16 May 2017
(CBT) Cognitive Behavioral Therapy

A Proven and Effective Mental Health Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a form of mental health treatment that has proven to be effective for a range of problems including depression, anxiety disorders, relationship problems, eating disorders and severe mental illness. Numerous research studies suggest that CBT leads to significant improvements in the functioning and quality of daily life. In many studies, CBT has been demonstrated to be as effective as, or even more effective than, other forms of psychological therapy or psychiatric medications.

 

Facts About Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of therapy or counselling that has been shown by research to be effective across a range of mental health problems (including anxiety, panic attacks, depression, obsessive compulsive disorder (OCD), posttraumatic stress disorder (PTSD), eating disorders, and relationship problems).

Cognitive Behavioral Therapy (CBT) teaches a range of practical and psychological techniques thus equipping you with the skills for tackling not only current problems but future ones too. This ensures that in the unlikely event that symptoms of anxiety, depression, panic or other mental health problems return or new issues arise, you will be better equipped to deal with them effectively.

Cognitive Behavioral Therapy (CBT) works initially at the ‘symptoms level’, to help you to reduce and better manage your symptoms and on a day to day basis feel more in charge of your life and to resolve what may be at the origin of the mental health symptoms to make improvements that are long lasting.

Time limited means that Cognitive Behavioral Therapy (CBT) identifies and works towards specific goals ensuring that therapy is always focused and moving you forwards unlike other counselling approaches that can feel directionless and unending. The phrase ‘time limited’ however is often misunderstood to mean that therapy will be quick regardless of a person’s symptoms. The duration of Cognitive Behavioral Therapy (CBT) is determined by the severity of mental health symptoms and how long a person has been suffering with them.

Cognitive Behavioral Therapy (CBT) is suitable for people with a range of mental health problems (including anxiety problems like panic disorder, stress, anxiety disorder, social anxiety, obsessive compulsive disorder (OCD), posttraumatic stress disorder (PTSD), problems associated with low self-esteem and mood like depression, chronic fatigue syndrome and eating disorders, and relationship problems) across the lifespan, so we can help young children, teens and adults.

The Importance of the Personal Meaning

Cognitive Behavioral Therapy is a kind of dual approach to treatment, addressing thoughts and behaviors. The cognitive part of therapy looks at the importance of the personal meaning we place on things and how thinking patterns begin in childhood. The behavioral therapy pays close attention to the relationship between our problems, our behavior and our thoughts. A therapist trained in CBT will customize the therapy to the specific needs and symptom profile of each patient.

Professional Therapy with a Client Focus

There are times in life when we can feel off balance and can’t seem to snap out of it. When our own natural support system just isn’t enough, it may be time to reach out to a professional counselor to start the process of therapy. We have created a safe, comfortable and professional environment to discuss the issues in your life. We recognize the importance of a good therapeutic relationship and strive to build a positive rapport. We treat each client with respect and dignity.

 

   +1 (209) 262-4387     Call Now

CBT is an approach for which there is a lot of scientific evidence showing that the methods used in treatment can produce a sustainable positive change for clients.

CBT is based on several core principles, including:

  • Psychological problems can be from faulty or unhelpful ways of thinking.
  • Psychological problems can come from 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.
  • Rehearsal of new coping skills can lead to the development of sustained functional patterns.

 

A certain amount of information about a client’s history is needed, but the focus is primarily on the here-and-now, moving forward in time to develop more effective ways of coping with life. 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, clients are helped to develop new coping skills, which can lead to a change in their own thinking, problematic emotions and behavior.

CBT treatment usually involves efforts to change thinking patterns. These strategies might include:

  • Learning to recognize distortions in thinking that are creating problems.
  • Reality testing to challenge irrational thinking and responses.
  • 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.

