Our Services
Taking the first step towards seeking help can be daunting but we are here to provide a non-judgmental space for self-acceptance and growth. Our clinicians at Family & Child Therapy have expertise in cutting edge techniques. See below for our services, and further down for a list of treatments we provide and concerns we address.
Treatments and Concerns:
Play Therapy
Play Therapy is to kids what talk therapy is to adults -it is often called “the language” of children. Play Therapy offers children an opportunity to normalize and play out any thoughts and feelings they might be having that they are unable to express verbally; using toys instead of words.
Cognitive-Behavioral Therapy (CBT)
Cognitive-Behavioral Therapy (CBT) is a type of therapy used to connect thoughts, feelings, and behaviors; this modality is adapted by our clinicians to ensure it is utilized to be affirming to all clients.
Dialectical Behavioral Therapy (DBT)
A type of therapy used to assist with regulating intense emotions and finding alternate and effective ways to cope.
Expressive Therapies
Such as sandtray, art therapy and other expressive therapies such as drama or music, which allow the client to express themselves non-verbally.
Mindfulness/Mind-Body Work
A tool that our therapists teach by focusing on awareness of the present moment, while acknowledging and accepting one’s feelings, thoughts, and bodily sensations; connecting body sensations with emotions)
Relaxation Training
Our therapists teach relaxation skills such as progressive muscle relaxation or deep breathing for the management of stress, anxiety, and anger.
Stress Management
Involves tools or strategies to handle life’s stressors.
Support for New Parents
For parents of spirited children, the clinicians at Family & Child Therapy offer short or long-term parent consultation and coaching. Our therapists are well versed in theories of attachment and how to nurture the parent-child bond.
Adjustment to Life Stressors
At Family & Child Therapy, we have skilled therapists available to assist when life gets messy and complicated. Sometimes it is as simple as not knowing what to do after a breakup, following a big move, or after graduating from school and not knowing what your next steps might look like. We are here to support you in your journey for peace and wellness.
Acculturation
The Psychological Impact of Acculturation: Acculturation is the process by which individuals or groups adopt the customs, beliefs, values, and behaviors of a culture that is different from their own. It can occur when people from different cultural backgrounds come into contact with each other and interact over a period of time. While acculturation can bring about a wealth of new experiences, it can also come with its own set of psychological challenges. The psychological impact of acculturation can be different for children and adults. Let's explore each group separately: IMPACT ON CHILDREN Acculturation can have a significant impact on children as they navigate multiple cultures and try to establish their own identities. Some key psychological impacts on children can include: - Identity Development Acculturation may lead to identity confusion, as children try to reconcile their cultural heritage with the new culture they are exposed to. They may question their identity, values, and beliefs, which can create internal conflicts and challenges in forming a cohesive sense of self. - Emotional Well-being Acculturation can also affect children's emotional well-being. They may experience stress, anxiety, and depression, especially if they face challenges related to fitting in, language barriers, discrimination, or a loss of social support networks. - Peer Relationships and Social Integration Children going through acculturation may face difficulties in forming friendships and establishing social connections. Language barriers or cultural differences can create barriers to effective communication, which can lead to feeling isolated or excluded. This can impact their overall sense of belongingness and social integration. IMPACT ON ADULTS Acculturation can also have profound psychological effects on adults as they adapt to a new culture and work towards establishing their lives. Some key psychological impacts on adults can include: - Cultural Adaptation Adults may experience challenges in adapting to a new culture. They may face difficulties in understanding social norms, customs, and unwritten rules, which can lead to feelings of insecurity and confusion. This process can also challenge their self-identity and self-esteem. - Stress and Mental Health Acculturation stress can take a toll on adults' mental health. The pressure of adapting to a new culture, learning a different language, finding employment, and dealing with discrimination or racism can contribute to increased stress, anxiety, and even depression. - Sense of Loss and Grief Adults who go through acculturation may experience a sense of loss and grief for their homeland, their familiar surroundings, and their social connections that may have been left behind. This can lead to feelings of nostalgia and homesickness, which can further impact their psychological well-being. It is important to note that these impacts can vary greatly depending on factors such as individual resilience, available support systems, and the nature of the new culture being adopted. Providing support, fostering a sense of belonging, and facilitating the maintenance of cultural connections can help mitigate the negative psychological impacts of acculturation for both children and adults. Overall, understanding and addressing the psychological impact of acculturation is crucial for promoting the mental well-being and successful adaptation of individuals across all age groups.
