Welcome to DBT HQ —
where progress takes shape

Life’s tough. Behavioral therapy can help.

DBT HQ is the go-to for structured, evidence-backed support and skill building. We help adolescents, adults, and entire families make progress — especially when traditional “talk therapy” isn’t cutting it.

Change is possible —
and it starts right here. 

We help people dealing with:

  • For those whose lives are ruled by body dissatisfaction, compulsive exercise, restriction, or overeating. Sure, when we say “eating disorders,” Anorexia, Bulimia, and Binge Eating Disorder come to mind — but more and more, we see folks meeting criteria for Avoidant/Restrictive Food Intake Disorder (ARFID), where eating is limited not by body image concerns, but by extreme selectivity or sensory sensitivity, often leading to nutritional deficiencies or social fallout.

    We utilize Enhanced Cognitive Behavior Therapy for Eating Disorders (CBT-E), Family-Based Treatment (FBT), Cognitive Behavior Therapy for ARFID (CBT-AR), and comprehensive Dialectical Behavioral Therapy for Multi-diagnostic Eating Disorders (MED-DBT) to stabilize eating patterns and quiet the mental noise around food and body image.

  • For those who lie awake wondering why sleep is optional for everyone but them. Maybe you fall asleep sometime around 4am, maybe you wake up 14 times, or maybe you sleep for 14 hours and feel guilty for “wasting the day.” Throw in nightmares or chronic fatigue, and sleep starts to feel like a part-time job you never applied for.

    We use Cognitive Behavior Therapy for Insomnia (CBT-I), Exposure, Relaxation and Rescripting Therapy (EERT), and Dialectical Behavioral Therapy for Sleep (DBT-Sleep) to help align your sleep cycle, reset your relationship with rest, and reclaim the energy you need to function — without shame, dread, or over-caffeination.

  • For those who’ve experienced distressing events, ongoing invalidation, or abuse — whether it happened years ago or just last week. You might feel everything all at once, or absolutely nothing at all. Symptoms may include distressing memories, emotional numbing, hypervigilance, guilt, shame, flashbacks, dissociation, nightmares, or the general sense that life is no longer safe.

    We utilize DBT Prolonged Exposure (DBT PE) to help you gradually desensitize to trauma-related memories and triggers, reduce avoidance, and challenge the beliefs that trauma has left behind about yourself, others, and the world.

  • For those whose brains don’t know when to stop. Intrusive thoughts (obsessions) and repetitive rituals or mental loops (compulsions) feel necessary to reduce anxiety — even though they often create more of it. Maybe you’re stuck in rigid routines, bound by “just right” feelings, or finding it hard to keep relationships when your brain keeps demanding round-the-clock rituals.

    We use Exposure and Response Prevention (ERP) to help you interrupt the cycle, tolerate uncertainty, and learn to respond to fear with flexibility (and maybe even humor).

  • For those carrying the weight of 1,000 “what if’s.” You may be the planner, the perfectionist, the overthinker — the one who’s always prepared but rarely at peace. Anxiety might be the reason you succeed and the reason you never feel like it’s enough. Beneath the productivity is often exhaustion, self-doubt, and the question: “Why can’t I relax?”

    We use Acceptance and Commitment Therapy (ACT), Cognitive Behavior Therapy (CBT), and informed Dialectical Behavioral Therapy (DBT) to explore the function of your worry, tap into the values it’s trying to protect, and learn to move through life with more ease and self-compassion — not just accomplishment.

  • For families stuck in patterns that no one asked for but everyone inherited. Maybe communication feels like a game of emotional telephone. Maybe boundaries are too rigid or too porous. Maybe roles have flipped — the kid is parenting the parent, or everyone’s walking on eggshells just to keep the peace. Whether you’re a parent trying to course-correct, a teen feeling unheard, or a young adult still sorting through the emotional debris, something’s not working — and hasn’t for a while.

    We utilize comprehensive Dialectical Behavior Therapy (DBT) with the addition of Parent Sessions and Family Sessions to help families identify and shift patterns that create chronic conflict, emotional distance, or instability. Therapy focuses on building clarity, connection, and sustainable change — so everyone in the system has a shot at being seen, respected, and supported.

  • For those who are tired in their bones, not just their schedule. Depression isn’t always crying on the bathroom floor — sometimes it’s scrolling until 3am, sleeping through alarms, faking smiles, or feeling nothing at all. It can make joy feel distant, motivation feel impossible, and basic tasks feel like Olympic events.

    DBT HQ utilizes Acceptance and Commitment Therapy (ACT), Behavioral Activation, and Cognitive Behavioral Therapy (CBT) to reduce depressive symptoms, increase engagement with what matters, and help you rebuild a life that doesn’t just function — it feels like yours.

