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In the middle of the country, on the bluffs overlooking

a gently flowing river, nestled against forested parkland,

is a treatment center unlike any other…

St. Louis, Missouri

636-386-6611 | 888-822-8938
Castlewood Treatment Center

is a creative collaboration of the owners’

clinical experience and personal and

professional evolution. The result is

a residential treatment program for

eating disorders that allows for the unique

treatment of each individual with an

emphasis on compassion, respect and

Our vision required that the structure itself
be 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 this

secluded gem, high on a ridge, overlooking endless acres
of state woodlands and the scenic Meramec River.
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 and
are 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 both
compulsive overeaters. live-able and worth living?

At Castlewood we begin In addition to the eating disorder, some clients

with the premise that have psychiatric diagnoses; some have multiple
addictions and some have a history of severe

each person who walks childhood traumas. Some clients will see a
specialist for adjunctive therapy, such as seeing
through our doors defies our anxiety specialist if needed, in addition to
their primary therapist. Whatever is required
simple categorization. to help the client, we attempt to provide.

Though we naturally wish to restore our clients When new clients arrive at Castlewood we
to health and functionality as efficiently as never know how his/her treatment will end
possible, we do not place a 30 or 60-day time up looking, because therapeutic strategies
limit on our residents’ stays. Our mission is not evolve as we get to know them and identify the
merely to churn out weight-restored women pertinent factors that are contributory to the
or men who look healthy to others, but whose issues they present. Clients say this flexibility
internal wounds, if unaddressed, will readily distinguishes Castlewood from prior treatments
result in relapse. Experience has taught us that and often constitutes the difference that allows
the full measure of health rests upon more their recovery efforts to at last succeed.
than a temporary absence of symptoms.

Castlewood therefore provides an individualized

treatment approach tailored to meet the precise
needs of each client. We understand that eating
disorder clients tend to be more different than
similar. This is why at Castlewood, each client’s
treatment plan is highly individualized.
Eating Disorders
Eating Disorders
Eating Disorders constitute the most
life-threatening category of mental
health issues.
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 disorder

perplexing in the tenacity of the hold it exerts on their loved one, the
sufferer’s lack of awareness of their degree of debilitation over time,
and the deception that can begin to enter once-honest relationships.
Eating Disorder can result Once the eating disorder takes hold as a
“survival strategy” of sorts, it can begin to take
as a symptom of many on a life of its own, as a recourse from, while
simultaneously a perpetuator of, anxiety and
different 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 symptoms
For some clients, there is fear of growing up to maintain an illusory sense of stability amidst
and assuming adult responsibilities. For others, the increasing chaos. As the cycle of the eating
external functioning seems great while inside, disorder continues, habituation results, as in
they are confused, distressed and need a any addiction, and it takes more of the same
symptom to yell: help! Some become trapped behavior to achieve the desired effect of feeling
in 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 or
other 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 to
or with peers that has led to an ongoing sense manage. This unfortunate, yet understandable
of 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 initial
emotional connections, or shame-based with and inevitable distress, to provide the support of
many intergenerational secrets and/or layers community, in lieu of that seemingly provided
of unresolved intergenerational trauma. Some by the eating disorder, and to assist the client to
are enmeshed, without appropriate boundaries, learn and re-learn the skills necessary to stabilize
resulting in overindulged children who get and rebuild their lives.
things rather than parenting. Some clients have
perfect families, in appearance, and feel over-
whelmed because they cannot live up to the
parents’ perceived achievements or expectations.
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
• 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

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.
Our therapy begins with a solid individual relationship with
the primary therapist, psychiatrist and our nutritionist.


• 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 the
Castlewood maintains a high staff-to- process as only someone who
patient ratio providing for greater has been through the recovery
individualized care. Many of our clients
have had treatment at other programs process can.
and have found recovery at Castlewood.