Adoption/Foster Care
Adoption can be a complex and emotional journey for everyone involved. Whether you are an adoptive parent, a birth parent, or an adoptee, the process can bring up a range of emotions and challenges. - If you are an adoptee or living with an adoptee, working with a therapist can provide invaluable support and guidance. A therapist can help you navigate the complex emotional landscape of adoption and work through any unresolved feelings or issues that may be impacting your well-being. - For adoptive parents, therapy can be particularly beneficial in helping you adjust to your new role and build healthy relationships with your child. A therapist can provide guidance on parenting strategies that are specific to adoptive families, as well as help you work through any feelings of guilt, grief, or anxiety that may be present. - Birth parents may also benefit from therapy as they navigate the complex emotions and grief that can come with placing a child for adoption. A therapist can provide a safe and supportive space to work through any unresolved feelings of loss, guilt, or regret, and help you find closure and peace. - Adoptees may also find therapy helpful in processing their experiences and developing a sense of identity. A therapist can provide support in exploring issues related to adoption, such as attachment, loss, and identity formation. Ultimately, the goal of therapy is to provide a safe and supportive space for individuals impacted by adoption to work through their emotions and find a path forward towards greater well-being. If you are struggling to cope with the aftermath of adoption, seeking the support of a therapist can be a valuable step towards healing and growth.
Anger Management
The treatment of anger management in therapy typically involves a combination of techniques that aim to help individuals understand and manage their anger effectively. Some commonly used techniques include: identifying triggers and responses, challenging and modifying negative thoughts and beliefs, anger awareness and expression, stress reduction strategies, and problem-solving skills.
It is important to note that anger management therapy is tailored to each individual's unique needs and goals. A licensed therapist specializing in anger management can provide guidance and support throughout the therapeutic process.
Eating Disorders
When working through concerns about feeding and eating disorders, you can expect our approach to be based on collaborative caring. Using philosophies of anti-diet, intuitive eating, health at every size, and all foods fit, we will work together to revolutionize the way food, body weight/shape, and movement are viewed. Our therapists will meet with your treatment team regularly to help support the management of eating disorder symptoms and provide holistic care.
EMDR (Eye Movement Desensitization and Reprocessing) therapy is a psychotherapy approach that has been effective in the treatment of trauma, depression, anxiety, chronic pain, OCD, substance use, and other mental health concerns. It was developed in the late 1980s by psychologist Dr. Francine Shapiro.
EMDR therapy incorporates elements of cognitive-behavioral therapy (CBT), experiential therapy, and bilateral stimulation or “back and forth” movement of the eyes or buzzing of hand-held tappers (as examples). The primary goal of EMDR is to help individuals process distressing memories, traumatic experiences, and associated emotions and beliefs in a safe and controlled manner.
Safe and Sound Protocol (SSP)
SSP is an evidence-based listening program designed to help reset your nervous system after trauma or chronic stress. Developed by researcher, psychologist, neuroscientist, and founder of Polyvagal Theory, Dr. Stephen Porges, the SSP consists of five hours of listening to specially-filtered music, which functions as a non-invasive acoustic vagus nerve stimulator that can help individuals better connect with themselves, others, and the world around them from a foundation of physiological safety.
How does it work?
The music of the SSP has been found to deliver “cues of safety” to the listener
If the listening occurs in the context of the person feeling safe and supported, this allows the listener to experience a calmer, parasympathetic state, where they no longer need to constantly scan the environment (and lower frequency sounds) for danger. Instead, they can focus on higher frequency sounds, like human speech.
