Most therapy is built for people who feel too much, too loudly. But some of us learned early to hold everything in — to plan, perfect, achieve, and push through. From the outside, your life works. Inside, it can feel rigid, lonely, and quietly joyless.
That pattern has a name: overcontrol. And there is a therapy designed specifically for it.
Signs overcontrol might be your pattern
- You rarely "fall apart" — but you rarely feel free, either
- Rest feels unproductive; play feels foreign
- You're the reliable one, and it's isolating
- Feedback feels like threat, even when you asked for it
- You do everything right and still feel like something's missing
How RO-DBT works at MOMI
- Individual RO-DBT therapy — weekly online sessions
- RO-DBT skills classes — structured online classes teaching the 30-skill curriculum
- 100% online across Washington — in English, Spanish, or Portuguese
Fees & insurance: individual sessions $300; skills classes $110. In-network with Premera BCBS, FirstChoice, Aetna, and Cigna; reimbursement statements for other plans. Limited sliding-scale spots.
Frequently Asked Questions about RO-DBT
What is RO-DBT?
Radically Open Dialectical Behavior Therapy (RO-DBT) is an evidence-based treatment for overcontrol — perfectionism, rigid self-control, emotional inhibition, and the exhaustion of holding everything together.
How do I know if RO-DBT is right for me?
It may fit if you are capable and accomplished on the outside but feel rigid, guarded, lonely, or burned out inside. RO-DBT is for people who try hard — not people who do not try enough.
What are skills classes?
Skills classes are structured online sessions that build openness, flexibility, and social connection alongside individual therapy. Skills classes are $110.
Is RO-DBT available online across Washington?
Yes. Individual RO-DBT therapy and skills classes are delivered fully online, statewide, by secure video.