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Columbus, Ohio therapist: Mind and Body Psychiatry- Annamaria Pagani, psychiatrist
Anxiety or Fears

Mind and Body Psychiatry- Annamaria Pagani

Psychiatrist, CNP, PMHNP-BC
I am able to prescribe medication and work on coping mechanisms with anxiety. Genetic testing is also able to be done to help treat the anxiety.  
2 Years Experience
Online in Avon, Ohio
Broadview Heights, Ohio therapist: Veronica Bojerski, counselor/therapist
Anxiety or Fears

Veronica Bojerski

Counselor/Therapist, Licensed Professional Clinical Counselor, LPCC and Certified Hypnotherapist, CHt
I have been working with anxiety and fears for over 20 years. I take a multi faceted approach and can include mindfulness and guided imagery/hypnosis if my clients desire.  
26 Years Experience
In-Person Near Avon, OH
Online in Avon, Ohio
Beachwood, Ohio therapist: Sara E Roth, counselor/therapist
Anxiety or Fears

Sara E Roth

Counselor/Therapist, Ph.D., IMFT-S, LPCC, EMDR Certified Therapist, EFT Trained Therapist
Are you overwhelmed, stressed out, and unhappy? Does it feel like no matter how hard you try, you can’t seem to be happy? Are you struggling with feeling sad and anxious all the time? Many individuals experience some variation of anxiety or anxious symptoms. Some people have managed their symptoms and it hasn’t been an issue; until it is. The question is how debilitating it is, how it is handled and resolved. You can expect that therapy will include an exploration to understand the specific symptoms you experience as well as a timeline of the onset of symptoms. It may be something you remember being a problem from since day 1, or it may have started following a difficult time in your life, where it was overwhelming and stressful to cope with day to day life. We will work to uncover the source of the thoughts that lead you to feel the way you do. Oftentimes, you may also be experiencing what feels like depression, which it might be. Sometimes though, anxious feelings can actually propel and create depressive symptoms. You may also be experiencing difficulty with your self-esteem. Self-esteem affects relationships, motivation, and often is a significant symptom in individuals with anxiety and depression. Cognitive Behavioral Therapy (CBT) is an evidenced based treatment which explores the connection between thoughts, feelings and behavior. We can rewire the brain and disconnect from having a negative default setting, and create new pathways with positive self-talk and specific steps to reach your goals. Many of my clients share that they have been able to feel a significant shift in their mindset through utilizing CBT and clearly state that therapy has changed their life.  
23 Years Experience
In-Person Near Avon, OH
Online in Avon, Ohio
Beachwood, Ohio therapist: Ashley Braun-Gabelman, psychologist
Anxiety or Fears

Ashley Braun-Gabelman

Psychologist, PhD
Cognitive therapy is an effective and practical approach to treating anxiety and fears.  
10 Years Experience
In-Person Near Avon, OH
Online in Avon, Ohio
Los Angeles, California therapist: Jayson L. Mystkowski, psychologist
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
Online in Avon, Ohio