Services We Provide
An introduction to the techniques, modalities & services our clinicians provide:
Dialectical Behavior Therapy
DBT is an evidence-based practice that allows you to reduce suffering and improve your quality of life by teaching & coaching skills of mindfulness (being non-judgmentally present), emotion regulation (regaining control of feelings and moods), distress tolerance (coping through difficult situations) and interpersonal effectiveness (creating and maintaining relationships). DBT assumes that all people, at any given time, are doing the best they can while considering the idea of exploring & learning coping skills that could be beneficial.
Eye Movement Desensitization & Reprocessing and SAFE EMDR
EMDR is a powerful, research-supported treatment that is endorsed by EMDRIA & the Veteran's Administration for the compassionate and effective treatment of trauma and related disturbances. EMDR uses what we know about neuroscience and the brain to help us identify, locate, and address the "root(s)" of our current discomforts, thus effectively and efficiently alleviating symptoms of emotional, psychological, physical and/or attachment trauma.
Many of our therapists are trained in Somatic and Attachment-Focused EMDR. SAFE EMDR takes the constructs of EMDR and incorporates aspects of body-centered psychotherapies & attachment theory to deepen the potential for transformation and healing. The somatic components of SAFE EMDR use resources to help you gently build awareness, provide opportunities to release excess arousal from the nervous system, and increase feelings of safety within your physical body. The attachment components of SAFE EMDR bring attention to the environment you grew up in, understanding how those adaptations were helpful at the time, while gaining insight into how those same adaptations may currently be a blockage of authentic connection at this stage in your life. With increased insight, knowledge, and awareness comes an increased ability to make lasting behavioral changes.
Mindfulness is an essential skill to understanding one's needs and beginning the process of healing. Mindfulness can be thought of as the soil that grows everything else: skills, goals, treatment plans, coping, etc. The more skillful and engaged one is in their mindfulness practice, the more fluidly they are able to notice and respond to needs without becoming dysregulated or emotionally activated. Mindfulness itself is a set of skills: observing, describing, participating, one-mindfully, effectively and non-judgmentally. A mindfulness-based therapist will help you tune into your own system and help you practice keeping track of emotional & bodily experiences in any given moment. Mindfulness is a state of awareness, noticing what's happening in a given moment, how it is impacting you, and allowing it to be there without judgement.
Acceptance and Commitment Therapy
ACT is a "Third Wave" therapy that aims to help clients develop cognitive and behavioral strategies to increase psychological flexibility in the service of building a rich, full and meaningful life. ACT focuses on skill building in three main areas: (1) Defusion: Distancing from & letting go of unhelpful thoughts, beliefs, and memories (2) Acceptance: Making room for painful feelings, urges, and sensations by allowing them to come & go without a struggle (3) Contact with the present moment: Engaging fully with your here-and-now experience with an attitude of openness and curiosity. The objective of ACT is to be present for whatever life brings us and to be available to uncomfortable feelings. Clients can expect an equal balance of skill-building through experiential exercises in session, as well as thorough clarification of personal values in order to make lasting behavior changes.
Click [here] to read Living a Rich, Full and Meaningful Life During a Pandemic: The Power of Acceptance in Turning Pain to Purpose, a blog by Ally Fischman.
The grieving process often involves complicated emotions although joy, contentment, and humor do not have to be absent during this difficult time. Self-care, recreation, and social support can be vital to the process of grieving. Feeling occasional happiness does not mean a person is finished mourning. Grieving the loss of a loved one can be due to death, a breakup, or other circumstance. One of the hardest challenges is adjusting to the reality of living in the absence of a loved one. Adjusting may require a person to develop a new daily routine, or even to rethink their long term plans. While creating a new future, a person may adopt a new sense of identity.
Click [here] to read Loss & Grieving: Observations of a Grief Counselor, a blog by Ally Fischman.
Motivational Interviewing (MI) is a counseling method that helps people resolve ambivalent feelings and explore insecurities in order to find the internal motivation they need to change behavior. It is a practical and empathetic process that takes into consideration how difficult it is to make life changes. In session, the therapist attempts to increase the client's awareness of the potential problems caused, consequences experienced, and risks faced as a result of the behavior in question. MI encourages clients to think differently about their behavior, and ultimately to consider what might be gained through change.
Brainspotting is a gentle and effective mindfulness-based treatment that focuses on the brain & body connection. The focus of this approach is on alleviating psychological pain and trauma. Brainspotting visits deeper places within the brain quicker and more effectively than traditional talk therapies. This technique helps people access, process and overcome trauma, negative emotions and psychologically induced physical pain.
Maternal Mental Health
Pregnancy, postpartum, and the welcoming of a new baby can bring a range of unique emotions to birthing parents, their partners & families. New parents might feel overwhelmed, sad, or anxious at different times during pregnancy or after the baby arrives. Some birthing people find that these uncomfortable feelings go away on their own. For others, emotions can be challenging and may stay for varying lengths of time throughout this life transition.
Click [here] to read A Maternal Mental Health Moment, a blog by Sara Crow.
Cognitive Behavioral Therapy
CBT is a treatment rooted in the notion that emotional issues & unwanted behaviors are based in irrational thoughts and belief systems. The focus is on developing personal coping strategies to solve current problems and change unhelpful cognitive patterning. It is a problem-focused, action oriented approach where the therapist’s role is- in the context of a supportive therapeutic relationship- to help the client develop concrete thought & action plans to combat unwanted feelings and actions. CBT is based in the belief that thought distortions and maladaptive behaviors play a role in the development & maintenance of psychological problems- such as depression and anxiety- and that symptoms & associated distress can be reduced by teaching new information-processing skills and coping mechanisms.
TFCBT is an evidence-based, structured intervention involving both the child/adolescent (ages 3 to 18) and an identified caregiver. It is comprised of the following components: Psychoeducation and parenting strategies, Relaxation techniques, Affect expression and regulation, Cognitive coping, Trauma narrative and reprocessing, In vivo exposure (case by case, may not be utilized), Conjoint parent child sessions, and Enhancing personal safety & future growth.
TFCBT is appropriate for children and adolescents who have experienced trauma & meet the following criteria:
-Diagnosis of PTSD/PTS symptoms
-Verbal and clear memory of the trauma
-Substantiated or "more than likely not" abuse of some kind
-Currently living in a safe place, is stable "enough" and is not exposed to the perpetrator
-Behavioral concerns are not the primary reason for referral (i.e. no conduct disorder)
-Consistent, supportive, non-offending caregiver is involved in treatment
-No psychotic symptoms OR if they are present, they are well-managed medically