counselors Tag

Post Traumatic Stress Disorder Therapy and Counseling

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder is a form of anxiety disorder which stems from exposure to a traumatic event or situation which caused real or threatened injury to and this can also be caused by the witnessing of an event or situation which injured or threatened injury to another person. According to the DSM IV, there is a lifetime prevalence rate of about 8% for the development of PTSD. Muggings, rape, terror, hostage attacks, natural disasters, car accidents, are situations that can increase the likelihood that a person may develop PTSD.

As a therapy practice which also specializes in marriage and family counseling, we support the research which suggests that individuals who have experienced an infidelity in their relationship may also go on to develop symptoms of PTSD or Acute Stress Disorder.

There are certain occupations which put people at risk for developing Post Traumatic Stress Disorder by exposing them to frightening and dangerous situations. Those who work as military/armed forces, policeman, fireman, and detectives may be particularly vulnerable for developing PTSD. Finally, there is a second form of PTSD, Vicarious or Secondary trauma, this form of trauma is caused by exposure to information related to traumatic events and is commonly seen in therapists, social workers, attorneys, judges and persons who offer support and services to those who have had trauma.

The Diagnostic Criteria for PTSD are;

• The person has witnessed, was confronted with or in some way threatened with death or serious injury to the self or others.
• The response to this event or threat was intense fear, horror, anxiety, and or helplessness.

1. The events is then continually and persistently re-experienced in the form of imagery, thoughts, perceptions, the person may also experience frightening and recurrent dreams related to the traumatic event. The person will then attempt to avoid any associated triggers of the event and have an over all numbing and or a hyper-vigilance meaning they become hyper-aroused when exposed to triggers for the trauma. They also may have difficulty falling asleep, concentrating, regulating mood, and have an increased startle response. Individuals exposed to trauma may too are also at increased risk to develop mood disorders such as depression and are also at increased risk for developing substance abuse.

Treatment for Post-Traumatic Stress Disorder often involves Trauma Focused therapy with a licensed professional counselor or therapist as well as medication therapy in certain instances. Another form of therapy which has proven effective in clinical models is EMDR.

Obsessive Compulsive Disorder OCD, Therapy and Counseling

Obsessive Compulsive Disorder

Obsessive compulsive disorder is a type of anxiety disorder which afflicts .5-2.5% of the population. The disorder greatly effects the quality of life for the sufferer and becomes a consuming pattern of anxieties and rituals which are centered around both obsessional worries and compulsive behaviors. Most of the individuals who have this disorder at one time or another acknowledge or have insight that their worry is excessive or disproportionate to the actual fear or anxiety. An example of someone who may be experiencing Obsessive Compulsive disorder is that “It started when I was in my mid 20’s, I was always worried that I would get something wrong, I made lists so I could try to manage my daily living tasks. Soon lists became my life, I would write a list of everything that I needed to do while I was in the shower, then I would check the list 3 times after writing it, to be sure that I did get everything right. Then I would reread my list again 2 times before entering the shower and read it out loud, If I didn’t perform this task I was simply unable to take my shower for the day because I would lapse into such overwhelming anxiety.”

Some examples of symptoms and behaviors association with this disorder are as follows

according to the Diagnostic and Statistical Manual;

That the individual has either obsessions or compulsions and which the definition of these are;

1. Thoughts which are recurring and persistent including images or impulses, these impulses are distressing and cause impairment including anxiety.
2. These impulses, thoughts and images are not related to a threat or worry about a real life problem.
3. There is an attempt to repress and ignore the distressing images, impulses and thoughts.
4. The person who is suffering from this disorder is in recognition that these fears are in fact a product of his or her own thought process.

Compulsions are defined as

1. Repetitive behaviors (e.g., checking, cleaning, cleaning,) and also cognitive acts such as (ie, ritualized prayer, tracing in the mind, taking count of objects or steps) the person feels compelled to enact the behavior in response to the obsession in a system of self created rules.

Obsessive compulsive disorder is a treatable anxiety disorder, the best form of therapy often involves both pharmacology including SSRI’s delivered in conjunction with long-term psychotherapy. Cognitive behavioral therapy has proven effective in managing the symptoms associated with this diagnosis as well as Behavioral Therapy such as Exposure therapy are all effective treatment or counseling models to progress beyond this disorder and take back control over life.

