FAQs – Clients

Fees are determined by the type and intensity of treatment. The time invested in therapy or in our skills group will depend greatly on specific requirements. Please contact us to discuss treatment options and fees.

Payment options include debit or credit card, check, cash or bank transfer.  Payments can be made at the time of service, or on a monthly basis if part of a treatment plan. In certain cases, payments can be made in installments.

If you are Israeli and a member of one of Leumit or Meuhedet kupot, you may be able to claim back up to 85% of the cost of psychiatric assessment and follow up. At this stage, DBT group and individual therapy is not covered by kupot, as this is a private service provided in English.

If you are an overseas student, the terms of your health insurance policy will determine whether your treatment at Machon Dvir is covered. We can recommend overseas student health policies that may cover mental health treatment – contact us for details.

Yes, we currently have in-person availability. This varies by clinician, and in general is more limited than our zoom availability. Given the current situation concerning Covid-19, keep in mind that for periods of time sessions may switch to zoom-only 

As with any therapy, the amount of time an individual client spends in DBT depends on progress made toward their goals and is ultimately a decision made collaboratively between the client and therapist.

DBT skills training groups last approximately 24 weeks. Clients may then choose to re-start the group, move on to an advanced group (if one is running at the time), or continue with individual therapy only. Summer intensive programs last 6 weeks. 

Yes. Often our clients have long- standing, supportive relationships with current therapists that they are hesitant to let go of.  When it is in the client’s best interest, Machon Dvir makes a point of encouraging concurrent therapy alongside DBT treatment. Such arrangements are most effective when the current clinician maintains close contact with the treatment team at Machon Dvir. This being said, our experience points to motivation for using DBT skills being highest when it is the sole therapy being provided. 

There may be cases in which the treatment team recommends that the client work only within the Machon Dvir framework for both individual and group therapy. Such a determination is made when it is in the client’s best interest to centralize the therapy being provided.

Yes, it is important for us to be in touch with our clients’ previous therapists or treatment programs. Being in touch gives us an opportunity to learn more about you and your needs and how to better focus your therapy. We may also be in touch with Rabbis or other professionals, including gap year program faculty, as is best to suits the needs of the client’s treatment. It goes without saying that contact we have with anyone other than the client is ONLY with the client’s consent.

DBT is an evidence-based treatment that has been used around the world since 1993. It has been shown to help many people who are struggling with emotional dysregulation, impulsive, addictive and self-harming behaviors, or dysregulated eating. It is often recommended for people with borderline and dependent personality disorders, complex-PTSD, severe depression, anxiety and OCD. 

To understand what is involved in DBT treatment, we recommend this very helpful short video presentation.

Cognitive-behavioral therapy (CBT) is an evidence based therapy based on the concept that your thoughts, feelings, physical sensations and actions are interconnected, and that negative thoughts and feelings can trap you in a vicious cycle of behavior. CBT aims to help you deal with overwhelming problems in a more positive way by breaking them down into smaller parts. You will be taught how to change negative patterns to improve the way you feel. Dialectical behavior therapy (DBT) is a CBT- based therapy, but stresses the role of acceptance and change in the therapeutic process, and specifically addresses difficulties in emotion regulation. You can read more about these two treatment models here.

The Machon Dvir team needs to perform an in-depth assessment in order to recommend the most appropriate treatment plan to address your needs. Your intake interview will be carried out by an experienced and highly-qualified psychologist or clinical social worker and will take between 45 and 75 minutes. 

Before your intake appointment, you will receive a number of documents that you will be asked to fill out, including a consent form, and several questionnaires. These documents are an important part of the intake process and provide the team with vital information about the areas where you may or may not need help. 

After completing the questionnaires and intake appointment, the clinician may (with the client’s permission) contact your previous therapist. In some cases, the clinician will recommend a second intake, with Machon Dvir psychiatrist Dr. Shmuel Harris. 

Once the intake process is complete, the clinician will discuss the findings at the team’s weekly meeting. This gives the clinicians on the team an opportunity to familiarize themselves with your case, provide feedback,  and make recommendations, including assigning the appropriate therapist to the client. The therapist will then contact you to schedule your first appointment. 

Clients are not charged for missed sessions provided they give at least 5 business days cancellation notice for group therapy (to allow us to reschedule the group for other participants if necessary) and 2 business days notice for individual therapy appointments. (Business days are Sunday-Thursday, 8:30 am -6:00 pm Israel Time.) 

If you have certain preferences regarding your therapist (i.e. gender, age, or even a specific clinician), you are welcome to mention this when scheduling an intake or during the intake itself. Keep in mind, however, that therapist assignment is based on the team’s recommendation and availability.  While your preference will be taken into account, we cannot guarantee that it will be met.

One of the hallmarks of treatment at Machon Dvir is that we work together as an integrated team.

For example, therapists routinely share relevant information about clients with group leaders in order to best meet the treatment needs of the client. New intake cases are discussed at team meetings in order to receive unique feedback and recommendations from all clinicians. Relevant clinical issues that arise in therapy are discussed by the team (much like hospital physicians on patient rounds), to determine the best possible. care. 

We maintain complete confidentiality  in accordance with all ethical and legal practice guidelines.

Absolutely no client information is revealed outside the clinical team.

This can take between a few days to a week, depending on clinician availability.