Clinical Services: Assessment and Psychotherapy

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The CIP professional staff delivers cognitive behavioral therapy (CBT) and other evidence-informed psychological and counseling treatments to a broad range of adult and adolescent clients (see Disorders and Problems Treated section).

Treatment Formats

Treatment may consist of individual, couple, family, group or a combination therapies depending upon the specific needs and circumstances of each patient.

Languages

Services can be performed in English or Spanish.   Los servicios se pueden realizar en ingles o espanol.

Population

We serve adolescents (14 years old and up), adults and seniors. Children under age 12 and/or up to 14 years of age will be considered on a case-by-case basis

Initial Assessment Procedure

A comprehensive assessment is conducted by the staff before any prospective patient is accepted for treatment. The initial assessment includes one or more structured and semi-structured interviews, computerized and paper and pencil questionnaires. Such evaluation and diagnosis determines the appropriateness of our treatment programs for each case. Based on the results of these assessments, the staff will decide whether the person     ' s psychological needs (level and nature of care) and goals can be met effectively at the Center. Once the patient is accepted for treatment, an individualized intervention plan is designed for each patient. If the case is considered non suitable to be treated at the CIP at the time of the consultation, the staff will recommend treatment at another mental health facility. These assessments also provide information for research purposes, which could be used to further scientific knowledge about psychological disorders and processes, as well as their treatments.

Regular Treatment Program

The Regular Treatment Programs includes two fifty (50) in-depth assessment sessions conducted over one or two weeks. Therapy includes a forty-five (45) to fifty-five (55) minute weekly therapy session. However, therapy sessions are flexible, ranging from weekly, twice-weekly, bi-weekly, once a month. The service depends on the patient's need at different stages in the therapy process, patient's motivation and needs, and insurance coverage.

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Intensive Treatment Program

The intensive Treatment Program is an accelerated treatment program designed to provide effective short-term treatment for people suffering with anxiety disorders. The Intensive Treatment Program is individually designed for specific phobias, panic disorder and agoraphobia, obsessive-compulsive disorder, and post-traumatic stress disorder. The typical program includes    several hours in one day for one or more days until the conditions remits.  Depending on the nature of each case's problems and circumstances, therapy sessions can take place either at the Center or in "real life" anxiety provoking situations.

Group Therapy

The   Center for Integrative Psychotherapy is currently offering the following group sessions:  

•Overcoming Fear of Public Speaking  

•  Overcoming Social Anxiety/Social Phobia/Shyness   

•  Obsessive-Compulsive Disorder  

•  Overcoming Panic Disorder: Stop Surviving and Start Living   

• Learning to Relax   • Improving Your Emotional Intelligence   

• Thinking Confident To Feel Confident   

• Coping With Fibromyalgia   

• Coping With Chronic Pain   

• Learning Mindfulness for PTSD   

• How To Change Your Inner Critic (Dealing with Perfectionism)   

• Learning Stress Reduction    

•  Overcoming Chronic Worry: Stop Surviving and Start Living   

•  Overcoming Body Dysmorphic Disorder

Biofeedback

New Service

 

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Patient Education and Professional Training Services

For Patients

The CIP offers brief educational workshops about the nature of your diagnosis or psychological problem and the treatment. The workshops also provide an opportunity for improving psychosocial skills essential to overcoming your problems and creating a better life. The workshops offer helpful information, step-by-step guidance and practice opportunities.

For Mental Health Professionals

The CIP staff provides professional workshops on cognitive behavioral therapy for anxiety and trauma related disorders, depression, suicide prevention, and couples therapy. Workshops can be conducted in English or Spanish.

Consultation Services

Dr. Salas provides in person, telephone or skype consultation to clinicians or agencies with a question or problem they may have. This may include assisting the process of implementing a treatment program, conducting reviews of recorded therapy sessions, and rate the work samples on the Cognitive Therapy Rating Scale. It also includes helping practitioners to improve their clinical skills, and address the “stuck points” that interfering with treatment progress. Consultation can be delivered in English or Spanish.

Supervision

Dr. Salas provides CBT supervision through the Beck Institute for Cognitive Behavior Therapy. Supervision can be conducted in English or Spanish. For more information visit The Beck Institute website at   http://www.beckinstitute.org.

MENTAL HEALTH Skill Building Workshops

Spring 2019 Skills Groups Flyer (pdf)

Download

Virtual Reality Therapy for Phobias

  

The CIP Virtual Reality Treatment Program (VRTP) offers a different way of delivering cognitive-behavior therapy for clients with anxiety disorders.  The therapist gradually exposes clients to virtual triggers of their anxiety disorder via computer-generated 3D displays and guides them during the exposure practices. 


In a VRTP, the therapist can control the intensity, duration, and context of the feared stimuli, as well as the frequency of the exposure practice. These features provide the therapist with the ability to easily tailor each session based on the client’s needs and optimize their learning process. For example, in a single VR session, a client with fear of flying can take off and land several times and can fly under different weather conditions.


The effectiveness of virtual reality exposure treatments stems from the fact that the brain automatically reacts to environmental cues associated with threat appraisals and anxiety. The emotional reaction takes place even when clients consciously know that the situation is not real. Such experience makes virtual reality treatments just as effective as exposing people to real life phobic stimuli. The emotional change occurs when the client learns to associate those cues with new non-threatening memories and appraisals rather than with the old anxiety-provoking ones.


To measure your progress, the therapist monitors your subjective and objective (physiological) anxiety responses before, during and after the exposure practices. We use non-invasive physiological monitoring of your skin conductance, skin temperature, and heart rate variability. 


At present, the CIP has a virtual reality treatment program for public speaking anxiety, flying phobia, fear of heights, fear of storms, and spider phobia


Sessions are usually completed within 45-55 minutes, which includes a maximum of 30 minutes of continuous VR exposure. Research indicates that 8 to 12 sessions are typically required to achieve maximum benefit.

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