Opening Sept 10, 2018

Anxiety disorders affect 30% of US adolescents. The Anxiety Center at Renew opened the 2tents IOP for those 12-17 needing more than weekly therapy. This short-term, intensive program provides practical, tactical and experiential training utilizing Dialectical Behavior Therapy-Skills (DBT-S).

2tents logo (clear)

Accepting Clients

Schedule an assessment with our intake specialist:  Katie Frits.

Instilling each adolescent with the competence & confidence to advance their own well-being while managing symptoms

For adolescents struggling with

  1. An Emotional and/or Behavioral Anxiety Disorder
  2. Significant Dysregulation in one or more domain (see below) or
  3. Stepping down from or to avoid a restrictive setting, such as inpatient or residential

Characteristics of Dysregulation Domains

  • Self-dysregulation: Lacking awareness of emotions, thoughts, action urges; poor attentional control; unable to reduce one’s suffering while also having difficulty accessing pleasure; identity confusion, sense of emptiness, and dissociation.
  • Behavioral dysregulation: Impulsive behaviors such as cutting classes, blurting out in class, spending money, risky sexual behavior, risky online behavior, bingeing and/or purging, drug and alcohol abuse, aggressive behaviors, suicidal and nonsuicidal self-injurious behaviors.
  • Emotion dysregulation: Emotional vulnerability; emotional reactivity; emotional lability; angry outburst; steady negative emotional states such as depression, anger, shame, anxiety, and guilt; deficits in positive emotions and difficulty in modulating emotions.
  • Interpersonal dysregulation: Unstable relationships, interpersonal conflicts, chronic family disturbance, social isolation, efforts to avoid abandonment, and difficulties getting wants and needs met in relationships and maintaining one’s self-respect in relationships.
  • Cognitive dysregulation and family conflict: Nondialectical thinking and acting (ie., extreme, polarized, or black-or-white), poor perspective taking and conflict resolution, invalidation of self and other, difficulty effectively influencing own and others’ behaviors (i.e., obtaining desired changes).

2tents IOP utilzes both DBT-S and components of ACT that have been shown to

  1. Decrease Suicidal Behaviors
  2. Decrease behaviors that interfere with therapy and life by
  3. Increasing Find Acceptance Skills
    1. Mindful Action:  are used to decrease identity confusion, feelings of emptiness, and emotion dysregulation
    2. Distress Tolerance / Crisis Survival:  are used to decrease impulsive behavior, suicide threats, and self-injury behaviors
  4. Increasing Understand Change Skills
    1. Emotion Regulation:  are used to effectively cope with anger, fear, shame and sadness
    2. Interpersonal Effectiveness:  are used to decrease interpersonal chaos and feeling of abandonment. they are skills that are used to ask for effectively, to set boundaries, and to say "no" effectively
  5. Supporting Take Initiative Skills
    1. Flexible Thinking:  are used to develop a Growth Mindset vs. a Fixed Mindset
    2. Value Clarification:  are used to guide action around connecting, giving, being active, challenging oneself
Tactical Infographic2

Accepting Clients

Schedule an assessment with our intake specialist:  Katie Frits.


The Anxiety Center at Renew has contracts (is “in network”) with New Directions (Blue Cross/Blue Shield), Cigna, Aetna, and UBH) and has been extremely successful at working with many other companies to get single-case agreements written (this allows you to utilize benefits even when we aren’t currently part of their network).

Thoughts from  "Why Do they Act that Way?" By David Walsh, Ph.d

Because the mental health system is so frustrating to navigate, it takes some active efforts to get good care and how to avoid some of its various pitfalls.  Here’s how.

  1. Read your insurance policy carefully to find out exactly what your mental health and chemical dependency benefits are. They may be described in a separate section of your policy.
  2. Read your insurance policy or member handbook to determine the procedures for accessing care. The procedures may be different from the benefits.  Fox example, your policy may state that you are entitled to thirty outpatient visits per year.  The procedures, however, may state that all visits much be authorized in advance or reauthorized after every three visits.
  3. Find out which providers are covered by your plan and what the financial penalties are if you see a professional outside the plan’s network.
  4. Find out the procedures for securing a second opinion and for getting a referral outside the plan in case one is needed.
  5. Get recommendations for the best professionals you can use under your plan’s benefits and procedures. Educators, clergy, and health care professionals can be helpful.  Other parents can also be good sources for advice.
  6. Once you begin to receive care don’t be afraid to ask questions about treatment approaches, medications, referral options, and second opinions.
  7. If you think you are not getting adequate care, contact the patient representative at the health plan. Share your concerns and find out your options.
  8. I hope you never have to resort to them, but many states now have offices for health care complaints in either the department of health or the attorney general’s office.
IOP Components

  1. 6-week program (~21 sessions to complete)
  2. Monday-Thursday 2- 5pm
  3. Required Family Skills Group every Thursday
  4. Weekly communication with schools / therapists
  5. Complimentary Online portal
  6. AfterCare and Parent Groups offered
Designed to Enhance & Partner (not compete) with:

  1. Individual and/or family therapy
  2. Medical interventions (psychopharmacology)
  3. Education (school counselors / teachers / nurses)

Treatment Team

Jason Bohn

Clinical Director, Adolescent Services

Jason is 1-part clinician, 1-part youth minister, 1-part community catalyst; completely child-like and filled with wonder about to make the world a better place 1 teen at a time.

Shelby Clark


Currently co-leads the adolescent IOP program.


Full Profile

Katelyn (Katie) Frits


Katelyn is passionate about helping children and families reconnect with one another by providing an engaging therapeutic setting.
913-768-6606 ext. 338

Full Profile

The National Comorbidity Survey-Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13–18 years in the continental U.S. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview.


Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of those with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2%; (11.2% with mood disorders; 8.3% with anxiety disorders; 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders.


These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every 4–5 youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention.

Accepting Clients

Schedule an assessment with our intake specialist:  Katie Frits.