Individual therapy consists of 45-minute to 60-minute sessions in a one-on-one client provider format. Therapy sessions are typically set up for one to two times a week depending on the specific needs of the individual.
There are individuals who prefer or may require more structured therapy while others may prefer a place to simply talk freely. Dr. Marmaros works with individuals to ensure a comfortable therapy experience and one which meets the personal needs and goals of the client. When working with children, therapy goals are often targeted through the use of books, games, and the arts.
When appropriate, Dr. Marmaros interacts with psychiatrists, schools, and families in a collaborative effort to deliver optimal care.
CBT is a structured evidence-based therapy that is rooted in the idea that our thought patterns influence both our feelings and behaviors. CBT aims to explore core beliefs about oneself, rework unhelpful thought processes, and identify individualized coping skills to manage distress. Research studies have found CBT to produce the most effective outcomes when compared to other psychotherapies for the treatment of anxiety and depression.
CBT is also used to treat panic disorder, phobias, and has specific CBT-based treatments (Exposure Response Prevention) to treat obsessive compulsive disorder and body focused repetitive behaviors (Comprehensive Model for Behavioral Treatment). CBT works in combination with other therapies to address symptoms of attention deficit hyperactivity disorder, post-traumatic stress disorder, and the managing of stressful situations.
EMDR is an evidence-based therapy proven effective at diminishing distress associated with memories of mild to severe traumatic events. As endorsed by the American Psychiatric Association and the International Society for Traumatic Stress Studies, it is largely used to treat trauma and post-traumatic stress disorder (PTSD).
EDMR is an 8-phase model that incorporates elements of several therapies with the added component of bilateral stimulation; a technique that promotes rhythmic stimuli in a side-to-side pattern. This is guided by machine visuals and/or with the use of headphone audio tones or hand pulsers, while clients are asked to reflect on a distressing event.
Research demonstrates that the use of bilateral stimulation weakens the emotional intensity of a memory and moves it from an incorrectly stored place in the brain to a more functional one where it can be reprocessed with less distress.
MB-CT is a psychotherapy approach that helps individuals see themselves as separate from their thoughts and moods while integrating the use of relaxation, breathing, and grounding techniques.
Acceptance Commitment Therapy (ACT) was created to help individuals acknowledge and accept the difficulties they are experiencing/have experienced in life, as opposed to agonizing over them and staying stuck. ACT recognizes when suppressing or trying to control emotional experiences is when challenges arise. Through 6 principles, ACT assists others in achieving psychological flexibility, promotes well-being, and helps others live a life consistent with personal values.
Exposure Response Prevention (ERP) is an evidenced-based, specific type of Cognitive Behavioral Therapy (CBT), to treat Obsessive Compulsive Disorder (OCD). Under the guidance of a therapist, individuals are gradually exposed to feared thoughts, images, or urges and assisted in not responding to anxiety provoking stimuli as normally would. While this may sound terrifying to the OCD individual, over time not giving into compulsive behaviors will result in habituation, and reduced anxiety levels. Parent and client psychoeducation is a significant aspect of treatment in order to best support the OCD individual and prevent enabling their compulsive behaviors
ComB is used to address body focused repetitive behaviors (BFRBs), such as trichotillomania (hair pulling) and excoriation (skin picking). This treatment analyzes antecedents to pulling/picking and places a large emphasis on self-awareness. ComB is an extension of an evidenced-based therapy for BFRB’s known as Habit Reversal Training (HRT), with a more comprehensive model. A functional analysis is included to best “get to know” the behavior, the modalities through which they function (sensory, cognitive, affective, motoric, sensory, and environmental), the identification of appropriate responses or coping skills to best accommodate the individual’s response to urges, and ultimately evaluation and modification. Social support and parent psychoeducation can be crucial aspects to treatment depending on the client’s age and particular case.
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