
Groups
Outpatient group therapy is a treatment modality in which members meet together in a group for a dedicated time period, and connect around a shared topic, experience, stressor or acquisition of a desired skill. Some groups may be structured by topic and include formal learning of skills or practice with the goal of achieving enhanced mental, emotional, and/or physical well-being. Other groups may be less structured and more supportive and interpersonal in nature. Please Note: the majority of groups are held IN-PERSON. Hybrid/virtual options may be available (please inquire).
Group Offerings
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ACCEPTING REFERRALS FOR: September 2025
Meets weekly on Mondays from 1- 2:30pm
NOTE: This Group meets IN-PERSON
▸ Young Adults (18-26yo)
▸ Maximum of 5 members▸ Cost: $220/90min
Description:
Feeling stuck as you navigate adulthood? You’re not alone. Many young adults find the transition into independence overwhelming –whether it’s managing emotions, staying motivated, keeping up with daily responsibilities, or figuring out what’s next.
▸Life Skills Lab (LSL) is a weekly group for ages 18–26 that teaches practical, evidence-based skills to help you get unstuck and move forward.
▸ Each session combines discussion, hands-on skill practice, and time to actively work on your own goals.
▸ Using CBT and DBT strategies, you’ll gain tools for emotional regulation, executive functioning, and real-world problem-solving while connecting with peers who get it.
Requirements:
▸ Members are in individual therapy
▸ Complete individual intake prior to joining group to identify personalized goals
Led by: Alayna McGarty, LMHC
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ACCEPTING REFERRALS FOR: September 2025
Meets weekly on Wednesdays from 4-4:50pm
NOTE: This Group meets IN-PERSON
▸ High School age group
▸ Maximum of 8 members
▸ Cost: $120/50minDescription:
This weekly highly interactive group introduces members to all four modules of DBT skills:
Mindfulness
Distress Tolerance
Emotion Regulation
Interpersonal Effectiveness
Each group meeting includes a mindfulness practice, review of home practice, teaching of a new skill with accompanying activity, an activity and assignment of the new home practice
Requirements:
▸ Completing an intake prior to the start of group to assess fit and define individualized goals
▸ Willingness to commit to the full 24-weeks of the curriculum
▸ Currently participating in individual therapyLed by: Symone Bennett, LMHC
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ACCEPTING REFERRALS FOR: September 2025
Meets weekly on Mondays, 4 - 4:50p
NOTE: This Group meets HYBRID
▸ High School age group
▸ Maximum of 8 members
▸ Cost: $120/50minDescription:
This member agenda-based group is for individuals who have completed an introduction DBT Skills group and are looking to “level up” their application of the skills in their life.
Each member is asked to put themselves on the agenda to discuss DBT skills used or assistance with using DBT skills in the future.
Requirements:
▸ Willingness to make a commitment of at least 12 weeks
▸ Completing the full DBT Skills curriculum and demonstrating an understanding of the skills
▸ Currently participating in individual therapyLed by: Alayna McGarty, LMHC
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ACCEPTING REFERRALS FOR: September 2025
Meets weekly on Thursdays from 4-4:50pm
NOTE: This Group is held IN-PERSON (preferred) with a HYBRID option if needed
Ideal for adults looking to build skills in:
Managing intense or challenging emotions
Reducing stress, and tolerating painful experiences
Maintaining healthy relationships with others, including boundary setting and communication skills
Details:
▸ Adults (18+)
▸ Maximum of 8 members▸ Cost: $120/50min
Description:
This adult group runs on a 24 week curriculum - New members may join at the start of a new module during the cycle
This structured group focuses on providing members with a comfortable environment in which to learn the DBT skills from the modules of: Mindfulness, Distress Tolerance, Emotional Regulation, and Interpersonal Effectiveness
Groups include experiential skills and activities, as well as home practice with an accompanying workbook
Requirements:
▸ Completion of individual intake session with leader prior to start to establish fit for outpatient level
and individualize treatment goals▸ Commitment to attend a minimum 4 groups for group cohesion
▸ Established in individual therapyLed by: Nicki Roth, LICSW
Intensive Programs & Workshops
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Our expert staff will be leading a complimentary 60-minute monthly webinar series for our community and colleagues
September 10th at 6pm
Dr. Kristin Rajala
Seasons of Change: Using Evidence-Based Strategies to Move Smoothly from Summer to Fall
Link Here
October - From Thinking to Feeling: A Somatic Approach to Healing with Ashley Sazama, LICSW
November - Cookies, Comfort, and Confidence - Take the Stress Out of Food with Rebecca Toutant, RD
December - Holiday Calm Amid Chaos: The Gift of Self-Care with Sara Skonieczny, LICSW
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ENROLLMENT OPENS FEBRUARY 1, 2026 FOR: JUNE 2026 INTENSIVE
Join us for our annual week-long intensive introduction to the core DBT skills!
▸ Lovingly referred to as “Goat Week,” this immersive experience is available to teens and young adults (ages 14-19) looking to build skills in the areas of Mindfulness, Emotional Regulation, Distress Tolerance, and Interpersonal Effectiveness.
▸ Participants will cover all of the skills and activities of our 24-week outpatient DBT group program in 1 week, with an emphasis on experiential (activity-based) learning.Included Offerings:
▸ Animal-assisted group therapy with Positively Goats
▸ Yoga and mindfulness groups with a certified instructor
▸ Mindfulness activities in MA Audubon’s Broadmoor Wildlife Sanctuary
▸ Food and beverage catered dailyIntensive Details:
▸ June 29 - July 3rd, 2026
▸ Teens and young adults; ages 14-19
▸ Privately owned farm in South Natick▸ Cost - $250 intake, $3950 for 5-Day Intensive
NOTE: Full Scholarship Application Available, as well as sliding scale opportunity. For eligibility: email Admin@BirchHillBH.com
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ENROLLMENT OPENS MARCH 1, 2026 FOR: AUGUST 2026 INTENSIVE
▸ This group aims to support college-aged students (incoming or returning) in the development of the necessary skills for managing the stressors associated with both being a student and in adjusting to the college environment. Members will leave this group with concrete skills that set them up for personal, social/relational, and academic well-being.
▸ This intensive 12 hour group program over 4 days will include cognitive-behavioral (CBT), dialectical behavior (DBT), and Acceptance & Commitment (ACT) skills-foundations with experiential (activity-based) practice.
▸ The 60-minute Intake session will assess fit for the group, and assist members in developing their individualized goals for the program and their school year.Included Offerings:
▸ Experiential and Interactive activity-based learning
▸ Skills workbook provided + Tailored goals/planning at Intake session
▸ Breakfast and beverages catered dailyIntensive Details:
▸ August 10 - August 13, 2026 (9:00am-12:00pm)
▸ Incoming or returning college students
▸ Birch Hill Behavioral Health group room & outdoor area