11709 Old Ballas Road, Suite 205, Creve Coeur, MO 63141

(314) 778-3000

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Openness – Flexibility – Connectedness

radically open dialectical behavior therapy (RO-DBT)

Radically Open Dialectical Behavior Therapy (RO-DBT) is an evidence-based treatment for individuals negatively impacted by over-control of emotions and behaviors.

At Creve Coeur, our RO-DBT-trained therapists:

  • Use skills training, flexible mindfulness, and education to increase openness and receptivity to your environment and social feedback.
  • Promote acceptance of emotions, thoughts, and behavior while guiding behavior change.
  • Provide a trauma-informed environment where clients can learn mental health skills, take responsibility for their treatment, and build meaningful change.
  • Tailor each treatment approach to the individual client’s needs.

who can benefit from RO-DBT

RO-DBT is effective for a range of mental health challenges, including:

  • Treatment-Resistant Depression
  • Chronic Anxiety
  • Anorexia Nervosa
  • Obsessive-Compulsive Disorder (OCD)
  • Obsessive-Compulsive Personality Disorder (OCPD)
  • Other personality traits such as hyper-perfectionism, autism, or Asperger’s

Clients with a combination of any of these symptoms, in extremes, report the following unintended and often undesired consequences or behaviors: social isolation, aloof and distant relationships, cognitive rigidity, high detailed focused processing, risk aversion, strong needs for structure, inhibited emotional expression, and hyper-perfectionism.

Guiding You Toward Stronger Connection

about RO-DBT

Radically Open Dialectical Behavior Therapy (RO-DBT) was developed by Thomas Lynch, PhD, as a transdiagnostic treatment for individuals who struggle with patterns of maladaptive over-control.


Traditional DBT, developed by Marsha Linehan, was designed to address under-controlled emotional behaviors. RO-DBT builds on this foundation, supporting individuals who are highly self-controlled, perfectionistic, and who may struggle with emotional expression, flexibility, and connection with others.

Learn more about RO-DBT

How the RO-DBT process unfolds

what to expect with RO-DBT

  1. Session 1: Introduction and assessment
  2. Session 2: Goal setting and individualized treatment plan
  3. Sessions 3–4: Skills overview and initial exercises
  4. Sessions 5–29: Intensive skills training, mindfulness, and behavior change
  5. Goals and Therapy Completion: Review progress and create long-term strategies

We’re so glad you’re here.

talk with a therapist

Take the first step toward the support you deserve. Call us or schedule your appointment online to get started.