Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a treatment approach that can be applied to a variety of challenges including depression, anxiety, and sleep problems. CBT treatments generally address issues in a structured way and directly examine thoughts, feelings, and behaviors. CBT offers the opportunity to increase emotion management skills and to practice these new skills in your daily life.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP)

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is a CBT treatment designed to improve symptoms of depression and anxiety in a holistic fashion. UP focuses on four traditional CBT themes including: self-awareness, thoughts, feelings, and behaviors. UP can be applied flexibly and is tailored to each individual, such that treatment courses range from 10-16 50-minute sessions.

Behavior Activation (BA)

Behavior Activation (BA) is a CBT strategy used to increase meaningful engagement in life. BA is especially effective when the cloud of depression feels thick. BA involves identifying valued activities and relationships in your life, and in a structured and stepwise fashion, moving toward building those back up. BA can be applied flexibly and is tailored to each individual, such that treatment courses range from 8-16 50-minue sessions.

Exposure Therapy

Exposure Therapy is a CBT strategy used to build confidence and increase reengagement in life. Exposure Therapy is especially effective when anxiety contributes to a cycle of avoidance that feels difficult to break. Exposure has been demonstrated to be an effective treatment for many types of anxiety including (but not limited to) Generalized Anxiety Disorder, Panic Disorder, Social Phobia, Obsessive Compulsive Disorder, and Posttraumatic Stress Disorder (PTSD). Exposure can be built into a preexisting treatment approach (such as Prolonged Exposure or Exposure and Response Prevention), or can be applied on its own. Exposure Therapy involves collaboratively identifying the situations that cause you the most anxiety, and starting with the smallest steps, moving in a direction to build your skills in managing each challenge. Exposure Therapy can be applied flexibly and is tailored to each individual, such that treatment courses range from 10-16 sessions with varying lengths (50 and 75 minutes available).

Exposure and Response Prevention (ERP)

Exposure and Response Prevention (ERP) is a specific type of Exposure Therapy designed to treat symptoms of Obsessive Compulsive Disorder (OCD). ERP (sometimes also abbreviated as EXRP) is the gold standard treatment for OCD and has a very strong evidence base. ERP includes a thoughtful examination of your specific symptoms as well as an exploration of how you may have come to develop obsessive thoughts and/or compulsive behaviors. We then make a collaborative plan of how to safely and methodically confront anxiety provoking situations in order to build your confidence and skill in handling your feelings. The goal of ERP is to increase your freedom of choice in your behaviors while reducing the impact of OCD on your life. ERP can be applied flexibly and is tailored to each individual, such that treatment course can range from 10-20 sessions with varying lengths as needed (50 and 75 minutes available).

Skills Training in Affective and Interpersonal Regulation (STAIR)

Skills Training in Affective and Interpersonal Regulation (STAIR) is a structured treatment approach designed for individuals with a history of trauma who have difficulty with managing difficult emotions and being effective in relationships. STAIR teaches many CBT skills while also integrating meaningful attachment work. STAIR does a wonderful job of addressing trauma history without requiring disclosure. In other words, you are not asked to talk about your trauma(s) during STAIR, but you are asked to talk about the impact of trauma on your life. The course of treatment for STAIR is typically 12 50-minute sessions.

Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is a flexible treatment approach designed to foster acceptance of challenges and increase engagement in valued living. ACT has been demonstrated to be effective for a variety of conditions including depression, anxiety, and chronic pain. ACT facilitates building a mindfulness practice and accepting the painful parts of our lives. One of the most empowering parts of ACT is the focus on building meaning in the moment, even in the midst of hardship. ACT is applied flexibly with varying treatment courses depending on treatment goals.

Interpersonal Therapy (IPT)

Interpersonal Therapy (IPT) is a treatment approach for depression and anxiety that focuses on our experience of relationships. An IPT approach includes reflection on the core people in our lives, both past and present, and how these connections contribute to emotional health. During IPT, clients have the opportunity to examine relationship patterns and make changes to create healthier and more effective patterns. IPT is applied flexibly, such that treatment courses range from 10-16 50-minute sessions.

Motivational Interviewing (MI)

Motivational Interviewing (MI) is a therapeutic approach designed to help clients struggling with decisions or behavior changes. MI provides a collaborative environment for the client to get support in resolving ambivalence and making movement in a valued direction. MI is especially effective in empowering clients to make behavior change that improve their emotional and physical health. MI is an approach that can enhance nearly any treatment plan.

Letters for Gender Affirming Care

For eligible clients , letters of support for gender affirming care may be available. Letters of support are written collaboratively with clients and in accordance with World Professional Association for Transgender Health (WPATH) standards. The assessment process for a letter of support typically ranges from 2-4 (50-minute) sessions.