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.
The Residential program only has a maximum
of 10 clients. Each client sees his/her primary
therapist four times a week as well as having
weekly sessions with the dietician and the
psychiatrist. The program itself consists of
40 hours of group therapy. Staff is on site 24/7.
Each bedroom is attractive, uniquely decorated
and has its own en suite bathroom. There are
no more than two clients to a bedroom.
Community space is likewise comfortable and
inviting with inspiring views.
Residential Program Weekly Schedule
Monday Thursday
7:30 – 8:00 Breakfast 7:30 – 8:00 Breakfast
8:30 – 10:30 Core Group Weekend Check-in & Goals 8:15 – 9:15 Process Group
10:30 – 11:00 Snack 9:30 – 10:30 Core Group
11:00 – 12:15 Core Group II 10:30 – 11:00 Snack
12:30 – 1:15 Lunch & Post Meal 11:00 – 12:00 Core Group II
1:30 – 3:00 Eating Disorder Group 12:30 – 1:30 Chef ’s Choice
3:00 – 3:30 Snack 1:30 – 2:30 Pilates
3:30 – 4:30 Yoga Group 3:00 – 3:30 Snack
4:30 – 6:00 Individual Sessions/Free Time 3:30 – 4:30 Cognitive Group
6:15 – 7:00 Dinner & Post Meal 4:30 – 6:00 Individual Sessions/Free Time
Compulsory Play 6:15 – 7:00 Dinner & Post Meal
9:00 – 9:30 Snack Free Time
9:00 – 9:30 Snack
7:30 – 8:00 Breakfast Friday
8:30 – 10:00 Core Group 7:30 – 8:00 Breakfast
10:00 – 10:30 Snack 8:30 – 10:00 Core Group
10:30 – 12:00 Movement Group 10:00 – 10:30 Snack
12:30 – 1:15 Lunch & Post Meal 10:30 – 12:15 Eating Disorder Group
1:30 – 3:00 Expressive Therapy 12:30 – 1:30 Lunch & Post Meal
3:00 – 3:30 Snack 1:30 – 2:30 Body Image
3:30 – 4:30 DBT Group 2:30 – 3:00 Snack
4:30 – 6:00 Individual Sessions/Free Time 3:00 – 4:30 Art Therapy
6:15 – 7:00 Dinner & Post Meal 5:30 – 6:15 Dinner & Post Meal
7:15 – 8:15 Pre-Contract Movie Outing
9:00 – 9:30 Snack 9:00 – 9:30 Snack

Wednesday Saturday
7:30 – 8:00 Breakfast 7:30 – 8:00 Breakfast
8:15 – 9:15 Eating Disorder Expressive Group 8:15 – 9:30 Individual Sessions/Free Time
9:15 – 9:45 Menu Group 9:30 – 10:30 Gender Sexuality Intimacy & Relationships
9:45 – 10:30 Nutrition Group 10:30 – 11:00 Snack
11:00 – 12:00 Treatment Module 11:00 – 12:00 Literary Interpretation/Shame Group
12:30 – 1:15 Lunch & Post Meal 12:30 – 1:15 Lunch & Post Meal
1:30 – 2:30 Sexual Healing or Containment Outing & Visitors
2:30 – 3:00 Snack Free Time
3:00 – 4:00 Eating Disorder Group 9:00 – 9:30 Snack
4:00 – 5:00 Relapse Prevention
5:00 – 6:00 Individual Sessions/Free Time Sunday
6:15 – 7:00 Dinner & Post Meal
Compulsory Play 7:30 – 8:00 Breakfast
9:00 – 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
‘‘ 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
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 practice, with an emphasis vidual’s situation. Some clients in Stepdown, will
on acquiring the necessary life skills to facilitate begin to work a certain number of hours, some
long-term recovery. Coping skills and healthy to attend academic courses or to volunteer with
eating habits learned in residential are built local agencies or organizations. Learning
upon and tried out in circumstances more to sustain a balanced lifestyle that includes:
closely resembling what clients will encounter appropriate nutrition, work or school, supportive
post treatment. There is greater autonomy, relationships, recreational activities and self-care
encouragement 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 in
We understand that each new phase in a client’s this manner, the greater the odds for a sustained
recovery 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 client
has successfully helped hundreds of clients nav- by the nutritionist with client input and goals
igate 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!
day treatment
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
Day Treatment
In order to achieve a level of stabilization and
symptom reduction, some clients require a level
of care beyond outpatient.

Our Day Treatment program is provided for

clients living in or around the St. Louis area
who can commute to treatment and for whom
an overnight stay is not a necessary treatment

The program is available on either a 5- or 7-day

basis. Clients become part of the therapeutic
community and participate in all residential
groups and programming. Depending upon
whether in the 5 or 7 day version, clients
receive 3-4 individual sessions with the primary
therapist, one with the psychiatrist and one
with his/her dietician weekly.

Day Treatment is often the treatment of

choice when a program of intensive
outpatient care has not been adequate in
effectively assisting the client to reach and/or
maintain treatment goals.
(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.
Castlewood’s IOP Program consists of both group
and individual therapy held four evenings each
week. A supervised meal also comprises one facet
of each evening’s programming.

