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  • What is Cognitive-Behavioral Therapy?

    Cognitive-Behavioral Therapy (CBT) is an evidence-based treatment approach. Studies of behavior have shown a correlation between the way people feel, think, and behave. Negative feelings automatically generate negative thoughts. For example, Samantha feels nervous about going to a party where she does not know many people. She might think to herself: "What if they are not going to like me..." or "I will say something stupid and embarrass myself..." These harsh automatic thoughts are generalized and contain errors. But we believe what we feel, even if it is lacking evidence. And Samantha, in response to these thoughts may choose to avoid meeting new people and will find ways to excuse herself from social situations. This would further make Samantha feel bad. She will feel lonely and alone, which will perpetuate more negative thoughts, and so goes the vicious cycle. CBT provides strategies for ending such a cycle and gaining control over negative and self-defeating thoughts. We challenge automatic thoughts by examining their accuracy and truth. If we conclude these thoughts to be true, or partially true, we work on tools to cope with life's imperfections. On-the-other hand, if we cannot find evidence supporting the existence of the self-defeating belief, we use strategies to get rid of them. While this is a very effective approach, it works only for those who are willing to make an effort and replace old habits with new ones. Hence the joke: how many psychologists does it take to change a lightbulb?... that depends if the lightbulb wants to change ; )

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  • Psychologist | TEAM-CBT| Depression | Anxiety | OCD | California

    Happiness does not depend on what you have or who you are. It solely relies on what you think. Dr. Keren Shemesh is a clinical psychologist and Cognitive-Behavioral Therapy specialist. She employs highly effective therapeutic modalities for the treatment of depression and anxiety-related disorders, in children and adults. Schedule a FREE CONSULTATION today! About Me As a Licensed Clinical Psychologist, I am here to help YOU live a better and happier life—through Cognitive Behavioral Therapy (CBT). ​ ​As the first step I'd like for us to get clear on your goal for treatment. May they be managing anxiety, getting-rid-of self-defeating thoughts, overcoming depression, or learning to manage challenging relationships. Listing goals helps us stay focused on the treatment. Meeting the goals indicates progress, or even end of treatment. What are your goals? What would you like to get out of therapy? ​ CBT is the first line treatment for mood related problems like depression and anxiety. It is also the best treatment suggested for behavioral patterns like procrastination, or compulsive eating. As a CBT therapist, I work collaboratively with my clients. Without your help and efforts my highly effective CBT tools are useless. CBT can free you from your anxiety, alleviate your depression, and help you feel closer with the people you love. I recommend CBT to people who want to get better and are willing to put a little work into it. ​ My educational background includes a Ph.D. in Clinical Psychology and a Master of Arts in Psychology, from the Institute of Transpersonal Psychology, Palo Alto, CA. (currently known as Sofia University). Along with a Bachelor of Arts degree in Buddhist Psychology from Naropa University, Boulder, CO. I did my specialization in pediatric and adults ERP (Exposure Response Prevention) with IOCDF (the International OCD Foundation) and CTSA (the Center for the Treatment and Study on Anxiety, at Penn Psychiatry, University of Pennsylvania). Business talk radio - 5_13_21, 5.22 PM.m 00:00 / 05:42 Specializing in Cognitive-Behavioral Therapy for depression and anxiety disorders. Book your FREE 20 min' CONSULTATION today! CBT Cognitive-Behavioral Therapy (CBT) is the first line treatment for mood and behavior related problems. CBT is a therapeutic approach that focuses on our perceptions and behaviors. It emphasizes the connection between ... More about CBT > Depression Depression should not be treated like a minor nuisance in your life. In fact, depression can range from a low negative mood to a life-threatening condition. When we are feeling depressed we tend to think ... More about depression > Anxiety Anxiety disorders are triggered by fear and stress; the source of fear can be real or imagined. It begins with the thought "what if ..." and ends with a catastrophe that we created in our minds ... More about anxiety > OCD Obsessive-Compulsive Disorder (OCD) is an anxiety-related disorder where a person experiences intrusive, unwanted, and distressing reoccurring thoughts (obsessions). Obsessions can also present as pervasive doubts ... More about OCD > Exposure Response Prevention Exposure Response Prevention (ERP) is a treatment of choice for various anxiety-related disorders and is the most effective treatment for OCD ... Learn more about exposure > Trauma & Prolonged Exposure Trauma is an emotional and psychological response to a distressing event that is life-threatening or could cause serious injury, including ... Learn more about PE > Canine Assisted Therapy Therapy dogs are trained and certified in advance obedience and their handlers are trained in dog’s behaviorism. Therapy dogs provide comfort in moments of grief, assist in chronic pain management ... More about Riley the therapy dog > SPACE Supportive Parenting for Anxious Childhood Emotions (SPACE),​ is an evidence-based treatment modality that addresses a variety of anxiety disorders in children and young ... Learn more about SPACE >

