Research at Centered Ground

Research & Resources

As a clinical psychologist, I am committed to not only delivering treatments that are supported by evidence for their effectiveness but also continuing to develop and investigate interventions, moving them from academic research labs into the "real world." Through my research I have streamlined dialectical behavior therapy and mindful eating for binge eating and bulimia nervosa into promising new formats to reduce client burden and increase access. I also have experience in grant-funded randomized controlled trials as a study therapist, including a postdoctoral fellowship in group-based emotion regulation therapy for self-harm. My training thus combines a rigorous scientific context with innovative treatments repackaging strategies with demonstrated evidence for efficacy to extend options for the community.

Dr. Klein's Research

Selected Publications

Klein, A. (2016). Mindful eating from the dialectical perspective: Research and application. New York, NY & Oxon, UK: Taylor & Francis, Routledge.

Trunko, M.E., Schwartz, T.A., Marzola, E., & Klein, A.S. (2014). Lamotrigine use in patients with binge eating and purging, significant affect dysregulation, and poor impulse control. International Journal of Eating Disorders, 47(3), 329-344. doi: 10.1002/eat.22234

Klein, A.S., Skinner, J.B., & Hawley, K.M. (2013). Targeting binge eating through components of dialectical behavior therapy: Preliminary outcomes for individually-supported diary card self-monitoring versus group-based DBT. Psychotherapy, 50(4), 543-552. doi: 10.1037/a0033130

Klein, A.S., Skinner, J.B., & Hawley, K.M. (2012). Adapted group-based dialectical behavior therapy for binge eating in a practicing clinic: Clinical outcomes and attrition. European Eating Disorders Review, 20(3), e148-53. doi: 10.1002/erv.2165

Fulton, J.J., Lavender, J., Tull, M.T., Klein, A.S., Muehlenkamp, J.J., & Gratz, K.L. (2012). The relationship between anxiety sensitivity and disordered eating attitudes and behaviors: The mediating role of experiential avoidance. Eating Behaviors, 3(2), 166-169. doi:10.1016/j.eatbeh.2011.12.003

Selected Presentations

Klein, A.S. (3/2017). Mindful eating from the dialectical perspective: The middle path to freedom from forbidden foods. Workshop to be presented at the London International Eating Disorders Conference, London, England.

Klein, A.S. (11/2016). Radical openness: Seeking vulnerability to move past what keeps us stuck and disconnected, discover ourselves anew, and create authentic connection. Invited continuing education seminar for the Women’s Association for Addiction Treatment, San Diego, California.

Klein, A.S. (11/2016). Tis the season: Finding serenity and gifts of joy. Invited talk for BPD Global, San Diego, California.

Klein, A.S. (11/2016). Dialectical behavior therapy (DBT): Finding the middle path. Invited continuing education seminar for Sovereign Health, San Clemente, California.

Klein, A.S. (10/2016). Mindful eating from the dialectical perspective: Research and application. Invited continuing education seminar for Sovereign Health, Rancho San Diego, California.

Klein, A.S. (9/2016). Mindful eating from the dialectical perspective: Research and application. Invited continuing education seminar for the Center for Discovery, Del Mar, California.

Klein, A.S., & Lynch, T. (5/2016). Radically open DBT perspectives. Invited panel talk for the Nutrition Special Interest Group, Academy for Eating Disorders, at the International Conference on Eating Disorders, San Francisco, California.

Klein, A.S. (3/2014). Finding the Middle Path: Eating disorders and dialectical behavior therapy. Invited talk for the Borderline Personality Disorder Special Interest Group, Academy for Eating Disorders, at the International Conference on Eating Disorders, New York, New York.

Klein, A.S., Rockwell, R.A., Anderson, L.K., & Kaye, W.H. (3/2014). Implementation of follow-up after intensive eating disorder treatment: Response and feasibility. Poster presented at the International Conference on Eating Disorders, New York, New York.

Klein, A.S. (2/2014). Mindful eating of food with eating disorders. Invited continuing education seminar for the University of California, San Diego, Eating Disorders Treatment and Research Program.

Klein, A.S., Anderson, L., & Kaye, W.H. (11/2013). Intensive dialectical behavior therapy for anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified: Program outcomes for eating disorder symptoms, mood, and emotion regulation. Poster presented at the Association for Behavioral and Cognitive Therapies Convention, Nashville, Tennessee.

Klein, A.S. (7/2013). DSM-5: Eating and Feeding Disorders. Invited continuing education seminar for California State Polytechnic University, Pomona, California.

Kaye, W.H., & Klein, A.S. (6/2013). DSM-5: Eating and Feeding Disorders. Presentation for the San Diego Psychiatric Society and the

American Psychiatric Association meeting “DSM-5: What You Need to Know,” La Jolla, California.

Klein, A.S. (5/2013). DSM-5: Eating disorders. Invited continuing education seminar for the University of California, San Diego, Eating Disorders Treatment and Research Program.

Klein, A.S. (10/2012). Evaluating treatment effectiveness across time and translating assessment scores into clinically useful feedback. Invited continuing education seminar for the University of California, San Diego, Eating Disorders Treatment and Research Program.

Postdoctoral Fellowship

Therapist for: Gratz, K. L., Tull, M. T., & Levy, R. L. ( in press). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Psychological Medicine.

Centered Ground

Angela Klein, Ph.D.

Pathways to Well Being through Psychology &

Dialectical Mindfulness-Based Practice

Research & Resources