For motivated and less severely compromised clients,

IOP may be the treatment of choice. There are
four 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:

The SKILLS GROUP is a structural psycho-
educational group that provides clients with
practical skills for coping with challenges and
helps create alternative strategies to reliance
on the eating disorder symptoms. Instead of
binging and purging, utilization of self-sooth-
ing, distraction, and problem solving. Instead
of restricting, patients examine unhealthy
thought processes, body image distortion and
underlying feelings and needs. Clients are
taught 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 & Therapist
problem solving, communication and to devel- Emily Williams – Step Down Coordinator & Therapist
op relationship skills and resources. The groups Deanna James – Assistant Program Director & Therapist
focus on body acceptance, behavior therapy,
enhancing motivation, diminishing anxiety,
appropriate nutrition, mindfulness, spirituality MEAL PROCESS GROUP
and self care.
In the MEAL PROCESS group, individuals
are helped to recognize hunger and fullness, to
GENERAL 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 clients
to discuss emotions and underlying dynamics are challenged and supported to confront their
that maintain eating-disorder symptoms. Feed- anxiety incrementally.
back from group members, particularly those
farther along or those who have had similar
experiences is useful. Assignments are often given
to lend focus and assist clients in identification In EXPERIENTIAL GROUP, clients deal
and exploration of symptom-maintaining cir- directly with circumstances or situations having
cumstances 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.
The groups were…
SUPPORT GROUP vital to my recovery.

Castlewood sponsors a free weekly sup-
port group for people in recovery from
Anorexia Nervosa, Bulimia and Binge From the very first day I was warmly
Eating Disorder. The group is open to welcomed and though terrified I found
anyone regardless of stage of recovery.
The purpose of the group is to establish
support. The groups were extremely
a safe, reliable setting that emphasizes difficult but vital to my recovery. I
positive aspects of recovery. The format formed friendships on a level I had
offers time for participants to briefly
check in about the week, followed by an never experienced before and found hope
open 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 that
the recovery process. Examples include:
relapse prevention, negotiating boundaries, the staff at Castlewood had for me. At
and utilizing healthy coping tools. Par- times it was overwhelming to think that
ticipation in support group requires that
the individual be engaged in outpatient
anyone could care that much. From my
therapy, as the support group is not in- relentless and kind therapist that helped
tended to replace on-going therapy or as a me through my most difficult days, the
stand-alone form of support. Castlewood
welcomes inquiries by both clients and psychiatrist that respected my every
therapists about appropriateness of the boundary, the directors who’s intuition
Support Group for you or for your client.
still amazes me today, the staff who’s
Information about the Support Group
is 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.

trauma resolution
Clients need to return to
the root of “what happened”…
With one foot in the present and one
foot in the past, the client re-examines the
memories, re-associates the emotions, and
changes the trauma-based or childhood
attributions used to make meaning of
the experience at the time to an adult
perspective of enhanced clarity, wisdom
and compassion. The event no longer
exerts the same influence over behavior,
choices and sense of self it did previously.
Unresolved experiences of child sexual abuse or rape, for example, will almost
always result in symptoms. Where traumatically-originating symptoms prevail or
complicate the individual’s ability to achieve a fuller recovery, therapies such as
EMDR, Attachment-based Psychotherapy or Internal Family Systems therapy
can be utilized to facilitate and speed up the necessary shifts in processing once
some degree of safety, containment and stabilization exist.

EMDR Attachment-based
Clients who have suffered for years from anxiety
or distressing memories, nightmares, insomnia, When a client has experienced early attachment
abuse or other traumatic events can often deficits with their caretakers in the first few years
gain relief from a revolutionary therapy called of life due to sensory hyperactivity or parental
EMDR (Eye Movement Desensitization Repro- unavailability, they will evidence attachment dis-
cessing). Research shows that EMDR is rapid, orders later in life. They will become dismissive
safe 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 love
in which healing can happen effectively. This (dismissive) or approaches partners with a binge
powerful short-term therapy is highly effective mentality (preoccupied), or both (disorganized).
for a wide range of disorders including chronic Castlewood utilizes directive interventions to
pain, phobias, depression, panic attacks, eating work with attachment difficulties.
disorders and poor self-image, stress, worry,
stage fright, performance anxiety, recovery
from sexual abuse and traumatic incidents.
Internal Family Systems (IFS) therapy is a
therapy that is very applicable to clients who
have complex traumatic stress disorders and
allows for a reworking of those experiences with
one foot in the present, and one foot in the past.
IFS has in common with Ego State therapies
the idea that each individual has multiple selves
or self-states. IFS, like Ego State therapies, is
predicated on the notion that having self-states,
(generally referred to as “parts”) is not (solely)
a function of a dissociative process in need of
therapeutic correction, but rather the normative
state of all human beings. Working with these
parts can be a very efficient and potent method
of resolving past events and freeing the indi-
vidual to rely more fully on his/her own innate
capacities for change, growth and healing.

