Do any of the following describe you?·     

Do you believe it is important to “do things properly” or “right?”

 Are you a perfectionist? 

Are you cautious and careful about how you do things?

Do you prefer order and structure? Are you organized?

Do you like to plan ahead? Do you think before acting?

Are you able to delay gratification? Are you able to easily inhibit an impulse?

Do you consider yourself conscientious? Are you dutiful?

Are you quiet, restrained, or reserved by nature?

Is it hard to impress you?

Does it take time to get to know you?

 Are you likely to withhold your opinion until you get to know someone better? 

Clients with a combination of the above, 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. 

What is RO-DBT?

RO-DBT (Radically Open Dialectical Behavior Therapy) is a trans-diagnostic treatment developed by Dr. Tom Lynch, PhD. It is designed to address a spectrum of difficult-to-treat disorders that share similar features associated with maladaptive overcontrol (including those described in the section above). In RO-DBT, the focus is on self-enquiry, creating a willingness to be receptive and open to your environment and/or social feedback, as well as acceptance of emotions, thoughts and behavior. RO-DBT balances self-inquiry, empathy, and warm acceptance with behavior change. Skills training and a strong client-therapist relationship assist with this change. The RO-DBT method is successful in working with clients with many different mental health challenges including chronic depression, treatment resistant anxiety disorders, certain personality disorders, and anorexia nervosa. For further information on research for this evidence-based therapy, please see Dr. Lynch’s web site:

Dr. Tom Lynch, Developer of Radically Open DBT

How Does Core Counseling Implement RO-DBT?

Core Counseling RO-DBT utilizes the RO-DBT concepts of skills training, self-enquiry, flexible mindfulness and education. Core Counseling RO-DBT provides a trauma-informed environment for our clients to learn about their mental health, to fulfill needs for skills' acquisition, and to take responsibility for their treatment. Each treatment approach is tailored to the individual client.

How do I begin? Please refer to our Contact Us page for options to reach us.

Contact us via your preferred communication method (phone or email) with questions and/or to arrange for an assessment. We look forward to hearing from you. You can expect us to be in contact within 24 hours of receipt of your message. 

First In St. Louis

Core Counseling and Consulting, LLC is the first private practice in the St. Louis, Missouri region to offer Radically Open Dialectical Behavior Therapy (RO-DBT). We continue to train directly with the developer of RO-DBT, Thomas Lynch, PhD. This is an evidence based treatment for clients negatively impacted by overcontrol of their emotions and behaviors.