Therapy and Counseling, Treatment For Anxiety

Treatment for Anxiety

Treatment for anxiety takes many forms, there are generally three main agreed upon and clinically verified methods to manage and reduce symptoms of anxiety. Counseling or Therapy with a licensed counselor or therapist is the first treatment route. The treatment route for this form of help can vary from short term, brief solution-focused counseling interventions as well as long term treatment including cognitive behavioral therapy and even existential therapy. Only you and your counselor or therapist can determine which method will be best for you.

Other ways to manage symptoms related to anxiety are to enhance total wellness, this includes  integrative medicine, nutrition counseling, acupuncture, fitness, meditation, and mindfulness. Some people experiencing anxiety find that a holistic approach suites their lifestyle best, in turn they explore clinical herbalism and integrative interventions to learn how this can support positive emotional health and wellness. Holistic therapy is best utilized along with counseling or psychotherapy from a licensed counselor  which is therapy which will focus on finding triggers and changing the cognitive response to anxiety. The final way to treat anxiety is to use medication therapy. Medication has many different options including SSRI’s which must be taken for several weeks before taking effect and then other anxiolytic medication which is more short acting, talk with your psychiatrist or prescribing PCP to explore which form of medication therapy is the best for you to treat your anxiety. Medication often works best to diminish anxiety when it is paired with counseling and therapy which can change the thought patterns, discover underlying causes of anxiety and mange the full way in which it effects quality of life.

Remember that the worst way to manage your anxiety is by doing nothing at all in the hope that your symptoms will disappear. Managing anxiety is done best when we treat it early and completely with solid medical and therapeutic interventions.

Jackie Mandock, LPC, NCC

Jackie Mandock, LPC, NCC, LBSC, MH is a counselor at Counseling and Wellness Centers of Pittsburgh- Monroeville. She provides therapy to children, adolescents, families, couples, and adults. Jackie approaches therapy from a holistic perspective, always staying mindful of how the body, mind, and spirit are interconnected. Jackie is certified in trauma focused cognitive behavioral therapy and is trained in parent-child interaction therapy.  She has worked with many different concerns in these specialized populations ranging from attention-deficit hyperactivity disorder to trauma, as well as anxiety and depression. Jackie is also a licensed behavioral specialist with a strong background in autism.  Jackie was a school-based therapist and is familiar with school concerns and supporting educational issues. She is a graduate of University of Pittsburgh with a Bachelors in Psychology and Neuroscience and  from Chatham University with a Masters in Counseling Psychology. Jackie also has a Master Herbalist diploma from American College of Health Sciences.

Melissa Taylor, LMFT

Melissa Taylor, LMFT

Melissa Taylor, LMFT, MS is a very enthusiastic and compassionate professional that believes in the power of combining counseling and physical activity when working through personal issues. As a marriage and family therapist, Melissa works through family system issues that may influence a person’s current life situation, relationship issues, and emotional instability. As individuals, we have grown up with different family dynamics, viewed many family relationships and observed different ways of communicating that influence present time relationships and how we cope with issues. Family patterns exist, so Melissa helps people identify and understand those patterns, and then learn how they influence current problems. Melissa has worked for years with adults and adolescents that have been abused, abandoned, felt depression and anxiety, or struggle with current relationships; therefore, she is very comfortable working with individuals, couples and families that are dealing with past and current difficulties. She encourages self-care practices through counseling and exercise to build self-esteem, trust, communication and coping skills, to improve their own lives. Melissa is a psychoanalytic therapist that also provides CBT and other family system theories in her work. She encourages clients to trust her and themselves in the counseling process to work together towards healing and personal goals.

Melissa has lived in multiple states to complete her education and build her career while learning different cultures. She received her Bachelor’s Degree in Psychology at the University of Kentucky, and completed her Master’s Degree in Marriage and Family Therapy at Drexel University in Philadelphia. She also had the privilege of completing a Master’s degree in Kinesiology at LSU in Baton Rouge, which allows her to integrate physical activity for clients in their therapeutic treatment process. She has provided therapy in Kentucky, Indiana, Louisiana, Texas and now Pennsylvania. She has worked with Rape Crisis Centers, FQHC’s, Inpatient and Outpatient locations, integrated healthcare centers, and group practices. Melissa has experience in different levels and types of mental health care and has learned how mental health symptoms affect all populations.

Melissa recently moved to Pittsburgh from Texas and enjoys exploring her new city with her husband and two young children. She enjoys playing and teaching her children, Zumba and other exercises, and cooking with her family. Melissa is very energetic and is always seeking new experiences for herself and her family.

