Centered Ground, PhD, Treatment Center in Carlsbad

Radically Open Dialectical Behavior Therapy

Centered Ground is the only intensively trained provider of radically open DBT (RO DBT) in Southern California. RO-DBT is the most current adaptation of traditional DBT for individuals who struggle with patterns overcontrolled behavior and emotional inhibition, including restricting eating disorders (e.g., anorexia nervosa), pervasive anxiety disorders, and chronic depression. RO DBT provides psychoeducation and tools to address the underlying neurobiology behind these patterns, to facilitate greater self-understanding, compassion, and desired connection in relationships. The program includes a weekly two-hour skills training class. Dr. Klein directs and leads the program, based on her training through Behavioral Tech, with Dr. Thomas Lynch, who developed the adaptation and has researched it for over the past 20 years. Dr. Klein is one of the 1st 60 clinicians in the U.S. to complete Dr. Lynch's intensive training in this approach and her supervision with Dr. Lynch is ongoing.

Mindfulness & DBT for Disordered Eating

Centered Ground also specializes in DBT-based treatment for disordered eating and body image, including individual therapy, coaching calls, and group skills training in mindful eating, emotion regulation, and distress tolerance. This approach has research support for its effectiveness, in particular, for binge eating and bulimia nervosa, including studies conducted by Dr. Klein (Klein, Skinner, & Hawley, 2012; 2013). This approach fosters an open, nonjudgmental stance towards food and eating, increases compassion, and facilitates letting go of guilt and shame. Each group session is 2.5 hours, once/week. Coaching calls in between sessions help clients apply material from sessions to real life in the face of urges and challenging situations. To develop this approach, beginning in 2007, Dr. Klein consulted with Dr. Debra Safer at Stanford, who has been one of the leading researchers in the field on DBT adapted for eating disorders. Dr. Klein is the only provider of this research-based protocol in the greater San Diego area. She has just completed her book on this approach, "Mindful Eating from the Dialectical Perspective: Research and Application," available through Routledge and Amazon.

DBT-Adult & Adolescent Programs

Centered Ground also provides adherent standard DBT for adults and adolescents, including individual therapy, group skills training, and coaching calls. Centered Ground is the only full DBT provider in North County San Diego. DBT for Teens and Families covers the following skills in a group format that has research support for its effectiveness in addressing emotional intensity and impulsive behaviors in teens: mindfulness, distress tolerance, emotion regulation, behaviorism, validation, and interpersonal effectiveness. Adult DBT skills training covers mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Dr. Klein has been a DBT clinician since 2004. Her training and experience includes DBT for substance use and DBT adaptations to enhance accessibility in the real world, e.g., serving as the lead study therapist for Dr. Kim Gratz's randomized trial of emotion regulation group treatment for self-harm (Gratz, Tull, & Levy, 2014). She has also directed and developed multiple DBT-based programs in a variety of settings, including college counseling centers and an intensive outpatient/partial hospitalization program. Most recently she received training with Dr. Milton Brown at the DBT Center of San Diego through her time at the center as a staff therapist (7/12-10/14).
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Qualifications

  • License No. and State: PSY25219 California

Finances

  • Accepted Payment Methods: American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Paypal, Visa

Accepted Insurance Plans
  • Out of Network

Centered Ground's Groups

DBT Skills Training for Teens & Families

Adolescence can be a challenging time for teens and families-even more so when mood swings are intense and teens turn to risky behaviors, such as self-harm, suicidality, drinking, drug use, and disordered eating. . . Dialectical Behavior Therapy (DBT) for Teens and Families at Centered Ground covers the following skills in a group format that has research support for its effectiveness in addressing emotional intensity and impulsive behaviors in teens: mindfulness, distress tolerance, emotion regulation, behaviorism, validation, and interpersonal effectiveness. Group members also have coaching call support between sessions to help resist urges and implement new skills.

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Adult DBT Skills Training

We offer two adult DBT skills training group classes: standard DBT skills training group, covering mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness; and radically open (RO) skills training class for overcontrolled emotional expression and related concerns, such as perfectionism, social isolation, anxiety, depression, and restricting eating disorders. RO discusses reasons for this emotional inhibition and teaches alternative strategies to increase self-acceptance, flexibility, and desired relationships. Dr. Klein is one of a limited number of clinicians in the U.S. intensively trained in RO; her training with Dr. Lynch, the treatment developer, is ongoing. Cost is $75-$85/week.

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Mindful Eating

This group guides participants through mindful eating and behavioral strategies for change. This approach fosters an open, nonjudgmental stance towards food, increases compassion, and facilitates letting go of guilt and shame. Skills teaching includes mindfulness, emotion regulation, and distress tolerance. Each session is 2.5 hours, once/week. Coaching calls are also available between sessions to help you apply what you learn in class in your life when facing urges and challenging situations. Dr. Klein has researched and published on this approach. Her book, "Mindful Eating from the Dialectical Perspective: Research and Application," is available through Routledge and Amazon.

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Specialties

  • Self-Harming
  • Eating Disorders
  • Borderline Personality

Issues

  • Alcohol Abuse
  • Anger Management
  • Anxiety
  • Behavioral Issues
  • Bipolar Disorder
  • Child or Adolescent
  • Chronic Impulsivity
  • Coping Skills
  • Depression
  • Drug Abuse
  • Dual Diagnosis
  • Emotional Disturbance
  • Family Conflict
  • Parenting
  • Relationship Issues
  • Sleep or Insomnia
  • Substance Abuse
  • Suicidal Ideation
  • Weight Loss

Mental Health

  • Mood Disorders
  • Personality Disorders

Client Focus

Religious Orientation: Other Spiritual or Religious Affiliations

Age

  • Adolescents / Teenagers (14 to 19)
  • Adults

Programs and Services

Treatment Programs

  • Depression
  • Dual Diagnosis
  • Eating Disorder

Treatment Approach

Treatment Orientation

  • Cognitive Behavioral (CBT)
  • Dialectical (DBT)
  • Family / Marital
  • Mindfulness-based (MBCT)
  • Motivational Interviewing
  • Psychological Testing and Evaluation
  • Solution Focused Brief (SFBT)

Modality

  • Individuals
  • Family
  • Group
Last Modified: 28 Jun 2017
Centered Ground, PhD, Treatment Center in Carlsbad

Centered Ground

Treatment Center