  • Treatments | CBT for Anxiety and Depression | United States

    Cognitive-Behavioral Therapy for depression and anxiety disorders. Cognitive-Behavioral Therapy Cognitive-Behavioral Therapy (CBT) is the first line treatment for mood and behavior related problems. CBT is a therapeutic approach that focuses on our perceptions and behaviors. It emphasizes the connection between our thoughts, feelings, and behavior. Our emotional state influences our thoughts, and our thoughts influence our behavoir. For example, when we feel anxious or afraid, we think: "what if something bad is going to happen?". Then we behave in away that will keep us safe and protected from the potential harm. This is a normal behavior if the threat is real, but when the threat is not real and you engage in avoidance behavior to keep yourself from feeling bad, you will end up overtime feeling worst. Unlike talk therapy, where you can talk to your therapist about whatever comes to mind, CBT is more structured, and sessions evolve around your treatment goals, focusing on the key issues that brought you to therapy at first place. Following a structured treatment plan supports a more rapid recovery since we are not getting distracted and staying on task. CBT can help you to think and feel differently. It can help you get unstuck, feel happy, and gain self-confidence. ​ To learn how to change your thinking and utilize tools to help you feel empowered ​ Book your appointment TODAY! Depression Depression should not be treated like a minor nuisance in your life. In fact, depression can range from a low negative mood to a life-threatening condition. When we are feeling depressed we tend to think that there is something wrong with us, with others, or with the world. We draw conclusions that lead us to think less of ourselves, and we get caught up in a down spiral of self loathing and shame. These negative thoughts feel real even though we have no evidence backing them. As a CBT therapist I have powerful tools that will make you feel happy, worthy, and connected to other people in your life. It takes a collaborative effort, and I am willing to be there with you every step of the way. At times, combining CBT and Medication treatment is recommended (prescribed by an MD). Learning tools to change the way you feel can be life-changing and lead to a more positive holistic life. ​ Click here now to discover how we can work together to treat depression. Book your appointment TODAY! Anxiety Anxiety is a state of fear or terror that interferes with your daily functions. That fear or anxiety is difficult to endure, and you might find yourself avoiding places and situations that might trigger that state. Our avoidant behavior gives legitimacy for our anxiety to grow, and people who struggle with anxiety get stuck in a cycle of avoidant behavior that makes their anxiety worst. Anxiety-related disorders include panic attacks, phobias, Obsessive-Compulsive Disorder (OCD), social anxiety, Generalized Anxiety Disorder (GAD), Post-Traumatic Stress Disorder (PTSD), and more. When anxiety symptoms interfere with daily functions, it is important to get help and work on skills that would help you live anxiety free. ​ Book your appointment TODAY! Trauma & Prolonged Exposure Trauma is an emotional and psychological response to a distressing event that is life-threatening or could cause serious injury, including exposure to violence that is physical, emotional, or sexual. Trauma can be experienced immediately or can have a delayed onset. It often evokes feelings of guilt and regret and can cause psychological disturbances like anxiety and depression. Prolonged Exposure (PE) is an evidence-based treatment for Post Traumatic Stress Disorder (PTSD). It helps process the trauma and reduce trauma-related psychological disturbances. ​ Prolonged Exposure for PTSD (Youtube) ​ ​ Click here to schedule a free 20-minute consultation; we can discuss your unique situation and how we may be able to work together. Book your appointment TODAY! Obsessive-Compulsive Disorder (OCD) Obsessive-Compulsive Disorder (OCD) is an anxiety-related disorder where a person experiences intrusive, unwanted, and distressing reoccurring thoughts (obsessions). Obsessions can also present as pervasive doubts, leaving one in an intolerable state of uncertainty. The attempt to stop the distress leads to ritualistic behavior, also known as compulsions. Pure 'O' is a term for people who experience obsessions but seem to have no compulsions. In other words, no physical actions taken to reduce the distress. Nonetheless, having no compulsions is rare, and pure 'O' clients often engage in mental compulsion/rituals. For example, mental counting, or repeating mentally some word over and over to make the discomfort stop. PANDAS is a Pediatric Autoimmune Neuropsychiatric Disorder associated with Streptococcal Infection in children (even when Asymptomatic). It is characterized by a sudden flair of OCD symptoms and/or a sudden flair of Tics. PANDAS symptoms best treated with anti-inflammatory medication prescribed by the child's pediatrician. OCD affects both adults and children and can be debilitating and time-consuming. Exposure Response Prevention (ERP, or EX/RP) is the most evident base treatment for OCD. During ERP, cleints learns to resist the urge to compulse and thereby, reduces both obsessions and compulsions. Selective Reuptake Inhibitor (SSRI) can also reduce OCD symptoms and is sometimes used in conjunction with ERP. (SSRIs' are prescribed medication that could be provided by your primary physician or psychiatrist). ​ Click here to schedule a free 20-minute consultation; we can discuss your unique situation and how we may be able to work together. ​ Book your appointment TODAY! Exposure Response Prevention (ERP) Exposure Response Prevention (ERP) is a treatment of choice for various anxiety-related disorders and is the treatment for OCD. To prevent a state of overwhelm, Exposure can be applied gradually. Gradual Exposure helps build a sense of competence and enhances tolerance to the discomfort. With the support of the ERP therapist, clients learn to 1) expand their ability to cope with the distress. And 2) restrain their need to respond to the urge. Clients learn to face the discomfort and tolerate it instead of avoiding it until they see that it's powerless. ​ Book your appointment TODAY! ​ Child and Adolescent Therapy Just like adults, children are also affected by anxiety and Depression. A depressed child may act irritable, struggle with low self-esteem, and lack motivation. An anxious child may display excessive worry, perfectionism, and disproportional shyness. I have powerful tools to help you and your child cope with such challenging emotions. A healthy parent-child bond is an important piece of children's mental health. I, therefore, employ skill training and psychoeducation for parents as part of the treatment plan. I further use the Supporting Parenting for Anxious Childhood Emotions (SPACE) treatment modality to help reduce anxiety-related disorders in children. ​ Contact me to discuss potential options for you and your child's unique situation. ​ Book your appointment NOW! ​ SPACE Supportive Parenting for Anxious Childhood Emotions (SPACE),​ is an evidence-based treatment modality that addresses a variety of anxiety disorders in children and young adults. Using SPACE we examine parental accessive support as a factor sustaining the child's maladaptive behavior. Supporting a child in distress is something that every good parent does. As a SPACE-certified clinician, I will help you attend to your child's emotional and developmental needs without nurturing their anxiety. what is SPACE treatment? (Youtube) Breaking Free of Anxiety - A Journey Through SPACE (Youtube) ​ Book your appointment TODAY! ​