 

Cognitive Distortions

Cognitive distortions are thinking patterns or simply ways that our mind convinces us of something that isn’t actually true. These inaccurate thoughts are usually used to reinforce negative thinking or emotions. Here are 10 common cognitive distortions that can contribute to negative emotions. They can also fuel catastrophic thinking patterns that are particularly disabling:

 

  • All-or-Nothing Thinking: This is a way of thinking in black and white terms with no shades of grey. You are either a success or failure. You feel either loved or hated.
  • Over-Generalization: This is a pattern of thinking about a negative event and then applying it to all events and even use it to predict future events. If you made a mistake with your school presentation, you feel you are a bad student and will always give bad presentations.
  • Mental Filter: This is where you pick out a single negative detail and dwell on it exclusively, so that your vision of all reality becomes tainted.
  • Discounting the Positive: You reject positive experiences by insisting they “don’t count.” If you do a good job, you may tell yourself that it wasn’t good enough or that anyone could have done as well. Discounting the positive takes the joy out of life and makes you feel inadequate and unrewarded.
  • Jumping to Conclusions: This is almost like mindreading. You think you know what another person is thinking when in fact, you do not. This is a distortion because you make a conclusion with out considering all the facts.
  • Magnification: This is a way of thinking where you exaggerate the importance of your problems and flaws, often minimizing the importance of your good qualities.
  • Emotional Reasoning: This is a cognitive distortion where you feel a certain way or have an emotional reaction to something and then make this a reality, regardless of evidence or facts to the contrary. If I feel this way, it must be true.
  • “Should statements”: You tell yourself that things should be the way you hoped or expected them to be. Should statements that are directed against other people or the world in general lead to anger and frustration: “He shouldn’t be so stubborn and argumentative.”
  • Labeling: Labeling is an extreme form of all-or-nothing thinking. Instead of saying “I made a mistake,” you attach a negative label to yourself: “I’m a loser.” These labels are just useless abstractions that lead to anger, anxiety, frustration, and low self-esteem.
  • Personalization: Personalization is a distortion where a person believes that everything others do or say is a direct, personal reaction to them. Some people do the opposite. They blame other people or their circumstances for their problems, and they overlook ways that they might be contributing to the problem.

 

CBT treatment also usually involves efforts to change behavioral patterns. These strategies might include:

  • Facing fears through, 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.
  • Replacing a problematic behavior with a new healthier option.

 

Some kinds of therapy allow clients to just talk freely and randomly about issues, but CBT more than just talk, it is a structured treatment. CBT uses a process to move through treatment with a planned progression to meet the goals of therapy. The problems may be troublesome symptoms, such as sleeping badly, not being able to socialize with friends, or difficulty concentrating on reading or work. Or they could be life problems, such as being unhappy at work, having trouble dealing with an adolescent child, or being in an unhappy marriage.

These problems and goals then become the basis for planning the content of sessions and discussing how to deal with them. Typically, at the beginning of a session, the client and therapist will jointly decide on the main topics they want to work on this week. They will also allow time for discussing the conclusions from the previous session. And they will look at the progress made with the homework the client set from last appointment. At the end of the session, they will plan another assignment to do outside the sessions. This practice of rehearsing target skills can establish new behaviors that leads to positive changes in life.

 

Our Team

Our mission is to improve the quality of lives for individuals with behavioral and emotional challenges by providing exceptional mental health services using the most up-to-date, evidence-based practices helping our clients to become more active and productive members of the community.
Mae Grimme

MSW, Registered Associate CSW

Eric Garcia

MA, Registered Associate PCC

Michael Lospinoso

MA, Registered Associate PCC

Valerie Lamke

MS, LMFT

Bergen Filgas

MS, LMFT

Samantha Moreno

MSW, Registered Associate CSW

Rachael Cresci

DBH, LCSW

Marissa Preciado

MS, LMFT

About us

Abalance Client-Centered Counseling Modesto California Office -1
Abalance Client-Centered Counseling Modesto California - General 7

Why choose a therapist at Abalance Client-Centered Counseling?

Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

We have a team of professionals that are continually sharpening their skills as mental health providers and attend regular training from the Clinical Director. Having a competent and knowledgeable therapist is only part of it.

We are also a group of caring and compassionate people that strive to make your time with us a safe, comfortable and rewarding experience.

  • Anxiety Disorders
  • Depression Disorders
  • LGBTQ+ Gender Issues
  • Play Therapy
  • Child Disruptive Behavior
  • Childhood Trauma

Frequently Asked Questions

Yes, Abalance Client-Centered Counseling is accepting new clients in all three (3) of our Central Valley locations in Modesto, Merced, and Turlock California.

