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 (non-judgmentally present), emotion regulation (regaining control of feelings and moods), distress tolerance (coping through difficult situations) and interpersonal effectiveness (creating & maintaining relationships). DBT assumes that all people, at any given time, are doing the best they can while exploring 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 and 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 trauma (emotional, psychological, physical & attachment).
Our clinicians at Three Oaks are trained in Somatic and Attachment-Focused EMDR. SAFE EMDR takes the constructs of EMDR & incorporates aspects of body-centered psychotherapies and 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 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.
[Raleigh] Sara Crow, Ally Fischman, Casie Hall, Allie Horton, Molly Schweers
[Durham] Caitlin Colletti, Beth Flack, Jamie Morehart, Justine Protas
[Knightdale] Tyler Jensen, Leah Sampson
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 mindfulness, 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 and 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, and letting go of unhelpful thoughts, beliefs and memories (2) Acceptance: Making room for painful feelings, urges and sensations by allowing them to come and 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, and also, joy, contentment & 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 done 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. 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.
[Raleigh] Sara Crow
[Durham] Jamie Morehart
Women's Health: Moms & Moms-to-be
Pregnancy and a new baby can bring a range of unique emotions to mothers and their families. New moms might feel overwhelmed, sad or anxious at different times during their pregnancy- even before or after the baby is born. Some women find that these uncomfortable feelings go away on their own. For others, these 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 many emotional issues and unwanted behaviors are based in irrational thoughts & 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 and action plans to combat unwanted feelings and acts. 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 and 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
-Child is 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
Traditional Individual Therapy
Individual Therapy is a safe place to establish strong rapport and be authentically YOU without fearing judgment or consequence. Individual therapy is a wonderful process to brainstorm new ideas and weigh options before making an important decision, for example. Traditional therapy sessions allow you to explore conflicts of self such as: "I feel trapped", "This isn't the life I pictured for myself", "What is my purpose?", "Why don't I feel happy?" Through individual therapy, you will learn how your thoughts and patterns of thinking impact your feelings and subsequent behaviors- a pivotal concept that underlies both acceptance and change.
Family Therapy sessions help you and your loved ones develop meaningful connections rooted in empathy and understanding. Family therapy honors individual family members' needs while simultaneously supporting the family system as a whole. Skills of validation, empathy, interpersonal effectiveness, boundaries and emotion regulation will be addressed. Family therapy can be of tremendous support during significant transitions within the family system including mental or physical illness, death, divorce, new employment, household relocation or symptoms of addiction.
Couples Therapy is a beautiful place to learn helpful ways in which to communicate & connect with your partner, especially during times of stress. Life can be really difficult: health, schedules, finances, big decisions, a million small decisions. Often times, stress has a way of moving itself into our beloved relationships. During sessions of couples counseling, you and your partner will explore how to validate, understand and empathize with one another while addressing concerns that impact connectedness and attachment.
[Raleigh] Melanie Teusch
[Durham] Leslie Gunderson, Philip Marschall
Therapy for Children
Child Therapy can be beneficial to children and adolescents who are experiencing difficulties with their emotions or behavior. Playing, drawing, building, pretending & talking are all important ways of sharing feelings and resolving problems. The need for therapy can be based on such things as the child's current problems, history, level of development, ability to cooperate with treatment and what interventions are most likely to help with the presenting concerns. The child must feel comfortable, safe & understood. This type of trusting environment makes it much easier for the child to express their thoughts and feelings, and to use the therapy in a helpful way.
Child Therapy helps children and adolescents receive emotional support, resolve conflicts with others, understand their own feelings & try out new solutions to old problems. Goals for therapy may be specific (change in behavior, improved relations with friends or family), or more general (less anxiety, better self-esteem).
[Durham] Leslie Gunderson
[Knightdale] Ashley Peters
Distance and Teletherapy
Three Oaks Behavioral Health & Wellness offers Distance and Teletherapy sessions in an effort to increase convenience and accessibility to therapy. Virtual sessions accommodate clients when they are traveling, sick, or away on vacation. In order to participate in Distance or Teletherapy services, you must first meet with a clinician in person- at least once- prior to enrollment. During this session, the therapist will review guidelines and regulations specific to telehealth in order to ensure you have the necessary technological access to support this treatment.
All sessions with Three Oaks Behavioral Health & Wellness are being held virtually via telehealth due to the COVID-19 pandemic. Please click [here] for more information.