Castlewood II Treatment Center in Ballwin, MO

Overall Rating

(4.8 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1260 St. Paul Rd.
Ballwin MO 63021

Castlewood II Treatment Center Philosophy

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Areas of Specialization

Eating Disorders, Trauma and PTSD

Facility Highlights

Residential Treatment
Stabilization Program Editorial Review

Review by Contributors


One of Castlewood’s two residential facilities in the St. Louis area, Castlewood II treats men and women 16 years and older with eating disorders such as anorexia, bulimia, and binge eating. The program also offers treatment for co-occurring substance abuse issues and/or mental health disorders, including anxiety, obsessive compulsive disorder, and PTSD. A transitional living program for clients participating in outpatient treatment is also located on campus.


Castlewood’s clinical team philosophy is to treat clients’ symptoms and then work on underlying issues in therapy. Typical treatment plans last two to four months, but can be extended if necessary.

Care is intensive, individualized, and catered toward clients with eating disorders. Nurses are available 24/7 to provide medical care and support, and clients attend four individual therapy sessions a week, six hours of group therapy every day, and meet with both a dietician and a physician once a week.

Treatment modalities include cognitive behavioral therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR), expressive and creative therapies, attachment-based therapy, and relapse prevention. Staff-supported meals, after-meal processing, and daily weight and vital sign monitoring are also provided. Castlewood’s co-occurring chemical dependency group meets once a week and is designed to introduce clients to the 12-step program of recovery. A three-day long family program is offered every six weeks and includes psychoeducational groups for loved ones, along with multi-family group therapy sessions.

Castlewood also offers eating disorder treatment for males and LGBT individuals. Gender neutral language is used throughout programming, and issues of gender and sexual identity are considered during treatment.


The multidisciplinary treatment team includes registered nurses, dietitians, and a medical director. In addition, there are psychiatrists, social workers, and doctoral level therapists on staff.


Set on 55 wooded acres near Castlewood State Park, Castlewood II offers a peaceful campus for recovery and reflection. The intimate facility, which admits no more than 16 residents at a time, offers two-bed rooms with king-sized beds, comfortable furnishings, and flat-screen TVs.


Alumni reports are positive — four former clients surveyed by to date rated the facility four or five out of five stars in categories including diagnosis of co-occurring disorders, family participation, and staff’s level of experience and training. One former client noted that the facility was not strict about following a 12-step structure, which received only one- and two-star ratings from two reviewers. Another reviewer noted the center’s counseling options could use improvement.

Two Yelp reviewers to date had polarized reviews of Castlewood, one rating it one star, the other five stars.[1] While the five-star reviewer wrote favorably about the clinic’s therapy options, the one-star reviewer accused the clinic’s therapists of opening mail and sharing private information. They also wrote that the facility did not strive to lessen patients’ out-of-pocket costs in negotiations with insurance companies.


According to the facility’s website, Castlewood accepts several private insurance plans, including Blue Cross, Cigna, and Aetna among 12 in total. The facility encourages clients to call their insurance providers prior to admissions.

Updated February 2017


Published on February 2017

User Reviews

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  • Treatment Effectiveness
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Overall great facility but needs improvement with 12-step program.

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  • Treatment Effectiveness
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It Was a opening of my eyes but wish I was still there for treatment

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  • Treatment Effectiveness
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If I'd done the whole program I think I would have done well. It's a good program.

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  • Treatment Effectiveness
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I really enjoyed the family participation but could have had better counseling options

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