In the middle of the country, on the bluffs overlookinga gently flowing river, nestled against forested parkland,is a trea...
Castlewood Treatment Centeris a creative collaboration of the owners’clinical experience and personal andprofessional evol...
Our vision required that the structure itselfbe beautiful, unique, and natural, blending harmoniously   with its surroundi...
Men and women who                                   AN EATING DISORDER is both originated                                 ...
Eating Disorderseating   disorders Eating Disorders    Eating Disorders constitute the most    life-threatening category o...
Eating disorders often occur along with the compounding and   further debilitating symptoms of depression, anxiety, addict...
WHAT CAUSES EATING DISORDER?Eating Disorder can result                         Once the eating disorder takes hold as a   ...
Core Symptoms• Weight loss or gain with endocrine  or metabolic abnormalities• Fat phobia/food phobia• Rituals around body...
treatment                                             Treatment components     Components    Castlewood Treatment Center  ...
Our therapy begins with a solid individual relationship withthe primary therapist, psychiatrist and our nutritionist.EACH ...
residential   treatment      residential                                             Residential    Our Residential level ...
The Residential program only has a maximumof 10 clients. Each client sees his/her primarytherapist four times a week as we...
Residential Program Weekly ScheduleMonday                                                Thursday7:30 – 8:00     Breakfast...
‘‘   The people at Castlewood Treatment Center     saved my life. But they did more than that.     They opened up my eyes ...
stepdown     stepdown   Our Step Down program is usually   a transition from residential care.                            ...
The Stepdown program focuses less on stabili-          Again, this program is tailored to fit the indi-zation and more on ...
day treatment treatment day  Castlewood offers a full spectrum  of care. Our Day Treatment program  is open to clients liv...
Day TreatmentIn order to achieve a level of stabilization andsymptom reduction, some clients require a levelof care beyond...
Outpatient                                               Intensiveintensive IOP   outpatient   (intensive outpatient progr...
Castlewood’s IOP Program consists of both groupand individual therapy held four evenings eachweek. A supervised meal also ...
SKILLS GROUPThe SKILLS GROUP is a structural psycho-educational group that provides clients withpractical skills for copin...
The groups were…SUPPORT GROUP                                      vital to my recovery.                                  ...
trauma                                     Resolution                                      Trauma     resolution  trauma r...
With one foot in the present and onefoot in the past, the client re-examines thememories, re-associates the emotions, andc...
Unresolved experiences of child sexual abuse or rape, for example, will almostalways result in symptoms. Where traumatical...
INTERNAL FAMILY SYSTEMSTHERAPYInternal Family Systems (IFS) therapy is atherapy that is very applicable to clients whohave...
castlewoodstaff castlewood staff                                             Staff    The staff at Castlewood is passionat...
Our therapists include highly trained                                     Lori Galperin                                   ...
Theresa Chesnut                                     Samantha Young                     M.S.W., L.C.S.W.                   ...
Anna M. Jurec, M.D.                        Psychiatrist                     Anna M. Jurec, M.D.                     gradua...
why castlewood castlewood  why    A small Residential community    fosters greater participation    and affords more indiv...
‘‘   Unlike so many treatment centers, Castlewood     helps clients heal the pain that underlies their     eating disorder...
WHY CHOOSE CASTLEWOOD TREATMENT CENTER?1. we are small.                                          6. we provide a full cont...
For the ProfessionalCastlewood utilizes an evidence-based approach with 1-year follow-up withall clients. We have found th...
We invite you to compare program quality and costs and to call usfor a telephone or in-person assessment and tour. Our int...
800 Holland Road  St. Louis, MO 63021  phone 636.386.6611toll-free 888-822-8938      fax 636-386-6622www.castlewoodtc.com
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Eating Disorder Treatment

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Castlewood is a Residential Eating Disorder Treatment Center offering compassionate, professional treatment for anorexia nervosa, bulimia nervosa, compulsive over-eating and binge eating disorders.

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Eating Disorder Treatment

  1. 1. In the middle of the country, on the bluffs overlookinga gently flowing river, nestled against forested parkland,is a treatment center unlike any other… St. Louis, Missouri 636-386-6611 | 888-822-8938 www.castlewoodtc.com
  2. 2. Castlewood Treatment Centeris a creative collaboration of the owners’clinical experience and personal andprofessional evolution. The result isa residential treatment program foreating disorders that allows for the uniquetreatment of each individual with anemphasis on compassion, respect andempowerment.
