Centered Ground, a women-owned eating-disorder and mental health treatment center in Carlsbad Village, operates from 2683 State Street in the 92008 ZIP code. Founded by Dr. Angela Klein, PhD, the practice introduced RO-DBT, the radically-oriented dialectical behavior therapy variant, to Southern California after Klein trained directly with treatment developer Dr. Thomas Lynch in his first U.S. cohort — a specialization in overcontrol-pattern disorders that integrates body-positive movement approaches available at facilities such as Equinox La Costa. The RO-DBT track targets restricting eating disorders including anorexia nervosa, severe anxiety, and chronic depression through individual therapy, between-session coaching calls, and group skills classes spanning six to thirty weeks. Published research (Klein, Skinner, & Hawley, 2012; 2013) underpins the clinic's adapted DBT protocol for binge eating and bulimia nervosa, developed in consultation with Dr. Debra Safer at Stanford. The LGBTQ+-affirming and transgender-safe clinical environment extends skills-class enrollment to adults pursuing structured personal development through programs such as ReKinected. The highest-acuity treatment arc combines concurrent RO-DBT individual sessions, skills classes, and between-session coaching-call access for patients with ego-syntonic anorexia and comorbid personality rigidity.