These changes can come together to allow a client to more easily filter out sounds that previously would have caused them distress.
The SSP has been found to help with:
- Anxiety
- Trauma
- Sleep issues
- Long-covid
- Sensory processing challenges
- Digestive issues
The SSP is not meant to be a stand-alone treatment. However, in combination with therapy (EMDR, talk therapy, occupational therapy, for example), the protocol can help a client address chronic difficulties. The effectiveness of the SSP has been proven in a wide range of studies including clinical trials involving autism, along with numerous case studies demonstrating effectiveness with emotional regulation, trauma, anxiety and more. Studies have begun on how the SSP can affect the impact of long COVID.
The SSP is designed to work in tandem with other therapeutic approaches and modalities and results may vary. While some people notice results immediately, others may take up to eight weeks to experience full benefits.
The SSP delivery method is crucial and must be done by a trained professional. It is provided in small increments of time, sometimes as small as 30 seconds, depending on one’s nervous system’s ability to tolerate the experience.
Clients need:
Over-the-ear headphones (not noise cancellation)
The Unyte-iLs app
Cost:
If current client of Amanda Van Emburgh, $150 for access to SSP for four months; Together we will customize a listening program in session
If current client of another therapist in the practice, $150 for access to SSP for four months (includes email support) plus required $210 for one session introduction (includes psychoeducation and design of listening program).
Additional in-person sessions, if desired or determined to be needed, will be billed at the clinician’s regular rate.
If new client, please contact info@familyandchildtherapy.com to discuss rates and options.
For more information about the SSP, see: www.whatisthessp.com
Anxiety and Stress Management
All of us experience anxiety and worries at some point in our lives.
Some anxiety can certainly be a good thing, as it helps with motivation and developing resiliency. However, when anxiety becomes debilitating, it is time to seek help. Anxiety is known to be one of the most treatable mental health issues. Fortunately, the therapists at Family & Child Therapy specialize in treating anxiety with a variety of methods.
We are able to treat all types of anxiety concerns, including but not limited to Generalized Anxiety Disorder (GAD), Panic Attacks, Obsessive Compulsive Disorder (OCD), Separation Anxiety Disorder, and Post-Traumatic Stress Disorder (PTSD).
Therapists at our practice use treatments such as Acceptance and Commitment Therapy (ACT) to assist in becoming more flexible in how clients can handle tough feelings and thought, Cognitive-Behavioral Therapy (CBT) to address underlying thoughts and feelings, gradual exposure to anxiety provoking situations, somatic management skills like relaxation techniques, deep breathing, and mindfulness, and Eye Movement Desensitization and Reprocessing (EMDR) as indicated.
In addition to therapy, self-care practices such as exercise, mindfulness meditation, and relaxation techniques can also be helpful in managing anxiety and worries.
Seeking help for anxiety and worries is a brave and important step towards greater well-being and a fulfilling life and we are ready to support you.
Autism
At our practice, we use a Neurodiversity affirming approach to autism, which emphasizes the understanding and celebrating of the unique strengths and differences of individuals with autism. We also provide support and treatment for the trauma that occurs as a result of living in a world not suited for Neurodivergence.
We believe in the social (vs. medical) model when it comes to autism, which recognizes autism as a difference in neurology and a legitimate way of being, rather than a disorder. This model focuses on how societal attitudes, structures, and expectations can create barriers and disadvantages for autistic individuals. It highlights the importance of creating an inclusive and accessible environment that accommodates the needs and preferences of autistic individuals, promoting acceptance and embracing Neurodiversity.
Here are some key aspects of a Neurodiversity affirming therapy approach for autism that we support:
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Acceptance and Understanding
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Strengths-Based Focus
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Respect for Self-Determination and Autonomy
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Adapting the Environment to celebrate and accommodate Neurodiversity
Children of Divorcing/Separating Parents
At our practice we commonly hear from caring parents who are separating or divorced and are jointly seeking support for their children. We welcome these clients and provide expert support for children by way of play and expressive therapies. Play, often called the “language of children” allows them to have a way to express their thoughts and feelings in a safe, normalizing environment.
