16 May 2017
Marital and Family Therapy
Couples Counseling

We provide pre-marital and marital counseling, which may address the following areas/issues: compatibility and mate selection; communication skills; problem-solving and conflict-resolution skills; financial mismanagement; sexual dysfunction and complaints of sexual dissatisfaction or infidelity; jealousy; parenting concerns; problems with extended family members and former spouses; balancing career and family; adjusting to retirement and other life changes. While our primary commitment is helping couples improve their relationships, there are those who come to the decision that they must separate. In these cases, we can help support couples through separation and divorce, with the goal of reducing conflict and minimizing legal/financial trauma, for the long-term benefit of all family members. We are able to supplement marital counseling with individual therapy, as needed.

Note: Our practice focuses on the treatment of individual patients and sometimes this is facilitated by the participation of a spouse or other family member(s). In these cases, we include marital or family therapy as a component in the overall treatment of individual patients. Insurance plans do not cover any type of therapy, unless there is an identified patient with a clinical diagnosis. For couples who want marital therapy only, and when there is no identified patient with a clinical diagnosis, we provide marital counseling on a self-pay basis.


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16 May 2017
Anxiety Treatment
ANXIETY TREATMENT

We provide specialized treatments for PTSD, Panic Disorder, Social Anxiety, OCD and Generalized Anxiety Disorder.

ANXIETY DISORDERS

We offer CBT treatments for anxiety disorders including Generalized Anxiety Disorder, Simple and Social Phobias, Obsessive Compulsive Disorder, Panic Disorder, as well as non-specific anxiety disorders. Through treatment individuals learn to recognize the relationship between their thoughts, Behaviors, and their anxiety. Based on this examination, individuals learn to modify thoughts and behaviors in order to shut down and eventually prevent anxious reactions. Treatment can be delivered individually or in a group setting and most people experience significant improvement in 12-16 sessions. Sessions typically lasting 55 minutes can be delivered on a once or twice per week basis.

PTSD

Post Traumatic Stress Disorder can occur in anyone who has experienced trauma (military combat, physical assault, rape, sexual abuse, auto accidents, etc.). PTSD symptoms can include nightmares, depression, intense anxiety, flashbacks, social withdrawal or emotional detachment from others, irritability or angry outbursts, startle reactions, memory and concentration problems. Untreated, these symptoms can linger for decades, continuing to have a damaging impact on the individual and other family members. Our patients who are active-duty military, appreciate the fact that our confidential services are not billed through Tricare insurance and do not become a permanent part of their medical record.

We offer treatment of Posttraumatic Stress Disorder (PTSD) through specialized PTSD treatments, such as Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy (PE), as well as through more generalized Behavior Therapy. PTSD treatment generally involves education on trauma (i.e. military combat, abuse, sexual assault, natural disasters, etc.) and trauma reactions, exploration and processing of the impact of trauma on thoughts, feelings, and behaviors, and skill building to learn strategies to manage and even eliminate triggers that typically lead to anxious mental, emotional, and physical reactions. Treating PTSD often results in: increased comfort in public/social situations, increased feelings of control, improved ability to trust, improved mood and increased feelings of enjoyment, as well as improvement in relationships with friends and family. Treatment can be delivered individually or in a group setting and most people experience significant improvement in 12-16 sessions. Sessions typically last 60 to 90-minutes can be delivered on a once or twice a week basis.

NIGHTMARES

We offer Imagery Rehearsal Therapy for the treatment of chronic nightmares. Imagery Rehearsal Therapy (IRT) is a highly effective Cognitive Therapy designed to reduce and even eliminate frequent nightmares, without the use of medications! IRT is delivered in four 1-hour sessions (individual or group) that can be completed in as little as one week, with follow-up sessions scheduled after two weeks and after 4 weeks to monitor and maximize improvement. Besides improvement in nightmares, individuals participating in IRT often experience improvement in their amount and quality of sleep, which can have a variety of desirable effects, such as improvements in mood, energy, motivation, and enjoyment of life. IRT is useful for treating all types of nightmares, whether they are random, recurring, or related to experience. During this treatment, individuals are not required to discuss the specific content of their nightmares, past experiences, or personal details so most people find this treatment very easy to tolerate.

