"Starting therapy can be intimidating; you have to open up to a stranger, lay out your past (including mistakes); it can make you feel like you are giving up control. I don't want therapy to be like that...well, you still have to share. Waystation Counseling was created to be a place to rest and build on what you know. I want you to leave your first appointment with a clear path and a set of goals. If I'm not the right therapist for you, I promise to help you find someone who is."
Trish Lockhart, MSW LCSW
Dialectical Behavioral Therapy (DBT)
Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat borderline personality disorder(BPD). DBT can be useful in treating mood disorders including Major Depressive Disorder and Persistent depressive disorder (dysthimia), and for change in behavioral patterns such as self-harm, self-sabotage, and avoidance. While DBT was developed for BPD it has been shown to be helpful for many people needing additional skills to be successful.
Adherent DBT involves 4 components:
Consultation team for the therapist.
DBT was developed by Marsha Linehan.
Cognitive Behavioral Therapy (CBT)
Cognitive behavioral therapy (CBT) is a psycho-social therapy that focuses on challenging and changing unhelpful cognitive distortions (e.g. thoughts, beliefs, and attitudes). Originally, it was designed to treat depression, but its uses have been expanded to include treatment of a number of mental health conditions, including anxiety, bipolar, and schizophrenia.
CBT is based on the belief that thought distortions and maladaptive behaviors play a role in the disorders, and that symptoms can be reduced by teaching new information-processing skills and coping mechanisms.
CBT has roots in ancient philosophy, however, the father of modern CBT is considered to be Aaron T. Beck.
Cognitive Processing Therapy (CPT for trauma)
Cognitive processing therapy (CPT) is a manualized therapy used to help people recover from post-traumatic stress disorder (PTSD) and related conditions. It includes elements of CBT and typically runs for 12-session plus assessment.
CPT conceptualizes PTSD as a disorder of non-recovery rooted in the avoidance of distressing thoughts and concepts. It theorizes that a person's beliefs about the causes and consequences of traumatic events produce strong negative emotions, which prevent accurate processing of the traumatic memory and the emotions resulting from the events.
One of my favorite quotes from the CPT manual, "There are as many "ways of avoidance as there are clients."
As all trauma based program, CPT has a high drop out rate, however, it typically has fast results.