Depression
Depression can manifest in many ways and can vary from person to person. Some common symptoms may include feelings of sadness, hopelessness, and worthlessness, loss of interest in activities that were once enjoyed, changes in appetite and sleep patterns, difficulty concentrating, and thoughts of self-harm or suicide.
At FCT we are prepared to help you if you are feeling or experiencing any of these signs and symptoms of depression. We use evidence based treatment methods that will get you on your way to feeling better, and work using a team approach with other care professionals, with your permission, so that we can best support you in your healing.
Family Conflict
Family conflict is common and can stem from different sources such as parenting styles, communication breakdown, financial issues, and cultural differences. These conflicts can have negative consequences on family members' emotional and psychological well-being. At Family & Child Therapy, we approach conflict using individual and family therapy, often utilizing a family systems approach to improve relationships and reduce conflict.
Peer Relationships
At FCT, we understand the significance of healthy peer relationships in leading a fulfilling life. If you find yourself struggling to connect with others, facing difficulties in social interactions, or experiencing challenges in maintaining meaningful friendships, we're here to help. Our therapy services are designed to empower you with the skills and insights necessary to navigate the complexities of peer relationships and develop lasting connections.
Take the first step in improving your connections by contacting us today for support.
Perinatal Mood and Anxiety Disorders (PMADs)
Perinatal Mood and Anxiety Disorders (PMADs): About 1 in 7 moms (and 1 in 10 dads) will struggle with depression or anxiety. Most women experience mood shifts – like the “baby blues”- in the postpartum period.
But if your symptoms are lingering longer than a few weeks, know that you do not have to struggle alone. PMADs can happen regardless of age, race, gender, or economic status. And, most importantly, there’s nothing you did or didn’t do to cause it to happen. With the right help and support, you can feel more like yourself again.
Symptoms may include:
-Feeling nervous, on edge, or out of control
-Experiencing low mood more often than not
-Trouble sleeping
-Difficulty completing daily tasks (like showering or remembering to eat)
-Difficulty connecting with your baby
-Experiencing upsetting thoughts that won’t go away
-Overwhelming fear that something bad will happen
-Worried you might hurt yourself or your baby
For more information about our Postpartum Specialist,
Katie Taves, M.A., LPC, check Katie’s profile.
Grief/Loss
Have you recently experienced a loss? Are you feeling stuck in your grief and unable to move forward?
Loss, no matter how big or small, can impact us throughout our lifespan. Sometimes we need to process these events with a professional through the use of talk therapy, expressive therapies for younger children, or more brain-based treatments such as hypnosis or Eye Movement Desensitization and Reprocessing (EMDR). Our clinicians are also trained in Internal Family Systems (IFS), which helps clients heal by accessing their inner, wounded parts. Whatever the modality you may need, our clinicians are well-versed at meeting you where you are and seeing you through life’s difficult times.
If you or your family has suffered a recent loss, please know that you can reach out to us when you feel ready. We will schedule an intake appointment to discuss what has brought you to therapy, what you hope to gain from treatment, goals for our work together, and any questions or concerns you may have about the process.
Self-Injury
We understand that self-injury can be a complex and sensitive issue. We're here to offer compassionate and effective therapeutic treatment to individuals who engage in self-harming behaviors. Our dedicated team of therapists is committed to helping you on your journey towards healing, self-discovery, and building healthier coping strategies.
We offer a non-judgmental and safe space and provide a supportive environment where you can openly discuss your experiences with self-injury. Our therapists are trained to approach your struggles with empathy, compassion, and understanding.
As part of your treatment, we will work on building emotional regulation skills, tolerance of big feelings, and identifying triggers and underlying issues.
Trauma / Sexual/ Emotional/Physical Abuse or neglect
Are you ready to feel in control of your life again following a recent or long-ago trauma or due to childhood abuse or neglect?
