The Intensive Program is specially designed for adolescents and adults who would benefit from more targeted treatment of symptoms. The Intensive Program identifies and addresses triggers to emotion dysregulation, rigid thinking, eating difficulties and obsessions and helps patients prevent ineffective mental and behavioral engagements.

Our approaches include Exposure with Response Prevention (ERP), Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and Radically Open Dialectical Behavioral Therapy (RO-DBT). The Intensive program varies in frequency and duration as it is based on the needs of the individual (including homework over the weekend).

Each patient and their family meets one-to-one with a team of at least three providers. Our team includes psychiatrists and therapists. You will have a primary therapist who is part of your treatment team.

TREATMENT SCHEDULE

1. Phone consultation with Intake Coordinator

• Goals are to assess level of care recommendations and introduce programming. The Intake Coordinator can also discuss lodging and transportation recommendations.

2. Initial intake and pre-commitment with individual Provider (4-6 weeks of once weekly individual 45-minute sessions)

• Psychoeducation (including family members)

• Psychological assessment

• Structuring the environment

• Learning non-avoidant coping

• Treatment planning and case formulation

• Development of exposure hierarchy

3. Intensive Week (9-2pm Tuesday-Monday)

• Review assigned homework exposures

• Exposure and skills development protocols

• Assign homework for the evening

4. Follow ups

• 45-minute sessions focused on relapse prevention.

• Typically once weekly for 6 months following the intensive week.

TREATMENT PROGRAMS

Our anxiety and intensive program addresses anxiety, social anxiety, and phobias, among other anxiety-based disorders. More broadly this category includes:

• Separation Anxiety

• Selective Mutism

• Specific Phobia

• Social Anxiety Disorder

• Panic Disorder

• Agoraphobia

• Generalized Anxiety Disorder

Our program treats obsessive-compulsive and related disorders which may involve obsessions (intrusive thoughts or urges), compulsions (repetitive behaviors or mental acts), and/or recurrent body-focused repetitive behaviors. This category includes: Obsessive-Compulsive Disorder, Hoarding Disorder, Trichotillomania (Hair-pulling) and Excoriation (Skin-Picking).

Common treatment targets include:

Obsessions/intrusive thoughts related to:

• Doubt

• Sex/Sexuality

• Violence

• Immortality/blasphemy

• Contamination

• Asymmetry

• Abuse/pedophilia

• Flaws in appearance

• Physical symptoms/somatic obsessions

Other Targets:

• Fear of flying, animals, or other specific phobias

• Social Anxiety

• School Avoidance

Our program treats eating disorders. Disorders in this track include:

• Anorexia Nervosa

• Bulimia Nervosa

• Binge Eating Disorder

• Avoidant Restrictive Food Intake Disorder (ARFID)

• Unspecified Feeding and Eating Disorder (UFED)

• Pica

• Rumination Disorder

• Other Specified Feed and Eating Disorder (OSFED)

• Purging Disorder

• Night Eating Syndrome

• **Orthorexia

• Body Dysmorphic Disorder

Our DBT program is an evidence based treatment designed to help manage impulsive behaviors, emotional responses, and self-destructive urges. Originally developed by Marsha Linehan, Ph.D., ABPP, it is a cognitive-behavioral treatment shown to help address a variety of concerns including eating disorders, anxiety disorders, and mood disorders.

Our RO DBT intensive program is for patients with emotional over-control. Excessive self-control is associated with social isolation and poor interpersonal relations. RO DBT benefits patients who have a diagnosis of Chronic Depression, Treatment-Resistant Anxiety Disorders, Anorexia Nervosa, Avoidant, Paranoid and Obsessive Compulsive Personality Disorders and Autistic Spectrum Disorders. To learn more about the difference between DBT and RO-DBT, check out this link.