Welcome to Centered Ground

Dialectical Behavior Therapy Specialists, including Radically Open DBT & Mindful Eating

Located in North County San Diego
In-Person and Virtual Appointments Available

Overlooking sunny beach in Carlsbad

About Centered Ground

Thank you for visiting our site! At Centered Ground, we provide dialectical behavior therapy (DBT) and other psychological services supported by research, including cognitive behavior therapy (CBT), combining concrete strategies with Eastern philosophies, particularly mindfulness. We welcome you to continue reading if you seek balance and freedom from suffering.

What We Do

Centered Ground provides adherent DBT for adolescents and adults, including radically open DBT for disorders of overcontrol, such as pervasive, persistent anxiety and mood disorders, social isolation, and restricted eating. DBT is a form of CBT that includes individual therapy, group skills training, and coaching calls through a treatment team of therapists. Coaching calls assist clients in applying what they are learning in treatment when facing urges and challenging situations between sessions. Skills include distress tolerance, emotion regulation, interpersonal effectiveness, behaviorism, and mindfulness.

Footsteps in sand representing mindfulness.

Mindfulness

Mindfulness is about being in the present moment in a nonjudgmental way. We live our lives so much in the past and future, thinking about what has already happened and what we fear will happen, that we miss out on our actual lives, which are occurring right now.

Mindfulness guides us to reconnect to our real lives.  Through learning new ways of interacting with your emotions, thoughts, and others in that life, you can truly build a life worth living. Radical openness also integrates self-inquiry for personal growth and promotes flexibility and connection.

Centered Ground office building

Full DBT Center in North County San Diego

Centered Ground is the only full DBT center in North County San Diego above Del Mar. In 2015, Centered Ground director Dr. Angela Klein became the first intensively trained provider of radically open DBT in Southern California, and the DBT-based mindful eating program is unique to Centered Ground in San Diego, offered by the author of the program, Dr. Angela Klein.

Dialectical wave

The Middle Path of Dialectics

Dialectics refers to recognizing extremes, allowing them to exist together, and finding the middle path between them. It is about questioning rigid ways of thinking and being, and letting go of judgments and assumptions. It is about finding peace within the storm, even if it continues to rage around you. It is a balance of acceptance and change - openness to where you and others are now and moving toward where you want to be.

wood path up from beach

Start building a life worth living.

We have emotions for a reason. They are trying to tell us something. Therefore, to stop suffering from them, we must listen to and honor them, make space for them, and change our relationship with them - stop fighting against them and instead address what they are trying to tell us. Then they will move on.

When we experience intense sadness and depression, it is often because our life is not how we want it to be. To be free of this sadness, we must address this and build the life we want to live - a life consistent with what we value and find fulfilling - a life worth living. This can feel overwhelming or impossible. At Centered Ground, we can work together to help you take those steps even when you feel like you just can't.

Explore our therapy options

Pre-Teens, Adolescents, & Families

Centered Ground offers specialized therapy for pre-teens, adolescents, and families to strengthen relationships and support youth development. Learn more about how we help our pre-teens, adolescents, and families.

Adults 

Adult therapy at Centered Ground is tailored to help you face life's challenges with confidence. Begin your journey to personal growth and mental health. We are committed to persisting with you on your journey to overcoming. Learn more about how we help adults.

Couples

Reignite connection and resolve conflicts with couples therapy at Centered Ground. Embrace a healthier, more understanding relationship with our expert guidance. Learn more about how we help couples.

Therapy Targets

Our therapy targets at Centered Ground are designed to meet you where you are, providing strategic interventions for various psychological concerns. Our targeted treatment plans address a range of psychological concerns with precision. Learn more about our targeted therapy programs.

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