Quality care comes first at Rula
We regularly review providers to ensure quality
Joseph Ombrello
Licensed Clinical Professional Counselors (LCPCs), like Joseph Ombrello, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.
Joseph has a Doctor of Philosophy (PHD) in Professional Counseling from Mississippi College and a Masters of Science in Education (MS ED) in Human Relations from Northern Arizona University.
I’m a licensed professional clinical counselor who works primarily with adults, veterans, and first responders, focusing on anxiety, trauma, and substance use. My practice is practical and skills-based, using CBT, REBT, mindfulness, and behavioral strategies to help clients build autonomy, resilience, and real-world functioning.
Available virtually
This set of providers was curated just for you.
Want personalized assistance finding the right fit? Call or text our team at 323-745-8323.
A closer look at Rula’s mental health providers in Montana
Specialty
Our providers specialize in a wide range of mental health needs, so you get care that truly fits you.
79
clinical specialties represented
Gender
You deserve a provider who understands your identity. Rula providers offer care that’s inclusive and affirming.
4
gender identities represented
Race & Ethnicity
Our providers represent a variety of backgrounds and cultures. Find providers who share or respect your lived experiences.
6
ethnicities represented across Rula providers
Therapy
Whether it’s stress, relationships, or personal growth, our therapists help you navigate what matters.
55
offer therapy
Psychiatry
Medication can be a key part of care. Our psychiatric providers offer expert guidance on what’s right for you.
4
offer medication management
Hundreds of thousands of patients have found affordable, in-network mental health care with Rula
Insurance
After you select a provider, we’ll send you a personalized cost estimate before your first session—so you’ll know what to expect.
$15 / session
typical cost patients pay through Rula
Nationwide coverage:
After you select a provider, we’ll send you a personalized cost estimate before your first session—so you’ll know what to expect.
100+ insurance plans accepted
140M total lives covered
Millions of sessions completed
Network
We hold providers to high clinical standards so you can trust the care you receive.
15,000+
licensed providers
Match
The right provider makes all the difference. We help you find someone who truly fits your needs—the first time.
98%
of searches result in an exact match
Progress
Care should make a difference. Our approach helps you track progress you can feel.
93%
of patients report feeling better after treatment through Rula
Additional therapy specialties and modalities
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En español
SpanishWhat is dialectical behavior therapy, and how does it work?
Dialectical behavior therapy (DBT) is a comprehensive and evidence-based therapy approach that aims to help people manage intense emotions and build better relationships. It combines standard cognitive therapy techniques with skills like mindfulness, which focuses on awareness of the present moment. DBT can be effective for issues like borderline personality disorder and eating disorders, concentrating on improving emotional regulation, distress tolerance, and interpersonal skills.
DBT may not be the best treatment for your needs. Understanding the process and discussing this treatment method with a mental health professional is important.
Common issues addressed by dialectical behavior therapy
DBT can be used in treating mental health conditions associated with emotional instability. It can support people who deal with borderline personality disorder and extreme emotional reactions. DBT offers strategies for handling these challenges, which can lead to a more stable and fulfilling life.
Potential benefits of online dialectical behavior therapy
Online DBT sessions offer the flexibility to connect with specialized therapists on the Rula platform throughout your state, even if they’re not in your local area. This can be beneficial for people who face challenges attending in-person sessions. Research has shown that online therapy can have the effectiveness of in-person DBT while providing an accessible and comfortable option for treatment.
What to expect during an online dialectical behavior therapy session
During an online DBT session, therapists generally guide people through skill-building exercises in areas like mindfulness, handling stress, regulating emotions, and improving relationships. These sessions often include discussions on applying these skills to daily life, focusing on improving emotional stability and personal connections.
Choosing the right dialectical behavior therapist
- Look for a therapist trained and certified in DBT therapy with experience relevant to your specific issues.
- In the initial sessions, gauge whether you feel understood and comfortable with the therapist's style and approach.
- Consider logistics like appointment availability and fees to ensure the therapist is within your budget and fits your schedule.
After you've booked your first session, Rula verifies your insurance coverage and follows up with a cost estimate, including any required copayments.
How effective is online DBT compared to in-person sessions?
Online DBT can be effective for many people. Many therapists on the Rula platform have experience adapting DBT techniques for online formats. While some may prefer in-person interactions, others find online therapy more convenient and less intimidating, which can help make sessions more effective.
Is dialectical behavior therapy right for me?
DBT can be suitable for people dealing with issues around emotional regulation, relationship conflicts, or self-harming behaviors. It can benefit people seeking a more structured therapy approach focusing on building practical skills. A consultation with a DBT therapist can help you decide if this therapy aligns with your needs and goals.
How should I prepare for online DBT sessions?
Reflect on your thoughts and feelings leading up to the appointment. Think about what you hope to get from each session and your longer-term goals. Let your close friends or family know you're starting DBT, as you might need their understanding and support.
DBT often brings up intense feelings and challenges old behaviors that may be difficult. Remember, the process of change has ups and downs. Working with your therapist can guide you through this process, offering support and strategies to help you apply DBT skills effectively in your everyday life. Feel confident about sharing your thoughts and feelings openly in this safe space.
How long does DBT therapy typically last?
The length of DBT therapy depends on the individual's needs and the specific issues being addressed. Some people may experience significant improvement within a few sessions, while others might engage in DBT therapy over several months. Your therapist can tailor treatment to your unique healing journey.
Are there any requirements for participating in online DBT?
Online DBT requires a private space for therapy, a reliable internet connection, and a device capable of video conferencing. Active participation and a willingness to apply DBT skills outside of sessions are critical for the therapy's success.