Registration for DBT Skills for Couples

Carolina Integrative Psychotherapy, Inc.

Carolina Integrative Psychotherapy

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Mindfulness in Clinical Practice and Daily Life
DBT Skills for Couples Registration
DBT FST Registration

Home
Dialectical Behavior Therapy
About
Blogs
Upcoming Classes
Contact
Maps
Mindfulness in Clinical Practice and Daily Life
DBT Skills for Couples Registration
DBT FST Registration

* Registration *

DBT Skills for Couples

* Indicates required field

Name (please feel free to simply enter the initial of your last name, if you prefer) *

First

Last

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Preferred Email for Class Materials and Resources *

Home City or Town *

Cary Chapel Hill-Carrboro Durham Hillsborough Pittsboro Raleigh Greensboro Other

If Other, please specify locale: *

Years in this Couple Relationship *

Less than 2 3-5 6-10 11-20 21-30 Over 30 Prefer not to say

Experience with DBT and other Therapy *

Currently in Couple Therapy DBT Couple Therapy Not currently in Couple Therapy, however have in the past DBT Individual Therapy DBT Family Skills Training DBT Skills Group Member DBT Lecture or Presentation Read Marsha Linehan's text or manual Read books by Fruzzetti, Koerner, Swenson, Manning or Rathus & Miller Starting DBT now with this training!

How did you learn about the DBT Skills for Couples 12 Week Class? *

When you have completed your responses, please use the button below. Thank you!

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© Carolina Integrative Psychotherapy, Inc., 2018
Chapel Hill & Carrboro, NC
Tel. 919.968.0231

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