No. You can contact us directly and we will get your insurance eligibility established and schedule your first appointment. Your Health Plan may require an additional call to get a registration number after you have already established as a client in our office. We have a team here to help guide you through these things if you need assistance.

Yes, we currently accept HPSJ and CCAH MediCal Insurances only. For other insurances, we provide an out-of-network option for you to bill your insurance and get reimbursed for up to 80% of your therapy costs in our offices.

No, we treat mild/moderate symptoms for a variety of issues, but not alcohol and drug issues. If you have an addiction or are seeking sobriety, we refer out to a professional that treats substance abuse.

Weekly sessions are the best care option for mental health outcomes, but we also provide an every other week option, or Teletherapy if you have a hectic schedule.

We can see clients as young as 2 years old. A session is a once a week appointment lasting 50 minutes.

Yes. Our staff can get you in touch with the transportation coordinator from your Health Plan to arrange necessary transportation to-and-from the therapy office.

The Best Thing In Play Therapy

We have advanced training in play therapy and utilize several treatment options to best fit the needs of our youngest clients. We have specially designed Play Therapy Rooms at each office, dedicated to enriching the therapy experience and reaching our goals.

why choose us

Abalance Client-Centered Counseling is dedicated to providing effective mental health counseling to our community in the Central Valley.

 

We have over 15 years of clinical experience to provide the most effective treatment options. Our team of therapists have specialized training in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Play Therapy.

About Us

DEDICATED THERAPISTS

We recognize the importance of a good therapeutic relationship and strive to build a positive rapport with each client. And we treat each client with respect and dignity.

Well Counseling

You will learn skills of mindfulness and how to balance thoughts and feelings; and begin to build insight into your issues and have a plan to reinforce your goals.

Teletherapy

Teletherapy is provided by using long-distance technologies so that clients and therapists do not have to be in the same place at the same time.

Transportation Assistance

Transportation is provided by your Health Plan. If you have problems with getting to your appointments, we are able to help arrange a ride.

Latest News

Cognitive Behavioral Therapy (CBT)

(CBT) Cognitive Behavioral Therapy   We have all been through a certain rough patch in our life that has had a severe impact on our mental health. Most of the time we get over such incidents on our own but sometimes we need professional help. An evidence-based technique that has proven to be very helpful

Read More
Top 25 Ways To Deal With Depression

Many people think depression is an emotion, often confusing it with just being unhappy. However, depression is a clinical condition and is the leading cause of disability among U.S. individuals aged 15 to 44 years. Depression is fairly common, affecting more than 15 million adults in the United States. Depression is when you feel sadness,

Read More
What Is Self-Esteem and Why Is It Important?

What Is Self-Esteem?   The term self-esteem is used to describe a person’s overall sense of self-worth or personal value. In other words, how much you appreciate and like yourself. Self-esteem is often seen as a personality trait, which means that it tends to be stable and enduring over the lifespan. Self-esteem can involve a variety

Read More
tmc_a_free_consultation

Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

Abalance Client-Centered Counseling
Offices Located Throughout The Central Valley California

Phone: (209) 262-4387

MONDAY TO FRIDAY: 9:00 AM – 7:00 PM

SATURDAY: 9:00 AM – 5:00 PM

SUNDAY: Closed

Request More Information

16 May 2017
(DBT) Dialectical Behavior Therapy
Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) treatment is a type of psychotherapy or talk therapy that utilizes a cognitive-behavioral approach. Dialectical thinking refers to the ability to see that two competing or opposing forces can apply to the same thing. The dialectic at the heart of DBT is acceptance and change; in other words, I can accept myself as a worthy person even though there are some key things I need to change in order to be a healthier person.

The theory behind the approach is that some people are prone to overreact in severe and extreme manner toward certain emotional situations, creating problems with romantic, family and friend relationships. DBT theory suggests that some people get very emotionally aroused, very quickly and take a long time to return to a calm state of mind.

People who experience extreme swings in their emotions, see the world in black-and-white, and seem to always be jumping from one crisis to another typically alienate other people and create negative relationship patterns. The people that experience these outbursts usually don’t have any methods for coping with these sudden, intense surges of emotion. DBT is a method for teaching skills that will help in reducing the quick and intense responses and learn to de-escalate and self-regulate better.