  3. 3. Our vision required that the structure itselfbe beautiful, unique, and natural, blending harmoniously with its surroundings. Most of all, it had to have the ambiance of a healing community, a sanctuary. After years of searching, we discovered thissecluded gem, high on a ridge, overlooking endless acres of state woodlands and the scenic Meramec River.
  4. 4. Men and women who AN EATING DISORDER is both originated and maintained by a constellation of factors.come to Castlewood For each client, every step of the way, we are continually inquiring as a treatment team andare not anorexic; they are in collaboration with the client: what are the necessary and sufficient components of treat-not bulimic; they are not ment needed to restore this person, not only to decreased symptoms, but to a life that is bothcompulsive overeaters. live-able and worth living?At Castlewood we begin In addition to the eating disorder, some clientswith the premise that have psychiatric diagnoses; some have multiple addictions and some have a history of severeeach person who walks childhood traumas. Some clients will see a specialist for adjunctive therapy, such as seeingthrough our doors defies our anxiety specialist if needed, in addition to their primary therapist. Whatever is requiredsimple categorization. to help the client, we attempt to provide.Though we naturally wish to restore our clients When new clients arrive at Castlewood weto health and functionality as efficiently as never know how his/her treatment will endpossible, we do not place a 30 or 60-day time up looking, because therapeutic strategieslimit on our residents’ stays. Our mission is not evolve as we get to know them and identify themerely to churn out weight-restored women pertinent factors that are contributory to theor men who look healthy to others, but whose issues they present. Clients say this flexibilityinternal wounds, if unaddressed, will readily distinguishes Castlewood from prior treatmentsresult in relapse. Experience has taught us that and often constitutes the difference that allowsthe full measure of health rests upon more their recovery efforts to at last succeed.than a temporary absence of symptoms.Castlewood therefore provides an individualizedtreatment approach tailored to meet the preciseneeds of each client. We understand that eatingdisorder clients tend to be more different thansimilar. This is why at Castlewood, each client’streatment plan is highly individualized.
  5. 5. Eating Disorderseating disorders Eating Disorders Eating Disorders constitute the most life-threatening category of mental health issues.
  6. 6. Eating disorders often occur along with the compounding and further debilitating symptoms of depression, anxiety, addiction(to drugs or alcohol), perfectionism, and stress response syndromes. Family and friends may find aspects of the eating disorderperplexing in the tenacity of the hold it exerts on their loved one, thesufferer’s lack of awareness of their degree of debilitation over time, and the deception that can begin to enter once-honest relationships.
  7. 7. WHAT CAUSES EATING DISORDER?Eating Disorder can result Once the eating disorder takes hold as a “survival strategy” of sorts, it can begin to takeas a symptom of many on a life of its own, as a recourse from, while simultaneously a perpetuator of, anxiety anddifferent syndromes with many isolation. As the illness progresses, various types of disequilibrium occur in mind and body,developmental pathways. which cyclically, cause the individual to rely more heavily on the eating disorder symptomsFor some clients, there is fear of growing up to maintain an illusory sense of stability amidstand assuming adult responsibilities. For others, the increasing chaos. As the cycle of the eatingexternal functioning seems great while inside, disorder continues, habituation results, as inthey are confused, distressed and need a any addiction, and it takes more of the samesymptom to yell: help! Some become trapped behavior to achieve the desired effect of feelingin the role of pleasing others, perfectionism, temporarily o.k. – more restriction, more food,and being the “good child” For some clients, . more binging and purging, diet pills, laxatives,there was a major loss during childhood, such exercise, etc.as a mother with post-partum depression orother experiences of separation from a key When reliance on the eating disorder is discon-loved one. Others have experienced tremen- tinued, a client’s whole world can feel upside-dous pain in their social interactions in school down, out-of-control and initially, impossible toor with peers that has led to an ongoing sense manage. This unfortunate, yet understandableof anxiety and isolation. Some clients’ families predicament is what Castlewood exists to address.are themselves disengaged, without sufficient Our goal is to provide a container for the initialemotional connections, or shame-based with and inevitable distress, to provide the support ofmany intergenerational secrets and/or layers community, in lieu of that seemingly providedof unresolved intergenerational trauma. Some by the eating disorder, and to assist the client toare enmeshed, without appropriate boundaries, learn and re-learn the skills necessary to stabilizeresulting in overindulged children who get and rebuild their lives.things rather than parenting. Some clients haveperfect families, in appearance, and feel over-whelmed because they cannot live up to theparents’ perceived achievements or expectations.