  • CBT for Anxiety an Depression | Dr. Keren Shemesh | California, USA

    Cognitive-Behavioral Therapy for children and adults The Approach I like to offer my clients a treatment modality that will support their rapid recovery, help them feel more confident, happy, and hopeful about their future. I utilize a Cognitive-Behavioral Therapy approach called TEAM-CBT. This approach was developed by a psychiatry professor at Stanford University School of Medicine, Dr. David Burns. TEAM-CBT has successfully provided a rapid recovery from issues concerning mood, anxiety, and relationship problems. TEAM stands for Testing, Empathy, Assessment of Resistance, and Methods. ​ T – Testing. Similarly to your physician, who uses physiological measures like blood pressure, weight, and body temperature, I use psychological measures to better assess and understand your mood. I use a standard measure to test and collect information concerning your level of happiness, anxiety, safety, anger, and the quality of relationships in your life. Our relationship with others can be a source of happiness or grief, and is valuable to consider when evaluating one's mood. ​ E – Empathy. I want to get it! I want to understand what it is like to be you. I want to understand your experience, perspective, what you are telling yourself, and how you feel. Earning my clients' trust is the most humbling and yet, the most rewarding aspect of my work. No cutting-edge tools would have the desired effect without this step. ​ A – Assessment of resistance. After the Empathy step, I will assess your readiness for the tools I am about to show you. These tools will crush your challenging thoughts and change the way you feel. However, these tools would only work if you truly desire the change with all your heart and are willing to put some effort into making it happen. Once you are ready, I will be there with you and guide you every step of the way. M – Methods. Methods are the tools we will use to crush your challenging thoughts, hopefully for good. Although there are over 100 tools, we only need to find one or two that work the best for you. Different methods are used for different problems, but also different personalities. ​ Exposure treatment is usually the method of choice for treating anxiety-related problems. There are different types of exposure treatment. You can read about it in the treatment page. ​ Contact me today to learn more about how the TEAM-CBT approach can assist you Book your FREE CONSULTATION today! Practice Policies I normally see clients once a week. Sessions are 50 minutes long. Bi-weekly sessions might be recommended for a limited time to boost your skills. Intensives available! You can save yourself the hassle of going to therapy for weeks by attending a weekend intensive. Intensives consolidate several hours of therapy into a day or two over a weekend. Click here to schedule an intensive. Sliding scale available for those who qualify Accepted forms of payment are checks, credit cards, and Health Spending Account (HSA) I do not take insurance. Please ask your insurance provider about out-of-network coverage Missed appointments and late cancellations delay the progress of our work. Canceling without 24-hour notice may entail payment of a full session fee. < Back

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