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Transitional Living

Treatment Approach
Looking back at my time at Silver Hill, I can’t believe I was there for 2 1/2 months. You gave me the chance to learn how to live for the first time in my life. Silver Hill was my home and you and saved my life. I don't know where I would be today without Silver Hill.
- Lisa, a former patient
About our Personality Disorders transitional living program

Our transitional living program is one of the very few residential programs in the country that focuses on treatment with Dialectical Behavior Therapy (DBT). It is designed for patients with poor emotional control, impulsivity, self-damaging behaviors and interpersonal disorganization. This highly structured, intensive program is for those who do not need close inpatient supervision, but are not able to manage successfully in an outpatient setting.

Through DBT skills training groups and coaching, patients learn how to better regulate their emotions and to replace dysfunctional coping strategies with more adaptive behaviors. Patients reside on the Silver Hill campus in a house that is staffed 24/7 with highly trained DBT personnel. Under the guidance of this staff, patients live the skills and coping strategies they are learning, as they learn them.

The length of stay is 4 weeks, but some patients opt to extend their treatment.

What we treat

DBT was originally developed to treat people with borderline personality disorder who were chronically suicidal. But research has shown it is also effective in the treatment of other mental health problems, such as anxiety, substance use and behaviors that threaten individual safety, relationships or emotional well-being.

The disorders we treat at the Center include:

The intentional and repeated physical harm of oneself.
Anxiety disorders
The persistent, excessive and unrealistic worry about everyday things.
Persistent feelings of pervasive sadness, hopelessness and helplessness that interfere with thinking and daily activities.
Borderline Personality Disorder
A condition with a variety of symptoms that can include instability in mood, self-image and personal relationships, and often self-harming behaviors.
Substance use disorders
The compulsive or difficult-to-control use of drugs or alcohol despite negative or harmful consequences.
How we treat

DBT is based on five core modules. All five are integral to treatment in the Personality Disorders Center.

Mindfulness, the foundation of DBT, teaches people to observe thoughts and feelings in the moment and realize there’s a choice in how to respond.

Emotion Regulation is learning to more effectively control one’s emotions and become less reactive to people and situations.

Interpersonal Effectiveness teaches how to maintain relationships, while meeting personal needs and preserving self-respect.

Distress Tolerance is an “acceptance strategy” for tolerating intense emotions without engaging in problematic behaviors.

Middle Path is a skill for effectively managing extreme behavior to achieve greater balance in life.


Our treatment team
Our specialized, DBT-trained team consists of psychiatrists, social workers, nurses and residential counselors.
Fees for treatment

Transitional living programs are not typically covered by health insurance plans, and are most often a direct expense for patients or their families. Some insurance policies may cover a portion of the cost. Our staff will help you determine whether you may have benefits that will allow coverage for this program and, if you do, we will seek authorization from your insurance company to use your benefit. If you need to begin your transitional living program with a brief inpatient stay we do accept appropriate inpatient insurance and are in network with most commercial plans.

Silver Hill Hospital
For your reference

To learn more about our Personality Disorders Center please download our brochure.


Let’s get started.

Allow us to help you get better. Contact us today to find out which program might be right for you, or to begin the process of arranging for treatment.

Call us at
1 (866) 542 4455

– OR – Contact Us