At the Counseling and Wellness Center of Pittsburgh, we understand that every individual’s journey to mental health and well-being is unique. That’s why we offer a diverse range of therapeutic modalities to address a variety of emotional and psychological challenges. Among the many approaches available, you can explore several effective therapies including, Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). These two therapies, CBT vs DBT, are often compared due to their distinct approaches and techniques, making them valuable tools in the mental health field. Additionally, we offer Acceptance and Commitment Therapy (ACT), Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), and Internal Family Systems (IFS). Each of these therapies has its own unique approach, making it important to explore the right fit for your specific needs and goals.
by Counseling and Wellness Center of PittsburghSeptember 15, 2023 CBT, cognitive behavior therapy, cognitive behavioral therapy, EMDR, IFS, Internal Family Systems, Trauma-Focused Cognitive-Behavioral Therapy0 comments
Cognitive-Behavioral Therapy (CBT)
CBT is one of the cornerstones of psychotherapy, offering a structured approach to understanding and managing thoughts, feelings, and behaviors. Our therapists work with you to identify negative thought patterns and empower you to replace them with healthier, more adaptive ones. CBT is effective for various mental health issues, including anxiety, depression, and phobias. Through CBT, you will learn practical strategies to manage your symptoms and become your own therapist.
Dialectical Behavior Therapy (DBT)
DBT, developed by Dr. Marsha Linehan, was initially designed for individuals with borderline personality disorder (BPD) but has since been adapted for other conditions. This therapy combines cognitive-behavioral techniques with mindfulness and acceptance strategies. Our DBT program teaches you to regulate emotions, improve interpersonal skills, and increase distress tolerance. DBT’s unique dialectical approach encourages acceptance of oneself and the need for change simultaneously, making it particularly helpful for those struggling with intense emotional instability and self-destructive behaviors.
Acceptance and Commitment Therapy (ACT)
ACT is a mindfulness-based therapy that emphasizes accepting what is out of your control while committing to actions that enhance your life. Our therapists guide you in being mindful of your thoughts and feelings without judgment, helping you clarify your values and goals. ACT uses various mindfulness and behavioral techniques to help you let go of unhelpful thoughts and behaviors that stand in the way of living a meaningful life. This approach has proven effective for a wide range of mental health issues, including anxiety, depression, and chronic pain.
Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is a specialized therapy primarily used for individuals who have experienced trauma. Developed by Francine Shapiro, EMDR facilitates the reprocessing of traumatic memories using bilateral stimulation, such as side-to-side eye movements or tapping. Our EMDR therapy helps you process traumatic experiences, reducing their emotional charge and integrating them into your life story. While EMDR is well-established for post-traumatic stress disorder (PTSD), it can also be beneficial for other trauma-related issues.
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT)
TF-CBT is a specialized therapy designed for children and adolescents who have experienced trauma. Our TF-CBT program integrates cognitive-behavioral techniques with trauma-specific interventions, aiming to reduce trauma symptoms and improve overall functioning in young trauma survivors.
Internal Family Systems (IFS) Therapy
IFS is an innovative approach that focuses on understanding and harmonizing the various “parts” or subpersonalities within an individual’s mind. Our IFS therapy helps you explore and communicate with these inner parts, fostering self-awareness and healing. By acknowledging and working with these parts, individuals can achieve a sense of balance and self-compassion. IFS has been effective in addressing a wide range of issues, including trauma, anxiety, depression, and relationship challenges.
At the Counseling and Wellness Center of Pittsburgh, we provide you with a variety of therapeutic modalities to support your journey toward mental health and well-being. Your path to healing is unique, and our experienced therapists are dedicated to helping you find the right approach that aligns with your specific needs and goals. Your journey to well-being starts here, and we are here to guide you every step of the way.
Ready to Get Started With Therapy?
