Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center

Centered Ground

Treatment Center

Verified by Psychology Today Verified by Psychology Today
2683 State Street, Carlsbad, CA 92008
Let's Connect (573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Radically Open Dialectical Behavior Therapy
At Centered Ground dialectical behavior therapy (DBT) includes radically open DBT for patterns of overcontrol, such as restricting eating disorders (e.g., anorexia), severe anxiety, and chronic depression. In his first U.S. cohort, Centered Ground founder Dr. Angela Klein intensively trained directly with the treatment developer Dr. Thomas Lynch. Initially then the only RO-DBT provider in Southern California, Centered Ground has now offered this groundbreaking approach for over a decade, targeting underlying neurobiology through psychoeduction and skills, in private sessions and classes, to foster self-compassion and connection.
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. 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, increasing compassion and letting go of guilt and shame. Skills training is based on clinical fit and ranges from 6 months for mindfulness, emotion regulation, and distress tolerance to 30 weeks for radical openness. Coaching calls between sessions help apply material 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. 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. 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.
Take the first step to help. Call or Centered Ground now - (573) 250-4153

Our Facility at a Glance

Available both in-person and online

Centered Ground

2683 State Street

Carlsbad, CA 92008 map

(573) 250-4153
We specialize in Eating Disorders and Borderline Personality (BPD) 
Our clients are children (6 to 10), teens and adults  
Let's Connect (573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD

Our Facility at a Glance

Available both in-person and online

Centered Ground

2683 State Street

Carlsbad, CA 92008 map

(573) 250-4153
We specialize in Eating Disorders and Borderline Personality (BPD) 
Our clients are children (6 to 10), teens and adults  

Finances

Payment Methods

American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Paypal, Visa

Insurance

  • Out of Network
"
Payment is due at the time of service but clients with out-of-network coverage can submit billing summaries provided by the practice to their insurance for reimbursement. Fees are based on time and range according to therapist education and licensure level, including doctoral students in training.
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
or call with questions - (573) 250-4153
"
Payment is due at the time of service but clients with out-of-network coverage can submit billing summaries provided by the practice to their insurance for reimbursement. Fees are based on time and range according to therapist education and licensure level, including doctoral students in training.
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
or call with questions - (573) 250-4153

Qualifications

  • Verified by Psychology Today License: California / PSY25219
  • Years In Business

  • In Business for 11 years
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Feel free to ask about qualifications and training experience. or (573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Feel free to ask about qualifications and training experience. or (573) 250-4153

Specialties and Expertise

Top Specialties

  • Eating Disorders
  • Borderline Personality (BPD)

Expertise

  • Alcohol Use
  • Anger Management
  • Anxiety
  • Behavioral Issues
  • Bipolar Disorder
  • Child
  • Chronic Impulsivity
  • Coping Skills
  • Depression
  • Dual Diagnosis
  • Emotional Disturbance
  • Mood Disorders
  • Substance Use
  • Suicidal Ideation
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Do these issues align with your needs? or (573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Do these issues align with your needs? or (573) 250-4153

Client Focus

Age

Children (6 to 10)
Teen
Adults

Participants

Individuals
Couples
Group

Age

Children (6 to 10)
Teen
Adults

Participants

Individuals
Couples
Group

Programs and Services

Treatment Programs

  • Addiction
  • Continuing Care
  • Depression
  • Dual Diagnosis
  • Eating Disorder

Out / Inpatient

  • Intensive Outpatient Program

Types of Therapy

  • Acceptance and Commitment Therapy
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • EMDR
  • Motivational Interviewing
"
Centered Ground offers individualized programming according to each client's needs and interventions proven in research. This can include group classes, alongside private sessions, as well as coaching by text and call 24/7 between sessions, to support change precisely when situations arise. Overarching goals are to create balance, effectiveness, and connection: a life worth living and sharing.
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
or call with questions - (573) 250-4153
"
Centered Ground offers individualized programming according to each client's needs and interventions proven in research. This can include group classes, alongside private sessions, as well as coaching by text and call 24/7 between sessions, to support change precisely when situations arise. Overarching goals are to create balance, effectiveness, and connection: a life worth living and sharing.
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
or call with questions - (573) 250-4153

Groups

Location

Primary Location

Centered Ground

2683 State Street

Carlsbad, CA 92008

(573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Take the first step to help. Call now - (573) 250-4153
Photo of Angela Sue Klein - Centered Ground, Treatment Center, PhD
Centered Ground
Treatment Center
Take the first step to help. Call now - (573) 250-4153