Anxiety therapists in Fremont, Nebraska NE
Anxiety or Fears
Jennifer Francke Psychotherapy, LLC
Licensed Professional Counselor, LIMHP, LPC, LADC
Everyone goes through challenging situations in life and while you certainly have successfully navigated through past difficulties you've faced, there's nothing wrong with seeking out extra support when you need it.
10 Years Experience
Anxiety or Fears
Karen Baumstark, Ph.D.
Psychologist, Ph.D., CMHIMP, CTACC
"Anxiety is actually a normal part of life and can be helpful at moderate levels, providing motivation to push you to achieve more, or providing a warning to avoid a bad or dangerous situation. However, many people experience such high anxiety levels that they feel distressed, and the anxiety interferes with their functioning. Therapy can help you learn to manage and reduce your anxiety so it no longer distresses you. Paying attention to habits, thoughts, beliefs, and feelings related to anxiety can help people greatly reduce the negative impact of anxiety. I use a holistic approach with psychodynamic underpinnings to help you to identify beliefs, thoughts, feelings, and habits that contribute to your anxiety, and then make changes to reduce and manage your anxiety.
34 Years Experience
Anxiety or Fears
Tara Leigh Thomsen
Licensed Professional Counselor, LIMHP, CPC
Some anxiety is expected in our lives, however there is no need to suffer through when it begins to disrupt your daily life. Panic attacks and frequent or excessive anxiety can be managed through therapy. Allow me to teach you the tools and practices to get things back on track.
23 Years Experience
Anxiety or Fears
Nicole Maher
Licensed Professional Counselor, LIMHP
I offer evidence based therapy practices that focus on teaching a client strategies and skills to improve symptom distress and gradually reintroduce the activities which were avoided prior to services.
4 Years Experience
Anxiety or Fears
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