Welcome to Lakes DBT Center,
a part of Lakes Psychiatric Center.

We provide comprehensive DBT services to provide effective treatment of Borderline Personality Disorder (BPD) and other disorders involving affective dysregulation, including co-occurring substance use disorders, major depressive disorder, and individuals with history of trauma. At Lakes DBT Center, we believe that it is a great privilege to facilitate a person’s recovery and that with effective evidence-based treatment and a caring and coordinated treatment team, clients can achieve a life worth living. 

Treatment of Borderline Personality Disorder

Marsha Linehan, developer of Dialectical Behavioral Therapy (DBT), explained that

“people with Borderline Personality Disorder are like people with third degree burns over 90 percent of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement.”

Harmful behaviors such as intentional self-harm, suicidal behavior, and substance misuse is often a response to unbearable emotional suffering. DBT is intended to replace ineffective behaviors with skillful behaviors that are within conscious control and with continued practice and support, become automatic and incorporated into daily practice. 

Dialectical Behavioral Therapy at Lakes DBT Center

Lakes DBT Center offers comprehensive Dialectical Behavioral Therapy services, including: ​

  • Individual Therapy

  • Group Skills Training

  • Between-session coaching

  • Therapist Consultation 

We recognize the internal dialect that occurs between the need to accept themselves as they are in the moment and the need to change to adaptive skillful behavior to reach their goals. DBT addresses this need by offering modules in both acceptance skills and change skills. 

DBT Skills Modules

Acceptance Skills Focuses On: 

  • Mindfulness: The awareness of the present moment, participating without judgment, and allowing experiences rather than suppressing, avoiding, or trying to change them. 

  • Distress Tolerance: The management a crisis without making the situation worse and acceptance of reality as it is, without judgment.

Change Skills Focuses On: 

  • Emotion Regulation: Increasing emotional awareness, reducing vulnerability to emotions, identifying patterns of unskillful behavior, increasing tolerance of emotional experience.

  • Interpersonal Effectiveness: Getting individual needs met, cultivating healthy relationships, and increasing self-respect in relationships. 

In addition to individual therapy, clients at Lakes DBT Center are expected to participate in a weekly two-hour group skills training. Most DBT skills training groups consist of 6-8 group participants. Evening and weekend appointments are offered for those with limited availability during typical business hours. 

Lakes DBT Center is currently accepting new referrals and participates with most major insurance companies. To schedule an intake appointment, please contact us at 248.859.2457.

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Lakes DBT Center has multiple DBT trained clinical social workers and counselors to facilitate your recovery and growth. 

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Adam Horski, LMSW

Clinical Social Worker, DBT Therapist

appointments: (248) 859-2457

direct line: (810) 908-1259
e-mail: AHorski@lakescenter.com

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Laura Mueller, LMSW, ACSW

Clinical Social Worker,DBT Therapist

appointments: (248) 859-2457

direct line: (248) 863-1859
e-mail: LMueller@lakescenter.com

Lakes DBT Center

Lakes Psychiatric Center

2300 Haggerty Road, Suite 1170

West Bloomfield, MI 48323

Phone: (248) 859-2457

Fax: (248) 859-2473

Billing: (248) 313-9550


DBT Program Leaders

DBT Therapists

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Jessica Martin, LMSW

Clinical Social Worker

appointments: (248) 859-2457

direct line: (248) 778-6822

e-mail: JMartin@lakescenter.com

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Marina Pesserl, PhD, LPC

Licensed Professional Counselor

appointments: (248) 859-2457

direct line: (248) 910-1591

e-mail: MPesserl@lakescenter.com

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Josephine Salem, LMSW

Clinical Social Worker

appointments: (248) 859-2457

direct line: (248) 736-9373

e-mail: JSalem@lakescenter.com

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Heidi Stamper, LPC

Licensed Professional Counselor

appointments: (248) 859-2457

direct line: (248) 579-2980

e-mail: HStamper@lakescenter.com

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