How does therapy begin?
Consultation is used initially prior to deciding on whether my practice is a good fit for your needs, or whether another modality would be more helpful to you. Consultations may also be used to decide collaboratively what frequency of psychotherapy and what duration would be most beneficial.
Where are psychotherapy sessions held?
Sessions are held either in person, or online using video or via telephone. Sessions may be conducted at my NYC office in Midtown, or in a park as a Walk & Talk session. Locations include Central Park in NYC, McCarren Park in Greenpoint, Cooper Park in East Williamsburg & Prospect Park, Brooklyn.
How long is the duration of psychotherapy treatment?
Psychotherapy can be short- and long-term. Short-term treatment offers benefits when seeking help with a specific issue or problem-solving. However, many individuals who come to therapy for problem solving may discover deeper layers of unresolved issues that they choose to work on in long-term treatment.
Long-term psychotherapy may extend over a period of time, in many cases several years, depending on the client’s goals and circumstances.
How long is the duration of each session?
Individual (adult and child) sessions are 45-60 minutes
Family and Couple sessions are 60-90 minutes
How does Cognitive Behavioral Therapy (CBT) differ from Psychoanalytic/Psychodynamic therapy?
CBT is more structured and uses homework or action plans. The notion of negative automatic thoughts or cognitive distortions and core beliefs are central to CBT therapy. Core beliefs are formed by early experiences and more crystalized forms of thought that drive negative automatic thoughts (thought distortions). One of the key goals is to help bring core beliefs to the surface, to the patient’s awareness as the driving force underlying the automatic negative thoughts. This allows patients to reshape their thinking gradually and as a result emotions connected to thoughts also shift in positive ways.
Psychoanalytic or psychodynamic therapy is similar to CBT in that early experiences that are not in our conscious awareness are unraveled and deconstructed (reduced to parts). Psychoanalytic theory deals with the unconscious drives--forces propelling our feelings (emotional and physical) and behaviors (actions). Negative feelings and behaviors that once worked as defensive or adaptive strategies may no longer serve the patient well. For example, when an event such as a loss or a rejection is experienced early on, the individual may feel shock or trauma with little understanding of what this event means in the scheme of their life. A defense or adaptive strategy is a way to help the individual cope so as to incorporate the experience, make meaning of it. The defense also functions to protect from similar future experiences so that they are not experienced as threatening.