 

 

DBT is also a therapy method that validates the positive aspects of a person in treatment, rather than just focusing on the negative things that they are wanting to change. It helps a person identify their strengths and builds on them so that the person can feel better about themselves and their life.

Dialectical behavior therapy (DBT) provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT specifically focuses on providing therapeutic skills in four key areas. First, mindfulness focuses on improving an individual’s ability to accept and be present in the current moment. Second, emotion regulation covers strategies to manage and change intense emotions that are causing problems in a person’s life. Third, distress tolerance is geared toward increasing a person’s tolerance of negative emotion, rather than trying to escape from it. Fourth, interpersonal effectiveness consists of techniques that allow a person to interact with others in a way that is maintains self-respect and strengthens relationships.

 

Facts You Should Know About Dialectical Behavior Therapy (DBT)

The word “dialectical” describes the notion that two opposing ideas can be true at the same time. In DBT, there is always more than one way to think about a situation, and all people have something unique and different to offer.

Because the core of DBT involves exploring the specific background of the individual, every DBT treatment is completely customized, based solely in the actual experiences of the patient.

DBT treats conditions where the individual’s self-image is in need of restoration. By developing a more effective means of communicating with others, DBT helps the individual gain confidence in even stressful situations.

Another hallmark of DBT is training the individual to be tolerant of others, even in those situations where their viewpoints are different or disputed.

Mindfulness

Mindfulness skills can help you to center and calm yourself to better understand your emotions. You learn to reflect and train your brain to stay in the present, rather than getting stuck in the past or worrying about the future. You can sit with your anxiety instead of pushing it away, and observe your thoughts, listen to yourself, and acknowledge your fears or apprehensions. In practicing these skills, you can avoid taking things personally and listen more fully to better understand others. Mindfulness is encouraged throughout all 4 stages of DBT therapy and practiced at home during the week.

Emotional Regulation

Depression can present different symptoms, depending on the person. But for most people, depression is feeling sad and not being able to snap out of it and having it last for weeks. People also often report feeling unmotivated, fatigued, irritable and having a lack of interest in things that they used to find enjoyable. Many people experiencing depression report changes in sleep patterns and eating behaviors. For some people, it can include having negative intrusive thoughts about self-worth and even thoughts of suicide.

Professional Therapy with a Client Focus

There are times in life when we can feel off balance and can’t seem to snap out of it. When our own natural support system just isn’t enough, it may be time to reach out to a professional counselor to start the process of therapy. We have created a safe, comfortable and professional environment to discuss the issues in your life. We recognize the importance of a good therapeutic relationship and strive to build a positive rapport. We treat each client with respect and dignity.

 

   +1 (209) 262-4387     Call Now

Distress Tolerance

Distress Tolerance skills are used to help us cope and survive during a crisis and helps us tolerate short-term or long-term physical or emotional pain.

Distress Tolerance skills address the tendency of some individuals to experience negative emotions as overwhelming and unbearable. People with a low tolerance for distress can become overwhelmed at relatively mild levels of stress, and may react with negative behaviors. Many traditional treatment approaches focus on avoiding painful situations, but in the distress tolerance module of DBT, clients learn that there will be times when pain is inevitable or unavoidable and the best course is to learn to accept and tolerate distress.

A main part of distress tolerance is the concept of radical acceptance. This refers to experiencing the situation and accepting the reality of it when it is something the person cannot change. By practicing radical acceptance without being judgmental or trying to fight reality, the client will be less vulnerable to intense and prolonged negative feelings. Within the distress tolerance module, there are four skill categories:

 

  • Distracting
  • Self-soothing
  • Improving the moment
  • Focusing on pros and cons

 

These skills are aimed at helping individuals cope with crisis and experience distress without avoiding it or making it worse.

 

Interpersonal Effectiveness

Interpersonal Effectiveness skills are extremely important because the way we communicate with others has a significant impact on the quality of our relationships and on the outcome of our interactions. In order to communicate more effectively, clients are taught skills that help them approach conversations in a more thoughtful and deliberate manner rather than acting and reacting impulsively due to stress or intense emotions. Two key components of interpersonal effectiveness are the ability to ask for things and to say no to requests, when appropriate.

