• Dialectical Behavior Therapy

    DBT Clinical Team

    Clinical Team


    The DBT IOP providers at SLBMI have been trained in a formal Marsha Linehan DBT approach. All members have attended workshops for additional DBT training and are active members of a DBT consultation team.

    Consultation Team

    All providers in our IOP are members of our DBT consultation tem. The consultation team is a necessary component of DBT and has been shown to improve treatment as it guides providers to remain consistent with the treatment approach. The consultation team is also a place where clinicians problem-solve as a team and learn the latest evidence based practices of DBT.


    Randall Flanery, Ph.D.

    Randall C. Flanery, Ph.D., is a licensed clinical psychologist. He is the clinical director of Dialectical Behavior Therapy Services at SLBMI. He is also a member of the Program for Psychology and Religions and in the Eating Disorders Program. He earned his doctorate in Clinical Psychology at the University of Wisconsin in Madison in 1983.

    He has long been interested in incorporating psychological and spiritual perspectives in achieving recovery in mental health. He is committed to providing cutting edge, empirically supported treatments, and is trained in Cognitive Behavior Therapy and Dialectical Behavior Therapy. He has been offering formal DBT since 2010; leading DBT skills groups and providing individuals DBT following Linehan’s treatment protocol for emotionally dysregulated individuals. He established and managed a DBT Intensive Outpatient Program (IOP) for eating disorders began offering DBT when he joined the institute in 2016.

    Other specific treatment interests of his are: evidence-based treatments of depression, anorexia nervosa, bulimia nervosa, binge eating disorder, and other variants of eating disorders.  He also has a broad background in the treatment of a variety of childhood and adolescent conditions and helping individuals achieve lifetime healthy weight management.   A particular interest is tailoring treatment for eating disorders and weight control concerns to accommodate the unique perspectives of males with those conditions.

    He is an adjunct associate professor of Family Medicine at Saint Louis University School of Medicine. He is a member of the American Psychological Association, and the International Association of Eating Disorders Professionals, for which he is also an approved supervisor. He is a past associate editor and reviewer of PsyCritiques, an online journal of reviews.  He is a frequent speaker to professional and public groups.

    John Rapp, LCSW

    John Rapp is a licensed clinical social worker. He completed a bachelor’s degree in medical microbiology at the University of Wisconsin-Madison and master of social work degree at Washington University in St. Louis.

    His straightforward and matter-of-fact approach to psychotherapy is informed by science, utilizing treatments supported by the best available evidence.  John aims to help clients enhance their motivation for change, learn more effective coping strategies, challenge unhelpful thoughts/beliefs, face unjustified fears, and develop more realistic views of themselves and others.

    He utilizes a variety of approaches to individualize treatment, such as CBT-E for eating disorders, exposure and response prevention for anxiety disorders, Prolonged Exposure for PTSD, and dialectical behavior therapy for problems of emotion regulation and self-harm.  John has been a member of a DBT consultation team since 2010 and helps coordinate the DBT-IOP at the institute.  He also completed advanced training in psychodynamic psychotherapy at the St. Louis Psychoanalytic Institute.  He maintains a general practice, but specializes in the treatment of anxiety disorders, eating disorders, trauma, and borderline personality disorder.

    Olivia Carusello, LCSW

    Olivia Carusello is a licensed clinical social worker.  She received a bachelor of arts degree in philosophy and psychology at Swarthmore College, and a master’s of social work at Washington University in St. Louis.

    At SLBMI, Olivia is a member of DBT (dialectical behavior therapy) Services and a group leader in the DBT IOP.  Olivia’s training includes coursework in DBT and two years of weekly clinical supervision with one of the first therapists to become a nationally certified DBT therapist.  She has attended numerous workshops on DBT and mindfulness.

    Using a warm, empathic approach, Olivia works with a variety of clients.  Her specialty is treating those who may feel overwhelmed and out of control in their emotional lives, as well as those experiencing excessive anxiety, depression, and those coping with the aftermath of trauma.

    Olivia relies on treatment supported by empirical research: dialectical behavior therapy (DBT), cognitive behavior therapy (CBT), cognitive processing therapy (CPT), and psychodynamic psychotherapy.  Olivia’s clinical work draws on intensive, individualized training in DBT, CBT, and CPT.  Olivia has also received training in medication-assisted treatment for addiction and in evidence-based practices for addressing addiction, and has worked across different substance abuse settings.  She is currently receiving post-graduate training in the Advanced Psychodynamic Psychotherapy Program at the St. Louis Psychoanalytic Institute. 

    Claudia Charles, Ph.D., L.C.S.W.

    Claudia earned her B.A. in Psychology and French in 1986, her M.A. in Human Development Counseling in 1990 and her Ph.D. in Family Therapy in 2016, all from Saint Louis University. Her early experience as a therapist was with families and couples. She has extensive history working with undergraduate and graduate students’ mental health focusing on anxiety, depression, and relational issues and eating concerns. She also has experience working with individuals dealing with trauma. She has received extensive training in Dialectical Behavioral Therapy and has experience working in this modality. Dr. Charles has received training with Cognitive Behavioral Therapy and Health Behavior and Wellness Coaching. Areas of interest include: Anxiety, Depression, Relationship and Family Issues, Eating Disorders, Trauma, Culture and Diversity issues.

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