Traumatic experiences, no matter how big or small, can impact us at any age, even before we are verbal. Sometimes we need to process these moments or events with a professional through the use of talk therapy, Dialectical Behavior Therapy (DBT), more brain-based treatments such as hypnosis or Eye Movement Desensitization and Reprocessing (EMDR). Whatever the modality you may need, our clinicians are well-versed at meeting you where you are and seeing you through life’s difficult times.
Our clinicians have long histories of working with children, adolescents and adults suffering as a result of physical, sexual, or emotional abuse as well as neglect, abandonment, or medical trauma. Most have worked extensively with diverse populations, and all are prepared to meet your needs or family’s needs.
If you or your family has experienced trauma, please know that you can reach out to us when you feel ready. We will schedule an intake appointment to discuss what has brought you to therapy, what you hope to gain from treatment, goals for our work together, and any questions or concerns you may have about the process.
PDA Persistent/ Pervasive Desire/ Drive for Autonomy
- Persistent/Pervasive Desire/Drive for Autonomy, and “PDA profile,” preferred by those with lived experience.
- PDA was first identified in 1980 by Elizabeth Newsome as a profile of autism.
- PDA is not a separate diagnosis and is not largely recognized in the US.
- The UK has led the way with research and acceptance, although it is still not a diagnosis in the DSM-5-TR.
- For the most part, it is believed that a PDA profile co-occurs with autism.
- A one-minute intro video from the PDA Society can be viewed here.
- Some clinicians and those with lived experience believe it is a profile that can occur among any neurodivergence.
- There are questionnaires for demand avoidance, but there is no specific diagnostic process as there is with ADHD, Autism, Dyslexia, etc.
It is important to note that individuals with a PDA profile experience extreme anxiety and nervous system dysregulation and use what is perceived as avoidance/refusals/opposition, which is actually equalizing strategies as a way to cope with overwhelming demands and maintain autonomy.
It is essential to recognize that their “avoidance” of demands is not deliberate defiance but a response to cope with overwhelming feelings and a dysregulated nervous system (varying degrees of fight, flight, freeze, and fawn). At our practice, Tisha Moon, LPC has specific expertise in PDA. As a practice, we have familiarity with PDA profiles and welcome referrals of those who identify as PDA of all ages.
Neurodivergent and PDA Clinical Consultation Group
Are you feeling stuck in your work with your neurodivergent and PDA profile clients?
Our consultation services offer a nurturing, proactive, and empowering avenue for mental health professionals seeking guidance, support, and fresh perspectives on their clinical cases. Tisha Moon, LPC, NCC and Amanda Van Emburgh, Psy.D, RPT-S, are dedicated to providing unwavering neurodivergent support through an inclusive and LGBTQIA+ affirming lens, across all age groups. Our expertise spans play therapy, individual counseling, parent coaching, and collaborative efforts with treatment teams.
We extend our consultation services to counseling and mental healthcare professionals at all stages of their career, from recent graduates to seasoned clinicians with decades of experience. This includes a diverse range of disciplines such as marriage and family therapists, professional counselors, social workers, and psychologists.
Our professional consultations are designed to empower clinicians to offer the most effective treatment to their clients while keeping in mind the importance of their own self-care.
Through our consultations, clinicians can:
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Simplify complex cases
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Break free from roadblocks and challenges
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Identify and address barriers, including ableism and medical model narratives
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Cultivate confidence
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Harness techniques from various therapeutic modalities
In turn, clinicians experience:
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Heightened self-assurance
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Improved client retention
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Deeper insights into their clients' needs
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Sessions that are more fulfilling and meaningful
Our Approach to Consultation Sessions:
We play an active and engaged role in the consultation process, drawing from our specialized knowledge in neurodivergence, PDA, and trauma. We prioritize collaboration and tailor consultation sessions to meet the specific needs of each clinician. Our strategies are evidence-based and continuously adapted to ensure an affirming and neurodivergent-informed approach, with profound respect for lived experiences. We also work closely with clinicians to identify any personal factors that may be hindering their ability to support neurodivergent clients and those with a PDA profile.