Services:
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Individual Therapy for Adults
Couples Therapy Trauma Therapy ( EMDR, TRIM and CBT) Cognitive-Behavioral Therapy Mindfulness-Based Therapy Counseling for Addiction Eating Disorder Therapy ( Intuitive Eating, CBT) Grief Counseling Therapy for Creative Professionals and Entertainers Psychodynamic Therapy See below for a description of the various therapy modalities used by our staff. The top 3 reasons people enter therapy are for:
Good therapy is built on a good connection with your therapist; a relationship built on trust, respect and understanding. We hand-pick therapists for their expertise, their passion for mental health and commitment to quality. Our intake coordinator will assist you in finding the right match based on what you are looking to achieve and the specialty and personality of that therapist. |
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Couples Therapy - Healthy marriages are good for couples’ mental and physical health, but about 40 to 50 percent of married couples in the United States divorce. The divorce rate for subsequent marriages is even higher. Many common relationship struggles can be effectively addressed in marriage counseling. Results may include improved communication, skills to get what you need from your partner, negotiating through differences and disagreements, overcoming infidelity, improved quality of connection, improved sexual connection, insight into how issues from your family of origin are sabotaging your marriage.
Couples therapy and pre-marital counseling are typically structured and action-oriented. Often, one partner is more motivated for couple’s therapy in the beginning. This is normal and should not be a deterrent for starting therapy. Couples therapy is a life-changing experience; it’s both challenging and rewarding. Couples therapy is not appropriate if there is domestic violence, severe addiction or a suicidal partner.
Psychologist and author Dr. Brandy Engler has supervised and trained many therapists working at Silverlake Psychology. She has written two books about the psychology of relationships. Dr. Engler has written for Huffington Post, xo Jane, Psychology Tomorrow and has been a monthly contributor to Men’s Health and Women’s Health magazines. Articles about Dr. Engler have been featured in The London Times, The New York Post and Cosmopolitan Magazine. She has been featured as an expert in Glamour, Redbook, Buzzfeed, Yahoo Health, Vanity Fair Italia, Madame Figaro, NPR, Ladyluxe, and the The Good Men Project..
Couples therapy and pre-marital counseling are typically structured and action-oriented. Often, one partner is more motivated for couple’s therapy in the beginning. This is normal and should not be a deterrent for starting therapy. Couples therapy is a life-changing experience; it’s both challenging and rewarding. Couples therapy is not appropriate if there is domestic violence, severe addiction or a suicidal partner.
Psychologist and author Dr. Brandy Engler has supervised and trained many therapists working at Silverlake Psychology. She has written two books about the psychology of relationships. Dr. Engler has written for Huffington Post, xo Jane, Psychology Tomorrow and has been a monthly contributor to Men’s Health and Women’s Health magazines. Articles about Dr. Engler have been featured in The London Times, The New York Post and Cosmopolitan Magazine. She has been featured as an expert in Glamour, Redbook, Buzzfeed, Yahoo Health, Vanity Fair Italia, Madame Figaro, NPR, Ladyluxe, and the The Good Men Project..
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LEARN MORE: Buzzfeed named The Women on My Couch one of the "Great things that changed our sex lives in 2015."
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The Developmental Model of Couples Therapy
A key specialty at Silverlake Psychology is marriage counseling. Several of our therapists have been trained on this powerful model of couple’s therapy that helps couples celebrate and work through differences, negotiate effectively and get out of toxic cycles into more empowered modes of communication.
"Central to the model is the belief that couples relationships require energy, vitality and developmental growth from each partner. Too many partners try to maintain stability by demanding compliance and insisting on unnecessary sacrifice from one another. These relationships die as partners stagnate in conflict avoiding or conflict dominated relationships. Growth in the present is sacrificed in hopes of recreating the unconditional love they so badly needed when they were young.
In the Developmental Model the problems couples have are understandable and predictable based on:
Trauma & PTSD - PTSD, or post-traumatic stress disorder, is an anxiety disorder that develops in some people after traumatic events, such as combat, crime, rape, domestic violence, an accident or natural disaster and more.
People with PTSD may relive the event via intrusive memories, flashbacks and nightmares; avoid anything that reminds them of the trauma; panic attacks and insomnia. Research supports the effectiveness of therapy for trauma. There are several sub-types of therapy that are effective: Cognitive-Behavioral Trauma treatment, Trauma Resilience Model (TRM), Sensorimotor Psychotherapy ( a somatic approach) and EMDR.
For more information, read about PTSD and trauma on the American Psychological Association (APA) website:
https://www.apa.org/topics/ptsd/index.aspx
https://www.apa.org/topics/trauma/index.aspx
What kind of trauma treatment should I ask for?
When it comes to the treatment of trauma, traditional talk therapy is generally not sufficient for resolving symptoms. It is important that your therapist use a structured treatment approach. Each of the trauma treatment approaches used at Silverlake Psychology are effective and supported by research. One is not superior to the other. Silverlake Psychology therapists do EMDR, Trauma Resiliency work or Cognitive-Behavioral Trauma Therapy. You may read about these approaches here to find one that appeals to you. Our therapists will assess your symptoms and help you to decide which approach is best for you.
