Anxiety therapists in Dos Palos, California CA
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Anxiety or Fears
Jayson L. Mystkowski
Psychologist, Ph.D., ABPP
While Cognitive-Behavior Therapy (CBT) is highly effective in the treatment of anxiety disorders (e.g., Panic Disorder, Social Phobia, and Obsessive-Compulsive Disorder), clinicians do see some “return of fear,” or partial relapse, in some patients due to a variety of factors. Over the past two decades, treatment researchers, with whom Dr. Jayson Mystkowski had the pleasure of working with at UCLA for over 10 years, have studied “return of fear” and discovered some key variables that may optimize the effects of learning during CBT for anxiety disorders (Craske et al., 2008).
First, evidence suggests that focusing on tolerating fear versus eliminating fear yields better clinical outcomes in the long term. Namely, teaching clients that fear and anxiety are normal feelings, rather than attempting to “down-regulate” such feelings all the time, is more realistic and seems to engender “hardier” clients. Second, helping clients to generate an expectancy that “scary things will not happen,” is very powerful. To do this, it is important for clinicians to create more complex exposure exercises (i.e., tasks in which a client confronts a stimulus of which they are afraid), using multiple feared stimuli instead of one at a time. Then, the lack of a feared outcome becomes particularly surprising and memorable for a client and fear reduction is more potent. Third, increasing the accessibility and retrievability of non-fear memories learned during treatment are powerful factors in mitigating against a return of fear. Craske and colleagues demonstrated that exposure to variations of a feared stimulus, using a random schedule across multiple contexts or situations, is more effective than exposure to the same stimulus, on a predictable schedule, in an unchanging environment. The former paradigm, it is argued, creates stronger non-fear memories that are easier for a client to access when subsequently confronting feared objects or situations outside of the therapy context, than the later scenario.
In sum, clinicians have long been aware that some fear or anxiety returns following very successful CBT treatment. As mentioned above, there are some clear, empirically supported ways to modify the therapy we provide to further help clients generalize the gains made in therapy sessions to the real world.
20 Years Experience
Online in Dos Palos, California
Anxiety or Fears
Helen Star, MFT
Marriage and Family Therapist, MFT, SEP
Trauma can live in the body unaddressed for a lifetime. It impacts every aspect of the person’s experience, from health concerns to psychological instability to insecurities in achieving life goals. Working through trauma is the single most important piece in establishing a more harmonious life perspective. Adults often can’t identify the source of their anxieties because it is buried in childhood experience. Or, they know the source, but addressing the impact of trauma has been elusive.
Whether you identify a single traumatic experience in your life or you experience the result through a highly strung nervous system, trauma can be addressed through working with the sensations of the body.
I was originally trained in Somatic Psychotherapy and have over 25 years of working with the language of the body. This is done through mindful observation of the body’s experience in the here and now and through expressive art and movement therapy as well as talking through the event itself. The resolution comes from a place of self-love and resiliency is built by building support in one’s life.
33 Years Experience
Online in Dos Palos, California
Anxiety or Fears
Relationship Therapy Center - serving individuals and couples in CA online and in the Sacramento area
Marriage and Family Therapist, LMFT, Certified Gottman Therapist
How to stop an anxiety attack or thoughts that cause anxiety. We have therapists that offer CBT treatment for anxiety. You can be free of anxiety by working with a therapist specializing in anxiety. Find a therapist in Fair Oaks, CA
10 Years Experience
Online in Dos Palos, California
Anxiety or Fears
Counseling For Couples, Families and Children, Dr Mickey
Marriage and Family Therapist, Ph.D., LMFT
I use a variety of interventions, including guided imagery, to help you deal with fear and anxiety
34 Years Experience
Online in Dos Palos, California
Anxiety or Fears
Taylor Swing
Licensed Clinical Social Worker, LCSW
Sometimes we feel stuck in the same loop, thinking about the same things, making the same decisions. Have you struggled to sleep at night or get things done because you’re ruminating about a thought or situation? Do you struggle to make decisions or constantly worry about making the right one? Not sure how to address a conflict? You're not alone, sometimes our anxiety can become overwhelming. I can support you in learning effective coping skills, challenging your thoughts, and changing your thinking patterns to help you reach your goals in the space of therapy.
8 Years Experience
Online in Dos Palos, California