  8. 8. Core Symptoms• Weight loss or gain with endocrine or metabolic abnormalities• Fat phobia/food phobia• Rituals around body checking, exercise and food• Purging (undoing and punishing) by fasting, vomiting, diuretics and exercise• Dissociation/lack of autonomy from craving and rituals/addiction• Body dissatisfaction, body image distortion• Binge eating, secretive eating, hoarding and stealing food• Chewing and spitting food as an attempt to control weight• Taking in excessive amounts of fluid or restricting fluid intake• Use or abuse of diet pills, herbal supplements or teas• Increased isolation, spending less and less time with family and friends• Refusing or avoiding eating with family and friends
  9. 9. treatment Treatment components Components Castlewood Treatment Center offers comprehensive and highly individualized treatment planning. The program is specifically designed to treat all types of eating disorders as well as co-existing disorders, including trauma, addictions, body dysmorphia, self-harm and other frequently co-occurring issues.
  10. 10. Our therapy begins with a solid individual relationship withthe primary therapist, psychiatrist and our nutritionist.EACH CLIENT RECEIVES:• A total of six sessions weekly with skilled and experienced clinicians.• Daily work with Dr. Mark Schwartz, and Lori Galperin, each nationally known for their clinical expertise, workshops and publications on eating disorder, childhood trauma and addictions.• Four individual sessions per week with the primary therapist.• A weekly session with his/her nutritionist who eats meals with clients. Working with a qualified• A weekly session with our psychiatrist. nutritionist, who has a solid• A small, well-chosen therapeutic community. background in eating disorders is• Levels of care that allow for increasing the cornerstone of our program. autonomy with continuing support Our residential nutritionist is a• Excellent aftercare programming, including follow-up visits offered at Castlewood. former eating disorder client herself and understands theCastlewood maintains a high staff-to- process as only someone whopatient ratio providing for greater has been through the recoveryindividualized care. Many of our clientshave had treatment at other programs process can.and have found recovery at Castlewood.
  11. 11. residential treatment residential Residential Our Residential level of care is designed for stabilization and restoration of healthy eating habits. At the Residential level, we work to establish and foster a therapeutic community that can allow each client to feel supported and to work on building social connections while establishing a stronger sense of self.
  12. 12. The Residential program only has a maximumof 10 clients. Each client sees his/her primarytherapist four times a week as well as havingweekly sessions with the dietician and thepsychiatrist. The program itself consists of40 hours of group therapy. Staff is on site 24/7.Each bedroom is attractive, uniquely decoratedand has its own en suite bathroom. There areno more than two clients to a bedroom.Community space is likewise comfortable andinviting with inspiring views.
  13. 13. Residential Program Weekly ScheduleMonday Thursday7:30 – 8:00 Breakfast 7:30 – 8:00 Breakfast8:30 – 10:30 Core Group Weekend Check-in & Goals 8:15 – 9:15 Process Group10:30 – 11:00 Snack 9:30 – 10:30 Core Group11:00 – 12:15 Core Group II 10:30 – 11:00 Snack12:30 – 1:15 Lunch & Post Meal 11:00 – 12:00 Core Group II1:30 – 3:00 Eating Disorder Group 12:30 – 1:30 Chef ’s Choice3:00 – 3:30 Snack 1:30 – 2:30 Pilates3:30 – 4:30 Yoga Group 3:00 – 3:30 Snack4:30 – 6:00 Individual Sessions/Free Time 3:30 – 4:30 Cognitive Group6:15 – 7:00 Dinner & Post Meal 4:30 – 6:00 Individual Sessions/Free Time Compulsory Play 6:15 – 7:00 Dinner & Post Meal9:00 – 9:30 Snack Free Time 9:00 – 9:30 SnackTuesday7:30 – 8:00 Breakfast Friday8:30 – 10:00 Core Group 7:30 – 8:00 Breakfast10:00 – 10:30 Snack 8:30 – 10:00 Core Group10:30 – 12:00 Movement Group 10:00 – 10:30 Snack12:30 – 1:15 Lunch & Post Meal 10:30 – 12:15 Eating Disorder Group1:30 – 3:00 Expressive Therapy 12:30 – 1:30 Lunch & Post Meal3:00 – 3:30 Snack 1:30 – 2:30 Body Image3:30 – 4:30 DBT Group 2:30 – 3:00 Snack4:30 – 6:00 Individual Sessions/Free Time 3:00 – 4:30 Art Therapy6:15 – 7:00 Dinner & Post Meal 5:30 – 6:15 Dinner & Post Meal7:15 – 8:15 Pre-Contract Movie Outing9:00 – 9:30 Snack 9:00 – 9:30 SnackWednesday Saturday7:30 – 8:00 Breakfast 7:30 – 8:00 Breakfast8:15 – 9:15 Eating Disorder Expressive Group 8:15 – 9:30 Individual Sessions/Free Time9:15 – 9:45 Menu Group 9:30 – 