Clinical Services

 The types of issues I work with include:

Anxiety disorders, particularly OCD. These are problems for which highly effective, evidence based treatment protocols have been established, and I specialize in providing these treatments in a way where we work together to tailor the protocol to fit your individual needs. A discussion of this approach can be found in my lecture, The Use of Research-Based Treatment Protocols in Real Life Clinical Practice, and an example can be found in Directive Activity and Repair of the Self in the Cognitive Behavioral Treatment of OCD: a Case Example.

Learning disabilities, executive functioning deficits (such as ADD & ADHD), and Traumatic Brain Injury (TBI).  Individuals whose ways of thinking and learning are not neurotypical often find themselves pathologized for being different. In school and the workplace they are often taught to focus on what is “wrong” with them, rather than being helped to recognize and use the unusual strengths they may also have. I am interested in helping people to understand their unique brain, how it works, how to compensate for its limitations and how to maximize its strengths. In addition, I offer neurofeedback and other neuropsychological tools to stimulate and maximize the brain’s development and healing When people have been traumatized, whether because they have grown up with an information processing style that is out of synch with the demands and expectations of their environment, or because they have experienced a blow to the head or other physical damage, the brain often goes into partial shut-down as a defense, causing some potential abilities to become dormant. Tools like neurofeedback can often reawaken some of these dormant abilities. (For a description of the use of neurofeedback in the treatment of TBI see A Journey Through Brain Injury: Michelle Luster’s Story.)

Recovery from acute and chronic trauma. Here my preference is for a stage-based approach, including a variety of the following ingredients as needed: coaching in basic safety, training in tools for self-soothing and the regulation of emotions, memory reprocessing, building or rebuilding of a capacity for trust and community, and construction of a vision of oneself, of people, and of the human condition that includes the possibility of happiness despite the bad things that can happen in life. Because of the intense nature of this work, at any given time I can only be the primary therapist to a limited number of clients dealing with trauma, but I can often provide adjunctive services such as neurofeedback or hypnotic memory reprocessing to clients who already have a primary therapist.

Technical and Theoretical Topics of Special Interest to Me Include:

  • The use of evidence based treatment applied in a relationally informed way. (See The Use of Research-Based Treatment Protocols in Real Life Clinical Practice.)
  • The integration of psychodynamic, behavioral, and cognitive therapies. (See lecture, Integrating Psychodynamic and Cognitive Behavioral Approaches to Psychotherapy.)
  • The mind-body relationship
  • The role of spirituality in psychotherapy (See lecture, Integrating the Extraordinary into the Ordinary: Spirituality and Psychotherapy.)
  • The neuropsychology of psychotherapy

The Techniques I use include:

  • Cognitive Behavioral Therapy (CBT
  • Heart Rate Variability Biofeedback
  • Visual and Audio-Visual Entrainment
  • Clinical Hypnosis
  • Mindfulness Meditation
  • Neurofeedback