Castlewood Treatment Center
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Castlewood Treatment Center


Castlewood Treatment CenterCastlewood Treatment Center Review

Castlewood Treatment Center has been in business for 10 years and takes men and women (though mostly women) ages 16 and up for extended inpatient stays. It has a handful of more-than-well-appointed facilities—two in St. Louis, one in Monterey, CA and one in Birmingham, Alabama—all with capable staff and all the amenities one could ask for.

Accommodations and Food

Castlewood’s main locations are their St. Louis facilities, Castlewood I and II, which have 10 and 16 beds respectively (Monterey has 12 beds while Birmingham has six). Both offer home-like environments and sleek interior design. All rooms have king-size, four-poster beds (most are shared though a few are private). Each also has a TV and an adjoining bathroom.

The houses both have main living areas with fireplaces, plenty of couch and easy-chair space and a TV (though it’s small enough to discourage its use). Castlewood also boasts an outdoor pool, while both I and II have art rooms and modest gym areas. Since Castlewood’s focus is eating disorders, exercise and gym time have to gradually be added into residents’ schedules, and this time is often supervised. Both locations are deep in the woods, on a 55-acre plot with plenty of expansive, green vistas.

Food and nutrition are essentially the focal point of Castlewood’s approach. Nutritionists (many of whom are in recovery from eating disorders themselves) work with clients individually to plan their diet and exercise plans, which tend to change as recovery progresses.

There are onsite chefs to serve up buffet style meals that balance health and comfort—offerings include salads, ribs and mashed potatoes to name a few. The idea is to give clients the nutritional tools to make good decisions, but also to teach them to “trust their bodies” and actually enjoy the act of eating. Vegetarian (though not vegan) diets are accommodated, and caffeine and nicotine are allowed in moderation. Finally, all meals are closely supervised.

Treatment and Staff

Intake at Castlewood requires that residents bring in a list of medical info. Everyone is expected to have a medical history, physical, blood work, urine screen, EKG and bone density (all from sometime within the seven days before treatment begins) before entry.

An average stay at Castlewood is between two to four months, though it can be extended when necessary. Every week, inpatient clients get four individual therapy sessions, one dietary session, one psych session and a variable amount of additional therapy for dual diagnosis issues (which tend to run the gamut here). 12-step meetings are available on weekends and evenings for those with addiction issues, and outpatient is largely the same on a more limited scale. Methods in both programs include psychodrama, art therapy, dance/movement therapy, EMDR, CBT, DBT, yoga and life-coaching.

The staff here is almost all female, and consists of seven inpatient therapists, five dieticians, four outpatient therapists and several nurses. There’s also plenty of staff on the leadership side who can double as certified therapists of different stripes when necessary.


Days tend to be pretty packed with treatment at Castlewood; basically, its the client, the client’s issues and the woods. One treatment bonus is a family session once every six weeks, where families are invited to the facilities. Those last three days and feature psycho-educational groups, didactic sessions and group therapy to deal with inter-family issues.

In Summary

Our only caveat, if an ex-employee can cause a caveat, is that Castlewood’s former psychologist and director faced some fairly damaging allegations. Yet the center dealt with this swiftly and he is no longer affiliated with Castlewood in any way. Overall, this luxurious treatment center could put those with eating disorders back in just the right shape.

Castlewood Treatment Center Location

800 Holland Rd
St. Louis, MO 63021

Castlewood Treatment Center Cost

$33,000 (30 days). Reach Castlewood Treatment Center by phone at (877) 937-8420. Find Castlewood Treatment Center on Facebook and Twitter 

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