Anxiety therapists in Salem, Wisconsin WI
Anxiety or Fears
Patricia Gutierrez
Licensed Professional Counselor, MS, LPC, CSAC, ICS
As a person who has also suffered from anxiety and depression, I understand the uniqueness in every client I work with.
26 Years Experience
Anxiety or Fears
Scott D. Thomas
Licensed Professional Counselor, LPC
Many people may not understand that your fears or anxiety is real for you, and may be holding you back from enjoying life. We'll work together to overcome your fears/anxiety so you can enjoy a better quality of life.
24 Years Experience
Anxiety or Fears
Dr. Rebecca Fleischer
Psychologist, Licensed Clinical Psychologist
As a licensed clinical psychologist for 20+ years, I understand that the relationship and "fit" between client and therapist is paramount. I work hard to establish and maintain a relationship based on mutual trust and honesty. We can work together to help you feel less stuck, and more in control.
32 Years Experience
Anxiety or Fears
Ms. Gorete Rodrigues
Therapist, Certified Counsellor
Unconventional approach with over 90% success rate.
14 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