EMDR (Eye Movement Desensitization and Reprocessing) - Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR is a set of standardized protocols that incorporates elements from many different treatment approaches. EMDR assists the brain in processing information and storing the memory of the traumatic event through ‘bilateral stimulation’ (through eye movement or knee tapping) which assists the brains natural healing process.
https://www.emdr.com/what-is-emdr/
Trauma Resiliency Model (TRM) – “The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. “
Trauma victims experience nervous system disruptions that lead to excess anxiety, inability to rest, hypervigilance and a sense of loss of control over one’s body. This approach is fantastic for stablizing the nervous system and developing resilience in the aftermath of trauma.
https://www.ncbi.nlm.nih.gov/pubmed/29199520
Cognitive-Behavioral Therapy (CBT) –
Silverlake Psychology has many therapists who specialize in Cognitive- Behavioral therapy. This type of therapy is present-focused, results-oriented and is the best choice for symptom reduction of a psychological disorder such as anxiety, depression, PTSD or OCD.
“Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions and behavior.
CBT therapists emphasize what is going on in the person's current life, rather than what has led up to their difficulties. A certain amount of information about one's history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.”
https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral.aspx
Sexuality- Psychologists and other clinicians focus on enhancing or restoring sexual functioning and pleasure. They have developed effective treatments for many common conditions: lack of desire, erectile dysfunction, premature ejaculation and sexual anxiety. Our clients are able to explore their sexual concerns in a safe, non-judgmental environment. We use mindfulness-based techniques designed to build awareness and connection to the body. We use attachment theory and seek to understand the relational, social, historical and political context of our sex lives. We are a sex-positive, kink-aware, poly-aware, lgbtq-friendly private practice. Many of our staff therapists have been trained by sex expert Dr. Brandy Engler, author of books and articles on male and female sexuality.
http://www.themenonmycouch.com/
http://www.thewomenonmycouch.com/
https://www.apa.org/topics/sex/index.aspx
Eating Disorders –
Many of our therapists have trained in Southern California’s most prestigious eating disorder clinics. Clients can expect expertise and a compassionate approach. Our eating disorder specialists understand the complex relational and cultural issues that impact body-image and eating behavior, as well as the prevalence of trauma in clients with eating disorders. We offer a shame-free environment to support your recovery journey.
“-Anorexia nervosa: Individuals believe they’re overweight even when they’re dangerously thin and restrict their eating to the point of starvation.
-Bulimia nervosa: Individuals eat excessive amounts of food, then purge by making themselves vomit or using laxatives.
-Binge eating: Individuals have out-of-control eating patterns, but don’t purge.”
Cognitive-behavioral therapy, mindfulness and intuitive eating and interpersonal therapy are effective approaches.
https://www.apa.org/topics/eating/index.aspx
Anxiety –
“Anxiety may include physical tension, worried thoughts and physical changes like increased blood pressure.
People with anxiety disorders usually have recurring intrusive thoughts or concerns. They may avoid certain situations out of worry. They may also have physical symptoms such as sweating, trembling, dizziness or a rapid heartbeat.”
General Anxiety Disorder is very common and Cognitive-Behavioral Therapy is considered very effective for symptom reduction. Mindfulness-based therapy is effective and depth therapy will get to the underlying cause if needed.
https://www.apa.org/topics/anxiety/index.aspx
OCD - Although once thought to be a relatively rare condition, obsessive-compulsive disorder (OCD) is now recognized to be a common and often debilitating form of mental illness. Two to three percent of the population experience OCD during their life. Most people who experience OCD have both obsessions and compulsions. Obsessions are unwanted or distressing thoughts, images, or urges. Compulsions are defined as repetitive behaviors or thoughts (e.g., having a "good" thought to cancel out a "bad" thought) people feel driven to do to reduce distress. Often compulsions are intended to reduce distress related to obsessions (e.g., repetitive washing in response to concerns about germs and disease). While periodic negative thoughts are a common experience for all people, OCD is defined by the related significant distress and life interference that results from these thoughts.
Silverlake Psychology offers a combination of Cognitive-Behavioral Therapy and Mindfulness-based techniques to reduce obsessions and compulsions.
http://www.abct.org/Information/?m=mInformation&fa=fs_OBSESSIVE_COMPULSIVE
Depression - Depression is more than just sadness. People with depression may experience a lack of interest and pleasure in daily activities, significant weight loss or gain, insomnia or excessive sleeping, lack of energy, inability to concentrate, feelings of worthlessness or excessive guilt and recurrent thoughts of death or suicide.
