I combine a few theoretical orientations in my practice,
with the primary ones being cognitive behavioral therapy
(CBT), choice theory/reality therapy, and positive
psychology. There is much data to support the effectiveness
of these complimentary approaches. I work collaboratively
with you in order to effectively address your challenges,
I work collaboratively with them. Ultimately, my goal
as a psychologist is to help my clients learn strategies
to manage their problems independent of me. Like my
clients, I am always learning and growing. Thus, my
treatment philosophy and therapeutic approach evolve
over time as new research findings become available,
and as I learn from my experiences with my clients.
Cognitive Behavioral Therapy (CBT)
CBT is a form of therapy that has gained a great deal
of attention within the last few decades. In brief,
in cognitive behavioral therapy (sometimes called
cognitive therapy or cognitive behavior therapy),
clients are taught that thoughts, emotions, and behavior
are inextricably linked. The way we perceive things
influences our physiological, emotional, and behavioral
responses. According to the cognitive model, dysfunctional
or inaccurate thoughts often underlie chronic/severe
emotional and behavioral problems. Through various
techniques, thoughts and behaviors are examined and
modified. With practice, clients learn these techniques
so that they can effectively deal with their challenges
on their own. In contrast to other forms of psychotherapy,
CBT tends to be more problem-solving oriented, time
limited, and focused on the present.
Choice Theory/Reality Therapy
Choice Theory, which was formulated by psychiatrist
Dr. William Glasser, posits that all humans have 5
basic needs (survival, freedom, fun, power, and love/belonging)
that we attempt to satisfy through our behavioral
choices. According to choice theory, almost all behavior
is chosen, and we can only control our own behavior.
Although everyone has all 5 of these needs, the drive
for love and belongingness tends to be the most important.
According to choice theory, it is through the development
of close, caring relationships that we can most effectively
fulfill our other needs and achieve happiness. Unfortunately,
people frequently use external control (i.e., various
types of coercive force such as criticizing, threatening,
and nagging) to attempt to get others to do what they
would like them to do with the misguided belief that
this will help others to best satisfy their needs.
However, using external control on others tends to
result in conflict, frustration, and disconnected
relationships. In turn, disconnected relationships
ultimately produce unhappy people that may manifest
mental health problems such as depression and anxiety.
Reality therapy is Dr. Glasser’s counseling
approach using choice theory. Within reality therapy,
there is much emphasis on a person learning to develop
a strong internal locus of control (i.e., belief that
one can attain desired results through one’s
choices) and a strong sense of responsibility for
one’s behavior. Like CBT, reality therapy tends
to be focused on the present, problem and solution
oriented, and time limited. Importantly, like CBT,
a main goal in reality therapy is to aid clients in
gaining new perspectives and techniques that will
help them to manage challenges on their own.
Positive Psychology
Until about the past decade, psychology and psychiatry
have tended to focus on pathology – what is going
wrong with people and why. Recently, however, there
has been a new movement in the field spearheaded by
psychologists such as Dr. Martin Seligman and Dr. Mihaly
Csikszentmihalyi, that focuses on what makes people
happy and why. The research within the field of positive
psychology provides a wealth of data on strategies and
behaviors (e.g., exercise, charitable deeds, learning
to forgive) that tend to elicit a sense of fulfillment
and positive emotional states. In therapy, clients learn
how to choose behaviors that tend to engender happiness.
Oftentimes, these are activities that clients do occasionally
in the present or once did in the past but are not aware
of how beneficial these behaviors are. By learning to
incorporate more positive behaviors in their lifestyle,
clients can directly combat negative moods such as depression
and anxiety.
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