There are three types of effectiveness that must be addressed in interpersonal exchanges:

 

  • Objective effectiveness: the goal or purpose of the interaction which often is a tangible outcome.
  • Relationship effectiveness: the goal of a conflict-free relationship.
  • Self-respect effectiveness: the goal is maintaining personal values and dignity.

 

For any given situation, these three factors must be considered and prioritized. The individual is likely to be more satisfied with the interaction and outcome if his or her highest priority has been addressed.

Throughout all stages of DBT there is a weekly goal to complete homework assignments to practice and rehearse the new skills in real life situations. This allows the client to build new neural pathways to develop new behaviors and to encourage sustained change. The skills that are assigned to each person are customized based on the treatment plan developed in the office. The therapist helps the person to learn, apply and master the DBT skills in each weekly session.

Our Team

Our mission is to improve the quality of lives for individuals with behavioral and emotional challenges by providing exceptional mental health services using the most up-to-date, evidence-based practices helping our clients to become more active and productive members of the community.
Eric Garcia

MA, Registered Associate PCC

Marissa Preciado

MS, LMFT

Michael Lospinoso

MA, Registered Associate PCC

Valerie Lamke

MS, LMFT

Rachael Cresci

DBH, LCSW

Mae Grimme

MSW, Registered Associate CSW

Bergen Filgas

MS, LMFT

Samantha Moreno

MSW, Registered Associate CSW

About us

Abalance Client-Centered Counseling Modesto California Office -1
Abalance Client-Centered Counseling Modesto California - General 7

Why choose a therapist at Abalance Client-Centered Counseling?

Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

We have a team of professionals that are continually sharpening their skills as mental health providers and attend regular training from the Clinical Director. Having a competent and knowledgeable therapist is only part of it.

We are also a group of caring and compassionate people that strive to make your time with us a safe, comfortable and rewarding experience.

  • Anxiety Disorders
  • Depression Disorders
  • LGBTQ+ Gender Issues
  • Play Therapy
  • Child Disruptive Behavior
  • Childhood Trauma

Frequently Asked Questions

Yes, Abalance Client-Centered Counseling is accepting new clients in all three (3) of our Central Valley locations in Modesto, Merced, and Turlock California.

No. You can contact us directly and we will get your insurance eligibility established and schedule your first appointment. Your Health Plan may require an additional call to get a registration number after you have already established as a client in our office. We have a team here to help guide you through these things if you need assistance.

Yes, we currently accept HPSJ and CCAH MediCal Insurances only. For other insurances, we provide an out-of-network option for you to bill your insurance and get reimbursed for up to 80% of your therapy costs in our offices.

No, we treat mild/moderate symptoms for a variety of issues, but not alcohol and drug issues. If you have an addiction or are seeking sobriety, we refer out to a professional that treats substance abuse.

Weekly sessions are the best care option for mental health outcomes, but we also provide an every other week option, or Teletherapy if you have a hectic schedule.

We can see clients as young as 2 years old. A session is a once a week appointment lasting 50 minutes.

Yes. Our staff can get you in touch with the transportation coordinator from your Health Plan to arrange necessary transportation to-and-from the therapy office.

The Best Thing In Play Therapy

We have advanced training in play therapy and utilize several treatment options to best fit the needs of our youngest clients. We have specially designed Play Therapy Rooms at each office, dedicated to enriching the therapy experience and reaching our goals.

why choose us

Abalance Client-Centered Counseling is dedicated to providing effective mental health counseling to our community in the Central Valley.

 

We have over 15 years of clinical experience to provide the most effective treatment options. Our team of therapists have specialized training in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Play Therapy.

About Us

DEDICATED THERAPISTS

We recognize the importance of a good therapeutic relationship and strive to build a positive rapport with each client. And we treat each client with respect and dignity.

Well Counseling

You will learn skills of mindfulness and how to balance thoughts and feelings; and begin to build insight into your issues and have a plan to reinforce your goals.

Teletherapy

Teletherapy is provided by using long-distance technologies so that clients and therapists do not have to be in the same place at the same time.

Transportation Assistance

Transportation is provided by your Health Plan. If you have problems with getting to your appointments, we are able to help arrange a ride.