Ready to embark on your therapeutic journey with CBT, DBT, or other therapies? Reach out at 412-856-WELL or complete the form below.
by Counseling and Wellness Center of PittsburghMarch 9, 2023 anxiety, CBT, cognitive behavior therapy, cognitive behavioral therapy, instrusive thoughts, obsessive compulsive disorder, OCD, post traumatic stress disorder, ptsd0 comments
Intrusive thoughts can occur at any time and are just as they sound—intrusive! Intrusive thoughts are thoughts that come out of nowhere, are involuntary, and can be difficult to get rid of. Common examples of intrusive thoughts include wondering if the doors are locked, if the stove or curling iron is turned off, or if people like you.
Everyone experiences intrusive thoughts at some point in their lives. For most people, intrusive thoughts come into their mind and seem to leave almost as quickly as they arrived. They can recognize the presence of the intrusive thought, acknowledge it, and take care of it, whether that’s by cognitively or behaviorally disproving it. They may check to make sure the door is locked and then don’t give the thought any more attention. Or they may simply remind themselves that “of course the door’s locked” and focus their thoughts on other things. For most people, intrusive thoughts are nothing more than a huge annoyance.
For some people, however, intrusive thoughts can be a symptom of a deeper issue. Intrusive thoughts can be characteristic of several mental health conditions such as anxiety, depression, obsessive compulsive disorder (OCD), and post traumatic stress disorder (PTSD). In these cases, the intrusive thoughts are more than just annoying; they may cause severe emotional distress to the person or cause them to behave in erratic ways. For a person with OCD, for example, instead of dispelling the intrusive thought that the door is not locked by checking the door, the intrusive thought persists and can become a compulsion. For these individuals, the intrusive thoughts simply won’t go away.
Intrusive thoughts are different from hallucinations because they occur as thoughts and will typically present the way the person speaks. Hallucinations, on the other hand, sound as if someone else is speaking in your mind. Regardless of if you experience an occasional intrusive thought or experience them frequently as a symptom of a larger mental health issue, there are some things you can do:
- Acknowledge the thought and identify it as intrusive. When people try to ignore the thoughts or push them away, they typically occur more frequently. Has anyone ever told you not to think about something? I remember being told not to think about ice cream once. Suddenly, ice cream was all I could think about!
- Remember that you are “normal” and everyone has intrusive thoughts from time to time.
- Continue with your usual behavior.
- Practice mindfulness and meditation to help practice “refocusing” your thoughts. Many people find “grounding” – a therapeutic approach where you focus on connecting to the earth – helpful. This can be accomplished by simply looking around the environment for things you see, hear, feel, taste, and smell.
- Learn and practice Cognitive Behavior Therapy (CBT) or another approach to reframe distorted thoughts.
- Receive professional treatment if intrusive thoughts persist or become bothersome. During your initial meeting, the clinician will usually ask about the frequency and intensity of the intrusive thoughts. They will also ask other questions to determine if the intrusive thoughts are symptomatic of an undiagnosed mental health condition. Sometimes a clinician will decide that medication may be the most appropriate way to treat intrusive thoughts.
Written by Rayeann Milne, Counseling Intern. If you’d like to schedule an appointment with Rayeann, please call us at 412-322-2129.
Interested in Medication Management for Intrusive Thoughts?
If you’d like an assessment by our psychiatric mental health nurse practitioner, please call us at 412-322-2129 or fill out the form below.
Bilodeau, K. (2021). Managing intrusive thoughts. Harvard Health Publishing.
