Skip to main content
Tag

Therapy Archives - Suzanne Wallach

Behavior Therapy For Social Anxiety: What To Expect

Behavior Therapy

Social anxiety refers to fear or worry related to interactions in social situations. The Mayo Clinic explains that “comfort levels in social situations vary, depending on personality traits and life experiences…some people are naturally reserved, and others are more outgoing.” An individual that struggles with debilitating and pervasive symptoms of social anxiety may have social anxiety disorder. Social anxiety disorder (SAD), also referred to as social phobia, is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health condition. The National Institute of Mental Health (NIH) explains that social anxiety disorder is “characterized by persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.” Social anxiety disorder is the second most diagnosed anxiety disorder and affects approximately 15 million American adults.

Cognitive Behavioral Therapy

According to the Anxiety & Depression Association of America (ADAA) cognitive behavioral therapy (CBT) is the clear first-line psychotherapeutic treatment for SAD. Cognitive behavioral therapy was developed in the 1960s by psychiatrist, Aaron Beck. CBT is a structured, short-term form of psychotherapy that “targets multiple areas of potential vulnerability (e.g., cognitive, behavioral, affective) with developmentally-guided strategies and traverses multiple intervention pathways.” CBT encompasses numerous strategies, and the most effective component of CBT is exposure to feared social situations. Cognitive behavioral therapy relies on a goal-oriented approach to hone healthy coping mechanisms for reducing anxiety and stress. The steps of CBT include the following, provided by Psychology Today:

  1. Identify troubling situations and/ or conditions in your life.
  2. Become aware of your emotions, thoughts, and beliefs connected to these troubling situations.
  3. Identify inaccurate and/ or negative thinking that may be contributing to your troubles.
  4. Reshape inaccurate and/ or negative thinking. To help facilitate this step, a therapist may encourage you to ask yourself if your view of the situation is based off an inaccurate perception of the situation or off facts.

CBT is based on the notion that one’s thoughts govern one’s feelings, which are directly linked to and influence one’s behaviors. The CBT framework aims to help people break unhealthy behavioral patterns by identifying and replacing dysfunctional patterns with positive thinking patterns. Despite the availability of effective treatments, data suggests that fewer than 5% of people of with social anxiety disorder pursue treatment in the year following initial onset and more than a third of people report symptoms for 10 or more years before getting help. If left untreated, social anxiety disorder can lead to adverse short- and long-term physiological consequences.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Are Some Examples Of DBT Therapy?

DBT Therapy

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that is founded on the principals of cognitive behavioral therapy (CBT) and rooted in mindfulness practices based on Zen Buddhist teachings. Psychologist Marsha M. Linehan developed DBT in the late 1980s as a means to more effectively treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). The primary goal of DBT, according to Psychology Today, is to “transform negative thinking patterns and destructive behaviors into positive outcomes.” While it was originally developed and remains the gold standard method of treatment for individuals diagnosed with BPD, evidence has shown it to be a successful treatment method for individuals struggling with other mental health conditions.

DBT: A Closer Look

Dialectical behavior therapy is made up of three distinct therapeutic settings, which include weekly individual psychotherapy (one-on-one therapy) sessions, weekly DBT skills training group therapy sessions, and as-needed phone coaching to provide additional support between the weekly individual and group sessions. One-on-one therapy sessions are intended to provide personalized support for individuals with processing experiences, addressing issues, navigating challenges, and identifying successes that occurred in the previous week. The DBT skills training group therapy sessions are focused on enhancing the capabilities of each participant by teaching behavioral skills related to the four modules that make up the pillars of DBT. They include the following, provided by the Linehan Institute:

  1. Core Mindfulness (focusing skills): the practice of being fully aware and entirely present in the current moment.
  2. Distress Tolerance (crisis survival skills): learning tools and techniques to accept, find meaning through, and tolerate distress.
  3. Interpersonal Effectiveness (social skills): learning assertive communication methods that enable an individual to engage with others in a way that maintains self-respect and simultaneously strengthens relationships.
  4. Emotion Regulation (de-escalation skills): learning to recognize, label, and adjust emotions to assist in regulating emotions and subsequently changing reactions to events.

In DBT skills training group therapy sessions the clinician running the session will follow the lessons provided in the DBT curriculum, teach the pertinent skills, and facilitate activities to allow the participants to practice implementing the newly learned DBT skills. These group sessions offer participants an emotionally safe environment to begin to adopt the DBT skills alongside others working on similar issues. Group members are encouraged to share their experiences and provide mutual support, which can be invaluable to the therapeutic process. The work that occurs during the DBT skills training group therapy sessions continues, as homework assignments that correspond to the DBT skills taught or visited during each DBT skills training group therapy session are regularly assigned. DBT relies on supportive resources (e.g., handouts, diary cards, worksheets, workbooks, etc.) to help reinforce the skills taught in each DBT skills training group therapy session and to provide additional opportunities for participants to continue to practice applying the learned skills in daily life.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Therapy For LGBTQ In Los Angeles

LGBTQ pride flag

LGBTQ is an acronym that stands for lesbian, gay, bisexual, transgender, and queer or questioning. The acceptance of individuals that identify as LGBTQ has risen steadily around the world since 1980. The 2018 Survey of American Acceptance and Attitudes Toward LGBTQ Americans found that 79% of Americans support equal legal rights for LGBTQ people, which is approximately a 28% increase from the 51% findings reported in 2006. Nevertheless, members of the LGBTQ community continue to be stigmatized and remain at increased risk for a developing mental illness. Individuals that identify as LGBTQ may seek counseling for a variety of reasons akin to those that are not members of the LGBTQ community (e.g., anxiety, grief, depression, PTSD, etc.). Additionally, LGBTQ individuals often struggle with and seek professional support for gender dysphoria and/ or sexual identity issues. Learning additional coping mechanisms, conflict resolution tactics, and effective means for integrating experiences can behoove any person. Therapy and treatment approaches that are free of judgment and inclusive of all are fundamental in LGBTQ-oriented therapy practices.

Therapy

Every individual is different and not all types of therapy will resonate with each person. Working with mental health clinicians that have received training and are familiar with the needs of LGBTQ members are better equipped to provide ample, tailored support. There are a variety of options available to people that identify at part of the LGBTQ community in Los Angeles, California. It is common practice for clinicians to integrate LGBT affirmative therapy into any treatment plan when working with an individual that identifies as a member of the LGBTQ community. LGBT affirmative therapy is a form of psychotherapy used to “validate and advocate for the needs of sexual and gender minority clients.” It can help empower an individual learn to effectively navigate the unique challenges associated with being a member of the LGBTQ community.

Due to the vast number of clinical providers in Los Angeles, beginning the search for therapy can seem overwhelming. There are, however, a variety of online resources that can help you locate a mental health provider in California. For example, Psychology Today has compiled a list of qualified mental health professionals with experience in providing services to members of the LGBTQ community in Los Angeles. It is important to note that all mental health providers are different and will offer support from a somewhat unique therapeutic perspective. Not all therapists will resonate with every person. Simply because a therapist has extensive experience working with LGBTQ members does not mean that particular mental health provider will inevitably be a perfect match. They only way for therapy to yield successful results is for the individual to feel comfortable with the mental health professional selected. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment. 

Back to top