10:30 Gender Sexuality Intimacy & Relationships9:45 – 10:30 Nutrition Group 10:30 – 11:00 Snack11:00 – 12:00 Treatment Module 11:00 – 12:00 Literary Interpretation/Shame Group12:30 – 1:15 Lunch & Post Meal 12:30 – 1:15 Lunch & Post Meal1:30 – 2:30 Sexual Healing or Containment Outing & Visitors2:30 – 3:00 Snack Free Time3:00 – 4:00 Eating Disorder Group 9:00 – 9:30 Snack4:00 – 5:00 Relapse Prevention5:00 – 6:00 Individual Sessions/Free Time Sunday6:15 – 7:00 Dinner & Post Meal Compulsory Play 7:30 – 8:00 Breakfast9:00 – 9:30 Snack 8:00 – 10:30 Individual Sessions/Free Time 10:30 – 11:00 Snack 11:00 – 12:15 Music Therapy 12:30 – 1:15 Lunch & Post Meal Visitors & Passes 5:00 – 6:00 Addictions Group 6:15 – 7:00 Restaurant Outing or Family Style Meal Free Time 9:00 – 9:30 Snack
  14. 14. ‘‘ The people at Castlewood Treatment Center saved my life. But they did more than that. They opened up my eyes to what life is all about, to all that I have to look forward to. I came in closed off from the world. The people here helped me find my strength. They didn’t just give me wings, they helped me find my own, and let me realize that I had the power to fly inside me all the time. ‘‘ I’m not just alive today because of the people here, but I’m actually living life as well. – MB
  15. 15. stepdown stepdown Our Step Down program is usually a transition from residential care. Stepdown
  16. 16. The Stepdown program focuses less on stabili- Again, this program is tailored to fit the indi-zation and more on practice, with an emphasis vidual’s situation. Some clients in Stepdown, willon acquiring the necessary life skills to facilitate begin to work a certain number of hours, somelong-term recovery. Coping skills and healthy to attend academic courses or to volunteer witheating habits learned in residential are built local agencies or organizations. Learningupon and tried out in circumstances more to sustain a balanced lifestyle that includes:closely resembling what clients will encounter appropriate nutrition, work or school, supportivepost treatment. There is greater autonomy, relationships, recreational activities and self-careencouragement of self responsibility, yet with simultaneously, is often a foreign concept con-help, support, guidance and community. trasted with how clients were functioning prior to treatment. The more opportunity to practice inWe understand that each new phase in a client’s this manner, the greater the odds for a sustainedrecovery process entails novel challenges. We recovery post discharge.endeavor to provide the feedback, opportunities,support and skill-building necessary to navigate During the Stepdown phase, a meal and exer-each sequential hurdle. Our Stepdown nutritionist cise plan is developed for the individual clienthas successfully helped hundreds of clients nav- by the nutritionist with client input and goalsigate the pitfalls of eating in “the real world.” considered. Clients frequently say that our dietician and nutritionist are the BEST they’ve ever worked with. We consider this a supreme compliment and a variable that makes the process of recovery so much smoother!
  17. 17. day treatment treatment day Castlewood offers a full spectrum of care. Our Day Treatment program is open to clients living in or around the St. Louis area who require more than outpatient treatment but who may be able to meet his/her treatment goals without a residential stay. Day Treatment
  18. 18. Day TreatmentIn order to achieve a level of stabilization andsymptom reduction, some clients require a levelof care beyond outpatient.Our Day Treatment program is provided forclients living in or around the St. Louis areawho can commute to treatment and for whoman overnight stay is not a necessary treatmentcomponent.The program is available on either a 5- or 7-daybasis. Clients become part of the therapeuticcommunity and participate in all residentialgroups and programming. Depending uponwhether in the 5 or 7 day version, clientsreceive 3-4 individual sessions with the primarytherapist, one with the psychiatrist and onewith his/her dietician weekly.Day Treatment is often the treatment ofchoice when a program of intensiveoutpatient care has not been adequate ineffectively assisting the client to reach and/ormaintain treatment goals.
  19. 19. Outpatient Intensiveintensive IOP outpatient (intensive outpatient program) Our IOP Program is for clients needing more structure than individual outpatient therapy alone can provide or for the client who is transitioning back to life, work or school after treatment at a higher level of care, such as Residential or Stepdown.
