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    Parent-Child Interaction Therapy for Selective Mutism (PCIT-SM)

    This research-based approach to treating selective mutism involves parents being coached by a therapist to use specific skills to help encourage their child to speak.  Parents are an integral and essential part of treatment and helping their child use their “brave voice” with new people.

    Habit Reversal Training (HRT) and the Comprehensive Model for Behavioral (ComB) Treatment of hair-pulling and skin-picking

    Body-Focused Repetitive Behaviors, such as hair-pulling (trichotillomania) and skin-picking (excoriation disorder) require specialized treatment.  HRT and the ComB model have been shown to be effective in helping people to reduce their hair-pulling and skin-picking habits.  Treatment begins with a careful assessment of the various emotional, cognitive, and environmental factors that may influence a person’s behavior.  Treatment then involves developing a comprehensive list of strategies that a person can use when they have the urge to complete their habit.

    Comprehensive Behavioral Intervention for Tics (CBIT)

    CBIT is a behavioral therapy specifically designed to help those with Tourette Syndrome and tic disorders reduce the frequency and severity of their tics.

    CBIT consists of three main components:

    1. Working together to help you become more aware of your tics and the urge to perform a tic.
    2. Developing a “toolbox” of competing responses.  A competing response (sometimes called an incompatible behavior) is a behavior that cannot be performed at the same time as the tic.  For example, if a person’s tic involves a sniffing through their nose, a competing response may be learning to take slow deep breaths in response to the urge to tic.  You can’t take deep breaths and do your tic at the same time!
    3. Making changes in your day-to-day life and activities to help reduce the likelihood of tics.


    Obsessive-Compulsive Disorder

    What is Obsessive-Compulsive Disorder (OCD)?

    OCD is a psychological disorder in which a person experiences

    Obsessions are intrusive and unwanted thoughts, images or urges.  These obsessions are intensely uncomfortable, upsetting, and anxiety-provoking.  Compulsions are behaviors that someone believes that they “have to” do with the goal of lessening the anxiety and discomfort associated with their obsessions.  This cycle of obsessions and compulsions can become so time-consuming and upsetting that it can cause significant impairment in a person’s day-to-day life.  A person with OCD sometimes is able to recognize that the thoughts and behavior patterns they are engaging in are not “logical”, but frustratingly, are not able to stop themselves.

    OCD can affect people of all ages.  There are generally two periods in life when OCD symptoms are most likely to develop.  These are between the ages of 8-12 and between the late teen years into early adulthood.

    Although OCD can be extremely challenging, the good news is that OCD is very treatable.  The gold-standard treatment for OCD is called Exposure and Response Prevention (ERP).  ERP involves working with a therapist to gradually confront the things that you are avoiding, while not completing the compulsions that normally keep one stuck in the cycle of OCD.

    Anxiety Disorders

    • Social phobia
    • Selective mutism
    • Generalized anxiety disorder
    • Specific phobias
    • Panic disorder
    • Separation anxiety disorder

    Hair-pulling and skin-picking

    Body-Focused Repetitive Behaviors (BFRBs) include hair-pulling (trichotillomania) and skin-picking (excoriation disorder).

    Tourette Syndrome/ Tic disorders

    Tics are involuntary repetitive behaviors such as movements and vocalizations.  While many tics are mild, they can sometimes interfere with a person’s daily functioning.  Medical treatments are available, including medication.  Behavioral treatment is helpful in teaching people to manage their symptoms.

    Social Anxiety Disorder Counseling

    Do you experience intense anxiety or nervousness when faced with social situations? Do you fear being judged or criticized by others? Are you always worried about making mistakes, looking bad or being embarrassed in front of others? If you answered yes to any of the above, you may have a social anxiety disorder. While it is normal to feel nervous in some social situations, people who experience daily social anxiety tend to avoid everyday interactions that cause them significant fear, anxiety, self-consciousness, and embarrassment because they fear being scrutinized or judged by…


    Do you need support, but can’t make it to an in-person appointment? Are you a busy stay-at-home or working parent, and don’t have the time to drive across town for an appointment? Do you live in a more rural area, or maybe you prefer to just do things Virtually? If so, we can help you through virtual therapy, or telehealth. Telehealth allows us to provide counseling and therapy to our clients via live video conferencing. This can be done anywhere you have a computer or smartphone. Telehealth appointments can be very beneficial…

    Courageous Kids Camp

    I am the director of Courageous Kids Camp, a therapeutic summer camp for children with selective mutism. This is the only intensive treatment camp for children with selective mutism in the Rocky Mountain region.

    Reach out to us today!

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