Cognitive Behavioral Therapy Program

• Generalized anxiety disorder (GAD)
• Health anxiety disorder
• Panic disorder and agoraphobia (PDA)
• Separation anxiety
• Specific phobias (heights, animals, enclosed spaces, driving, blood/injection/injury phobia, etc.)
• Social anxiety disorder/social phobia

• Bipolar I or II (if stable on medications)
• Dysthymia/persistent depressive disorder
• Major depressive disorder (MDD)

• Depersonalization/derealization disorder

• Avoidant restrictive food intake disorder (ARFID)

• Enuresis
• Encopresis

• Chronic pain
• Cancer

• Attention-deficit hyperactivity disorder (ADHD, across the life span)
• Tic disorders & Tourette syndrome
• Oppositional defiant disorder (ODD)
• Autism spectrum disorders

• Obsessive compulsive disorder (OCD)
• Obsessive compulsive personality disorder (OCPD)
• Body-focused repetitive behaviors, such as trichotillomania (hair pulling) and excoriation (skin picking)

CBT can help with everyday parenting for children and adolescents with:

• Anxiety disorders or OCD
• Irritability
• Neurodevelopmental disorders (ADHD, ASD)

• Insomnia
• Nightmare disorder

• Nicotine/tobacco use disorder

• Adjustment disorder with anxiety or mood
• Post-traumatic stress disorder (PTSD)
• Traumatic and complicated grief
• Bereavement

• Relationship and interpersonal problems
• Couples discord/dissatisfaction

• Please thoroughly read and complete the intake packet, which includes registration forms, demographic and insurance information, prior medical and mental health history and other questionnaires.
• Return the intake packet no later than 48 hours prior to your appointment.

• Your psychologist will review the intake packet and ask follow-up questions about your background and history, review attendance policies, discuss confidentiality and its limits, and answer questions about their training and experience as well as CBT.
• Your psychologist will conduct a thorough interview about many kinds of mental health conditions.
• For child and adolescent patients, we often meet with the parents first, separately, and then with the child later.
• Your psychologist may also give you additional questionnaires to complete.
• We may provide and ask you to complete consent forms to speak with other providers or staff at your child’s school.

• After the evaluation is completed (which may take a few sessions), your psychologist will have a feedback and treatment planning session, in which your conditions are discussed, your priorities are assessed, and your goals are collaboratively determined.
• The course of CBT varies by diagnosis, number of conditions, and stressful life events during psychotherapy.
• Most individual diagnoses can be effectively treated in four to six months, but multiple diagnoses may take longer, as skills learned need to be applied to other situations and stressors.
• Most patients experience some relief from their symptoms as they begin to apply the skills learned in therapy in their everyday life.

• We prefer to have 53-minute sessions, which is longer than most other practices.
• If your child cannot tolerate the time, 45-minute sessions may be conducted.
• Please note that insurance forms often call 53-minute sessions 60-minute sessions.

• With few exceptions, most patients can be treated in one session weekly. If a patient requires more intensive treatments, a referral is made to other practices.
• However, some child/adolescent treatments involve extensive parenting skills enhancement, which may require a second weekly session.

• Parents are strongly encouraged to participate in the last 10 minutes of the session, around the 45-minute mark. Patients benefit from their involvement, and parents learn how to support their child’s skill development and use specialized techniques.
• Some child-focused forms of CBT have weekly full sessions for parents, whiles others have them every so often.
• Since we cannot contact minors by phone or digital means directly, we ask parents to be available to assist with technical aspects of teletherapy.

• We do offer teletherapy if there is privacy and a good WiFi connection wherever you are.
• Depending on your insurance, you may need to have in-person sessions for your first intake and other appointments every so often, even if we generally see you with teletherapy.
• Some insurance companies may limit the number of in person or teletherapy visits over time.
• Conducting CBT over teletherapy is equally effective as in person CBT for many diagnoses. However, young children, those who are easily distracted, or people in noisy environments are less likely to benefit from teletherapy.
• You will collaborate with your therapist to figure out which is best for you—in person or teletherapy visits.