We require that clients be willing to work on reducing and ultimately stopping the use of illegal substances to be in the program. At the same time, depending on clients' presenting problems, substance use may not be the top priority in the beginning of therapy, unless it somehow causes and/or relates to behaviors like suicide and self-harm. Nevertheless, once higher prioritized targets are addressed, clients will be required to agree to work on stopping the substance use if they are to continue in the Adolescent DBT program. This is because we want clients to be active in finding their own wise mind and regulating their emotions, something that is nearly impossible when under the influence of substances.