Chan School of Public Health, Boston, MA, United States. 3 Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States Department of Biostatistics, Harvard T.H.Electronic address: 2 Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States. 1 Division of Interdisciplinary Medicine and Biotechnology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States Osher Center for Integrative Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.Finally, we teach stress management techniques, such as deep breathing, muscle relaxation and imagery to help reduce the frequency and intensity of impulsive behaviors. Then the patient is taught to replace the impulse with a more appropriate behavior that is incompatible with the unwanted behavior. The therapist might also help the patient to identify factors that increase the frequency of the unwanted behavior, antecedents for the behavior, as well as consequences that arise as a result of the behavior. First, therapists work with patients to increase the awareness of sensations that accompany the repetitive behavior. HRT is a multi-stage process aimed at increasing patient awareness, cultivating substitution behaviors, and stress management. Habit Reversal Training (HRT) is a form of Cognitive Behavioral Therapy to treat repetitive impulse control disorders such as trichotillomania (hair pulling), excoriation (skin picking), tics, Tourette Syndrome, and other forms of body-focused-repetitive-behaviors (BFRBs). None of these treatments involve any medication directly, though some individuals may use medication while engaged in CBT. We use the following forms of CBT, which clinical research has found to be helpful in treating anxiety, depression, and other mental health concerns. We treat patients with respect and empathy, ensuring that each patient receives the tools and strategies they need to manage their symptoms. Our clinical team is staffed by highly skilled and compassionate clinicians, and includes a full time patient care manager and a full time research assistant to monitor patients’ experiences and clinical outcomes, in order to provide concierge level care. Mindfulness-Based Cognitive Therapy (MBCT).Exposure and Response Prevention (E/RP).Our office offers the following specific CBT approaches: ĬBT is a collection of evidence-based treatments, all of which help people to change their feelings by modulating their patterns of thinking and behavior. For a complete list of what we treat, please click here. Clinical services target an array of common problems in adults, adolescents and children, including anxiety disorders, depression, marital discord, specific childhood disorders, and serious mental health conditions. Treatment is tailored to each patient’s individual circumstances, and progress is tracked using our assessment tools to ensure improvement. In addition, individual clinical team members have unique strengths and areas of expertise. Although we do not prescribe medication, we work closely with other treatment providers to coordinate care. We teach patients concrete skills, firmly grounded in current evidence-based practices, and ideographically tailored to each patient’s unique needs accounting for family, social, economic, cultural, and spiritual/religious factors. Our goal is to help our patients get better quickly, with reduced symptoms and dramatic improvements in their daily lives. At the Center for Anxiety, each member of our clinical staff is exceptionally trained in the application of Cognitive Behavioral Therapy (CBT) for anxiety disorders and many other concerns.
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