Sreenivas, S. (2021). What are intrusive thoughts? WebMD.
by Counseling and Wellness Center of PittsburghOctober 17, 2022 adult therapy, anxiety therapy pittsburgh, cognitive behavioral therapy, cognitive distortions, coping skills, counseling, counseling for anxiety, counseling for depression, counseling for depression pittsburgh, counseling monroeville, counseling near me, counseling pittsburgh, counseling south hills, counseling wellness, counseling wexford, depression counseling, depression therapy, generalized anxiety disorder therapy pittsburgh, greensburg counseling, how to get the most out of therapy, how to reach your goal, mental health, online counseling, psychotherapist, searching for a therapist in monroeville, searching for a therapist pittsburgh, south hills counseling, stress management, therapist in murrysville, therapists, therapists for depression, therapy for anxiety, therapy in wexford, therapy pittsburgh0 comments
If you’re here, congratulations on taking the first step and beginning therapy! Deciding to go to therapy is a major step in overcoming issues like anxiety or depression, healing trauma, getting support to cope with difficult life transitions, managing stress or working on developing healthier relationships. We asked the therapists at the Counseling and Wellness Center of Pittsburgh to share their suggestions for how to get the most out of therapy.
- Be consistent with your appointments. When we go to physical therapy after an injury, it is only by being consistent in our treatment that we get better in a timely way. Mental Health Therapy is the same.
- Have an accurate perspective on the role your counselor has. They are a facilitator, helping you identify goals, steps for reaching these goals, and barriers that may get in the way. The therapist is not there to ‘fix’ you, the work is on your part.
- Timing is important and change happens over time. We may not be ready to address every concern or goal at the same time. As long as we keep working on what is important at the time, we are making progress and moving forward. To get an accurate perspective on your growth, don’t just look ahead at where you are not, look back at where you were and how far you’ve come.
- Put in the work. The therapy hour is once per week. While therapy offers skills, opportunities for discovery and ways to challenge your thought patterns and beliefs, it works best when these tools are applied outside of the therapy office and in between sessions.
- Keep a therapy journal to take notes during your therapy session as well as notes throughout the week to be addressed during your next session. This helps keep treatment productive and makes sure that clients are reminded of things important from their sessions during the week.
- Therapy is about change. Be eager for change in your life. Be willing to challenge yourself.
- Don’t give up if you don’t see results right away. Therapy is a process, and mental health is an ongoing journey.
Ready to Get Started With Therapy?
Call 412-322-2129 to get scheduled with a therapist or fill out the form below.
by Counseling and Wellness Center of PittsburghJuly 20, 2022 cognitive behavioral therapy, cognitive distortions, how to deal with loneliness, loneliness, reframing cognitive distortions0 comments
* a phrase coined by psychologist Jennifer Abel.
Loneliness, typically defined as the discrepancy between a person’s desired and actual social relationships, affects more than half of U.S. adults (58%). Additionally, Americans with mental health issues are more than twice as likely to be lonely than those with strong mental health.
Lonely individuals approach social encounters with a hypervigilance for social threats; they preferentially attend to negative social information; they remember more of the negative aspects of social events; they hold more negative social expectations; and they are more likely to behave in ways that confirm their negative expectations.
Research suggests that loneliness is not a fixed trait and can be improved or worsened by social interactions. Therefore, opportunities for social connectedness have the potential to improve the quality of social interactions and keep loneliness at bay.
How do we create these opportunities for social connection? What can we do about heightened sensitivity to social threats? Here’s our therapist recommendations for how to deal with loneliness.
- Use Cognitive Behavioral Therapy to identify the automatic negative thoughts you have around rejection and how other people perceive you. Then think of alternative or “better but believable” thoughts* that can help you have more neutral feelings.
- Look for and engage in everyday points of connection, even small ones, if it’s safe to do so. For example, wave to the neighbor down the street taking their daily walk, or engage in the impromptu casual conversation the person in front of you in line at the grocery store may start as you wait, usually about how you both always choose the longest line, etc. Those points of connection help you identify with others and underscore that while you may feel isolated, often you share a common experience with others.
- Are you feeling lonely with people you know? Maybe it’s time to hit “pause” with your current friends and build new relationships.. Look to see who has “friend potential.” If people are asking you to hang out and it seems intriguing, take a chance.
