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https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1530502266758-WZP4MBP62H45ETASTCQG/AdobeStock_57986361.jpeg Modalities - Dialectical Behavior Therapy (DBT) DBT combines CBT and Mindfulness along with a set of tangible skills for coping with stress, regulating emotions, and improving relationships. In DBT, we learn to find balance between emotions and rationale, between the heart and the head. Learn more. https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1530502266758-WZP4MBP62H45ETASTCQG/AdobeStock_57986361.jpeg Modalities - Dialectical Behavior Therapy (DBT) DBT combines CBT and Mindfulness along with a set of tangible skills for coping with stress, regulating emotions, and improving relationships. In DBT, we learn to find balance between emotions and rationale, between the heart and the head. Learn more. https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1780090845864-H9P787QMQEFKCIUUIT1P/AdobeStock_106546247.jpg Modalities - Cognitive Behavioral Therapy (CBT) CBT is one of the most researched treatments for depression and anxiety as well as most other mental health issues. In CBT, clients focus on challenging and modifying perceptions, self-talk and core beliefs. https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1530502233369-9JVRU2ATXM447F4YTA1U/AdobeStock_36041755.jpeg Modalities - Eye Movement Desensitization and Reprocessing (EMDR) EMDR uses bilateral stimulation, most typically from horizontal eye movements, to integrate right and left sides of the brain and allow for reprocessing of stuck memories or beliefs that maintain anxiety and trauma responses. https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1530502042764-CHRNMV93EEAH8A0TS4N4/AdobeStock_106546247.jpeg Modalities https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1780090963555-CA46U0KE6C3QWSDYQ9P3/AdobeStock_99076883.jpeg Modalities - Prolonged Exposure (PE) Fear feeds on fear. By avoiding that which you fear, you make that fear grow. In Prolonged Exposure, the therapist assists the client in facing fears or past experiences and, in doing so, overcoming them. https://www.stldbt.com/groups-2 daily 0.75 2026-05-29 https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1747929361149-DVQ3UYQZT15FDCC2ESU5/diverse-people-sit-in-circle-and-brainstorm-ideas-1163038341-c0805b192d7f42a4b82fbf93b1b97d4e.jpg Groups Gallery - Adult/Young Adult DBT Skills Groups Many different days and times available This 24-week group is broken up into four modules: mindfulness, distress tolerance, interpersonal effectiveness and emotional regulation. We have general DBT and specialized DBT groups: Adult DBT groups are for individuals ages 18 and up. Young Adult DBT Group is for ages 17-26. LGBTQIA+ DBT group is created by and for LGBTOIA+ folks, age 18+ to build tools for thriving and surviving in the face of identity-based stress and societal invalidation. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1747929311238-UYJ42HOQ73SBB06E2ELS/diverse-people-sit-in-circle-and-brainstorm-ideas-1163038341-c0805b192d7f42a4b82fbf93b1b97d4e.jpg Groups Gallery https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1747929361149-DVQ3UYQZT15FDCC2ESU5/diverse-people-sit-in-circle-and-brainstorm-ideas-1163038341-c0805b192d7f42a4b82fbf93b1b97d4e.jpg Groups Gallery - Adult/Young Adult DBT Skills Groups Many different days and times available This 24-week group is broken up into four modules: mindfulness, distress tolerance, interpersonal effectiveness and emotional regulation. We have general DBT and specialized DBT groups: Adult DBT groups are for individuals ages 18 and up. Young Adult DBT Group is for ages 17-26. LGBTQIA+ DBT group is created by and for LGBTOIA+ folks, age 18+ to build tools for thriving and surviving in the face of identity-based stress and societal invalidation. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1598023461074-3QYQRLZ7QV0A7BSZIXUN/image.jpeg Groups Gallery - TEEN-FAMILY DBT SKILLS GROUP Wednesdays and Thursdays 4:30-6:00 pm Teens, aged 13-17 and parents participate together in this 24 session DBT skills group. Teens and parents learn to communicate effectively, regulate their emotions and tolerate distress. The goal of this skills group is to help teens and parents discover a middle path to: ~ avoid power struggles ~ better understand each other ~ bring peace back into the home. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1714497430100-TBYETKKF1RH02VMP2A7V/DBT%2BSummer%2BSchool.jpg Groups Gallery - DBT Summer Intensive Starts June 17 — Please register ASAP to complete intake interviews and steps prior to start date. DBT Summer Intensive provides Adults aged 18+ with a fast track through most of the DBT Skills for improving Distress Tolerance, Emotion Regulation, Mindfulness, and Interpersonal Effectiveness. 12 weeks — Mondays and Fridays, 8:30-9:30am CST, Virtual Meetings Contact us to learn more or to register https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1702499118802-8HOAF3ZEYLNSR04PTQM6/GettyImages-668212368.jpg Groups Gallery - Preparing for Take-Off: A Class for Parents and Caretakers with Children in Treatment New group now forming This class is for parents and caretakers of “emotional supersensors” — kids under age 17 who experience highly sentitive reactions, huge emotional fluctuations, and difficulty returning to baseline. This class teaches parents to regulate themselves and their children. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1598030871085-1K84UBOATSP7H055FW2T/image.jpeg Groups Gallery - RADICALLY OPEN DIALECTICAL BEHAVIOR THERAPY FOR ADULTS Radically Open DBT (RO-DBT) is an evidence-based adaptation of standard DBT developed specifically to treat disorders of over-control. Although high self-control is generally thought to be a good quality, research shows that too much self-control can actually become problematic. Over-control is associated with emotional loneliness, social isolation, and difficulty connecting to others and developing intimate social bonds. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1714496872265-WHFUJR2GJQ5YEY9RD6HH/DBT+Summer+School.png Groups Gallery - DBT Summer Intensive DBT Summer Intensive provides a fast track through most of the DBT Skills for improving Distress Tolerance, Emotion Regulation, Mindfulness, and Interpersonal Effectiveness. Starts June 3 — Please register ASAP to complete all intake interviews and steps 12 weeks — Mondays and Fridays, 8:30-9:30am CST, Virtual Meetings Contact us to learn more or to register https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1769117268985-S2ZZSJRLZXOHYPHCX9C1/alexas_fotos-s_UvlEnwS0c-unsplash.jpg Groups Gallery - Finding Flexibility: An RO-DBT Class for Teens Feeling stuck, overthinking, or trying too hard to be perfect? You’re not broken and you’re not alone. RO-DBT for Teens is a skills class that helps teens loosen perfectionism, feel more connected and less alone, handle strong emotions without shutting down, and try new ways of relating so they can be more themselves and enjoy life more—without changing who they are, just expanding their options. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1598029363418-LAQOX5M7J9WI12HNV3Y2/image.jpeg Groups Gallery - ADVANCED DBT SKILLS FOR ADULTS, YOUNG ADULTS OR TEENS New Groups Forming Now This is an Advanced DBT Skills Group for clients who have completed at least one round of a standard DBT Skills Group or Teen and Family DBT. This group is heavily peer-led, with an emphasis on delving deeper into skills learning, applying skills to real-life situations, problem solving, and role playing. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1728944023980-WFOBNVQXSKT3LJNBCQG7/image.png Groups Gallery - Riding out the Storm: A Supportive Class for Loved Ones of People with BPD New group forming now! If you have a person with extreme emotion dysregulation in your life, YOU are on the frontlines. You may find yourself constantly bombarded with anger outbursts you can’t identify the cause or origin of. You watch your loved one spiral day after day and anytime you offer a fix, they seem to spiral faster and further. You may fear coming home, not knowing which version of your loved one you are going to find there. While your loved one’s therapist or doctor gets to “set boundaries” and take breaks, you are never off duty. You need respite, validation, and answers. This is your group. These are your people! LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1598029422684-K9G592QE3W74X9IIAO9A/image.jpeg Groups Gallery - PATH TO RECOVERY: A DBT SKILLS GROUP FOR ADDICTIONS Mondays 6-7:30 pm St. Louis DBT offers a 24-week DBT Skills Group specifically tailored to individuals 18+ struggling with addiction behaviors such as substance use, binge-eating, tech-binging, and compulsive gambling, sex or spending. LEARN MORE https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1599587789430-D69ASKU1IEPY8JNC9Z4J/image-asset.jpeg Groups Gallery - Online Trauma-Sensitive Mindfulness-Based Cognitive Therapy (MBCT) Thursdays | October 15 to December 10 | 6:00 pm to 8:00 pm | Full-Day Retreat November 7 Learn to free yourself from cycles of depression and anxiety, and feel safer in the here and now with this powerful and unique 8-week online course that combines experiential mindfulness training, cognitive therapy, and trauma education If you’ve experienced trauma, the present moment can be very unsafe. Getting to know yourself, coming into your thoughts and your body, can be very unsafe. Special techniques are required to learn mindfulness and apply cognitive tools in a way that respects the imprints of trauma in your life. Trauma-Sensitive MBCT will give you valuable trauma education, and will be taught in a trauma-sensitive way, so that you can continue to practice mindfulness and receive its full benefits. 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Adrianne found her calling in teaching others how to work with persons with thoughts of suicide, and is a Master Trainer for Applied Suicide Intervention Skills Training. She has recently started her private practice, A Nu Day, and is working with St. Louis DBT to provide DBT therapy to persons diagnosed with Borderline Personality Disorder. https://images.squarespace-cdn.com/content/v1/5a9765927e3c3a7e13c8164d/1cce217e-e53d-4b11-a50b-9b04639f0a27/Casey+Profile.jpg Trainings and Workshops - Elements of DBT: The Individual Therapy Session ~ November 7-8, 2024 - Casey Limmer, MSW, LCSW, DBT-LBC Owner/Founder/CEO of St. Louis DBT and Gateway Wellness Associates Casey received her first training in DBT in 2001 and immediately saw the many benefits it would have for her clients and herself. She went on to get intensive and advanced training in DBT, started several DBT programs in the area, completed a rigorous certification process, taught courses in CBT and DBT at Washington University, and now coordinates DBT Training opportunities at St. Louis DBT. Casey has been trained in CBT by Judith Beck and in DBT by Marsha Linehan. She has taught hundreds of graduate students to use those time-tested and evidence based clinical tools. Casey has won the Excellence in Teaching Award from Washington University thanks to her humorous and engaging teaching style, incorporation of media examples and use of practice exercises throughout classes and workshops.