Fortunately, depression is treatable. Therapists who specialize in depression may use a combination of Cognitive -Behavioral Therapy, Interpersonal therapy and depth-oriented approaches to treatment.
https://www.apa.org/topics/depression/index.aspx
Creativity/Life Purpose –
“Emotional health can lead to success in work, relationships and health. In the past, researchers believed that success made people happy. Newer research reveals that it’s the other way around. Happy people are more likely to work toward goals, find the resources they need and attract others with their energy and optimism — key building blocks of success. “
Our therapists will help you to identify remove creative blocks and to clarify goals and life choices. Many of our therapists are former artists, entertainers and entrepreneurs who understand the uncertainty, self-doubt and challenges of life in Hollywood.
https://www.apa.org/topics/emotion/index.aspx
Grief & Loss - Grief is a powerful emotional experience that may include frequent crying, heartache, apathy, numbness, a sense of fragility and anxiety. Many people feel isolated with these intense feelings as they go back to work and their daily routines surrounded by others who are not grieving. Therapy provides a safe space to feel the intense feelings, honor the lost loved one and address the grievers’ own mortality and thoughts about death.
https://www.apa.org/topics/death/index.aspx
Relationships/Dating - Therapists who specialize in relationships can offer a set of relationship skills to empower their clients to be overcome their past and create successful relationships.
“The need for human connection appears to be innate, but the ability to form healthy, loving relationships is learned. A great deal of evidence suggests that the ability to form a stable relationship begins in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they appear to establish deeply ingrained patterns of relating to others. Failed relationships happen for many reasons, and the failure of a relationship is often a source of great psychological anguish. Most people must to work consciously to master the skills necessary to make relationships endure and flourish.”
https://www.psychologytoday.com/us/basics/relationships
Sex/Love Addiction – Addiction of any kind must be treated as a brain disorder. Smart therapy for addiction offers techniques for managing cravings and the physical and mental symptoms that precipitate the addictive behavior. Therapists specializing in addiction can also assist clients in getting to the root cause. Silverlake Psychology has several therapists who specialize in sex addiction specifically and clients will find a safe, non-judgmental environment to create change in their lives. We also offer group therapy for love addiction.
“Addiction is a chronic disorder with biological, psychological, social and environmental factors influencing its development and maintenance. About half the risk for addiction is genetic. Genes affect the degree of reward that individuals experience when initially using a substance (e.g., drugs) or engaging in certain behaviors (e.g., sex), as well as the way the body processes alcohol or other drugs. Heightened desire to re-experience use of the substance or behavior, potentially influenced by psychological (e.g., stress, history of trauma), social (e.g., family or friends' use of a substance), and environmental factors (e.g., accessibility of a substance, low cost) can lead to regular use/exposure, with chronic use/exposure leading to brain changes.”
https://www.apa.org/topics/addiction/index.aspx
Insomnia – Insomnia is often a symptom of stress, anxiety, trauma or heartbreak.
“Sleep is essential for health and well-being. But millions of people don’t get enough, resulting in such problems as daytime sleepiness, poor decision-making, interference with learning and accidents. Cognitive-behavioral therapy, which helps people identify and change their thoughts and behaviors, can help. In fact, according to one study, cognitive-behavioral therapy does a better job of reducing insomnia than sleeping pills.”
https://www.apa.org/topics/sleep/index.aspx
Pain Management – “
“Pain is simultaneously a sensation and an emotion, and is by far the leading reason people seek health care. While most acute pain resolves successfully over time, treatment of chronic pain is more complicated, since these patients have a substantially compromised quality of life. A wide range of psychological interventions have been used successfully to help people deal with pain, including biofeedback, relaxation, hypnosis, cognitive and behavioral coping skills. In combination with physical and drug treatment, psychological intervention has proven effective for pain sufferers across the age span.”
https://www.apa.org/topics/pain/index.aspx
Weight Management – Silverlake Psychology therapists offer a safe, non-judgmental space to explore eating behavior and underlying emotions. Our approach to weight management includes mindfulness-based therapy and intuitive eating strategies to support your goals.
“Obesity is a condition marked by excess accumulation of body fat. Genetic factors play a key role in obesity, but so do behavioral factors — especially eating too much and exercising too little. Obesity can lead to diabetes, heart disease, sleep apnea and other problems. In fact, some researchers believe that obesity is second only to smoking as a preventable cause of death. “
https://www.apa.org/topics/obesity/index.aspx
Parenthood – Silverlake Psychology therapists offer support for new parents adjusting to parenthood as well as pre and post-natal therapy for mothers.
Dealing with life in Hollywood for Actors/Writers/ Musicians - Silverlake Psychology specializes in therapy for creative professionals. We have hand-picked therapists who are former writers, actors and artists who are passionate about working with clients who experience the stress of life as an artist. Learn how to preserve your self-esteem, deal with uncertainty, how to find meaning in between jobs and how to stay in your creative flow.
Photo by Analise Benevides
THERAPY TECHNIQUES
Research-Based Therapy Practices
Cognitive-Behavioral (CBT) –
Silverlake Psychology has many therapists who specialize in Cognitive- Behavioral therapy. This type of therapy is present-focused, results-oriented and is the best choice for symptom reduction of a psychological disorder such as anxiety, depression, PTSD or OCD.
“Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions and behavior.
