Our Services

Individual Psychotherapy

Each client at One to One Treatment will be assigned to a primary therapist who will be the “lead” member of their treatment team. This clinician will be a liaison to any outside practitioners working on the case (e.g. outside medical and psychiatric personnel,) as well as identified family members to be included in the treatment process. The primary therapist will also be in daily contact with other team members to provide a seamless and comprehensive level of care. Clients meet with their primary therapist on a schedule tailored to their specific needs. We have also found it very helpful to work in tandem with a client’s “outside” therapist. This allows the client a fully integrated team to manage the many moving parts of the treatment experience.

http://en.wikipedia.org/wiki/Psychotherapy

Somatic Experiencing® (SE)

Somatic Experiencing ® (SE) is an intervention that is used in the healing of trauma. SE is experiential in nature with a sophisticated and multifaceted psycho-physiological approach to the mind-body connection. It is based on cutting-edge scientific research from the fields of neurobiology, attachment theory, and mindfulness. SE is, therefore, not “talk therapy.” It is an engagement focused on awareness of bodily sensations designed to increase self-regulation and healing through the “renegotiation” of trauma, not through reliving or re-enacting it. This supportive intervention allows the person to build internal and external resources to safely experience, process, and release symptomology. Somatic Experiencing ® can result in greater inner resiliency, self-regulation, and wellness.

http://www.traumahealing.com/somatic-experiencing/index.html

Trauma Resiliency Model (TRM)

The Trauma Resiliency Model (TRM) is a intervention that is used in the healing of trauma. TRM is also experiential in nature with a sophisticated and multifaceted psycho-physiological approach to the mind-body connection. Clients are educated on the key points of trauma’s impact on the nervous system, based on current research, with an emphasis on the body and brain’s inner capacity to heal and restore itself to a balanced state. Clients are engaged in experiential learning by incorporating the self-management skills of Tracking, Resourcing, and Grounding to better understand and experience the connection between mind and body.

http://traumaresourceinstitute.com/trauma-resiliency-model-trm/

Dialectical Behavioral Therapy (DBT)

Dialectical Behavioral Therapy (DBT) is an evidence-based treatment protocol, developed by Marsha Linehan PH.D, that was originally developed to treat people with severe cases of Borderline Personality Disorder (BPD). DBT effectively combines elements of Cognitive Behavioral Therapy and such eastern philosophies as mindfulness, distress tolerance and acceptance. Considerable research has been done in recent years to show that DBT is extremely effective in treating not only those affected by BPD, but also substance abuse, anger management, treatment fatigue and interpersonal relationship issues.

http://behavioraltech.org/resources/whatisdbt.cfm

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is an evidence-based protocol that decreases anxiety while stabilizing individuals with a wide range of mental health issues. It is a proven and highly effective method that can break the debilitating cycle of distorted thinking and irrational beliefs that fuel suffering. CBT helps patients shift their focus to being more observant of their symptoms by identifying and changing negative thoughts and obsessions.

http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy

Eye Movement Desensitization and Reprocessing (EMDR)

Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based intervention that helps people to recover from the physical and emotional symptoms associated with experiencing distress and trauma in their life. EMDR has shown efficacy in decreasing symptomology while expediting healing. EMDR protocols involve bilateral stimulation of the brain, where the emotional right-brain that holds the painful memory is connected to the more mature left-brain processes of rational thinking and present-time reality. The EMDR-trained therapist then helps the client evaluate the content that arises from these bilateral stimulations, until all symptomology from the trauma is removed.

http://emdr.com/faqs.html

Mindfulness

Our mindfulness approach is informed by the work of Jon Kabat-Zinn, founding director of the Stress Reduction Clinic and Center for Mindfulness Medicine, Health Care, and Society at the University of Massachusetts Medical School. He developed the Mindfulness Based Stress Reduction (MBSR) program to help clients deal with stress, pain, and various illnesses by using moment-to-moment awareness. The One to One Treatment approach draws heavily on the concepts and practices of his stress reduction techniques.

http://en.wikipedia.org/wiki/Mindfulness-based_stress_reduction

Post Induction Therapy (PIT)

Post Induction Therapy was developed by Pia Mellody to treat the core symptoms of childhood trauma and the ensuing developmental immaturity (also known as codependence in this model). The model draws on various therapies and theories including, but not limited to, psychoanalysis, Family Systems Theory, Gestalt, and Rational Emotive Therapy. The foundation of the work is in stabilizing the “functional adult” by developing 5 core areas: self-esteem, boundaries, self-awareness and acceptance, interdependence, and moderation and containment.

http://www.piamellody.com

http://www.healingtraumanetwork.net/default.aspx

http://en.wikipedia.org/wiki/Mindfulness-based_stress_reduction

Relapse Prevention

One to One Treatment clinicians provide specific and practical relapse prevention tools to develop foundational strategies for maintaining long-term sobriety. The evidence-based protocols include solution focused, CBT techniques that emphasize behavioral and biological aspects of recovery. These techniques are based in the scientific research of the brain and related biochemical symptoms involved within the Stages of Recovery.

http://en.wikipedia.org/wiki/Relapse_prevention

Family Systems Education & Therapy

One to One Treatment clients may require education on family of origin issues and how they contribute to current stressors and symptoms. When available and appropriate, family members may be invited to participate in the treatment, thereby entering into family therapy. This participation can be instrumental in assisting the

