DBT skills are focused on both acceptance and change. Mindfulness and distress tolerance are acceptance skills. Emotion regulation and interpersonal effectiveness skills are change skills. The DBT skills group is taught in a didactic format. The three skill modules (emotion regulation, distress tolerance, and interpersonal effectiveness) are taught in four to six week cycles such that all skill sets are taught within the same four to six week cycle. Homework is an essential component of behavioral therapies and is assigned and reviewed at each group. Homework consists of specific exercises related to the skills topics of the week. Although everyone is encouraged to practice DBT skills in daily life, homework assignments are specific exercises to help learn the skills being taught in the skills group for that week.