CBT therapists emphasize what is going on in the person's current life, rather than what has led up to their difficulties. A certain amount of information about one's history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.”
https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral.aspx
Mindfulness-Based Cognitive Therapy (MBCT) - Mindfulness-Based Cognitive Therapy (MBCT) combines the ideas of cognitive therapy with concepts derived from meditative practices. Therapists who specialize in mindfulness will teach clients how to be present with their emotions and thoughts in new, more peaceful ways. Mindfulness is a powerful tool and adjunct to traditional therapy. Mindfulness techniques are effective for relationships, sexuality, eating, addiction, anxiety and depression.
http://mbct.com/
What kind of trauma treatment should I ask for?
When it comes to the treatment of trauma, traditional talk therapy is generally not sufficient for resolving symptoms. It is important that your therapist use a structured treatment approach. Each of the trauma treatment approaches used at Silverlake Psychology are effective and supported by research. One is not superior to the other. Silverlake Psychology therapists do EMDR, Trauma Resiliency work or Cognitive-Behavioral Trauma Therapy. You may read about these approaches here to find one that appeals to you. Our therapists will assess your symptoms and help you to decide which approach is best for you.
EMDR (Eye Movement Desensitization and Reprocessing) - Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR is a set of standardized protocols that incorporates elements from many different treatment approaches. EMDR assists the brain in processing information and storing the memory of the traumatic event through ‘bilateral stimulation’ (through eye movement or knee tapping) which assists the brains natural healing process.
https://www.emdr.com/what-is-emdr/
Trauma Resiliency Model (TRM) - The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. Trauma victims experience nervous system disruptions that lead to excess anxiety, inability to rest, hypervigilance and a sense of loss of control over one’s body. This approach is fantastic for stablizing the nervous system and developing resilience in the aftermath of trauma.
https://www.ncbi.nlm.nih.gov/pubmed/29199520
Psychodynamic Therapy –
Psychodynamic Psychotherapy explores unconscious thoughts and feelings, uncovers blocks or ‘resistance’ to change and connects these insights to your relationship to self, others and the external world. Psychodymanic therapy is a form of depth-therapy that seeks deeper insight into one’s blind spots. Psychodynamic therapy is a great choice for people with long-standing relationship struggles, unresolved conflicts with their family of origin, depression or creative blocks.
http://www.apsa.org/content/psychoanalytic-psychotherapy
The following are philospohical approaches to therapy. Effective therapists are able to weave these ideas into the therapy session.
Postmodern Therapy Theories – “Postmodern therapy focuses on deconstructing common beliefs and examining their value in an individual’s life. For example, postmodern therapists question the definition of “mental health” as well as commonly held assumptions such as the definition of success or what it means to be a woman, man or middle-age. The relationship between patient and therapist is highly collaborative rather than authoritative. Change comes about primarily through open dialogue.”
Existential Therapy- “Existential therapy focuses on each person as a unique individual as well as the choices that shape their life. The therapist empowers the patient to take responsibility for their decisions and create the present and future they desire. Depending on the therapist, techniques may pull from Cognitive-Behavioral, Freudian, Jungian, Gestalt or other therapeutic approaches.”
https://www.crchealth.com/types-of-therapy/what-is-existential-therapy/
Experiential – Rather than simply talking about the change they want in their lives, clients get to experiment with new ways of being in the session. This approach is great for performance anxiety, overcoming co-dependent behavior or practicing new communication techniques. It is a present-focused therapy that stretches one’s internal limits by confronting fears and moving through them in real time.
“Experiential therapy is a therapeutic approach that encourages patients to identify and address hidden or subconscious issues through activities such as role playing, guided imagery, the use of props, and a range of other active experiences. “
https://www.crchealth.com/types-of-therapy/what-is-experiential-therapy/
Gestalt-relational – Gestalt therapy is a present-focused, action-oriented therapy and a great choice for creative individuals. Internal conflicts are drawn out and re-enacted with creative, in-session experiments designed to challenge your growth edges. This approach is great when people feel stuck in life, relationships or stuck in a decision-making process.
“Gestalt therapy is a client-centered approach to psychotherapy that helps clients focus on the present and understand what is really happening in their lives right now, rather than what they may perceive to be happening based on past experience. Instead of simply talking about past situations, clients are encouraged to experience them, perhaps through re-enactment. Through the gestalt process, clients learn to become more aware of how their own negative thought patterns and behaviors are blocking true self-awareness and making them unhappy.”
https://www.psychologytoday.com/us/therapy-types/gestalt-therapy
Narrative Therapy –
“Narrative therapy is founded on the idea that people have many interacting narratives that go into making up their sense of who they are, and that the issues they bring to therapy are not restricted to (or located) within the clients themselves, but rather are influenced and shaped by cultural discourses about identity and power. Narrative therapy centers around a rich engagement in re-storying a client's narrative by re-considering, re-appreciating, and re-authoring the client's preferred lives and relationships.”
https://www.apa.org/pubs/books/4314236.aspx
Solution-focused Therapy – “SFBT is future-focused, goal-directed, and focuses on solutions, rather than on the problems that brought clients to seek therapy.”