Latest News

Cognitive Behavioral Therapy (CBT)

(CBT) Cognitive Behavioral Therapy   We have all been through a certain rough patch in our life that has had a severe impact on our mental health. Most of the time we get over such incidents on our own but sometimes we need professional help. An evidence-based technique that has proven to be very helpful

Read More
Top 25 Ways To Deal With Depression

Many people think depression is an emotion, often confusing it with just being unhappy. However, depression is a clinical condition and is the leading cause of disability among U.S. individuals aged 15 to 44 years. Depression is fairly common, affecting more than 15 million adults in the United States. Depression is when you feel sadness,

Read More
What Is Self-Esteem and Why Is It Important?

What Is Self-Esteem?   The term self-esteem is used to describe a person’s overall sense of self-worth or personal value. In other words, how much you appreciate and like yourself. Self-esteem is often seen as a personality trait, which means that it tends to be stable and enduring over the lifespan. Self-esteem can involve a variety

Read More
tmc_a_free_consultation

Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

Abalance Client-Centered Counseling
Offices Located Throughout The Central Valley California

Phone: (209) 262-4387

MONDAY TO FRIDAY: 9:00 AM – 7:00 PM

SATURDAY: 9:00 AM – 5:00 PM

SUNDAY: Closed

Request More Information

16 May 2017
(TF-CBT) Trauma-Focused Cognitive Behavioral Therapy
Trauma-focused Cognitive Behavioral Therapy

 

Trauma-focused cognitive behavioral therapy (TF-CBT) is evidence-based psychotherapy or counseling that focuses on the needs of children and adolescents with post-traumatic stress disorder (PTSD) and other difficulties related to traumatic life events. The process of addressing the details of children’s traumatic experiences is gradual and phase based. The goal of TF-CBT is to provide a treatment to both the child and the non-offending caregiver and help them to identify and cope with emotions, thoughts, and behaviors in order to return to a state of balance and regain trust. TF-CBT includes individual sessions for both the child and the parents, as well as parent-child joint sessions. TF-CBT has been proven to effectively reduce symptoms of PTSD, depression, anxiety, externalizing behaviors, sexualized behaviors, and feelings of shame in traumatized children. TF-CBT has been shown to improve positive parenting skills and support of the child through the enhancement of parent-child communication.

Facts You Should Know About Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

In TF-CBT, interventions specifically tailored to meet the needs of children and adolescents experiencing emotional and psychological difficulties as a result of a trauma are integrated with humanistic, cognitive behavioral, and familial strategies. This treatment is short-term and generally lasts no more than 16 sessions, as more than 80% of traumatized children see improvement in this time.

TF-CBT’s main application is the treatment of post-traumatic stress. The goal of this therapy is to help survivors of trauma, whether the trauma was a single occurrence or multiple events, address and resolve the distress resulting from these events and ultimately decrease the negative behavior patterns and emotional responses often developing as a result of sexual abuse, physical abuse, or other trauma. Children and adolescents who have experienced these traumas may find TF-CBT an effective method in the process of returning to a healthy state of functioning.

Research shows children and adolescents experiencing severe emotional repercussions due to trauma frequently respond well to this technique. To date, 11 empirical studies conducted on the impact of TF-CBT on adolescent survivors of trauma have demonstrated its usefulness in reducing symptoms of depression, anxiety, and PTSD. Randomized clinical trials comparing TF-CBT to play therapy, child-centered therapy, and supportive therapy show TF-CBT to yield greater gains over fewer sessions. Studies done up to two years after the conclusion of TF-CBT demonstrated these gains to be sustained over time.

TF-CBT may not be appropriate for children and adolescents who have significant conduct or other behavioral concerns that were present before the trauma may not receive significant benefit from TF-CBT and may see greater improvement with approaches in which they are first helped to overcome these difficulties.

What Are Trauma Symptoms

We use the term trauma symptoms to refer to emotional, behavioral, cognitive, physical, and/or interpersonal difficulties directly related to a traumatic experience. These symptoms may correspond to symptoms of PTSD, depression, anxiety, avoidance, self-injurious behaviors, sexual behaviors, bullying, aggression, poor sleep, increased startle, stomach aches, headaches, social withdrawal, decline in school, and/or substance use problems. Children with trauma symptoms may experience a profound change in the way they see themselves, their role in the family, and the world as a result of their exposure to one or more traumatic events.