Questions? Want to schedule?… Please Contact Us

15 May 2017
Children and Adolescents

Children and Adolescents

We offer a variety of evidence-based treatments for children and adolescents.

PROBLEMS IN CHILDHOOD AND ADOLESCENCE

We offer a wide range of evidenced-based treatments for children and adolescents with the following difficulties:

· ADHD and Learning Disabilities

· Adjusting to Change

· Anger Management Issues

· Anxiety Disorders

· Nightmare Disorders

· Obsessive Compulsive Disorder

· Social Anxiety

· Test Taking Anxiety

· Trauma Issues

· Behavioral Problems

· Depression

· Procrastination

Primary Treatment Components

Individual Therapy:

· Focuses on improving the child’s or adolescent’s emotional and/or behavioral difficulties, with an emphasis on:

· Coping Skills. Children and teens face multiple challenges, and being able to effectively cope with these challenges can reduce current symptoms and prevent a variety of symptoms and problems in the future. Thus, building a “tool box” of coping skills can be beneficial for anyone, at any time. Examples of coping skills include thought challenging, problem-solving, relaxation, coping cards/statements, communication and social skills training, assertiveness training, anger management, and emotional awareness and regulation.

· Behavior Problems. Child and adolescent behavior problems at home and school are a common source of referrals to mental health practitioners. Parenting practices that work well with typical children are often not effective for strong-willed and/or difficult children, who require a specialized set of parenting techniques. Thus, treatment includes a large parenting component designed to equip parents with the skills necessary to reduce oppositional, defiant, disruptive, and/or aggressive behaviors. Treatments that focus solely on the child are not effective, as motivation for behavior change requires changes in the child’s environment, particularly responses to desired and undesired behaviors. Empirically-supported treatment models for child behavior problems include increasing positive parent-child interactions through specialized attending techniques and labeled praise, planned ignoring, structured household rules and contingency management plans, effective discipline techniques, and conflict resolution (for teens). Treatment may also include various coping skills for children and adolescents (see above).

Psychological Testing and Evaluations:

· Assesses children and adolescents for a number of intellectual, emotional, behavioral and learning disorders.

· Clarifies diagnoses, which aids in treatment planning, by providing recommendations regarding therapy, school accommodations, medications and other needed behavioral health services

Parent Training: Parents are Primary Change agents and need help too.

· When treating children, parents are often involved in therapy sessions, particularly when the child is young or when behavior problems are the target of treatment. We teach parents how to modify the child’s environment, particularly parental responses to desired and undesired behaviors. We rely on empirically-supported treatment models for child behavior problems, which include:

o Conflict resolution (for adolescents)

o Effective discipline techniques

o Labeled praise

o Planned ignoring

o Structured household rules

o Assertive Training and Communication Skills


Questions? Want to schedule?… Please Contact Us

15 May 2017
Depression Treatment
Depression

Depressive disorders are often precipitated by a variety of environmental and medical causes, such as illness or metabolic imbalance, situational stressors including work-related stress, financial worries, relationship conflicts, rejection or loss of a loved one. Symptoms may include persistent sadness, anxiety, loss of interest in previously enjoyable activities, changes in appetite/weight loss, insomnia, anger and irritability, alcohol abuse, social withdrawal, lack of motivation and energy, guilt, hopelessness, low self-esteem and suicidal thoughts. While we may refer patients to physicians for medications and treatments of other medical conditions, our primary focus as CBT psychologists is teaching patients how to modify problematic thinking and maladaptive behavioral habits. We teach patients better coping skills, things that will enhance anyone’s functioning in all areas of life, such as replacing negative, irrational thoughts with more positive, rational thinking, increasing activities that enhance pleasure, mastery, productivity and well-being; improving interpersonal relationships, and building additional coping skills (e.g., assertive communication, stress management, problem-solving and conflict-resolution skills). For Major Depression and Bipolar Disorder, treatment will probably include medication management, along with CBT treatment for depression and risk management for mania symptoms.

Questions? Want to schedule?… Please Contact Us

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