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Angela Klein, Ph.D.
Pathways to Well Being through Psychology &
Dialectical Mindfulness-Based Practice
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
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
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.
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.
Am I Thin Enough Yet?: The Cult of Thinness and the Commercialization of Identity
~ Sharlene Hess-Biber, Ph.D.
Buddha's Brain: The Practical Neuroscience of Happiness, Love, and Wisdom
~Rick Hanson, Ph.D.
Don't Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You in Control
~Scott E. Spradlin, M.A.
Eat, Drink, and Be Mindful; How to End Your Struggles with Mindless Eating and Start Savoring Food with Intention and Joy
~Susan Albers, Psy.D.
Eating the Moment: 141 Mindful Practices to Overcome Overeating One Meal at a Time
~Pavel Georgievich Somov, Ph.D.
End Emotional Eating: Using Dialectical Behavior Therapy Skills to Cope with Difficult Emotions and Develop a Healthy Relationship to Food
~Jennifer Taitz, Psy.D.
Getting Physical: The Rise of Fitness Culture in America
Mindful Eating: A Guide to Rediscovering a Healthy and Joyful Relationship with Food
~Jan Chozen Bays, M.D.
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Workbook
~David H. Barlow and colleagues
Selected Treatment Trials
Safer, D.L. Telch, C.F., & Agras, W.S. (2001a). Dialectical behavior therapy adapted for bulimia: A case report. International Journal of Eating Disorders, 30(11), 101-106. doi: 10.1002/eat.1059
Safer, D.L., Telch, C.F., Agras, W.S. (2001b). Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry, 158(4), 632-634. doi: 10.1176/appi.ajp.158.4.632
Telch, C.F. (1997a). Skills training treatment for adaptive affect regulation in a woman with binge-eating disorder. International Journal of Eating Disorders, 22(1), 77-81. doi: 10.1002/(SICI)1098-108X(199707)22:1<77::AID-EAT10>3.0.CO;2-F
Telch, C.F., Agras, W.S., & Linehan, M.M. (2000). Group dialectical behavior therapy for binge eating disorder: A preliminary, uncontrolled trial. Behavior Therapy, 31(3), 569-582. doi: 10.1016/S0005-7894(00)80031-3
Telch, C.F., Agras, W.S., & Linehan, M.M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69(6), 1061-1065. doi: 10.1037/0022-006X.69.6.1061
Lavender, J.M., Gratz, K.L., & Tull, M.T. (2011). Exploring the relationship between facets of mindfulness and eating pathology in women. Cognitive Behavior Therapy, 40(3), 174-182. doi: 10.1080/16506073.2011.555485
Masuda, A., Price, M., & Latzman, R.D. (2012). Mindfulness moderates the relationship between disordered eating cognitions and disordered eating behaviors in a non-clinical college sample. Journal of Psychopathology and Behavioral Assessment, 34, 10-115. doi: 10.1007/s10862-011-9252-7
Cahn, B.R., & Polich, J. (2006). Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychological Bulletin, 132(2), 180-211. doi: 10.1037/0033-2909.132.2.180
Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, F. . .& Sheridan, J.F. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65(4), 564-570. (Treatment trial not specific to eating).
Newberg, A., Alavi, A., Baime, M., Pourdehnad, M., Santanna, J., & d’Aquili, E. (2001). The measurement of regional cerebral blood flow during the complex cognitive task of meditation: A preliminary SPECT study. Psychiatry Research, 106(2), 113-122.
Orme-Johnson, D.W. & Haynes, C.T. (1981). EEG phase coherence, pure consciousness, creativity, and TM-Sidhi experiences. International Journal of Neuroscience, 13, 211-217.