Trauma symptoms often occur in response to trauma reminders, sometimes called triggers. These can be sights, sounds, smells, or other cues that remind the child of their trauma. When the child is confronted with a trauma reminder, they may experience feelings similar to those experienced during the original trauma. This can lead the child to think and act as if the trauma were recurring, even though they are safe.

Children and teens are often brought to treatment because of behavioral or emotional dysregulation rather than because of their trauma history. Since parents and other adults often do not understand that these emotional and behavioral problems are related to the child’s previous trauma experiences, it is critical to make connections between trauma reminders or triggers that the child is experiencing and the child’s presenting symptoms.

Stages Of Treatment

Typically, one-third of the total treatment is devoted to each phase of treatment.

Stabilization

The stabilization and skill-building phase begins with a focus on psychoeducation about the dynamics, prevalence, impact, and treatment of the experienced trauma, working toward developing skills to manage trauma reminders.

Trauma Narrative

The details of the child’s traumatic memories are gradually introduced, discussed and written about over the course of this middle phase of treatment. We use techniques such as storyboarding, cartoon strips, or poster boards, to allow for verbal and non-verbal expression.

Consolidation

The final phase of treatment then focuses on the integration and consolidation of what has been learned, with an emphasis on enhancing direct parent–child trauma-related communication, safety skills development, and the mastery of new behaviors and emotional responses.

What To Expect

Sessions are structured by the therapist to introduce interventions that are relevant to the particular stage of treatment. For example, during the Stabilization Phase of therapy, a child session may begin with a review of coping skills that the child was encouraged to practice between sessions; continue with a new skill component; then provide role play and practice of that skill; ending with a discussion with child and parent about what the child is encouraged to practice during the coming week. This is a planned progression towards the next stage of therapy.

PRACTICE

Since TF-CBT is a skills and strengths-based model, its components typically need to be practiced by the child and parent in order to be effective. We use the acronym PRACTICE to remind the child and family of the core TF-CBT components and the value of practicing them for the duration of treatment and beyond. A good deal of the therapy work associated with TF-CBT will occur between sessions, when parents and children are asked to practice certain skills at home. In the following list, the components of PRACTICE are arranged in relation to the phase of treatment:

P Psychoeducation and Parenting skills
R Relaxation
A Affective modulation
C Cognitive coping
T Trauma narration and processing
I In vivo mastery of trauma reminders
C Conjoint child–parent sessions
E Enhancing future safety and development

Professional Therapy with a Client Focus

There are times in life when we can feel off balance and can’t seem to snap out of it. When our own natural support system just isn’t enough, it may be time to reach out to a professional counselor to start the process of therapy. We have created a safe, comfortable and professional environment to discuss the issues in your life. We recognize the importance of a good therapeutic relationship and strive to build a positive rapport. We treat each client with respect and dignity.

 

   +1 (209) 262-4387     Call Now

The Trauma Narrative

Although there is considerable gradual exposure in the earlier TF-CBT components, developing the trauma narrative is more intensive and extensive. One of the goals of creating the trauma narrative is to unlink thoughts, reminders, or discussions of the traumatic event from overwhelming negative emotions such as terror, horror, extreme helplessness, avoidance, anger, anxiety, shame, or rage. Over the course of several sessions, the child is encouraged to describe more and more details of what happened before, during, and after the traumatic event and the thoughts and feelings during these times. As the child is sharing his/her story in some type of format, the therapist is responding with validation, support, encouragement, and gentle questions. These components can allow the child to successfully integrate the trauma experience and its meaning into a larger optimal self-concept.

 

Benefits Of Parents Involvement

Parents are often traumatized themselves by the child’s traumatic experience. For example, if there was a trauma event, such as a house fire, the parent also experienced the trauma and may have their own stress symptoms. The TF-CBT components are typically provided separately to children and parents in individual sessions, with conjoint child–parent session time focused on practicing skills, and later on, toward the end of therapy, providing opportunities for open communication about the trauma experienced.

