The Advanced DBT group is an agenda-based skills integration group that aims to help clients utilize their existing skill-based knowledge to current life dilemmas and successes.  Groups begin with a mindfulness practice and a group member-led skill review prior to taking an agenda featuring each client's report of skills needed and/or utilized since the prior group session.  Group sessions are used to generate strategies for future skill usage, problem solving, interpersonal dilemmas, integration of emotional regulation strategies, and celebration of successful planning and implementation of DBT-based skills.  Members of the Advanced DBT group need to be in individual DBT treatment with an intensively trained DBT individual therapist who provides skills coaching.  Clients also must have successfully completed an initial DBT skills training program.