  20. 20. Castlewood’s IOP Program consists of both groupand individual therapy held four evenings eachweek. A supervised meal also comprises one facetof each evening’s programming.For motivated and less severely compromised clients,IOP may be the treatment of choice. There arefour types of groups offered in the program. Castlewood Treatment Center offers a complete menu of outpatient services with expert individual therapists for eating disorders, nutritional counseling, marital and relational therapy and trauma-resolution therapy. For more information please call: 1-888-822-8938.
  21. 21. SKILLS GROUPThe SKILLS GROUP is a structural psycho-educational group that provides clients withpractical skills for coping with challenges andhelps create alternative strategies to relianceon the eating disorder symptoms. Instead ofbinging and purging, utilization of self-sooth-ing, distraction, and problem solving. Insteadof restricting, patients examine unhealthythought processes, body image distortion andunderlying feelings and needs. Clients aretaught to use their voice rather than symptoms Castlewood Program Coordinators (from left to right)to communicate internal states and to facilitate Amy Kayda – IOP Coordinator & Therapistproblem solving, communication and to devel- Emily Williams – Step Down Coordinator & Therapistop relationship skills and resources. The groups Deanna James – Assistant Program Director & Therapistfocus on body acceptance, behavior therapy,enhancing motivation, diminishing anxiety,appropriate nutrition, mindfulness, spirituality MEAL PROCESS GROUPand self care. In the MEAL PROCESS group, individuals are helped to recognize hunger and fullness, toGENERAL PROCESS GROUPS learn to prepare or portion satisfying meals with variety, nutrition and in appropriate servings.The PROCESS GROUP allows an opportunity The therapists eat with the clients, and clientsto discuss emotions and underlying dynamics are challenged and supported to confront theirthat maintain eating-disorder symptoms. Feed- anxiety incrementally.back from group members, particularly thosefarther along or those who have had similarexperiences is useful. Assignments are often given EXPERIENTIAL GROUPto lend focus and assist clients in identification In EXPERIENTIAL GROUP, clients dealand exploration of symptom-maintaining cir- directly with circumstances or situations havingcumstances and issues. to do with body, movement and strong emotions. Clients often say these types of groups are the most challenging, but also the most useful. Clients may role play difficult situations to pro- vide insight and mastery. Through behavioral rehearsals, clients lessen anxiety and increase efficacy in dealing with new or challenging situations they face.
  22. 22. The groups were…SUPPORT GROUP vital to my recovery. ‘‘Castlewood sponsors a free weekly sup-port group for people in recovery fromAnorexia Nervosa, Bulimia and Binge From the very first day I was warmlyEating Disorder. The group is open to welcomed and though terrified I foundanyone regardless of stage of recovery.The purpose of the group is to establish support. The groups were extremelya safe, reliable setting that emphasizes difficult but vital to my recovery. Ipositive aspects of recovery. The format formed friendships on a level I hadoffers time for participants to brieflycheck in about the week, followed by an never experienced before and found hopeopen discussion that focuses on various that had been covered by layers of fear.issues or topics that are common during I can’t begin to explain the care thatthe recovery process. Examples include:relapse prevention, negotiating boundaries, the staff at Castlewood had for me. Atand utilizing healthy coping tools. Par- times it was overwhelming to think thatticipation in support group requires thatthe individual be engaged in outpatient anyone could care that much. From mytherapy, as the support group is not in- relentless and kind therapist that helpedtended to replace on-going therapy or as a me through my most difficult days, thestand-alone form of support. Castlewoodwelcomes inquiries by both clients and psychiatrist that respected my everytherapists about appropriateness of the boundary, the directors who’s intuitionSupport Group for you or for your client. still amazes me today, the staff who’sInformation about the Support Groupis available from Nancy Albus at safety I remember when I was strug-636-386-6611. gling the most, and let’s not forget the dieticians that I would have never imagined to be my biggest allies. With all of that, the structure of filled days of groups, the focus on the fear and ‘‘ trauma that was fueling my behaviors, and the many levels of step down I found my path to recovery. And most importantly I found myself.
  23. 23. trauma Resolution Trauma resolution trauma resolution therapies Clients need to return to the root of “what happened”…
  24. 24. With one foot in the present and onefoot in the past, the client re-examines thememories, re-associates the emotions, andchanges the trauma-based or childhoodattributions used to make meaning ofthe experience at the time to an adultperspective of enhanced clarity, wisdomand compassion. The event no longerexerts the same influence over behavior,choices and sense of self it did previously.
