St. Louis DBT Policies


  • Appointment times vary depending on the needs of clients and the availability of therapists.
  • We will make every effort to meet at convenient times for your schedule.
  • Appointments are typically 50 minutes unless otherwise arranged between yourself and the therapist.
  • Our scheduling system sends out emails and/or text reminders 48 hours in advance.



Payment for individual sessions is due at the time of the session. Payments may be made by cash or credit card.  We do not accept checks.  An active and valid credit card, debit card or HAS card must be kept on file regardless of preferred payment method.



All groups and classes at St. Louis DBT are packaged in the same way many classes and wellness services (i.e. physical training, spas, etc) package their services.  This structure helps us offer our skills groups at a lower prices compared to other organizations that may have to pad session costs to account for cancelations and low group census.  

As a courtesy, we ask that you give class facilitators notice if you are going to miss a class (we tend to worry of we don't hear from you).  Class fees will not be returned for any reason.  In a case of a missed session, clients have the right to request session materials.  Clients may also request to meet with group leaders outside of session for a quick recap.  If an emergency or unforeseen situation comes up in which you are unable to continue a 6-10 week module you should discuss this with the facilitators.



We ask that you give your therapist 24 hours notice when canceling an individual session.  Clients will be billed, using the credit card information on file, the full session fee for their individual sessions that are cancelled less than 24 hours in advance.  You may call 24 hours a day at 314.932.7415 and leave a message stating you need to miss or reschedule your appointment.   You may also contact your therapist directly to cancel or reschedule.  



It is our goal to make services affordable and to NOT add to a client’s stressors.  In order to preserve the therapeutic relationship, we make every effort to settle outstanding debt directly with clients.  However, if your account has not been paid for more than 30 days and arrangements for payment has not been agreed upon, we have the option of using legal means to secure payment.  This may involve hiring a collection agency or going through small claims court which may require us to disclose confidential information.  In most collection situations, we would have to release the client’s name, nature of services provided, and the amount due. If such legal action is necessary, its costs will be included in the claim.  



We offer between session coaching calls (5-10 minutes focused on skills use).  Due to our work schedule we may not be immediately available by telephone.  

You may also leave a message for your therapist by calling the main office line at 314.932.7415 and she will contact you as soon as she is able to.  

In the event of an emergency, when your therapist can not be reached, other community 24-hour crisis and helpline numbers are: Life Crisis 314.647.HELP (4357)and Safe Connections 314.531.2003.  You may also dial 911 if you are in immediate danger.



It is the policy of St. Louis DBT, LLC to protect the privacy and confidentiality of all clients receiving services.  The therapist will not reveal to any person, including parent(s)/legal guardian(s) -- even if they are paying for the therapy -- what is discussed during therapy sessions unless the therapist has the client’s permission or is required to do so by law. Circumstances that may require the disclosure of information without the client’s consent are:

(a)Suspicion or knowledge of child abuse/neglect.

(b)When there is serious risk or threat of physical harm to self or others including suicidal or homicidal thoughts.  

(c)When ordered by a court of law.  

(d)In natural disasters whereby records may become exposed.

Should it become necessary to release the client’s information to an outside source such as an outside mental health professional, family member, school, doctor, employer, court, or other social service agency, the therapist will ask the client and if necessary, parent/guardian, to sign a “Release of Information”form. St. Louis DBT, LLC will not give out any information about the client without written authorization.  



St. Louis DBT, LLC Clinicians: We may disclose client’s protected health information to other St. Louis DBT, LLC clinicians as part of consultation in order to ensure top quality services.

Medical Emergencies: We may disclose client’s protected health information in a medical emergency situation to medical personnel only.  

Deceased Clients: We may disclose client’s protected health information regarding deceased clients for the purpose of determining the cause of death, in connection with the laws requiring the collection of death or other vital statistics, or permitting inquiry into the cause of death.

Criminal Activity: We may disclose client’s protected health information to law enforcement officials if the client has committed a crime on program premises or against program personnel.



A clinical chart is maintained describing your condition and your treatment and progress in treatment, dates of and fees for sessions, and notes describing each therapy session/class. Active charts are always kept on site and locked up. Inactive charts are locked and kept at an offsite location for five years.  After five years of inactivity, charts will be destroyed.  



At St. Louis DBT we know that all clients have the right to be treated with dignity and respect.  If you have a complaint about your treatment, therapist or any office policy please inform us immediately and we will try to resolve the issue in a timely manner. Concerns regarding discrimination and privacy rights that aren’t resolved to your liking may be directed to the Office for Civil Rights (816) 426-7277.