- Identify something you would enjoy or do enjoy or feel committed to and seek out a volunteer opportunity. You don’t even have to commit tons of time- it can be a one time step to start to see if you like it, and you`ll still garner the benefits of connection and being of service. Like animals? Seek out a volunteer opportunity at a local animal shelter during a pet supply drive or adoption day. If environmental concerns are more your thing, participate in a local clean up day and bond with your clean up crew as you compete to see which crew can stash the most trash! The options are as unique as you are! Who knows, you may even get to meet folks who share similar interests, which is an added bonus.
- Be the first to reach out to others. Many people remain lonely because they wait for others to engage with them or take the lead in setting up social interactions. Social people continually take the lead in calling, texting and making plans.
- Many people approach their social interactions in terms of what they get from them. They think, “What will this person do for me?” “How can *I* feel better from this social interaction?” This backfires. Instead, approach social interactions with the mindset of, “What can I give this person?” “How can I make them feel better?” Ultimately, people like being around people who make them feel good. If you focus on making the other person feel good rather than yourself, you stand a better chance of making a strong connection with the person.
* a phrase coined by psychologist Jennifer Abel.
by Counseling and Wellness Center of PittsburghJune 2, 2022 adult therapy, anxiety, CBT, cognitive behavioral therapy, cognitive distortions, coping skills, counseling, depression, Emotional Health, emotional intelligence, emotional iq, exercise for gratitude, goals, gratitude, mental health, personal growth, therapists0 comments
Our therapists are here to offer mental wellness support with specific interventions to treat all major mental health disorders including anxiety, depression, grief and trauma as well as relationship issues or any life stressors that you are dealing with. We teach you new coping skills for a variety of relational, emotional, and psychological issues so that you can enjoy your life.
While each counselor has their own specialties and approaches to therapy, there are several key things that most therapists want you to know.
Read on for 10 things your therapist wants you to know.
- Talking to a friend is not a replacement for therapy—therapy is strategic, focused, and an application of scientific methods to heal. Friends can offer support and connection but can’t replace therapy.
- Therapy is a safe place where you can be yourself without feeling judged. We won’t judge your story.
- Healing doesn’t happen from attending a weekly appointment. You heal by applying the skills, solutions and methods that you discuss in therapy during all of the hours in between sessions.
- It is ok to tell us anything and everything you are experiencing or have experienced: feelings, thoughts, intentions, behaviors etc. You’d be surprised that what you are sharing is something we have most likely heard many times before and it is not shocking.
- We’re not irritated by reviewing the same information over and over. Change takes time and practice.
- Setbacks are just learning opportunities — we won’t be disappointed in you.
- It may get worse before it gets better. Talking about tough emotions, situations and past traumatic experiences may be painful at first but is necessary in order to process them and change.
- The opposite of depression isn’t happiness. Often times folks who experience clinical depression make an assumption that they continue to be depressed or are not getting better even after symptoms decrease because they are “not happy” (with life/career/partner). The marker they use to determine depression is happiness vs unhappiness. When people learn that happiness takes work, it can be freeing for them and they have an easier time accepting their progress.
- Therapy can be challenging. It is not easy. But first work on developing a therapeutic relationship with your therapist. Once you have a solid foundation, you are able to work through so much. Be patient with the process.
- We won’t say hello in public unless you do first.
It is an honor and privilege to be a part of this life journey with each and every client we see.
Interested in Starting Therapy?
If you are ready to start therapy, you can call us a 412-322-2129 or fill out the form below.
by Counseling and Wellness Center of PittsburghApril 2, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, social anxiety, social anxiety therapy, therapist0 comments
Social Anxiety or Social Phobia
Social and anxiety or social phobia is a kind of anxiety disorder in which the person experiencing the anxiety is fearful of experiencing embarrassment in social situations. According to epidemiological statistics this disorder has a lifetime prevalence rate of as much as 3-13%. Researchers have also noticed a strong family component to this disorder meaning that social anxiety or social phobia occurs with more frequency in first degree relatives. The onset of this particular kind of anxiety disorder is often in the teen years and can sometimes result after having experienced humiliation an embarrassing social situation.