“identified patient” on their road to wellness. Our staff is comprised of Licensed Marriage and Family Therapists (LMFT) who are trained in multiple modes of intervention and care for both the family, separate of the identified patient, and along with the identified patient. Interested family members may also participate in their own treatment where they learn the language of recovery that the identified patient is also learning. The educational piece is individualized to each family members needs but may include material on the disease of addiction, understanding mental health issues, boundary setting, talking and listening with respect, self esteem issues, codependency issues, and love addiction/love avoidant cycles.

http://en.wikipedia.org/wiki/Family_therapy

Psychoeducation

Clients at One to One Treatment begin to learn a new language, along with the “nuts and bolts” of their personal process and recovery. Psycho-Education is a tool used by our trained clinicians to help clients develop and practice skills that can be utilized in the “real world” outside of treatment. The skills can include,

but are not limited to: TRM, MBSR techniques, Developmental Immaturity Model, Love Addiction and Love Avoidance education, Cognitive Behavioral Therapy, Somatic Experiencing, The Brain Model, Relapse Prevention, Family Systems, Family of Origin, Codependency, Stages of Recovery, Meditation, Communication Skills, Feelings and Emotions, and Boundaries. Our clinicians are specifically trained to reach clients in ways that best suit an individual’s learning style and preference. Some people learn through experience and practice, while others prefer to complete worksheets and homework between sessions. The therapist will assess a client’s best learning style, and will implement that throughout the course of treatment. Clients will then walk away with materials to be used once treatment is complete.

12-Step Education and Counseling

Clients are assisted in understanding the realistic application of 12-Step principles involved in repairing relationships with self and others, as well as the spiritual components of recovery. For clients open to participation or who are already participating in a 12-Step program, emphasis is placed on beginning step work, aspects of fellowship, and building a support network of like-minded peers engaged in similar lifestyle changes. For clients new to or somewhat apprehensive to the thought of 12-Step fellowships, emphasis is placed on the practical clinical application of the program, the demystification and debunking of misunderstood aspects, and professional assistance in developing a safe and comfortable plan that identifies the appropriate 12-Step fellowship, meeting schedule, and peer group.

http://en.wikipedia.org/wiki/Twelve-step_program

http://aa.org/?Media=PlayFlash

http://na.org

http://www.al-anon.alateen.org

Crisis Management

One to One Treatment provides an unprecedented level of access and care to clients during moments of crisis. Our attention to detail and acuity far exceeds the standards of most outpatient settings. Clients are provided with phone numbers of staff members to call in case of emergency (including senior staff), and are encouraged to be in touch between sessions as appropriate. Referral sources, outside treatment providers, and families are also encouraged to be in contact during times of crisis as long as appropriate confidentiality forms have been signed.

One to One Treatment staff are familiar with many of the local hospitals, residential treatment centers, and sober livings. We are also connected to resources nationwide including, but not limited to, inpatient facilities, outpatient facilities, interventionists, and psychiatrists. Our priority is always containment of the crisis and meeting the clinical needs of the moment, including a seamless transition to a higher level of care when indicated.

Case Management

Case Management is complete care coordination and can be performed by the Primary Therapist, Program Coordinator, or other assigned clinical staff. Case Management at One to One Treatment may include, but is not limited to, weekly updates to team members, family, and referral sources; daily clinical team management of treatment planning and progress; and out-of-session check-ins with clients, family, or outside providers. Case Management is included with every One to One Treatment program. We also offer Case Management services separate of a formal treatment program, when appropriate, to help organize the often many moving parts of a client’s recovery team and plan. This can also include “nuts and bolts” life-skills assistance such as, but not limited to, budgeting, job search, educational goals, scheduling, and time management.

One to One Treatment staff are familiar with many of the local hospitals, residential treatment centers, and sober livings. We are also connected to resources nationwide including, but not limited to, inpatient facilities, outpatient facilities, interventionists, and psychiatrists. Our priority is always containment of the crisis and meeting the clinical needs of the moment, including a seamless transition to a higher level of care when indicated.

Daily Phone Contact

Daily Phone Contact is available as a supportive adjunct to in-session treatment. A designated clinical team member will collaborate with the client to determine the best call schedule. A call schedule can range from several calls a week to multiple phone calls in a day, 7 days a week. Phone calls can be utilized as “bookends” to a client’s day with a call in the morning and evening, or as a measure to check progress and assess support at any point throughout the day. Calls increase support, accountability, encouragement, and motivation.

Assessment

One to One Treatment programs are determined by a psychosocial assessment with a licensed clinician for individuals interested in our outpatient services. The assessment is designed to give our clinical team a snapshot of historical and presenting problems, as well as to determine if an individual is appropriate for our outpatient level of care. Our team reviews the assessment and collaborates to determine the recommended treatment plan. The client and appropriate parties are contacted within 24 hours with the recommended course of action.

One to One Treatment also offers assessment services for individuals who may be looking for guidance and clinical recommendations outside of One to One treatment, such as residential facilities, psychiatric hospitals, and more. Clinicians in private practice, interventionists, doctors, and families have found this service invaluable as another “set of eyes” for difficult or confounding case, especially when a dual diagnosis is suspected. In this capacity, One to One Treatment serves as a consultant in developing recommendations for a client’s treatment plan and placement outside of our outpatient services. Appropriate clinical parties will be provided with a written assessment report including 5-axis diagnosis and recommendations.