Richard C. Schwartz, Ph.D.,

the originator of Internal
Family Systems Therapy,
is integral to Castlewood in
both his training of our staff
and as a clinical consultant.
castlewood 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.
Our therapists include highly trained Lori Galperin
M.S.W., L.C.S.W.
master- and doctoral-level professionals
Clinical Co-Director
with numerous specialties who are
Ms. Galperin initially
unequivocally committed to helping earned her undergraduate
degree in Psychology and
people 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 contributor
processes 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 adjunct
professor in the departments of Psychiatry at Nancy Albus
St. Louis University School of Medicine. Over M.Ed., L.P.C.
the past 25 years, Dr. Schwartz has achieved Program Director
international recognition for his contribu-
Nancy earned her Master
tions in a variety of clinical arenas including
of Arts degree in Counsel-
the treatment of intimacy disorders, marital
ing from the University of
and sexual dysfunction, sexual compulsivity,
Missouri-St. Louis. She is
sexual trauma and eating disorders. He lectures
a licensed Professional Counselor and trained
nationally and internationally on these topics
in Internal Family Systems. In addition to her
and has authored numerous articles and book
interest in eating disorders, Nancy works with
chapters, 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 in
Behavior, Sex and Gender. Dr. Schwartz is cur-
Residential Treatment. Nancy joined
rently on the Editorial Board of the Journal of
Castlewood in 2002 as a therapist and is also
Eating Disorders.
the program director for the treatment center.
Theresa Chesnut Samantha Young
M.S.W., L.C.S.W. M.Ed., L.P.C.
Therapist Intake Coordinator/
Theresa initially earned
her undergraduate degree Samantha Young earned
in Family Life and Com- a Masters of Science
munity Services from Degree in Counseling
Kansas State University and later completed from Missouri Baptist University. She is a
her graduate degree in Clinical Social Work at Licensed Professional Counselor and is trained
the 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 has
various positions: Primary Therapist, Program worked at Castlewood Treatment Center since
Director and currently as the Marketing Direc- 2002 working with trauma and eating disorders.
tor. Theresa has also been on staff for the
Menninger Clinic and she has over 15 years Deborah Hinds, D.T.R.
experience in lecturing on college campuses Nutritionist
and 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 Florissant
services 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
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 outpatient
Edwardsville. He earned his Ph.D. at Saint clients to develop custom meal plans and to
Louis 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 of
clinical areas including sexual/marital dysfunc-
tion, family therapy, sexual abuse, trauma and
compulsivity. He has published and presented
papers on sexual aggression, sexual abuse and
Anna M. Jurec, M.D.
Anna M. Jurec, M.D.
graduated from Medical Uni-
versity in Gdansk, Poland and
completed her Psychiatry
Residency Program at Saint
Louis University Department of Neurology and
Psychiatry. 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-profit
organization in St. Louis, treating severely and When my daughter started I had
persistently 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 downward
mind in those affected by mental illness. I strive to treat
the patient as an integral combination of body, mind and spiral arrested. Almost a month later
spirit and to allow patients to choose the best individual
treatment based on scientific and clinical evidence. I still felt those same things, but my
My particular professional interests are directed toward
daughter was voicing some optimism
psychosomatic 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 she
Iness Panni has worked with eating disorders
and addictions for over 25 years. She brings
a special sensitivity to the medical, physical,
emotional, psychological, social, and spiritual
aspects 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 of
Castlewood Treatment Center since 2002,
Iness provides a holistic oversight of the care – DM
and well being of each client.
why castlewood
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.
‘‘ 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.
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 Stepdown
2. 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 alongside
3. 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.
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.
For the Professional
Castlewood utilizes an evidence-based approach with 1-year follow-up with
all 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 Treatment
4. 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.
We invite you to compare program quality and costs and to call us
for 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
800 Holland Road
St. Louis, MO 63021

phone 636.386.6611
toll-free 888-822-8938
fax 636-386-6622