According to the Diagnostic and Statistical Manual IV, this fear is very marked and when a person thinks about performing, speaking, or interacting in a social situation they may notice the fear response and or anxiety onset immediately in the form of sweating, heightened heart rate, increased respiration as well as cognitive responses such as worry and fearful thoughts. The symptoms of social phobia are marked and the person experiencing them recognize that they are excessive fears. An example of social phobia or anxiety is that person is terrified that if they speak up in class that they may blush and others will then see it and laugh at them. As you can imagine this can cause impairment in academic functioning and in many instances the person will avoid the possibility of enduring such a response and could skip class or even drop out of school. Some individuals with a social anxiety may be able to face the feared situation with distress.
Treatment for Social Phobia often involves therapy with a licensed professional counselor or licensed therapist. Counseling has many clinically verified treatment methods which are scientifically validated to reduce the anxiety related to this disorder and help individuals experiencing social anxiety to live normal healthy lives. Mindfulness based stress and anxiety reduction techniques including integrative medicine, medication therapy, meditation, acupuncture, diet, and exercise may also be helpful in treating this anxiety disorder. Please talk to your medical or licensed mental health professional to see which of these would be the best option for you.Learn More
by Counseling and Wellness Center of PittsburghApril 1, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, psychotherapy, searching for a therapist in monroeville, searching for a therapist pittsburgh, Therapy and Counseling For Anxiety, therapy for anxiety, therapy pittsburgh, wellness0 comments
Generalized anxiety disorder is a mental health concern which brings many people into therapy each year. As many as 1/4th of people who seek treatment in counseling centers each year do so as a result of wanting to manage symptoms related to Generalized Anxiety Disorder or (GAD). Signs and symptoms of Generalized Anxiety Disorder are free floating thoughts and worries that are not related to a real imminent danger. Those who experience generalized anxiety disorder may find it difficult to distinguish between thoughts and fears which are related to a real possible danger or threat and one that is not. The thoughts, fears, and worries of Generalized Anxiety Disorder co-occur with physical somatic responses such as elevated heart rate, fatigue and restlessness, and or difficulty falling and staying asleep. Individuals who are experiencing this anxiety disorder may also be prone to irritability and may too have a higher incidence rate of other mood and mental health disorders including other anxiety disorders, or depression and substance abuse disorders.
A woman suffering from GAD may say something like “I was always on edge, it was difficult to pin point when the worrying started but it felt like it was one thing after the next. I was worried about getting into college, then how I would manage student and work life after, each test and paper caused me endless worry. It wasn’t just with school either, everything from traffic, to my parent’s health, I wasn’t even able to see the way it was effecting me until things became so bad that I wasn’t sleeping well and started to really feel down. Then I found a therapist and started working on treating my anxiety and along with that I was able to identify how much it had taken over my life.”
Some of the diagnostic criteria for GAD according to the Diagnostic and Statistical Manual, are as follows; Excessive worry for at least 6 months.
The person experiencing the anxiety is not able to control the worries or change the focus of their thoughts. Additionally these worries are accompanied by physical sensations or somatic responses including at least 3 of the following; Restlessness, Fatigue, Concentration difficulties, Irritation of Mood, Tightness in the Muscles, Sleep Cycle Disruptions including Difficulty staying or falling asleep. Remember these symptoms cause significant distress in social, family, or work life and are not caused by another disorder or use of substances. Only a licensed professional counselor, psychologist, or psychiatrist can help you to discern whether you are exhibiting or experiencing the full range or concerns which may mean you qualify for a diagnosis which will then help to guide the treatment for the anxiety disorder.
