Fear or anxiety is a common, evolutionary emotion. At times, anxiety can serve to help us identify and protect ourselves in dangerous situations. Unfortunately, when it feels like our alarm bells are going off constantly, it can be exhausting, and we can find ourselves avoiding parts of our lives, just to maintain feelings of safety. Anxiety disorders include a range of different disorders including Generalized Anxiety Disorder (GAD), Specific Phobias, Social Anxiety Disorder (SAD), Selective Mutism (SM), Panic Disorder, Agoraphobia, and Separation Anxiety Disorder. We will work with you to help you systematically overcome these fears. Anxiety disorders are both incredibly common, and treatable.
Feeling sad as a response to an upsetting or stressful situation in life is a normal, healthy response. However, for many, this sadness is better categorized as depression, a chronic and intense feeling of sadness that is not a result of an external set of factors. Depression can result in changes such as a disruption in sleeping or eating (typically sleeping or eating more or less than is considered “normal”) or a lessening of energy or interest in activities that used to be pleasurable. Depression may look different for each person and includes different types such as persistent depressive disorder, major depressive disorder, and bipolar disorder. Children and adolescents can also experience prolonged periods of sadness and irritability and parents may notice changes in their eating, energy and sleeping. We work with patients and their children to help them correctly identify and manage their emotional experience, and find excitement and pleasure in experiences and relationships previously enjoyed.
It can be extremely challenging to parent a child, adolescent, or young adult who is suffering or struggling. Often, common sense techniques or the ones suggested by well-intentioned friends are insufficient in meeting the unique needs of a child who is struggling. Over time, this cycle of negative interactions can leave both parents and their children feeling frustrated and even at times hopeless. This is where our work comes in. Together in therapy, we will tackle things limit setting, and ways to support your children as we work to build your child’s independence and success. Parent training is a behavioral approach aimed to build your skill set to manage challenging child behaviors. Our focus is on building skills, providing strategies and helping you feel empowered to manage your child’s needs on a daily basis.
Executive functioning refers to higher-level cognitive functions that include attention, flexibility, inhibitory control, initiation, organization, planning, self-monitoring, and working memory. We offer executive functioning tutoring to help individuals who are struggling to get work done, feel like they frequently lose track of time and materials, have difficulty maintaining focus on a task, and completing tasks in a discrete amount of time.
Individuals with Obsessive Compulsive Disorder (OCD) often experience distressing or scary thoughts that pop into their heads, and experience uncontrollable fear that something bad may occur. In order to lessen that fear, they may engage in behaviors repetitively in hopes that by doing so it will prevent the dreaded outcome. Unfortunately, this cycle worsens the fear, and strengthens the intensity of the obsessional fear and compulsive urges. It’s kind of like when you scratch a mosquito bite — it just makes the area more irritated. In order to treat OCD, we utilize Exposure and Response Prevention (E/RP), which is a type of Cognitive Behavioral Therapy specifically designed to help individuals face their fears in a gradual way and reduce the need to act out compulsions. We work with you on breaking the connection between your obsessive thoughts and related compulsive actions so that you can live a more fulfilling life.
Some people may experience a scary event in their lives that has an impact on them long after the event occurs. This may include directly experiencing the traumatic event, witnessing trauma, and even hearing about the trauma of others. Traumatic events may occur once, or include repeated exposure. Symptoms of a traumatic response can vary in type or duration. Approximately 1 in every 3 individuals that experience a trauma develop Post-Traumatic Stress Disorder (PTSD). Symptoms of PTSD can include intrusive memories, nightmares, and flashbacks, as well as avoidance of situations and settings that may remind someone of a trauma, or even avoiding having thoughts or feelings about the event. In addition, some individuals may experience self-blame, a distrust of others, and changes in mood, such as being in a consistently sad, fearful, or guilty mood. Finally, trauma survivors may be easily startled or irritated, act impulsively, as well as have difficulty with concentration and sleep. Treatments for PTSD include Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for children and adolescents, as well as Prolonged Exposure therapy for adults. We utilize these treatments to help individuals face their fears in response to the traumatic event.
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