Evidence based and integrative therapy groups are integral to Recovery by Doing at Esperanza.  Below you will find descriptions of the groups designed to give patients skills required to move into recovery.

Acceptance and Commitment Therapy (ACT) is a third-wave cognitive behavioral therapy treatment that is taught in a skills format. ACT teaches us how to identify, observe, and accept thoughts and emotions without judgement, particularly those that have caused distress and internal conflict. ACT skills include defusion which helps a person detach from his/her own thoughts. ACT helps individuals identify personal values, take action in accordance with their values, and find joy and purpose in daily life.

Anxiety Management is a DBT skills group for anxiety which guides us through the identification and awareness of anxiety thoughts and teaches anxiety management skills to keep one from avoiding situations that are anxiety-producing.

Behavior Chain is a DBT instrument that helps us identify the triggers, thoughts, emotions, and behaviors leading to an identified problem behavior. This group helps us build confidence and competence in the utilization of DBT skills when we engage in a problem behavior.

Body Image facilitates the development of respect, love, and appreciation for your body while also exploring the effects of media consumption and cultural information on the relationship we have with our bodies.

Boundaries helps us to learn the process of setting and maintaining healthy boundaries in interpersonal relationships.

Cognitive Behavioral Therapy (CBT) explores how our thoughts, attitudes, and beliefs affect our feelings and behavior. CBT helps you identify and move towards your goals, develop problem-solving skills, and challenge cognitive distortions.

Conversations about Recovery is led by a recovery advocate who will Zoom in for sharing and facilitating discussions on the recovery process for an eating disorder.

Cooking Group helps us become familiar with the process of preparing and cooking a variety of foods for consumption. Taking place in our kitchen under the guidance of our dietary staff, this group is hands-on and exemplifies our philosophy of Recovery by Doing.

Creative Expression provides opportunities to create, explore, express, and play as pathways to healing. Various types of creative expression are introduced to empower participants to use these techniques in their recovery journey.

DBT for Distress Tolerance is a skills group for learning and implementing the DBT skills used when one is highly dysregulated. Distress Tolerance skills help us learn to effectively navigate moments of emotional crisis.

DBT for Emotion Regulation is a skills group for learning and implementing the DBT skills used when one is mildly dysregulated. Emotion Regulation skills help us understand the functions of our emotions, the action urges that result from different emotions, and when it is appropriate to act, oppose or problem solve these urges.

DBT for Interpersonal Effectiveness is a skills group for learning effective ways of communicating with others that help us obtain our objectives while maintaining the relationship and maintaining one’s self-respect.

Diary Card Training guides us through the process of using a DBT diary card, a therapeutic instrument that helps us self-monitor our daily emotions, record our urges, and document the DBT skills we used.

Emotional Overeating Body Image Group is a group specifically for individuals with Binge Eating Disorder. Work on developing respect, love, and appreciation for your body with an added focus on the relationship between BED and body image.

Emotional Overeating Dialectical Behavioral Therapy (DBT) Group is a DBT group specifically for individuals with Binge Eating Disorder.

Guided Imagery is a therapeutic use of visualization to bring about positive changes in thoughts and behaviors resulting in stress reduction.  Progressive muscle relaxation and sleep hygiene practices are introduced.

Mindful Sobriety educates patients on recovery from substance abuse and engages them in an evidence-based mindfulness program. Different breathing techniques and mindfulness practices are utilized in this group with the goal of providing new skills to cope with life’s stressors.

Mindfulness is a DBT & ACT core skill of awareness of our thoughts, emotions, and sensations in the present moment with acceptance rather than judgement. This group guides us through the development of the mindfulness skill.

Nia is a holistic fitness practice that combines 52 simple moves with dance arts, martial arts, and healing arts for a movement experience for body, mind, emotion, and spirit.   Nia is based on the body’s natural way of moving and is adaptable to individual needs and abilities. Mindfulness and somatic awareness are woven into each class.

Nutrition Education – Explores multiple topics ranging from identifying the type of eater we are, to why our bodies need carbs. This group often challenges us to find the connection between our emotions and our hunger/fullness, as well as, our brains and our stomachs.

Radically Open DBT is an evidence-based protocol for treating disorders of over control such as Chronic Depression, Anorexia Nervosa, Obsessive-Compulsive Personality Disorder, Treatment Resistant Anxiety, Autism Spectrum Disorder, and Maladaptive Perfectionism. Through each 90-minute, 18-week session, members will learn skills to address over control traits that inhibit their ability to connect and build healthy relationships with others.

Relapse Prevention identifies relapse behaviors and thoughts with the intent to keep individuals moving towards recovery.

Restaurant Outing is exactly that – an outing to a restaurant. With the support of dietary and clinical staff, patients are provided with a real-life, hands-on experience of going to a restaurant, ordering off of a menu, and learning the answers to the ever-burning questions, “What and how much should I eat?” The group teaches one to be mindful of their taste preferences, their hunger and fullness levels, and how their emotions might affect their choices.

Self-Compassion educates patients on the ways that we talk about ourselves and the impact that these messages have on us. This group uses evidence-based practices that allow individuals to be present for their current situation, identify where they would like to grow, and cultivate a safe space for that growth to happen.

Shame engages patients using Brene Brown’s research inspired teachings as a framework. This group helps patients to become mindful of the different messages that we hear on a daily basis and how we can begin to give voice to these messages and recognize our shared humanity.

Sleep Hygiene educates us on the importance of sleep and the benefits of a consistent and healthy sleep schedule and regime. Sleep hygiene also helps us learn how to effectively prepare for sleep, implement skills to improve the quality of our sleep, and address sleep issues like insomnia.

Sobriety 101 teaches an overview of the cycle of substance abuse and offers a paradigm of how to build a long lasting and fulfilling life in recovery.

Trauma group looks at trauma as experiences in our lives that have overwhelmed us and in which our coping abilities were insufficient. The group helps participants understand the impact of trauma on mind, body, and spirit and teaches skills and practices to help one heal from traumatic experiences.