Treatment for generalized anxiety disorder often involves many therapy and counseling options. Many forms of psychotherapy including, cognitive behavioral therapy, psycho-dynamic therapy, brief solution focused therapy, acceptance therapy, gestalt therapy, rational emotive behavior therapy, are all valid methods to treat anxiety disorders and manage the symptoms associated with it. In other instances, counseling may be used alongside medication therapy, integrative medicine, including mindfulness and meditiation, to achieve a significant and long lasting reduction in the symptoms of anxiety.
Counseling and Wellness Center of Pittsburgh and Monroeville
830 Western Avenue
Pittsburgh Pa 15233
2539 Monroeville Blvd
Monroeville PA 15146
by Counseling and Wellness Center of PittsburghApril 1, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, help for anxiety, licensed therapist monroeville, licensed therapist pittsburgh, post traumatic stress disorder, ptsd, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapy, Therapy and Counseling For Anxiety0 comments
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.
- 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.
by Counseling and Wellness Center of PittsburghMarch 16, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, Help for obsessive compulsive disorder, licensed therapist monroeville, licensed therapist pittsburgh, obsessive compulsive disorder, OCD, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapist in murrysville, therapists, therapy, Therapy and Counseling For Anxiety, therapy for anxiety, therapy pittsburgh0 comments
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;
- Thoughts which are recurring and persistent including images or impulses, these impulses are distressing and cause impairment including anxiety.
- These impulses, thoughts and images are not related to a threat or worry about a real life problem.
- There is an attempt to repress and ignore the distressing images, impulses and thoughts.
- 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
- 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.Learn More
by Counseling and Wellness Center of PittsburghMarch 16, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapist, therapy, therapy for anxiety, therapy pittsburgh, wellness, wellness center monroeville, wellness pittsburgh0 comments
Panic Attacks and Panic Disorder
As many as 4.7% of people will experience a panic attack at some point in their lives, panic disorder is a form of anxiety disorder which can be extremely intense, many times individuals who have a panic attack end up going to the emergency room imagining that the rapid heart beat and dizziness are a heart attack. Symptoms and features of anxiety disorder according to the Diagnostic and Statistical Manual IV, laid forth by the American Psychiatric Association are as follows: To have experienced at least 4 of the following 13 symptoms;
A feeling of smothering
Feeling of Choking
Discomfort or Pain in the chest
Abdominal distress including a heightened need to urinate or defecate
Dizziness or Lightheadedness
Derealization or Depersonalization
Fear of losing control or a feeling that you are “going crazy”
Sweating, Chills or Hot Flashes
The symptoms of a panic attack are hallmarked by their sudden onset and intensity, unusually a panic attack has an onset in as little as 10 minutes. In example a person who has experienced a panic attack may say “I was sitting on the bus when all of the sudden I felt like I couldn’t breathe, it was like my throat closed up and I was choking but there was nothing in my mouth. I became dizzy and my heart felt like it was beating out of my chest, I started looking around and was going to cry for help. My fingers and toes felt numb and tingling, in a few minutes my heart slowed down a little bit but my stomach was really tight for hours after.”
As you can imagine someone who is experiencing a panic attack is suffering greatly. There are several different types of Panic disorder according to whether they are caused by a specific cue, such as public speaking or encountering an enclosed space such as the panic that can happen with claustrophobia. In other instances, panic attacks can be un-cued or non-specifically cued, this means that sometimes a person who has a panic attack may not understand what the trigger for their panic is until they seek treatment for the panic and uncover the deeper fears and how to manage the panic with their therapist. A panic attack is differentiated from having a panic disorder which is to have had recurrent and unexpected panic attacks for a period of one month or more. Treatment for panic disorder are therapy, often most effectively Cognitive Behavioral Therapy, with a licensed professional counselor and also medication is sometimes the best treatment. Usually it is a combination of these two treatments which best helps to manage panic disorder. Untreated panic disorder can greatly reduce quality of life, leading to long standing feelings of guilt and shame and even agoraphobia.Learn More