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For Clinicians (DBT)

At Oakland DBT and Mindfulness Center, we recognize that clinicians often play a vital role in helping clients access the right level of care. If you are considering referring your client for Dialectical Behavior Therapy (DBT), our team is here to collaborate with you in a professional and supportive way. DBT therapy offers clients a structured, evidence-based approach that integrates individual therapy, skills training, and coaching. By working together, we can ensure that your client receives the continuity and consistency of care needed to achieve meaningful, lasting change.

Therapist and clinician collaborating on DBT treatment plan.
Collaboration in DBT therapy to support client progress.

We value the partnership between outside clinicians and our DBT team, and this page is designed to provide clarity about how our programs work, what your clients can expect, and how we coordinate care to best support their treatment journey.

DBT Skills Classes: Structured Learning in a Supportive Environment

For clients who are already engaged in individual therapy—whether with us or an outside provider—our DBT skills classes often serve as an excellent complement. These classes are designed for adults and follow a modular format. Each module focuses on a different skill area, and participants may attend multiple rounds to deepen their understanding and knowledge to apply what they’ve learned.

It is common for clients to report that during their second cycle through the modules, the material feels more integrated and natural. This repetition reinforces skills, making them more effective in everyday situations. Completing all three modules is a prerequisite for joining our Graduate Group, where participants can continue advancing their skills in a more specialized setting.

For a complete overview of our available offerings, you can explore our DBT skills classes and see how they align with your client’s current therapeutic needs.

Comprehensive DBT Treatment: When Full Programming Is Needed

While skills classes provide essential tools, DBT therapy is more than a class—it is a comprehensive treatment model that addresses the emotional, behavioral, and relational challenges many clients face. A complete DBT program typically includes:

  • Individual therapy with a DBT-trained clinician
  • Skills training groups that emphasize practical application
  • Phone coaching to support skill use in real-time moments
  • Team consultation among DBT therapists to maintain fidelity to the model


This level of care is particularly valuable for clients who struggle with life-threatening behaviors, chronic emotional dysregulation, or patterns that standard therapy alone has not fully addressed. For DBT to be effective, it is best delivered within a structured program where therapists work together and maintain consistent communication.

When you refer a client to our comprehensive DBT program, we kindly request that you consider whether a pause in your own work with them may be beneficial. This allows the client to fully engage with the structured goals, skills acquisition, and therapeutic relationship within our DBT team. While this may feel like a significant transition, it ensures that the client receives the consistency and intensity that make DBT such a powerful and life-changing treatment.

Graduate Group: Continuing Growth Beyond Core Modules

Clients who have completed all three DBT skills modules may be eligible to join our Graduate Group. This advanced group is designed for individuals who have established a solid foundation in DBT skills and are ready to develop their practice further. Participation in the Graduate Group is considered on a case-by-case basis, especially if a client has completed modules outside of our Center.

This step helps clients sustain their progress, apply skills with greater confidence, and maintain motivation throughout their long-term recovery. For many, the Graduate Group offers a sense of community, accountability, and ongoing structure that extends beyond the initial treatment.

Coordinating Care with Outside Clinicians

At Oakland DBT and Mindfulness Center, we believe in open and respectful collaboration with outside clinicians. Our general expectation is that clients who participate in skills classes while continuing therapy with another provider will actively engage in homework and share what they are learning with their therapist. This ensures alignment between the skills being practiced in group and the goals being pursued in individual therapy.

We typically initiate formal coordination of care if a client shows signs of disengaging from treatment or requires additional support. In these cases, we reach out to discuss observations, share treatment updates, and ensure that all providers are aligned around the client’s needs.

If you prefer a more proactive collaboration, coaching sessions may be scheduled for your client. These sessions provide focused opportunities to apply DBT principles and connect class learning to therapeutic goals. In such cases, we also connect with you directly to ensure that we remain on the same page about the client’s progress and treatment plan.

Coaching Sessions: Bridging Skills and Treatment Goals

For some clients, attending skills classes alone may not be enough to ensure full integration of DBT principles. Coaching sessions offer additional support by focusing on practical application, behavior shaping, and connecting class material to individual goals.

These sessions can complement your ongoing work with the client, creating a bridge between group learning and individual therapy. Our therapists are trained to identify areas where clients may need reinforcement and to collaborate with outside clinicians to provide targeted, personalized care.

Cost and Accessibility of DBT Treatment

We realize that financial considerations play a critical role in treatment planning. Our fees vary depending on the type of service—whether it is individual therapy, skills classes, or coaching sessions. Transparency is essential to us, and we encourage you and your clients to review our pricing information to understand the structure and value of our services.

Clear expectations around costs allow both clinicians and clients to plan effectively, ensuring that financial stress does not become a barrier to accessing the care that is needed.

Our Range of Services

In addition to DBT therapy and skills classes, Oakland DBT and Mindfulness Center offers a variety of evidence-based services designed to meet the special requirements of individuals, couples, and families. From individual therapy to more specialized approaches, our goal is to provide compassionate, comprehensive care tailored to each client’s unique circumstances.

For clinicians exploring treatment options for their clients, a complete overview of our therapy services can provide valuable insight into the breadth of support we offer.

Why Clinician Collaboration Matters

Clinicians working together to guide DBT clients.
Professional teamwork in Dialectical Behavior Therapy.

When outside therapists and DBT specialists work together, clients receive the benefit of a coordinated, structured, and compassionate system of care. This collaboration ensures:

  • Alignment of treatment goals across providers
  • Improved accountability for clients
  • Reinforcement of DBT skills in multiple contexts
  • A stronger safety net for those at higher risk


Our team is committed to working alongside you to provide consistent care that truly meets your client’s needs.

Referral and Next Steps

If you believe your client would benefit from DBT therapy or participation in skills classes, we invite you to contact our team. We are happy to answer your questions, discuss the referral process, and explore how we can work together to create the best possible outcomes for your client.

For more details or to get started, visit our contact page and connect with us directly. Together, we can ensure that your client has access to the tools, structure, and support they need to move toward a healthier and more fulfilling life.

Frequently Asked Questions  

What makes DBT therapy different from standard therapy approaches?

Dialectical Behavior Therapy is a complete, evidence-based treatment that combines individual therapy, group skills training, and phone coaching. Unlike general talk therapy, DBT emphasizes behavioral change, emotion regulation, and mindfulness, which makes it particularly effective for clients struggling with high-risk behaviors or chronic emotion dysregulation.

Can my client participate in DBT skills classes while continuing therapy with me?

Yes, many clients benefit from joining skills classes while maintaining their individual therapy with an outside provider. We encourage coordination of care to ensure that clients can connect the skills they learn in class to their therapeutic goals with you.

How do you coordinate care with outside therapists?

Our approach to collaboration is transparent and respectful. While clients are expected to share skills homework with their outside therapist, our team initiates care coordination if we notice challenges such as disengagement or the need for additional support, ensuring all providers remain aligned.

What happens if my client needs the complete DBT program instead of skills classes?

If comprehensive DBT is recommended, clients are invited to participate in our structured program, which includes individual DBT therapy, skills group, and coaching. In this case, we ask outside clinicians to consider a pause in their work with the client so they can fully engage with our team’s treatment structure.

How can I determine if my client is a good fit for DBT treatment?

DBT is especially beneficial for clients dealing with intense emotions, impulsive behaviors, or chronic difficulties with relationships. If your client would benefit, we are happy to discuss their needs with you and guide whether DBT therapy or DBT skills classes are the most appropriate starting point.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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