It’s the treatment modality used in most studies of cognitive-behavioral therapy. The majority of patients treated in individual CBT have been found to experience measurable decreases in symptoms and improvement in quality of life.
Most of our patients are seen in individual therapy once a week for 45-minute sessions. As symptoms improve, it is sometimes possible to reduce the frequency of sessions. When someone is in crises or having difficulty functioning in daily life, more frequent sessions may be recommended.
In couples treatment you can learn more effective skills for identifying and resolving sources of stress and conflict. You can also learn ways to increase feelings of closeness and attraction and improve your sexual relationship. Couples therapy may also be an opportunity learn how to accept and live with differences within the context of a happy relationship.
Most insurance plans will not cover treatment that is solely focused on improving a marriage or relationship. However, plans typically will cover couples therapy where one or both members of the couple are experiencing symptoms of depression, anxiety or another covered condition and the couple’s treatment is aimed at improving those symptoms and/or helping the couple cope with the symptoms. We recommend that you talk to your therapist about whether you might qualify for insurance coverage at the beginning of treatment.
Often exposure can be done in the therapist’s office with recommendations for exercises you can do on your own between sessions. However, sometimes exposure exercises are best done outside of the office in real life situations. This is called in-vivo exposure. Since these situations can be challenging to face on your own at first, it may be helpful to have your therapist accompany you. When this is the case, your therapist may recommend scheduling one or more sessions outside of the office so that he or she can help you more effectively face and overcome your fears.
Depending on the situation, therapist-assisted exposure sessions may take longer than the typical 45-minute session. Insurance may not reimburse you for the full time required. Most patients need only a few sessions of therapist-assisted exposure before they are ready to continue on their own. We recommend checking with your insurance company before beginning any sessions longer than 45 minutes to see what the insurer will cover and whether pre-approval is required.
We offer short-term intensive treatment for anxiety disorders and depression using a team approach. Sessions can be scheduled up to five days per week. You will be assigned a primary therapist who will work with you to custom-design a treatment program. Often a second member of our clinical staff will assist in the treatment. Intensive treatment typically lasts for two to four weeks, but may be extended as necessary. We generally recommend less frequent sessions for follow-up care after the intensive treatment has ended.
Most insurance companies require pre-approval for intensive treatment and may not cover all sessions. You should discuss insurance coverage with your therapist as part of the treatment planning process.