Family Support DBT Program

St Louis DBT provides family therapy to ANY family (all definitions and structures of families) who are hoping to grow and heal wounded relationships, learn how to understand one another, manage conflict and communicate effectively. You know family therapy is an appropriate choice when you are experiencing any of the following types of issues:

  • verbal, physical or emotional conflict with each other

  • avoiding tough issues

  • Ineffective communication

  • parenting issues

  • troubling behaviors in parents or children/teens

  • adjusting to divorce, separation or a blended family

  • adjusting to a death or chronic illness

  • issues related to the care of an aging parent

  • relationships with young adult children

rediscovering & building on strengths

Family therapy builds on your strengths as a family unit. Every family has strengths, and it can be difficult to find them when you’re experiencing distress. You will work with your therapist on rediscovering those strengths, harnessing their power, and working together as a whole to find:

  • Understanding of the role of emotion in relationships

  • Validation of yourself and your family members

  • Strategies to increase wanted and decrease unwanted behaviors through reinforcement and validation

  • Acceptance of self and others

  • How to express what you mean clearly and effectively

  • Listen mindfully and with empathy

  • Understanding your child’s developmental capabilities and how to set them up for success


STLDBT offers consultation for family members. If you have an adult child who depends on you for everything, a teen with behavior problems or a spouse with Borderline Personality Disorder, call us at 314.932.7415 or email to set up an appointment.

Borderline Personality Disorder Family Support and Education Group

Next series of 4 informative and supportive meetings will be scheduled soon.

Families and loved ones of people in treatment for Borderline Personality Disorder often need support themselves. Understanding the disorder is critical to living with it. Learning the same skills your loved one with BPD is learning in therapy is incredibly valuable in order to coach and support them in creating behavioral change. Incorporating new ways of validating their experience will lead to improved relationships and living conditions. In this group, we strive to help families and friends of people with BPD better understand the disorder and empower them to support their loved ones in helpful ways.

If you know or suspect your loved one has Borderline Personality Disorder, please contact us to set up a consultation.

Our Family Therapy Philosophies

Strengths oriented: 

The therapist helps the family to identify their strengths and build on them so they can feel better about themselves and their family relationships.  In part, the therapist does this by modeling validation. Validation is the key to knowing that we are understood and we are understanding others.

cognitively- and behaviorally-focused:

The therapist will help you discover how your thoughts and emotions affect your behavior and how to make different choices in your relationships. Our thoughts, beliefs, and assumptions create our worldview, which can sometimes be a difficult place for our loved ones to live. Through family therapy, you can alter your thoughts and behaviors to be congruent with your desire to have healthy relationships.


We know you have busy lives and even taking the time for therapy can be a real stretch. We also know that families who work on skills outside of session are more likely to see change and benefit from therapy. That is why you will have the largest say over your homework. We tailor your homework to suit your needs by ensuring it is focused on your goals and relatively easy to implement in your current day-to-day lifestyle. Change happens in steps, so your homework will be those steps; not too little, not too big.

THERAPEUTIC neutrality:

In family therapy, the therapist maintains neutrality.  This does not mean the therapist does not call attention to patterns of behavior in one family member or the other when it is beneficial to the relationship.  So there will be times when a family member might feel discomfort at the individual attention but over the course of a session or many sessions the attention balances out and it will become evident that the therapist’s goal is supporting the shared goals of the family.