  • For those who’ve thought about ending it — or found other ways to try to feel something, anything, or nothing at all. Suicidal thoughts and self-harming behaviors are often misunderstood as “attention-seeking,” when in reality they’re attempts to cope with unbearable pain. You’re not dramatic. You’re in distress — and that deserves real support.

    Dialectical Behavior Therapy (DBT) was originally developed in the 90s to treat chronic suicidality and self-injury. Today, it remains the gold standard. We use comprehensive DBT to build safety, emotional regulation, and the skills needed to move toward a life that feels worth staying for.

  • For those who feel like their emotions go from 0 to 100 without much warning. Maybe it’s anger, maybe it’s sadness, maybe it’s a rotating cast. Emotional intensity isn't a flaw — it’s often a sign of sensitivity and reactivity that’s never been supported with skills. But when emotions run the show, relationships, decisions, and even self-worth can take a hit.

    Dialectical Behavioral Therapy (DBT) was originally developed to treat Borderline Personality Disorder — a diagnosis defined by chronic emotion dysregulation. Not surprisingly, we use comprehensive DBT to help anyone navigating emotional overwhelm, teaching concrete skills to regulate, express, and respond to feelings without shutting down or spinning out.

  • For those who dread small talk like it’s public speaking, rehearse every text 12 times, or avoid parties (even though part of them secretly wants to go). Social anxiety can be exhausting, and loneliness often tags along for the ride. Over time, the isolation can feel safer than connection — but also more painful.

    We utilize Acceptance and Commitment Therapy (ACT), Exposure Therapy, and Cognitive Behavior Therapy (CBT) to work on building confidence, tolerating vulnerability, and reconnecting with others in a way that feels less terrifying — and more genuine.

  • For those whose brains sprint, even when the rest of them can’t get off the couch. ADHD isn’t just forgetting keys or getting distracted — it’s emotional impulsivity, disorganization, shame spirals, and a highlight reel of unfinished projects. It's also creativity, intuition, and a brain that, when supported, can do a lot — just not always on a traditional timeline.

    DBT HQ utilizes Cognitive Behavior Therapy (CBT), Parent Management Training, and informed Dialectical Behavioral Therapy (DBT) to restore executive functioning, emotional regulation, and self-compassion — because managing ADHD shouldn’t mean managing yourself out of who you are.

  • For those raising kids while juggling the emotional, logistical, and existential load that comes with it. Maybe you’re navigating tantrums, teens, school meetings, bedtime battles, or just the daily pressure to “get it right.” Parenting can bring out your best — and also every unresolved issue you thought you’d buried in 2006. You’re not failing. You’re human.

    DBT HQ utilizes Acceptance and Commitment Therapy (CBT), Parent Management Training, and informed Dialectical Behavioral Therapy (DBT) to help caregivers parent with intention, not just reaction. Whether you're trying to break cycles, strengthen attachment, or just survive this stage, you don’t have to do it alone.

Behavioral therapy, and DBT especially,
is effective for people who’ve “tried everything” and still feel stuck.

 (Spoiler alert: it’s not you — it’s the approach.) 

Meet Megan Donohue, LCSW

When it comes to helping our patients make progress, we believe in the power of structure, transparency, and straight talk.

No jargon. No fluff. No B.S. Just the honesty and support needed to get people unstuck, so they can move forward.

So, what is DBT?

Dialectical Behavioral Therapy (DBT) is one of the many behavioral therapy treatments we offer at DBT HQ. It’s an evidence-based, skills-focused treatment designed to help people increase self-awareness, regulate emotions, tolerate distress without acting impulsively, and communicate effectively in the face of conflict.

DBT is a comprehensive treatment that brings patients, clinicians, and even families into alignment — working together as a team. Real progress happens when everyone is on the same page. That’s why DBT is made up of a range of coordinated services and skill-building methods, including individual sessions, skills groups, and between session support.

It’s not passive. It’s not “talk about your childhood and hope something clicks.” It’s a structured, active process. And it’s improved countless lives. Our treatments can help you find your footing — and even feel at ease, find connection, and advance.

Think of us as your behavioral therapy headquarters

DBT is just one of the many behavioral therapy methodologies we specialize in, including:

  • Cognitive Behavioral Therapy (CBT) 

  • Acceptance and Commitment Therapy (ACT) 

  • Exposure and Response Prevention (ERP) 

  • Dialectical Behavior Therapy Prolonged Exposure (DBT PE)

  • Cognitive Behavioral Therapy Enhanced for Eating Disorders (CBT-E)

  • Family-Based Treatment for Eating Disorders (FBT)

  • Cognitive Behavioral Therapy for Insomnia (CBT-I)

You’re not alone.
Let’s make progress together.

Book a call. We’ll meet, and Megan will orient to the initial assessment. No pressure — just a consultation.