Individual and Group Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a structured, goal-oriented approach that aims to influence dysfunctional thoughts, emotions, and behaviors. Clients are first taught to monitor thoughts, assumptions, beliefs and behaviors that are related to their negative emotions. They are then helped to identify those thoughts and behaviors that are dysfunctional, inaccurate, or simply unhelpful. Ultimately the client learns to replace or transcend these dysfunctional thoughts and behaviors with more realistic and useful ones.

Research has proved CBT to be effective for the treatment of many clinical issues such as mood disorders, anxiety disorders, and eating disorders. The therapy is often brief and time-limited and can be used in individual therapy as well as group settings.

Neuropsychological Evaluation

Neuropsychological evaluation assists in better understanding your child’s functioning in areas such as memory, attention, perception, coordination, language, and personality.  It differs from school assessments in that evaluations completed by the schools focus on whether a child qualifies for special education services, whereas a comprehensive neuropsychological evaluation allows for a much better understanding of the child’s learning or behavior problems.  

Children are typically referred for neuropsychological evaluation for the following reasons:

·         Difficulty in learning, attention, behavior, socialization, or emotional control;

·         A disease or inborn developmental problem that affects the brain in some way; or

·         A brain injury from an accident, birth trauma, or other physical stress.

Areas that are typically assessed are as follows:

·         General intellect

·         Achievement skills, such as reading and math

·         Executive skills, such as organization, planning, inhibition and flexibility

·         Attention

·         Learning & memory

·         Language

·         Visual-spatial skills

·         Motor coordination

·         Behavioral & emotional functioning

·         Social skills

Some abilities are measured in more detail, depending on the presenting concern and student needs.  Detailed developmental history and data from your child’s teacher are also obtained. 

Your child’s performance will be compared to scores of children of similar ages to create a profile of your child’s strengths and weaknesses.  The results help those involved in your child’s care in a number of ways.

·         Testing can explain why your child is having school problems.  For example, a child may have difficulty reading because of an attention problem, a language disorder, an auditory processing problem, or a reading disability.  Testing also allows the intervention to be crafted based on your individual child’s strengths.

·         Testing can help detect the effects of developmental, neurological, and medical problems, such as epilepsy, autism, attention-deficit/hyperactivity disorder (ADHD) dyslexia, or a genetic disorder.  Testing may be done to obtain a baseline against which to measure the outcome of treatment or the child’s development over time.

·         Different childhood disorders result in specific patterns of strengths and weaknesses.  These profiles of abilities can help identify a child’s disorder and the brain areas involved.  For example, testing can help differentiate between and attention deficit and depression or determine whether a language delay is due to a problem producing speech, understanding or expressing language, social shyness, autism or cognitive delay. 

·         Most importantly, testing provides a better understanding of the child’s behavior and learning in school, at home, and in the community.  The evaluation can guide teachers, therapists, and you to better help your child achieve his or her potential.

Special Programs Available at CBI

Our team of professionals at CBI will work with each other as well as with other professionals at the Center for Vital Living as needed and desired to tailor specialized programs for clients.

Intense Therapy Programs For OCD and OCD Spectrum Disorders

These programs are customized for individuals suffering from severe OCD and/or OCD spectrum disorders such as anorexia* or bulimia*, body dysmorphic disorder, hypochondriasis, trichotillomania, and panic disorder. They generally consist of intensive cognitive behavior therapy sessions 3-5x weekly, support group meetings for the sufferer and family, as well as yoga and meditation instruction in order to develop mindfulness and cultivate a sense of inner peace. Other services such as nutritional counseling and chiropractic for nervous system support may be recommended.

For the treatment of OCD, behavior therapy, specifically exposure and ritual prevention, is taught. This involves gradual exposure to anxiety-provoking stimuli and situations in order to promote desensitization and the discouraging of compulsive or ritualistic behaviors, which ultimately maintain the OCD. Sessions may be conducted in a variety of settings, including public places, the individual’s home, and any other locations specific to the problem. Cognitive therapy techniques are also taught to help the individual examine illogical or irrational beliefs (i.e. the need to be perfect or the need for certainty). These concepts are made simple and fun for children, while parents are taught how to respond to their child’s OCD symptoms in the most appropriate and effective ways.

For the treatment of eating disorders*, a combination of cognitive and behavioral techniques are taught to help the individual challenge irrational beliefs as well as increase tolerance to uncomfortable feelings. Our health counselor will address any nutritional deficiencies as well as develop and modify appropriate healthy eating plans throughout the course of therapy. Family therapy to teach collaborative problem solving skills may also be recommended.

For the treatment of Body Dysmorphic Disorder, Hypochondriasis, and Trichotillomania, a combination of cognitive and behavioral strategies are taught in order to help the individual challenge irrational beliefs and increase tolerance to uncomfortable feelings.

For the treatment of Panic Disorder, a cognitive behavioral approach is taught which emphasizes breathing and relaxation techniques, cognitive strategies to challenge irrational beliefs, and behavioral exercises to increase tolerance to uncomfortable feelings and situations that may provoke the panic.

Holistic Child Centered Programs

Programs focused on the “whole” child can be customized for those struggling within their home and/or school environment. Children who have been diagnosed with or who are exhibiting symptoms of ADD or ADHD, a learning disability, school or social anxiety, as well as Asperger’s syndrome may be appropriate for this type of program.

As part of this program, a comprehensive neuropsychological evaluation may be recommended in order to identify the child’s strengths and weaknesses in all areas and to assess how the child may learn best. Weekly therapy sessions are provided to help the child build self-esteem through focus on and development of strengths as well as the teaching of appropriate skills to address weaknesses and challenges. Family therapy may be incorporated to teach collaborative problem solving skills to parents and child. For learning problems, our tutoring program can help put kids on the right track academically.

Our Kids Yoga classes are a fun way to help children build attention and focus as well as to cultivate a sense of calm. Nutritional counseling and chiropractic care may also be recommended for specific cases.

*Client must be medically stable to enter this program.

For more information or to set up an appointment, please contact us at (508) 457-3160