https://solutionfocused.net/what-is-solution-focused-therapy/
Strength-based approaches –
“Strength-based therapy is a type of positive psychotherapy and counseling that focuses more on your internal strengths and resourcefulness, and less on weaknesses, failures, and shortcomings. This focus sets up a positive mindset that helps you build on you best qualities, find your strengths, improve resilience and change worldview to one that is more positive. A positive attitude, in turn, can help your expectations of yourself and others become more reasonable.”
https://www.psychologytoday.com/us/therapy-types/strength-based-therapy
Humanistic Therapy –
“Also known as humanism, humanistic therapy is a positive approach to psychotherapy that focuses on a person’s individual nature, rather than categorizing groups of people with similar characteristics as having the same problems. Humanistic therapy looks at the whole person, not only from the therapist’s view but from the viewpoint of individuals observing their own behavior. The emphasis is on a person’s positive traits and behaviors, and the ability to use their personal instincts to find wisdom, growth, healing, and fulfillment within themselves.”
https://www.psychologytoday.com/us/therapy-types/humanistic-therapy
A key specialty at Silverlake Psychology is marriage counseling. Several of our therapists have been trained on this powerful model of couple’s therapy that helps couples celebrate and work through differences, negotiate effectively and get out of toxic cycles into more empowered modes of communication.
"Central to the model is the belief that couples relationships require energy, vitality and developmental growth from each partner. Too many partners try to maintain stability by demanding compliance and insisting on unnecessary sacrifice from one another. These relationships die as partners stagnate in conflict avoiding or conflict dominated relationships. Growth in the present is sacrificed in hopes of recreating the unconditional love they so badly needed when they were young.
In the Developmental Model the problems couples have are understandable and predictable based on:
- The attachment style of each partner
- The developmental stage of each partner and the relationship
- The length of time they have been together"
Trauma & PTSD - PTSD, or post-traumatic stress disorder, is an anxiety disorder that develops in some people after traumatic events, such as combat, crime, rape, domestic violence, an accident or natural disaster and more.
People with PTSD may relive the event via intrusive memories, flashbacks and nightmares; avoid anything that reminds them of the trauma; panic attacks and insomnia. Research supports the effectiveness of therapy for trauma. There are several sub-types of therapy that are effective: Cognitive-Behavioral Trauma treatment, Trauma Resilience Model (TRM), Sensorimotor Psychotherapy ( a somatic approach) and EMDR.
For more information, read about PTSD and trauma on the American Psychological Association (APA) website:
https://www.apa.org/topics/ptsd/index.aspx
https://www.apa.org/topics/trauma/index.aspx
What kind of trauma treatment should I ask for?
When it comes to the treatment of trauma, traditional talk therapy is generally not sufficient for resolving symptoms. It is important that your therapist use a structured treatment approach. Each of the trauma treatment approaches used at Silverlake Psychology are effective and supported by research. One is not superior to the other. Silverlake Psychology therapists do EMDR, Trauma Resiliency work or Cognitive-Behavioral Trauma Therapy. You may read about these approaches here to find one that appeals to you. Our therapists will assess your symptoms and help you to decide which approach is best for you.
EMDR (Eye Movement Desensitization and Reprocessing) - Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR is a set of standardized protocols that incorporates elements from many different treatment approaches. EMDR assists the brain in processing information and storing the memory of the traumatic event through ‘bilateral stimulation’ (through eye movement or knee tapping) which assists the brains natural healing process.
https://www.emdr.com/what-is-emdr/
Trauma Resiliency Model (TRM) – “The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. “
Trauma victims experience nervous system disruptions that lead to excess anxiety, inability to rest, hypervigilance and a sense of loss of control over one’s body. This approach is fantastic for stablizing the nervous system and developing resilience in the aftermath of trauma.
https://www.ncbi.nlm.nih.gov/pubmed/29199520
Cognitive-Behavioral Therapy (CBT) –
Silverlake Psychology has many therapists who specialize in Cognitive- Behavioral therapy. This type of therapy is present-focused, results-oriented and is the best choice for symptom reduction of a psychological disorder such as anxiety, depression, PTSD or OCD.
“Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
- Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
- Psychological problems are based, in part, on learned patterns of unhelpful behavior.
- People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.
- Learning to recognize one's distortions in thinking that are creating problems, and then to reevaluate them in light of reality.
- Gaining a better understanding of the behavior and motivation of others.
- Using problem-solving skills to cope with difficult situations.
- Learning to develop a greater sense of confidence is one's own abilities.
- Facing one's fears instead of avoiding them.
- Using role playing to prepare for potentially problematic interactions with others.
- Learning to calm one's mind and relax one's body.
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions and behavior.
