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Values & Assumptions

Our Values

At St Louis DBT we operate by a set of values supported by DBT assumptions about our clients. We value:

  • the self-worth of all people
  • providing high-quality, affordable, person-centered services
  • serving with dignity, compassion, integrity, cultural sensitivity, and an understanding of the behavioral health challenges people face.

DBT Assumptions

Our clients are doing the best they can.

At St Louis DBT, we assume clients are doing the best they can.  We understand you will make progress at your own pace.  Through the process, our goal is for you to feel heard and understood.

Our clients want to improve.  

We assume our clients want to get better.  We understand asking for help takes courage.  It is not easy to acknowledge you are not living the life you desire. We firmly believe all of our clients come to us out of a desire to improve.

Our clients can do better, try harder, and be more motivated to change.

We believe clients are doing the best they can and they can do better, try harder and be more motivated to change.  This is one of the underlying dialectics of DBT. Both are true. We must accept clients as they are today and motivate them to change over time.

Our clients may not have caused their own problems but they have to solve them anyway.  

Just like a person who steps off the curb and gets hit by a car, our clients may not have caused their problems  but still have to solve them.  We understand the frustration and unfairness clients can feel even as we help them accept responsibility for finding a way out of their pain

The lives of our depressed and anxious clients are painful as they are now being lived.

No one chooses to be depressed, anxious or suicidal.  We know the pain our clients describe is real. We can see it in their faces and how they carry themselves. We can hear the pain in their stories. We strive to provide compassionate, empathetic care.

Our clients must learn new behaviors in different situations in their lives (e.g. home, school, at home and in social situations)

Learning new behaviors is like learning to be an effective communicator. No matter how effective you are, you can learn more and become more effective. Through individual therapy, skills groups and coaching calls, we offer a comprehensive set of services to help clients learn and apply new behaviors in all areas of their lives.

There is no absolute truth.

There are at least two sides to every story.  Taking a dialectical approach and assuming there is no absolute truth provides space for give and take. .

Starting with the assumption that most people are well-meaning, rather than assuming the worst, reduces misery.

It’s hard to have a productive discussion assuming the worst about another person. We give our clients the benefit of the doubt as we hope they will give us.

Clients cannot fail DBT.

DBT is about being more or less effective, not right or wrong.  DBT doesn’t have any tests; it is a set of skills that require practice, practice, practice.  Even after practicing a lifetime, there will still be room for improvement.


Call 314.932.7415 or email us for your free consultation. smartphone-SMALL

Our experienced therapists will give you a warm welcome as you begin work toward your therapy goals. Call us today!


Adult DBT Skills Group, Wednesdays, 11:30 am – 1:00 pm.  Join now!

Adult DBT Skills Group, Mondays, 4:00 – 5:30 pm. Join now!

Third Saturday Intensive Skills Group. Third Saturday each month, 8:30 - 3:30. Join now!

Young Adult DBT Skills Group, Fridays, 3:00 - 4:30 pm. Join now!

Path to Recovery: DBT Skills for Addictions & Habits, Mondays, 6:00 - 7:30 pm.  Register now for March 2018

Teen DBT Skills Group (ages 15-19), Tuesdays, 4:00 - 5:30 pm. Register now for January 2018.

Couples DBT Skills Group, Thursdays 6:15 - 8::15 pm. Register now for March 2018!

Teen & Parent DBT Skills Group, Thursdays, 4:30-6 pm,  Join now!

Advanced DBT Skills Group. Join now for January 2018!

ACT for Anxiety and Depression. Wednesdays, 6:30-8:30 pm. Register now for fall 2018

Mindful Way Through Depression and Anxiety.  Wednesdays, 6:15 - 8:15 pm. Register now for new group starting September 19, 2018

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