  25. 25. Unresolved experiences of child sexual abuse or rape, for example, will almostalways result in symptoms. Where traumatically-originating symptoms prevail orcomplicate the individual’s ability to achieve a fuller recovery, therapies such asEMDR, Attachment-based Psychotherapy or Internal Family Systems therapycan be utilized to facilitate and speed up the necessary shifts in processing oncesome degree of safety, containment and stabilization exist.EMDR Attachment-basedClients who have suffered for years from anxiety PSYCHOTHERAPYor distressing memories, nightmares, insomnia, When a client has experienced early attachmentabuse or other traumatic events can often deficits with their caretakers in the first few yearsgain relief from a revolutionary therapy called of life due to sensory hyperactivity or parentalEMDR (Eye Movement Desensitization Repro- unavailability, they will evidence attachment dis-cessing). Research shows that EMDR is rapid, orders later in life. They will become dismissivesafe and effective. EMDR does not involve of, or preoccupied with, securing love. So often,the use of drugs or hypnosis. It is a simple, eating disorder results from a hunger for love,non-invasive patient-therapist collaboration and the person is either too afraid to seek lovein which healing can happen effectively. This (dismissive) or approaches partners with a bingepowerful short-term therapy is highly effective mentality (preoccupied), or both (disorganized).for a wide range of disorders including chronic Castlewood utilizes directive interventions topain, phobias, depression, panic attacks, eating work with attachment difficulties.disorders and poor self-image, stress, worry,stage fright, performance anxiety, recoveryfrom sexual abuse and traumatic incidents.
  26. 26. INTERNAL FAMILY SYSTEMSTHERAPYInternal Family Systems (IFS) therapy is atherapy that is very applicable to clients whohave complex traumatic stress disorders andallows for a reworking of those experiences withone foot in the present, and one foot in the past.IFS has in common with Ego State therapiesthe idea that each individual has multiple selvesor self-states. IFS, like Ego State therapies, ispredicated on the notion that having self-states,(generally referred to as “parts”) is not (solely)a function of a dissociative process in need oftherapeutic correction, but rather the normativestate of all human beings. Working with theseparts can be a very efficient and potent methodof resolving past events and freeing the indi-vidual to rely more fully on his/her own innatecapacities for change, growth and healing.RICHARD C. SCHWARTz, Ph.D.,the originator of InternalFamily Systems Therapy,is integral to Castlewood inboth his training of our staffand as a clinical consultant.
  27. 27. castlewoodstaff castlewood staff Staff The staff at Castlewood is passionate. Their skill and dedication are surpassed only by their compassion for the hard work involved in each client’s process of recovery.
  28. 28. Our therapists include highly trained Lori Galperin M.S.W., L.C.S.W.master- and doctoral-level professionals Clinical Co-Directorwith numerous specialties who are Ms. Galperin initiallyunequivocally committed to helping earned her undergraduate degree in Psychology andpeople heal. They understand the later completed her gradu-obsessive, often labyrinthine thought ate degree in Clinical Social Work at Tulane University. She is an accomplished contributorprocesses that create and maintain our in the fields of marital and sexual dysfunction,clients’ cognitive distortions. sexual compulsivity, sexual trauma, dissociative and eating disorders, lecturing nationally and internationally on these topics. She has au- thored various journal articles and book chapters, is trained in Clinical Hypnosis, Mark Schwartz, Sc.D. EMDR, Internal Family Systems, Expressive Clinical Co-Director and Attachment-based therapies. Over the Mark earned his doctorate past 22 years Ms. Galperin has treated several in Psychology and Mental thousand inpatients and trained more than Health from Johns Hopkins 100,000 clinicians throughout the United University. He is a licensed States, Canada and Europe. psychologist and an adjunctprofessor in the departments of Psychiatry at Nancy AlbusSt. Louis University School of Medicine. Over M.Ed., L.P.C.the past 25 years, Dr. Schwartz has achieved Program Directorinternational recognition for his contribu- Nancy earned her Mastertions in a variety of clinical arenas including of Arts degree in Counsel-the treatment of intimacy disorders, marital ing from the University ofand sexual dysfunction, sexual compulsivity, Missouri-St. Louis. She issexual trauma and eating disorders. He lectures a licensed Professional Counselor and trainednationally and internationally on these topics in Internal Family Systems. In addition to herand has authored numerous articles and book interest in eating disorders, Nancy works withchapters, as well as the books, Sexual Abuse femininity and sexuality issues, including facili-and Eating Disorders and Sexual Compulsive tating the Femininity and Sexuality group inBehavior, Sex and Gender. Dr. Schwartz is cur- Residential Treatment. Nancy joinedrently on the Editorial Board of the Journal of Castlewood in 2002 as a therapist and is alsoEating Disorders. the program director for the treatment center.
