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Dr. Golin utilizes a safe and caring approach combined with scientifically valid treatment modalities that are shown to reduce depression and stress-related physical and psychological symptoms. 

The focus is on current problems, rather than on the past. Both the therapist and the client are more active: the therapist is more interactive in the session, teaching the client how to use cognitive and behavioral techniques.  Homework assignments and new techniques Speed up the change process. Some problems can be treated in as few as 10 sessions, and some take 6 months to a year. 

Here are some of the techniques that will be utilized:

1.  Meditation, progressive muscle relaxation, and guided visual imagery are strategies that elicit the “relaxation response” and turn off the “fight or flight” stress response triggered by stress.  A person experiences a sense of calmness and well-being with benefits experienced well beyond the period of the exercise.  These techniques also increase the ability to focus the mind and reduce uncontrollable thoughts and worries.

2.  Mindfulness is the practice of accepting difficult, unwanted realities as they are, without the harsh judgments and avoidant, resistant responses that produce additional pain and suffering. Growing evidence suggests that mindfulness and acceptance skills promote psychological processes that are central to effective treatment, like enhanced awareness, clear thinking, and efficient problem solving. Mindfulness and reality acceptance skills are combined with standard cognitive behavioral strategies to address uncomfortable, unwanted thoughts, feelings and sensations associated with many clinical disorders.

3.  Cognitive therapy helps us challenge and replace thought patterns that lead to depression and anxiety.  Cognitions are thoughts, beliefs, expectations, images, self-perceptions, self-statements. Evidence shows that our thoughts exert powerful influence over how we feel and behave. When our thoughts are reasonable and nurturing, healthy feelings and actions tend to follow. However, thoughts that are unreasonable and destructive can deepen and prolong distressing emotional states and reinforce dysfunctional behavior. The goal is to develop a more nurturing cognitive style, with healthy self-acceptance and effective self-coaching.

4.  Behavior therapy interventions such as graded exposure will be used to decrease anxiety and panic by promoting a natural, fear-reducing brain process called "habituation." Habituation is typically blocked by avoidance patterns common to anxiety disorders. Through exposure the patient learns to let go of avoidance, and instead to approach experiences associated with fear. This is done in a gradual, step-by-step manner that balances comfort with endurance. To increase comfort and confidence during exposure, the therapist provides a great deal of coaching and support, often accompanying the patient into real-world settings where fear may be greatest.  Cognitive restructuring and relaxation are also used to facilitate the process.

Treatment progress is consistently monitored and modifications in treatment plan are made if necessary.  This will be done via objective improvement measures, such as questionnaires and checklists as well as cognitive and behavioral changes.

 

 

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