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From
Laura's Introductory Letter to Clients:
. . . When trying to understand a client’s presenting problem, I use the
biopsychosocial model. This provides a framework for me to
understand the problem by including your physical health, the people
around you, and the situations you live and work in, as well as your
thoughts and emotions. This means that I may recommend working to
improve your physical health or your situation in addition to the
therapy addressing your feelings and thoughts. For example, if a client
came to me for help in tolerating an abusive relationship, my first
evaluation would be that the situation, the relationship, needed to
change. Thus, treatment may involve referrals to your doctor, a
nutritionist, or other outside resource.
At
the most general level, I offer a respectful and attentive listener who
can provide information about different psychological conditions and
human behavior, then offer ideas for ways to address your challenges.
The specific therapeutic methods we use will depend on the nature of the
psychological piece of the problem. Mood disorders, especially
depression, frequently cause the person suffering to think and believe
many untrue or distorted things, for example, “I’m a complete loser – I
can’t do anything right.” I often use “CBT,” or Cognitive-Behavioral
Therapy, techniques, which include investigating whether beliefs about
yourself are true; and helping you to look at situations or problems
differently. That is the “cognitive” piece. The “behavioral” piece may
involve homework assignments to change behavior by trying something
new. I also focus on communication issues and understanding other
people’s behavior without imposing our own negative beliefs about
ourselves onto their actions. . . .
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