  29. 29. Theresa Chesnut Samantha Young M.S.W., L.C.S.W. M.Ed., L.P.C. Therapist Intake Coordinator/ Therapist Theresa initially earned her undergraduate degree Samantha Young earned in Family Life and Com- a Masters of Science munity Services from Degree in CounselingKansas State University and later completed from Missouri Baptist University. She is aher graduate degree in Clinical Social Work at Licensed Professional Counselor and is trainedthe University of Kansas. Theresa has been in Internal Family Systems, Dialectical Be-on staff at Castlewood since 2000 and has held havioral Therapy and EMDR. Samantha hasvarious positions: Primary Therapist, Program worked at Castlewood Treatment Center sinceDirector and currently as the Marketing Direc- 2002 working with trauma and eating disorders.tor. Theresa has also been on staff for theMenninger Clinic and she has over 15 years Deborah Hinds, D.T.R.experience in lecturing on college campuses Nutritionistand to psychiatric professionals about the signs,symptoms and prevention of eating disorders. Deborah earned her de-Currently, her area of research, focus and gree in Dietetic Technolo-lecturing is on the recovery process and various gy with an emphasis in Nu-intervention strategies as well as providing In- tritional Care at Florissantservices for elite athletes, coaches and trainers. Valley College in Missouri. She is a registered and licensed Dietetic Tech- James Gerber nician in the State of Missouri, and has experi- ence in clinical nutrition, outpatient counseling, M.A, A.T.R., Ph.D. mental health, and facilitating groups on eating Therapist disorders and addiction. Deborah is trained Dr. Gerber earned a in the Internal Family Systems Model and has Masters Degree in Art exclusively treated individuals with eating dis- Therapy/Counseling at order for nearly 10 years. Deborah works with Southern Illinois University, residential, intensive outpatient, and outpatientEdwardsville. He earned his Ph.D. at Saint clients to develop custom meal plans and toLouis University in Counseling and Family provide grocery shopping assistance and nutri-Therapy. Dr. Gerber has worked extensively tional counseling.with adults and adolescents in a variety ofclinical areas including sexual/marital dysfunc-tion, family therapy, sexual abuse, trauma andcompulsivity. He has published and presentedpapers on sexual aggression, sexual abuse andtrauma.
  30. 30. Anna M. Jurec, M.D. Psychiatrist Anna M. Jurec, M.D. graduated from Medical Uni- versity in Gdansk, Poland and completed her Psychiatry Residency Program at SaintLouis University Department of Neurology andPsychiatry. She has been a member of the Ameri- ‘‘can Psychiatric Association since 2004. She is cur-rently working as a full time psychiatrist at Castle-wood Residential Treatment Center. She is also a We chose Castlewood very carefully.consultant with Places for People – a non-profitorganization in St. Louis, treating severely and When my daughter started I hadpersistently mentally ill patients. hope, bits of optimism, and of course“I enjoy helping to bring out the potential of the human some relief in seeing her downwardmind in those affected by mental illness. I strive to treatthe patient as an integral combination of body, mind and spiral arrested. Almost a month laterspirit and to allow patients to choose the best individualtreatment based on scientific and clinical evidence. I still felt those same things, but myMy particular professional interests are directed toward daughter was voicing some optimismpsychosomatic medicine (eating disorders in particular,)as well as mood and anxiety disorders.” of her own. The degree to which the Iness Panni, RN, MSN staff blend their roles/results/ Nurse Manager perspectives, etc. for each client, Iness earned a Bachelor’s including my daughter, is what Degree in nursing from Avila University and a returned her to life, and life to her. master’s degree in nursing from University of Kansas. You were the reason she believed sheIness Panni has worked with eating disordersand addictions for over 25 years. She bringsa special sensitivity to the medical, physical,emotional, psychological, social, and spiritualaspects involved in the complexity of treating might, then could, then would make‘‘ it: and the strength she “borrowed” when hers wasn’t quite there.eating disorders. As Nurse Manager ofCastlewood Treatment Center since 2002,Iness provides a holistic oversight of the care – DMand well being of each client.
  31. 31. why castlewood castlewood why A small Residential community fosters greater participation and affords more individualized treatment planning and care within Why Castlewood a strong, cohesive therapeutic milieu. Castlewood is located just 25 minutes from St. Louis Lambert International Airport. In addition to state-of-the- art care, our facility, set in a tranquil, secluded environment, is a testimonial to the healing inherent in nature’s ever-renewing beauty.
  32. 32. ‘‘ Unlike so many treatment centers, Castlewood helps clients heal the pain that underlies their eating disorders rather than just manage the symptoms. The place is beautiful, not just in it’s physical setting, but also in the compassionate way the staff views and relates to the clients. I wish I could send them all my traumatized clients, not just those with eating disorders. ‘‘ – RiChaRd C. sChwaRtz, Ph.d. Developer of the Internal Family Systems model.