CBT therapists emphasize what is going on in the person's current life, rather than what has led up to their difficulties. A certain amount of information about one's history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.”
https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral.aspx
Sexuality- Psychologists and other clinicians focus on enhancing or restoring sexual functioning and pleasure. They have developed effective treatments for many common conditions: lack of desire, erectile dysfunction, premature ejaculation and sexual anxiety. Our clients are able to explore their sexual concerns in a safe, non-judgmental environment. We use mindfulness-based techniques designed to build awareness and connection to the body. We use attachment theory and seek to understand the relational, social, historical and political context of our sex lives. We are a sex-positive, kink-aware, poly-aware, lgbtq-friendly private practice. Many of our staff therapists have been trained by sex expert Dr. Brandy Engler, author of books and articles on male and female sexuality.
http://www.themenonmycouch.com/
http://www.thewomenonmycouch.com/
https://www.apa.org/topics/sex/index.aspx
Eating Disorders –
Many of our therapists have trained in Southern California’s most prestigious eating disorder clinics. Clients can expect expertise and a compassionate approach. Our eating disorder specialists understand the complex relational and cultural issues that impact body-image and eating behavior, as well as the prevalence of trauma in clients with eating disorders. We offer a shame-free environment to support your recovery journey.
“-Anorexia nervosa: Individuals believe they’re overweight even when they’re dangerously thin and restrict their eating to the point of starvation.
-Bulimia nervosa: Individuals eat excessive amounts of food, then purge by making themselves vomit or using laxatives.
-Binge eating: Individuals have out-of-control eating patterns, but don’t purge.”
Cognitive-behavioral therapy, mindfulness and intuitive eating and interpersonal therapy are effective approaches.
https://www.apa.org/topics/eating/index.aspx
Anxiety –
“Anxiety may include physical tension, worried thoughts and physical changes like increased blood pressure.
People with anxiety disorders usually have recurring intrusive thoughts or concerns. They may avoid certain situations out of worry. They may also have physical symptoms such as sweating, trembling, dizziness or a rapid heartbeat.”
General Anxiety Disorder is very common and Cognitive-Behavioral Therapy is considered very effective for symptom reduction. Mindfulness-based therapy is effective and depth therapy will get to the underlying cause if needed.
https://www.apa.org/topics/anxiety/index.aspx
OCD - Although once thought to be a relatively rare condition, obsessive-compulsive disorder (OCD) is now recognized to be a common and often debilitating form of mental illness. Two to three percent of the population experience OCD during their life. Most people who experience OCD have both obsessions and compulsions. Obsessions are unwanted or distressing thoughts, images, or urges. Compulsions are defined as repetitive behaviors or thoughts (e.g., having a "good" thought to cancel out a "bad" thought) people feel driven to do to reduce distress. Often compulsions are intended to reduce distress related to obsessions (e.g., repetitive washing in response to concerns about germs and disease). While periodic negative thoughts are a common experience for all people, OCD is defined by the related significant distress and life interference that results from these thoughts.
Silverlake Psychology offers a combination of Cognitive-Behavioral Therapy and Mindfulness-based techniques to reduce obsessions and compulsions.
http://www.abct.org/Information/?m=mInformation&fa=fs_OBSESSIVE_COMPULSIVE
Depression - Depression is more than just sadness. People with depression may experience a lack of interest and pleasure in daily activities, significant weight loss or gain, insomnia or excessive sleeping, lack of energy, inability to concentrate, feelings of worthlessness or excessive guilt and recurrent thoughts of death or suicide.
Fortunately, depression is treatable. Therapists who specialize in depression may use a combination of Cognitive -Behavioral Therapy, Interpersonal therapy and depth-oriented approaches to treatment.
https://www.apa.org/topics/depression/index.aspx
Creativity/Life Purpose –
“Emotional health can lead to success in work, relationships and health. In the past, researchers believed that success made people happy. Newer research reveals that it’s the other way around. Happy people are more likely to work toward goals, find the resources they need and attract others with their energy and optimism — key building blocks of success. “
Our therapists will help you to identify remove creative blocks and to clarify goals and life choices. Many of our therapists are former artists, entertainers and entrepreneurs who understand the uncertainty, self-doubt and challenges of life in Hollywood.
https://www.apa.org/topics/emotion/index.aspx
Grief & Loss - Grief is a powerful emotional experience that may include frequent crying, heartache, apathy, numbness, a sense of fragility and anxiety. Many people feel isolated with these intense feelings as they go back to work and their daily routines surrounded by others who are not grieving. Therapy provides a safe space to feel the intense feelings, honor the lost loved one and address the grievers’ own mortality and thoughts about death.
https://www.apa.org/topics/death/index.aspx
Relationships/Dating - Therapists who specialize in relationships can offer a set of relationship skills to empower their clients to be overcome their past and create successful relationships.
“The need for human connection appears to be innate, but the ability to form healthy, loving relationships is learned. A great deal of evidence suggests that the ability to form a stable relationship begins in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they appear to establish deeply ingrained patterns of relating to others. Failed relationships happen for many reasons, and the failure of a relationship is often a source of great psychological anguish. Most people must to work consciously to master the skills necessary to make relationships endure and flourish.”
https://www.psychologytoday.com/us/basics/relationships
Sex/Love Addiction – Addiction of any kind must be treated as a brain disorder. Smart therapy for addiction offers techniques for managing cravings and the physical and mental symptoms that precipitate the addictive behavior. Therapists specializing in addiction can also assist clients in getting to the root cause. Silverlake Psychology has several therapists who specialize in sex addiction specifically and clients will find a safe, non-judgmental environment to create change in their lives. We also offer group therapy for love addiction.
