Anxiety therapists in Ferndale, California CA
Dr. Tonia Vojtkofsky
Psychologist, Doctor of Clinical Psychology
Struggles with OCD, excessive worry, or stress; intense discomfort in social settings; sudden and intense feelings of panic.
22 Years Experience
Karen Rippy - Relationship Expert - office and online: Family, couple/marriage, extended family, students).
Marriage and Family Therapist, Ph.D., LMFT
Anxiety comes in many forms. I will assist you in understanding and resolving unreasonable anxiety and fears. Online therapy good for those with social anxiety.
39 Years Experience
Jayson L. Mystkowski
Psychologist, Ph.D., ABPP
While Cognitive-Behavior Therapy (CBT) is highly effective in the treatment of anxiety disorders (e.g., Panic Disorder, Social Phobia, and Obsessive-Compulsive Disorder), clinicians do see some “return of fear,” or partial relapse, in some patients due to a variety of factors. Over the past two decades, treatment researchers, with whom Dr. Jayson Mystkowski had the pleasure of working with at UCLA for over 10 years, have studied “return of fear” and discovered some key variables that may optimize the effects of learning during CBT for anxiety disorders (Craske et al., 2008).
First, evidence suggests that focusing on tolerating fear versus eliminating fear yields better clinical outcomes in the long term. Namely, teaching clients that fear and anxiety are normal feelings, rather than attempting to “down-regulate” such feelings all the time, is more realistic and seems to engender “hardier” clients. Second, helping clients to generate an expectancy that “scary things will not happen,” is very powerful. To do this, it is important for clinicians to create more complex exposure exercises (i.e., tasks in which a client confronts a stimulus of which they are afraid), using multiple feared stimuli instead of one at a time. Then, the lack of a feared outcome becomes particularly surprising and memorable for a client and fear reduction is more potent. Third, increasing the accessibility and retrievability of non-fear memories learned during treatment are powerful factors in mitigating against a return of fear. Craske and colleagues demonstrated that exposure to variations of a feared stimulus, using a random schedule across multiple contexts or situations, is more effective than exposure to the same stimulus, on a predictable schedule, in an unchanging environment. The former paradigm, it is argued, creates stronger non-fear memories that are easier for a client to access when subsequently confronting feared objects or situations outside of the therapy context, than the later scenario.
In sum, clinicians have long been aware that some fear or anxiety returns following very successful CBT treatment. As mentioned above, there are some clear, empirically supported ways to modify the therapy we provide to further help clients generalize the gains made in therapy sessions to the real world.
20 Years Experience
Dr. Catherine Ferreira-Babor, Psy.D.
Psychologist, Psy.D.
Anxiety causes a lot of suffering, which is often misunderstood. Friends and family tell you to do yoga, to stop going to Starbucks...But there are reasons for your anxiety that are not related to lifestyle. We are often anxious because of what goes on in our heads, in our psyche. Not knowing or understanding these things keeps us feeling vulnerable and hopeless. I can teach you methods to help you relax while also helping you uncover what keeps you stuck in anxiety and suffering.
27 Years Experience
Relationship Therapy Center - a Gottman Method Counseling Center for Couples
Marriage and Family Therapist, LMFT, Certified Gottman Therapist
How to stop an anxiety attack or thoughts that cause anxiety. We have therapists that offer CBT treatment for anxiety. You can be free of anxiety by working with a therapist specializing in anxiety. Find a therapist in Fair Oaks, CA
10 Years Experience