  33. 33. WHY CHOOSE CASTLEWOOD TREATMENT CENTER?1. we are small. 6. we provide a full continuum of care. Only ten clients in-house with 33 staff permits We have found that almost all clients slip fol- highly individualized intensive treatment. We lowing the support and safety of the in-house provide a great deal of support at the table and program. To allow clients more freedom and have locked access to food. independence to practice recovery and rebound from the inevitable slips we began a Stepdown2. we individualize care. Program. It is a supportive environment where Whether you have obsessive-compulsive disor- clients receive support from peers, implement der, body dysmorphic disorder, social anxiety relapse prevention plans and continue with his/ disorder, major depression, multiple addictions her individual therapy. We can further step a or dissociative disorder, we provide specific treat- client down to Partial Hospitalization or the ment for the eating disorder as well as these Intensive Outpatient Program to provide a full often concurrent issues. spectrum of recovery experiences alongside3. we specialize in reintegration into daily life and activities. trauma-resolution therapies. 7. we encourage family involvement For clients with a history of childhood or adult whenever appropriate and possible. trauma, we offer state of the art therapies for We schedule family weekends every 6-8 weeks, resolution of experiences that were overwhelm- which involves the clients inviting all interested ing. Trauma may consist of a one time incident family members to 3 days of group and indi- that led to Post Traumatic Stress symptoms, or a vidualized treatment. Additional individualized series of developmentally prevalent occurrences family therapy and couples therapy with spouses that generated avoidance, constriction or reen- or significant others are scheduled between actment phenomena. Family Weekends as well, as it seems contribu-4. we utilize internal Family systems tory to the client’s overall treatment goals. therapy. 8. we create a safe environment. All of our therapy staff have had training in People with bulimia,binge eating disorder and/ Internal Family Systems therapy which allows or anorexia, are constantly punishing themselves us to work as a team to understand the contex- internally with negative self talk. When working tual function of the individual’s eating disorder towards recovery,one needs people who under- symptoms in order to help each client discover stand this phenomenon and offer reflection with truly viable alternative survival strategies. compassion rather than criticism.5. our focus is more than simply re-feeding or control of symptoms. Our goal is to help launch a person in his/her development toward a full life. This includes support to transition to or re-enter college, job and relationship.
  34. 34. For the ProfessionalCastlewood utilizes an evidence-based approach with 1-year follow-up withall clients. We have found that treatment effectiveness is highly dependent on:1. Bringing the client from a premotivational 5. Keeping a strong focus on food-related behav- to a motivational state. ior and establishing control over out of control behavior, but not as part of a “good girl” over-2. Assessing psychiatric co-morbidity including compliancy but rather with a “real self,” honest OCD, social anxiety, body dysmorphia, and nonreactive stance toward relationships. co-addiction, post-traumatic stress disorder, and dissociaton. 6. Looking for the deeper function of the symp- toms. There are good reasons each client de-3. Working with pertinent family dynamics, velops an eating disorder. We don’t “get rid of ” burdens the family carries intergenerationally the eating disorder, but instead help integrate a that manifest in: over-control, over-indulgent stronger self that no longer requires the illusion enmeshment, engulfment or other addictive of control that comes from engagement in the and secretive dynamics. Often, we need to eating disorder. have the entire family in for intensive work. 7. Integration. Our therapists and Treatment4. Couples work. A spouse, if not brought on Team will involve the referring therapist in the board to what will be necessary to continue the treatment and recovery process. Let us know recovery process, can unravel a great deal of how you would like to be kept updated on even the most effective in-residence work. your clients treatment and progress and we will provide you with the clinical information. 8. Addressing body image difficulties in both group therapy and in individual therapy through sensory exercises and experiential therapy. Clinicians help clients move toward connecting with his/her body and help them learn how to tolerate the connection. 9. Finally, a powerful relationship with the primary therapist and nutritionist, that allows for sufficient trust to incrementally let go of the eating disorder.
  35. 35. We invite you to compare program quality and costs and to call usfor a telephone or in-person assessment and tour. Our intake coordinator,Samantha Young, can be reached at 1-888-822-8938. 800 Holland Road St. Louis, MO 63021 636-386-6611 phone 636-386-6622 fax 888-822-8938 toll-free www.castlewoodtc.com
  36. 36. 800 Holland Road St. Louis, MO 63021 phone 636.386.6611toll-free 888-822-8938 fax 636-386-6622www.castlewoodtc.com

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