Anxiety therapists in Concord, New Hampshire NH
Anxiety or Fears
New England Pastoral Institute
Pastoral Counselor/Therapist, NEPI
All NEPI staff are multifaceted in treatment strategies and approaches, providing support and care for anxiety disorders.
41 Years Experience
Anxiety or Fears
New Hampshire Pastoral Psychotherapist
Pastoral Counselor/Therapist
Anxiety makes it difficult to get through your day. Symptoms include feelings of nervousness, panic and fear as well as sweating and a rapid heartbeat. Treatments include medications and cognitive behavioral therapy. We will design a treatment plan that’s best for you.
41 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
Anxiety or Fears
South Psychology
Psychologist, PhD
South Psychology, based in Centennial, Colorado, specializes in providing evidence-based mental health therapy for individuals dealing with anxiety or fears. Their skilled clinicians employ a variety of therapeutic approaches, including Cognitive-Behavioral Therapy (CBT) and exposure and response prevention (ERP). Let’s delve into the details:
Exposure and Response Prevention (ERP): ERP is a powerful technique used to treat anxiety disorders, particularly obsessive-compulsive disorder (OCD). It aims to gradually reduce anxiety by exposing individuals to triggering stimuli or thoughts in a safe and controlled environment. Through repeated exposure, people become less physiologically aroused by these triggers, leading to habituation. The response prevention component teaches clients not to give in to compulsive behaviors, ultimately breaking the cycle of anxiety and avoidance.
Cognitive-Behavioral Therapy (CBT): South Psychology integrates CBT principles to help clients understand and manage their anxious thoughts. By identifying cognitive distortions and challenging irrational beliefs, individuals learn healthier coping strategies. CBT equips them with practical tools to navigate anxiety-inducing situations, improve emotional regulation, and enhance overall well-being.
Optimizing Functioning: Beyond symptom reduction, South Psychology focuses on optimizing various aspects of life. Whether it’s excelling in school, advancing in a career, or nurturing social connections, their approach aims to empower clients to thrive despite anxiety or fears.
6 Years Experience
Anxiety or Fears
Joe Groninga
Psychologist, PsyD, LP
I have been treating anxiety symptoms for many years. Therefore, it's an area in which I have particular experience. You and I will examine the component parts of your symptoms such as emotions, behaviors, and thoughts. We’ll then examine how these parts are connected and how they impact each other. I’ll help you create changes to one or more of these parts to achieve your desired symptom relief. Helping people break free from their anxiety is one of the primary reasons I became a psychologist.
19 Years Experience