Meet with Dr. Goodman, a licensed clinical psychologist, 1 to 3 times a week for 45 to 85 minutes each session either alone or with a supportive family member or friend who can serve as an anxiety support person between sessions.
Heavy emphasis is on "exposure with response prevention" (ERP) treatment. This involves facing one's fear in a gradual and controlled manner using real-life (in vivo) exposures and/or imaginal exposures. Response prevention includes gradually giving up avoidances and "safety behaviors," which tend to maintain or exacerbate anxiety disorders.
CBT anxiety treatment is for people who are motivated to face their fears and actually invest in some initial discomfort in order to have a more comfortable future (no pain, no gain). If a family member is unmotivated to get help, parents can learn to decrease their accommodation of their child's anxiety and set up incentives designed to enhance motivation.
People with active bipolar disorder, psychosis, suicidal ideation, addictions, or who are experiencing a crisis unrelated to their anxiety disorder need to receive treatment for these conditions elsewhere prior to anxiety treatment.
Therapy takes place in the office, the client’s home, or at other places in the community, depending on the client’s exposure needs. Travel costs may apply and would not be paid by insurance.
Clients may be seen by an outside primary therapist who refer them for a course of focused anxiety treatment in collaboration with their ongoing treatment.
Treatment requires significant motivation on the part of the client and the willingness to tolerate a temporary increase in anxiety levels.
Coastal Center for Anxiety Treatment
1428 Phillips Lane, Suite B-2 San Luis Obispo, CA 93401 Phone: (805) 473-3388 admin@coastalcenter.org