CBT combines cognitive and behavioral treatment philosophies to address patterns of distorted thinking and maladaptive behaviors that contribute to negative mood states (depression, anxiety, frustration, etc).
The focus of CBT is on the here-and-now—on the problems that come up in a person’s day-to-day life.
CBT helps people to look at how they interpret and evaluate what is happening around them and the effects these perceptions have on their emotional experience.
Goals of CBT
To teach strategies and skills.
Teaching monitoring of moods and behaviors.
The overall goal of CBT is to teach you to develop the skills to work out problems on your own (be your own therapist).
What to Expect with CBT
Structured, time-limited, focused on the now, and problem-solving oriented package of 12 to 15 sessions. More sessions can be added if needed.
Sessions include discussion of concepts, homework, identifying irrational/unhelpful thoughts, self-sabotage behaviors. These skills involve identifying distorted thinking, modifying beliefs, relating to others in different ways, and changing behaviors.
Identifying distortions in your thinking
Seeing thoughts as ideas about what is going on rather than as facts
Taking time to consider situations from different viewpoints.
Monitoring of emotions in relation to the treatment goal.
Focuses on changing the variables thought to be maintaining the problem rather than discussing past history.
Treatment is transparent
The child is encouraged to try a new behavior and monitor its results to achieve their desired outcome.
Does Behavior Therapy Work?
Behavior therapy typically works well for children with attention problems, disruptive behavior, and or oppositional behaviors.
How Does Behavior Therapy Work?
A child's behavior is the result of their personality and direct or indirect reinforcement (encouragement) of their behavior.
Assessment is used to understand the problem and the context in which it occurs, plan treatment, and measure change by examining behaviors.
Target behaviors- problem behaviors that are undesirable.
Alternative behaviors- behaviors that can replace the undesirable behaviors.
Consequences- patterns that reinforce (increase the likelihood that a behavior will continue or cease)
Interventions make use of the following approaches:
Exposures- placing the child in the situation that produces the problem.
Response prevention- preventing behaviors designed to decrease anxiety, fear, tension, until the urge to perform the behavior subsides.
Reinforcing Strategies- engaging in behaviors that increase the likelihood that the desired behavior will continue.
Modeling- demonstrating a behavior in the presence of the child to teach them more appropriate behaviors.
Problem-Solving Training- teaching children how to understand and solve their own problems.
Overview of Treatment Sessions
- Sessions typically last for 45 minutes.
- All sessions are confidential with some exceptions (which will be explained at the beginning of the first session).
- The first 2 to 3 sessions are used to gather more information about the problem you are seeking help with, your goals for treatment, and history of the problem.
- Once the problem and goals have been identified, a treatment approach will be discussed collaboratively. This is called developing the treatment plan.
- After we have completed your treatment plan, we can decide on the frequency of meetings. Depending on the severity of the problem, weekly or bi-weekly appointments are preferred.
What to Bring
- Insurance Card (if using)
- Form of payment for co-pays or session fees (cash, check, or credit cards accepted)
- Completed forms emailed to you at scheduling.
- Arrive 15 minutes early to complete the paperwork, or have them completed prior to your arrival so sessions can begin and end on time.
Insurance and Fees
I am an In-Network provider for all Blue Cross Blue Shield (www.BCBSMA.com) products. I am also able to bill most student health and Preferred Provider (PPO) plans with out of network benefits, including (but not limited to):