Therapy Services

***For the duration of the COVID-19 pandemic,

I am not providing any in-person psychological services.

Please feel free to contact me to discuss alternate options.***

Therapy is not a "one size fits all" program. I work individually with each client to determine their best plan for therapy. Therapy with children always involves parents or caregivers, who help develop therapy goals and monitor progress. Each individual in therapy will develop their own therapy goals - even if these differ from caregivers' goals! Being involved in creating goals increases motivation to accomplish those goals.

 

Sometimes, young children benefit more when intervention takes place in the environment where they have difficulty, rather than in the therapy office. If we decide it's appropriate for your family, I can provide intervention in your home, in the community, or in your child's school (with permission of the school). I can also collaborate with schools to develop classroom interventions.

 

Read the sections below for details about the approaches I use in therapy with children, adolescents, and adults. All of my approaches are evidence-based, meaning they are supported by research (see my Resources section). 

DIR/Floortime

DIR/Floortime is not a single therapy or program; it's an approach to understand a child's unique interests and needs. DIR is a "developmental, individual-difference, relationship-based approach" (Greenspan & Widener, 2006).

The goal of treatment is to build foundations for healthy development for children with Autism Spectrum Disorders.

 

With a DIR approach, I assess how your child is meeting developmental milestones and develop a treatment plan based on the DIR/Floortime Model. Therapy focuses on creating meaningful interactions that encourage communication and developmental progress. As the caregiver, you are involved in treatment at every step as we identify how to best help your child.

Parent-Child Interaction Therapy (PCIT)

Parent-Child Interaction Therapy (PCIT) is a treatment developed to help children with behavioral problems. Through PCIT, I coach parents to learn specific skills that decrease tantrums and frustration and increase positive feelings in the parent-child relationship. 

PCIT can be completed within 12-20 sessions and requires consistency and commitment.  

 

During a course of PCIT, parents work directly with their child in the therapy session to practice setting limits and using PCIT skills. Parents also assess their child's behavior with rating scales, and treatment is complete when parent rate their child's behavior as within the typical range for their child's age. PCIT is based on a theory of parenting focused on child development and quality of attachment to caregivers. You can learn more about PCIT here

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is strongly supported by research for helping people change unhelpful beliefs and behaviors. With a CBT approach, I develop a collaborative relationship with a focus on learning coping skills and monitoring progress on goals. 

 

CBT is appropriate for many different individuals and will help to manage problems with anxiety, depression, and trauma-related symptoms.

 

CBT is very helpful for understanding and managing anxiety. CBT has also been tailored to help individuals with Autism Spectrum Disorders manage stress and social skills difficulties (Scarpa, White, & Attwood, 2013).

 

Trauma-Focused CBT (TF-CBT) is especially helpful for individuals who are impacted by trauma.

Interpersonal Therapy

Interpersonal Psychotherapy (IPT) focuses on managing problems through a "Biopsychosocial, Cultural, Spiritual" model. IPT is especially helpful for individuals who experience depression.

A typical course of IPT is about 6-20 sessions.

 

Similar to PCIT, the development of IPT was influenced by Attachment Theory. More information can be found here​. 

Mindfulness-based Interventions

Mindfulness allows us to focus attention and notice what is happening in the present moment, without automatically reacting. Mindfulness-based interventions reduce anxiety and stress. I use mindfulness-based interventions to increase awareness of self and others and develop strategies to self-regulate.

 

Mindfulness-based interventions are used in conjunction with many other therapy approaches.

 

Clients of all ages can use basic mindfulness-based interventions to make positive choices (Germer, Siegel, & Fulton, 2005). Mindfulness exercises, such as calm breathing and progressive muscle relaxation, reduce anxiety and increase self-awareness. Yoga techniques focused on awareness of breath, muscles, and heart beat will improve self-regulation and calm the body’s nervous system (Van Der Kolk, 2014).

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