Counseling for Co-Occurring Disorders

The therapy techniques that Genesis House counselors are trained in are not just effective for substance use disorder. In fact, Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Motivational Enhancement Therapy (MET) are useful for many different Co-Occurring disorders including Depression, Anxiety, PTSD, Compulsive disorders and other mental health disorders. At Genesis House, we focus on you and your needs as a whole to help you achieve your goals and increase your happiness in life. Counseling sessions usually last 60 minutes and are scheduled weekly at the beginning of treatment. As your stability increases, the weekly sessions decrease, but every treatment process is customized by your needs.

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Depression & Anxiety Counseling

Cognitive Behavioral Therapy (CBT) is a well-established, highly effective, and lasting treatment for both depression and anxiety. It focuses on identifying, understanding, and changing thinking and behavior patterns. Benefits are usually seen in 12 to 16 weeks, depending on the individual.

In this type of therapy the patient is actively involved in his or her own recovery, has a sense of control, and learns skills that are useful throughout life. CBT typically involves reading about the problem, keeping records between appointments, and completing homework assignments in which the treatment procedures are practiced. Patients learn skills during therapy sessions, but they must practice repeatedly to see improvement.

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PTSD Counseling

Research shows that Cognitive behavioral therapy (CBT) is the most effective type of counseling for PTSD. In cognitive therapy, your therapist helps you understand and change how you think about your trauma and its aftermath. Your goal is to understand how certain thoughts about your trauma cause you stress and make your symptoms worse.

You will learn to identify thoughts about the world and yourself that are making you feel afraid or upset. With the help of your therapist, you will learn to replace these thoughts with more accurate and less distressing thoughts. You will also learn ways to cope with feelings such as anger, guilt, and fear.

After a traumatic event, you might blame yourself for things you couldn’t have changed. For example, a soldier may feel guilty about decisions he or she had to make during war. Cognitive therapy, a type of CBT, helps you understand that the traumatic event you lived through was not your fault.

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Compulsive Disorder Counseling

For many years, the treatment of OCD was thought to be exceptionally difficult. Traditional psychoanalysis consistently had little impact on the disorder, and other psychotherapies were equally unsuccessful. However, over the past fifteen years, developments in Cognitive-Behavioral Therapy (CBT) have resulted in an OCD treatment protocol that is especially beneficial for individuals with this condition. In fact, numerous clinical studies conducted over the past fifteen years have conclusively found that CBT, either with or without medication, is dramatically superior to all other forms of treatment for OCD.

One of the most effective CBT developments for the treatment of Obsessive-Compulsive Disorder (OCD) and related conditions is Mindfulness-Based Cognitive-Behavioral Therapy. The primary goal of Mindfulness-Based CBT is to learn to non-judgmentally accept uncomfortable psychological experiences. From a mindfulness perspective, much of our psychological distress is the result of trying to control and eliminate the discomfort of unwanted thoughts, feelings, sensations, and urges. In other words, our discomfort is not the problem – our attempt to control and eliminate our discomfort is the problem. For an individual with OCD or a related anxiety-based condition, the ultimate goal of mindfulness is to develop the ability to more willingly experience their uncomfortable thoughts, feelings, sensations, and urges, without responding with compulsions, avoidance behaviors, reassurance seeking, and/or mental rituals.

Following a structured CBT protocol, the client gradually challenges all of his or her symptoms, and learns new, more productive methods of coping with anxiety. Over time, the individual becomes de-sensitized to previously anxiety-provoking situations and thoughts, and the obsessions and compulsions are eliminated, or significantly reduced in frequency and magnitude. Using this treatment approach, most clients make dramatic improvement by meeting with their therapist on a weekly basis over a period of just 4-6 months, followed by two or three “booster sessions”. Some clients may also benefit by having a small number of family or couples therapy sessions to address the impact OCD is having on their relationships.

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