine goals.
Your therapist will establish a clear treatment plan and schedule for what needs to change and how to get there.
More details here.
Treatment is PRACTICAL, collaborative,
and built FOR LIFE outside the therapy room.
STOP MANAGING, START CHANGING
Sessions are goal-oriented and require your active participation. We work on the specific challenges showing up in your daily life — using diary cards to track emotions, urges, behaviors, and reactions in real time. You'll learn concrete skills to regulate emotion, tolerate distress, and rebuild relationships. This isn't insight therapy. It provides real tools for real life.
Therese Skinner, LCSW, CEDS
True DBT · Protocol-Driven · Specialized Support
Not all therapy
—and not all DBT—is the same.
Therese is the only native Arkansan to complete the Linehan Institute Dialectical Behavior Therapy (DBT) Certification and one of the very few clinicians worldwide with advanced training across DBT for substance use, eating disorders, trauma, PTSD, adolescents, families, and Radically Open DBT (RO DBT). She is also a Certified Eating Disorder Specialist (CEDS), specializing in trauma, personality disorders, and eating disorders, with a multi-state licensed offering both in-person and online therapy.
Therese completed advanced mindfulness training through Marsha Linehan’s Empty Cloud Sangha, along with 500-hour Yoga Alliance certification and KRI Level 1 Kundalini Yoga Instructor certification—the only clinician in Arkansas with this distinction. These credentials deepen her therapy work by supporting trauma treatment through mindfulness, somatic healing, and nervous system regulation.
Advanced training in: DBT-PE, DBT-SUD, DBT-ED, DBT-PTSD, and RO DBT
Full Linehan-model treatment—not simply “DBT-informed” therapy
Advanced mindfulness, somatic healing, and Kundalini Yoga training integrated into trauma-focused therapy
Accepting new patients in: AR (in person/online) and WA, CO, TN, LA, GA (online)
Insurance & Fees: see FAQ
Individual, Family, Couples Sessions: $250/hr
RODBT skills classes: $75 per 90-minute session
BCBS insurance is currently the only insurance accepted. It is up to the individual to make sure that Therese’s services are in-network as BCBS/Anthem/Health Advantage differ in policies and coverage. Therese does not have the ability to see specifics except insurance is active until after filing. There is a 1-800 number on every insurance card that clients can call for specific costs, copays, and coverage.Therese will give a superbill that includes all information individuals need to file out of network insurance benefits. Therese does not file any insurance except BCBS.
Payment is due at time of services.
DBT (Dialectical Behavior Therapy) works for people struggling with a wide range of challenges—intense emotions, self-harm urges, eating disorders, addiction, relationship conflict, and family difficulties. It combines individual therapy with skills training to help you build a life you want to live. DBT teaches four core skills—mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness—that give you practical tools to use between sessions. The approach balances acceptance (validating where you are now) with change (working toward the future you want), which is why it works so well for people who've felt stuck or misunderstood by other therapies. DBT typically involves a year or more of consistent commitment: this structured approach is what makes it so effective for lasting change. Do you want to know more? Download the clinical overview here.
RO DBT (Radically Open Dialectical Behavior Therapy) is designed for people who experience excessive self-control—a pattern that often shows up as perfectionism, emotional restriction, rigid thinking, and social disconnection. It's effective for difficult-to-treat conditions like anorexia nervosa, obsessive-compulsive disorder, treatment-resistant depression, and other overcontrol-related disorders. The core principle of radical openness means developing flexibility, emotional willingness, and genuine social connectedness by learning to question your certainty and stay open to what you don't yet know. RO DBT works by improving how you communicate and express your inner experiences to others, since social connection is the primary pathway to healing. The treatment typically involves 30 weeks of outpatient care with individual therapy, skills training, and therapist consultation to help you move toward a life with more openness and authentic connection. Do you want to know more? Download the clinical overview here.
Mindfulness is the practice of paying attention to what's happening right now—your thoughts, feelings, and body sensations—without judgment or trying to change anything. It's a way to observe yourself with curiosity rather than judgment. In DBT, it's about managing intensity; in RO DBT, it's about noticing rigidity. Either way, mindfulness gives you choice where there wasn't one before.
Therese integrates Advanced mindfulness training, somatic healing, and Kundalini Yoga into trauma-focused therapy, creating a more embodied and holistic approach to healing alongside DBT and RO DBT work.If you have any other questions,
please email tskinner@windrivertherapyservices.com
or text (501) 454-5697.
All communication is done via text or email. Therese does not provide emergency interventions if there is an urge to harm yourself or others, please dial 911.
COMMON
QUESTIONS
Do you think DBT or RO DBT is right for you? Do you have questions? Use THIS FORM or TEXT (501) 454-5697 to schedule your first session now.
Emails or texts will be returned at the end of business day or as soon as possible. Don't forget to check the FAQ section.
All communication is done via text or email — part of Therese's phone coaching protocol from first contact. Therese is a solo practioner and has a protocol for phone coaching.