 Mindful Parenting Workshop

Counseling Pittsburgh

Our licensed professional counselors are here for the community offering evidence-based therapy, marriage counseling, family counseling,  child therapy, art therapy, premarital counseling, all by top rated clinicians. Our team of therapists has over 150 years of experience between us, we offer therapy to heal from Depression, Anxiety, Obsessive Compulsive Disorder, Post-Traumatic Stress Disorder, and our Couples Therapists can treat a full range of relationship issues from conflict communication, to intimacy enhancement, and parenting concerns. In all of our centers, we also provide a menu of comprehensive wellness services. We offer wellness support including health treatment options from our certified nutritionist, kinesiologist, clinical herbalist who specialize in offering the people of The Greater Pittsburgh and Western Pennsylvania communities providing wellness solutions for mind, body, and spirit. Be well with us!

Contact us at our Pittsburgh location 830 Western Avenue Pittsburgh Pa, 15233 Our Pittsburgh center is located in the northshore of the downtown Pittsburgh. Therapy near Northside, Southside, Brighton heights, Lawrenceville, Shadyside, Bloomfield, Strip District, and Mt. Washington. Our hours are from 7-am-8 pm  Monday through Sunday. We accept UPMC, Highmark, Blue Cross Blue Shield, United, Magellan, Aetna, and Comp Psych as well as Out of Network, Self Pay, and Sliding Scale options.

For a therapist near you – Call us at 412-322-2129

Counseling Monroeville, PA

Counseling in Monroeville at Counseling and Wellness Center of Pittsburgh our therapists are trained in a variety of specialties including Marriage and Family Therapists, Child Therapy, and Certified Nutritionist, Kinesiologist, Clinical Herbalist, and Meditation Instructor are proud to be Monroeville’s only Integrative Counseling Center. Our Counseling team include top-rated therapists with decades of experience in Mental Health and Marriage or Couples Counseling in Monroeville.

Our therapists serve Western Pennsylvania and our Counseling Center East is near you in Monroeville, Murrysville, Penn Hills, Plum, New Kensington, and Westmoreland County. We provide compassionate and scientifically validated therapy solutions specifically available for your emotional health and wellness. Our counselors treat individuals who are suffering from a broad range of mental health concerns such as anxiety, anger management, depression, chronic mental health diagnoses, trauma, bipolar disorder, late stage alcohol and substance abuse recovery, intimacy, life transitions, managing the emotional effects of a medical diagnosis, grief counseling, stress disorders, stress management, obsessive compulsive disorder, mood disorders, personality disorders, compassion fatigue, parenting, life balancing, postpartum depression and many more. Our child therapists help children who are dealing with bullying, trauma, grief, behavioral, and attentional disorders. The Counseling and Wellness Center of Pittsburgh has therapists with specialties in all ages and stages of development.

Some of the commonly treated disorders which can be helped by our Couples Therapy specialists are intimacy, communication, conflict, infidelity, parenting and co-parenting, as well as premarital counseling. Family counseling is also an option and our therapists have worked with families of all types and sizes including parent child, adult children and parents, step families, siblings, and grandparents.

As an integrative counseling center we utilize many approaches and offer solutions for emotional, relational, and physical health in our centers. Our counselors use cognitive behavioral therapy, mindfulness, humanistic, psycho-dynamic, and emotionally focused techniques as well art therapy for kids. We also have a wellness team to provide natural solutions to enhance well-being including herbalism, meditation, and nutrition counseling. In other instances we are glad to collaborate with psychiatrists and psychologists to provide continuity of care for those clients who hold psychiatric diagnoses. Please refer to our providers individual bio’s for a more comprehensive explanation of their professional styles, training, and educational backgrounds.

We accept many insurance companies including UPMC, Highmark Blue Cross Blue Shield, United, Aetna, and Cigna. Additionally and for your convenience we also accept HSA, credit and debit card for self paying clients. We staff therapists who care and who do offer the sliding scale so that all clients can access the mental health coverage that they need.

We do offer distance solutions at all of our centers and can provide counseling using Skype.

If you have a question about whether we have a counselor to treat your specific concerns and emotional needs, please send an email and we will be glad to let you know or answer any other specific questions or inquiries.

Counseling and Wellness Center of Pittsburgh is conveniently located at 2539 Monroeville Blvd, Monroeville, PA, 15146. We are in a freestanding building with a large parking lot attached to our center.

Call us at 412-856-WELL or 412-856-9355

HOURS:

Monday 7am-9pm

Tuesday 7am-9pm

Wednesday 7am-9pm

Thursday 7am-9pm

Friday 7-am-9pm

Saturday 7am-9pm

Sunday 7am-9pm