Including parents in therapy provides such parents with skill-building components that may help them cope better. From their own healing they are better equipped to model positive change and encourage their children in practicing effective coping skills. However, if a parent is having significant impairment with their own mental health issues, their own individual therapy may be advised.

The most immediate and influential environment for most children is that of their families. Parents can have an important impact on whether, to what degree, and how quickly children recover from trauma-related problems. They can also influence whether children’s improvements are temporary or whether these gains are sustained long after the end of treatment. We view parents as an important source of support and reinforcement for children’s progress both during treatment and subsequently.

 

Our Team

Our mission is to improve the quality of lives for individuals with behavioral and emotional challenges by providing exceptional mental health services using the most up-to-date, evidence-based practices helping our clients to become more active and productive members of the community.
Eric Garcia

MA, Registered Associate PCC

Marissa Preciado

MS, LMFT

Samantha Moreno

MSW, Registered Associate CSW

Mae Grimme

MSW, Registered Associate CSW

Rachael Cresci

DBH, LCSW

Michael Lospinoso

MA, Registered Associate PCC

Bergen Filgas

MS, LMFT

Valerie Lamke

MS, LMFT

About us

Abalance Client-Centered Counseling Modesto California Office -1
Abalance Client-Centered Counseling Modesto California - General 7

Why choose a therapist at Abalance Client-Centered Counseling?

Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

We have a team of professionals that are continually sharpening their skills as mental health providers and attend regular training from the Clinical Director. Having a competent and knowledgeable therapist is only part of it.

We are also a group of caring and compassionate people that strive to make your time with us a safe, comfortable and rewarding experience.

  • Anxiety Disorders
  • Depression Disorders
  • LGBTQ+ Gender Issues
  • Play Therapy
  • Child Disruptive Behavior
  • Childhood Trauma

Frequently Asked Questions

Yes, Abalance Client-Centered Counseling is accepting new clients in all three (3) of our Central Valley locations in Modesto, Merced, and Turlock California.

No. You can contact us directly and we will get your insurance eligibility established and schedule your first appointment. Your Health Plan may require an additional call to get a registration number after you have already established as a client in our office. We have a team here to help guide you through these things if you need assistance.

Yes, we currently accept HPSJ and CCAH MediCal Insurances only. For other insurances, we provide an out-of-network option for you to bill your insurance and get reimbursed for up to 80% of your therapy costs in our offices.

No, we treat mild/moderate symptoms for a variety of issues, but not alcohol and drug issues. If you have an addiction or are seeking sobriety, we refer out to a professional that treats substance abuse.

Weekly sessions are the best care option for mental health outcomes, but we also provide an every other week option, or Teletherapy if you have a hectic schedule.

We can see clients as young as 2 years old. A session is a once a week appointment lasting 50 minutes.

Yes. Our staff can get you in touch with the transportation coordinator from your Health Plan to arrange necessary transportation to-and-from the therapy office.

The Best Thing In Play Therapy

We have advanced training in play therapy and utilize several treatment options to best fit the needs of our youngest clients. We have specially designed Play Therapy Rooms at each office, dedicated to enriching the therapy experience and reaching our goals.

why choose us

Abalance Client-Centered Counseling is dedicated to providing effective mental health counseling to our community in the Central Valley.

 

We have over 15 years of clinical experience to provide the most effective treatment options. Our team of therapists have specialized training in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Play Therapy.

About Us

DEDICATED THERAPISTS

We recognize the importance of a good therapeutic relationship and strive to build a positive rapport with each client. And we treat each client with respect and dignity.

Well Counseling

You will learn skills of mindfulness and how to balance thoughts and feelings; and begin to build insight into your issues and have a plan to reinforce your goals.

Teletherapy

Teletherapy is provided by using long-distance technologies so that clients and therapists do not have to be in the same place at the same time.

Transportation Assistance

Transportation is provided by your Health Plan. If you have problems with getting to your appointments, we are able to help arrange a ride.

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Our office is dedicated to providing the best mental health services to ALL people in our community regardless of income.

Abalance Client-Centered Counseling
Offices Located Throughout The Central Valley California

Phone: (209) 262-4387

MONDAY TO FRIDAY: 9:00 AM – 7:00 PM

SATURDAY: 9:00 AM – 5:00 PM

SUNDAY: Closed

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