“Addiction is a chronic disorder with biological, psychological, social and environmental factors influencing its development and maintenance. About half the risk for addiction is genetic. Genes affect the degree of reward that individuals experience when initially using a substance (e.g., drugs) or engaging in certain behaviors (e.g., sex), as well as the way the body processes alcohol or other drugs. Heightened desire to re-experience use of the substance or behavior, potentially influenced by psychological (e.g., stress, history of trauma), social (e.g., family or friends' use of a substance), and environmental factors (e.g., accessibility of a substance, low cost) can lead to regular use/exposure, with chronic use/exposure leading to brain changes.”
https://www.apa.org/topics/addiction/index.aspx
Insomnia – Insomnia is often a symptom of stress, anxiety, trauma or heartbreak.
“Sleep is essential for health and well-being. But millions of people don’t get enough, resulting in such problems as daytime sleepiness, poor decision-making, interference with learning and accidents. Cognitive-behavioral therapy, which helps people identify and change their thoughts and behaviors, can help. In fact, according to one study, cognitive-behavioral therapy does a better job of reducing insomnia than sleeping pills.”
https://www.apa.org/topics/sleep/index.aspx
Pain Management – “
“Pain is simultaneously a sensation and an emotion, and is by far the leading reason people seek health care. While most acute pain resolves successfully over time, treatment of chronic pain is more complicated, since these patients have a substantially compromised quality of life. A wide range of psychological interventions have been used successfully to help people deal with pain, including biofeedback, relaxation, hypnosis, cognitive and behavioral coping skills. In combination with physical and drug treatment, psychological intervention has proven effective for pain sufferers across the age span.”
https://www.apa.org/topics/pain/index.aspx
Weight Management – Silverlake Psychology therapists offer a safe, non-judgmental space to explore eating behavior and underlying emotions. Our approach to weight management includes mindfulness-based therapy and intuitive eating strategies to support your goals.
“Obesity is a condition marked by excess accumulation of body fat. Genetic factors play a key role in obesity, but so do behavioral factors — especially eating too much and exercising too little. Obesity can lead to diabetes, heart disease, sleep apnea and other problems. In fact, some researchers believe that obesity is second only to smoking as a preventable cause of death. “
https://www.apa.org/topics/obesity/index.aspx
Parenthood – Silverlake Psychology therapists offer support for new parents adjusting to parenthood as well as pre and post-natal therapy for mothers.
Dealing with life in Hollywood for Actors/Writers/ Musicians - Silverlake Psychology specializes in therapy for creative professionals. We have hand-picked therapists who are former writers, actors and artists who are passionate about working with clients who experience the stress of life as an artist. Learn how to preserve your self-esteem, deal with uncertainty, how to find meaning in between jobs and how to stay in your creative flow.
Photo by Analise Benevides
THERAPY TECHNIQUES
Research-Based Therapy Practices
Cognitive-Behavioral (CBT) –
Silverlake Psychology has many therapists who specialize in Cognitive- Behavioral therapy. This type of therapy is present-focused, results-oriented and is the best choice for symptom reduction of a psychological disorder such as anxiety, depression, PTSD or OCD.
“Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
- Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
- Psychological problems are based, in part, on learned patterns of unhelpful behavior.
- People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.
- Learning to recognize one's distortions in thinking that are creating problems, and then to reevaluate them in light of reality.
- Gaining a better understanding of the behavior and motivation of others.
- Using problem-solving skills to cope with difficult situations.
- Learning to develop a greater sense of confidence is one's own abilities.
- Facing one's fears instead of avoiding them.
- Using role playing to prepare for potentially problematic interactions with others.
- Learning to calm one's mind and relax one's body.
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions and behavior.
CBT therapists emphasize what is going on in the person's current life, rather than what has led up to their difficulties. A certain amount of information about one's history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.”
https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral.aspx
Mindfulness-Based Cognitive Therapy (MBCT) - Mindfulness-Based Cognitive Therapy (MBCT) combines the ideas of cognitive therapy with concepts derived from meditative practices. Therapists who specialize in mindfulness will teach clients how to be present with their emotions and thoughts in new, more peaceful ways. Mindfulness is a powerful tool and adjunct to traditional therapy. Mindfulness techniques are effective for relationships, sexuality, eating, addiction, anxiety and depression.
http://mbct.com/
What kind of trauma treatment should I ask for?
When it comes to the treatment of trauma, traditional talk therapy is generally not sufficient for resolving symptoms. It is important that your therapist use a structured treatment approach. Each of the trauma treatment approaches used at Silverlake Psychology are effective and supported by research. One is not superior to the other. Silverlake Psychology therapists do EMDR, Trauma Resiliency work or Cognitive-Behavioral Trauma Therapy. You may read about these approaches here to find one that appeals to you. Our therapists will assess your symptoms and help you to decide which approach is best for you.
