Attendance Policy 

and fee agreement 


Participation in a DBT program requires commitment of time and resources.  It is not right for everyone.  DBT has been found to be very effective in reducing significant risk taking and unsafe or maladaptive behaviors when adhered to with full commitment by the client and their parents.  Thus it requires a willingness to engage in all the components of the intervention. A thoughtful decision is encouraged before entering into this commitment.

At this time we offer one weekly parent skills group (see schedule).  We understand for families of clients who participate in their skills group on a different day from parent group, this means  an extra trip to the office each week.  A video session option is available to participate in the parent skills group remotely through a platform called Secure Video.  To access this HIPPA compliant service, there will be a nominal additional fee (see fee agreement).  If you choose this option, instructions will be provided on how to access the video platform for group participation. Secure Video allows the remote participants to both be visible to the group and see the group in the room using a wide angle camera.

If you opt for the video session, you commit to the additional weekly fee through the entire cycle though it does not preclude you from coming to the office for group.

(*During the COVID pandemic all services are delivered via teleheath and there are no extra fees for video)


Julie Baron and Associates does not participate with insurance panels and therefore is an "out of network" provider.  Clients are responsible for submitting invoices to seek any out of network reimbursement benefits. 

The cost for the 90 minute DBT skills group is $185 billed weekly regardless of attendance (see attendance policy) and include both the client and parent skills groups.

Some insurance companies are now covering DBT though may require that members seek a “single case exception”.  If your therapist can be of assistance in providing information to your insurance company please let them know. More information on how to advocate with insurance may be found on the Metropolitan Washington, D.C. DBT Consortium website 

Client Attendance

If the adolescent/young adult misses a skills group for any reason (including hospitalization, vacation or illness) the full group fee will be billed as a missed or cancelled appointment. Missed or cancelled appointments are typically not insurance reimbursable. If an adolescent misses more than 5 sessions in a 24-week cycle for any reason, they will have “dropped out” of skills group and will no longer be billed for group sessions. They may apply for readmission after one full module has been completed in their absence, during which time commitment may be re-established.  For graduate group, consistency of attendance is critical to the therapeutic value of the group.  A separate attendance policy will be provided should you choose to participate.

Parent Attendance

Parents (1 parent per client) are expected to attend regularly and come to parent skills group even if their adolescent misses the adolescent skills group for any reason. The parent group focuses on the use of DBT skills to help parents exhibit effective and skillful responses to their adolescent’s behaviors. Modeling consistent use of skills and commitment to the treatment are critical for encouraging your child do the same. If a parent misses more than 5 parent sessions they (and therefore their adolescent) will have “dropped out” of skills group and will no longer be billed for group sessions.  Parents no longer attend skills group if their teen/young adult transitions to graduate group.