EMDR (Eye Movement Desensitization and Reprocessing) - Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR is a set of standardized protocols that incorporates elements from many different treatment approaches. EMDR assists the brain in processing information and storing the memory of the traumatic event through ‘bilateral stimulation’ (through eye movement or knee tapping) which assists the brains natural healing process.
https://www.emdr.com/what-is-emdr/
Trauma Resiliency Model (TRM) - The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. Trauma victims experience nervous system disruptions that lead to excess anxiety, inability to rest, hypervigilance and a sense of loss of control over one’s body. This approach is fantastic for stablizing the nervous system and developing resilience in the aftermath of trauma.
https://www.ncbi.nlm.nih.gov/pubmed/29199520
Psychodynamic Therapy –
Psychodynamic Psychotherapy explores unconscious thoughts and feelings, uncovers blocks or ‘resistance’ to change and connects these insights to your relationship to self, others and the external world. Psychodymanic therapy is a form of depth-therapy that seeks deeper insight into one’s blind spots. Psychodynamic therapy is a great choice for people with long-standing relationship struggles, unresolved conflicts with their family of origin, depression or creative blocks.
http://www.apsa.org/content/psychoanalytic-psychotherapy
The following are philospohical approaches to therapy. Effective therapists are able to weave these ideas into the therapy session.
Postmodern Therapy Theories – “Postmodern therapy focuses on deconstructing common beliefs and examining their value in an individual’s life. For example, postmodern therapists question the definition of “mental health” as well as commonly held assumptions such as the definition of success or what it means to be a woman, man or middle-age. The relationship between patient and therapist is highly collaborative rather than authoritative. Change comes about primarily through open dialogue.”
Existential Therapy- “Existential therapy focuses on each person as a unique individual as well as the choices that shape their life. The therapist empowers the patient to take responsibility for their decisions and create the present and future they desire. Depending on the therapist, techniques may pull from Cognitive-Behavioral, Freudian, Jungian, Gestalt or other therapeutic approaches.”
https://www.crchealth.com/types-of-therapy/what-is-existential-therapy/
Experiential – Rather than simply talking about the change they want in their lives, clients get to experiment with new ways of being in the session. This approach is great for performance anxiety, overcoming co-dependent behavior or practicing new communication techniques. It is a present-focused therapy that stretches one’s internal limits by confronting fears and moving through them in real time.
“Experiential therapy is a therapeutic approach that encourages patients to identify and address hidden or subconscious issues through activities such as role playing, guided imagery, the use of props, and a range of other active experiences. “
https://www.crchealth.com/types-of-therapy/what-is-experiential-therapy/
Gestalt-relational – Gestalt therapy is a present-focused, action-oriented therapy and a great choice for creative individuals. Internal conflicts are drawn out and re-enacted with creative, in-session experiments designed to challenge your growth edges. This approach is great when people feel stuck in life, relationships or stuck in a decision-making process.
“Gestalt therapy is a client-centered approach to psychotherapy that helps clients focus on the present and understand what is really happening in their lives right now, rather than what they may perceive to be happening based on past experience. Instead of simply talking about past situations, clients are encouraged to experience them, perhaps through re-enactment. Through the gestalt process, clients learn to become more aware of how their own negative thought patterns and behaviors are blocking true self-awareness and making them unhappy.”
https://www.psychologytoday.com/us/therapy-types/gestalt-therapy
Narrative Therapy –
“Narrative therapy is founded on the idea that people have many interacting narratives that go into making up their sense of who they are, and that the issues they bring to therapy are not restricted to (or located) within the clients themselves, but rather are influenced and shaped by cultural discourses about identity and power. Narrative therapy centers around a rich engagement in re-storying a client's narrative by re-considering, re-appreciating, and re-authoring the client's preferred lives and relationships.”
https://www.apa.org/pubs/books/4314236.aspx
Solution-focused Therapy – “SFBT is future-focused, goal-directed, and focuses on solutions, rather than on the problems that brought clients to seek therapy.”
https://solutionfocused.net/what-is-solution-focused-therapy/
Strength-based approaches –
“Strength-based therapy is a type of positive psychotherapy and counseling that focuses more on your internal strengths and resourcefulness, and less on weaknesses, failures, and shortcomings. This focus sets up a positive mindset that helps you build on you best qualities, find your strengths, improve resilience and change worldview to one that is more positive. A positive attitude, in turn, can help your expectations of yourself and others become more reasonable.”
https://www.psychologytoday.com/us/therapy-types/strength-based-therapy
Humanistic Therapy –
“Also known as humanism, humanistic therapy is a positive approach to psychotherapy that focuses on a person’s individual nature, rather than categorizing groups of people with similar characteristics as having the same problems. Humanistic therapy looks at the whole person, not only from the therapist’s view but from the viewpoint of individuals observing their own behavior. The emphasis is on a person’s positive traits and behaviors, and the ability to use their personal instincts to find wisdom, growth, healing, and fulfillment within themselves.”
https://www.psychologytoday.com/us/therapy-types/humanistic-therapy