Professional Cognitive Behavioral Therapy & Coaching Services

You can receive a number of different services here, all under the same roof. This has quite a few advantages, including allowing different therapists here to coordinate your care and consult with each other, if you would like. Most people come here for individual therapy or life coaching. You can also work with another clinician on couple, marital, or family issues. You can arrange to have your child or teenager assessed, to understand problems with their development, mood, or behavior. Our affiliated psychiatrists work with some of our patients on medication treatment options. We also have several programs that lead you through a specific curriculum to help you lose weight, stop smoking, resolve insomnia, reduce stress, or learn DBT skills for reducing emotional volatility.

Our Services

Img-TherapyOur individual therapy centers on building a strong therapeutic relationship with you and helping you to clarify your goals. You will then develop a plan with your therapist to achieve your goals, as well as a sense of which strategies will help. We try to make our therapeutic relationships feel safe, supportive, and personal. We offer a way of keeping you accountable for progress and making a strong effort to move forward in your life.

In couple or marital therapy, you will better understand your strengths and weaknesses as a pair, how to improve your communication patterns, and how to overcome key issues that interfere with connectedness. You will probably find it easier to accept each other as your work as a couple progresses. If you have experienced major betrayals or infidelities, we will help you stabilize and survive the acute sense of crisis that often results, understand what led to the betrayal, and forge a path forward.

In family therapy, we will work to make all members of your family feel safe and heard. We understand that your family can give you great joy and fulfillment, yet also bring on bad feelings like few other people or situations can. If you have young children, we may teach you skills to build positive behaviors and to handle discipline effectively. If you have teens, we may help you to improve communication and to balance their growing need for autonomy with your desire and responsibility to keep them safe and to feel respected. If you have concerns about your relationships with adult family members, like siblings or your parents, we can help you to understand the patterns and underlying resentments that fuel bad feelings, find ways to accept each other more, and strengthen healthy boundaries.

Health psychology focuses on the connection between our mind and body. Health psychologists examine how psychological, social, and behavioral factors affect our health, with evidence that maximizing these factors can significantly influence our overall well-being. People experiencing physical symptoms and poor health often describe feeling depressed, anxious, alone or hopeless. We strive to help people struggling with health conditions by promoting emotional health, behavioral change, and by forming a toolkit they can use day-to-day to manage physical symptoms.  

At RICBT & OneCBT, we have a team of clinicians specialized in evidence-based health psychology services. Services are tailored for each individual patient and draw from treatments such as cognitive behavioral therapy, mindfulness, acceptance commitment therapy, pain reprocessing therapy, and others.  Service Areas Include:

Behavioral Sleep Medicine:

You will learn to use cognitive and behavioral strategies to treat your insomnia, sleep phase disorders, difficulty adhering to CPAP machines for obstructive sleep apnea, and other sleep-related difficulties. 

Chronic Pain Management:

You will learn skills to cope with chronic pain that may manifest from a range of conditions and to engage in a life that is meaningful to you even in the face of pain. 

Living with Medical Illnesses:

You will learn strategies to help cope with symptoms of your medical illnesses and to manage the stress, anxiety, and depression that you may be experiencing alongside your physical ailments.   

Current Group Therapies Offered:

Living a Life Worth Living with Chronic Pain 

What is neuropsychological testing?

Neuropsychological testing refers to the comprehensive assessment of an individual’s cognitive abilities such as memory, attention, problem solving, language, and more to determine how one’s brain is functioning. Results from a neuropsychological evaluation can provide detailed information about a client’s cognitive strengths and weaknesses, assist in making an accurate diagnosis, and facilitate treatment planning and recommendations to help improve functioning in daily life. We offer neuropsychological evaluation and testing services for adults ages 19 & up.

More information about neuropsychological testing can be found on our full neuropsychology page.

WHAT IS ADD/ADHD TESTING?

Dr. Carlos Tilghman-Osborne offers ADD and ADHD testing and assessment for children and adolescents at RICBT. ADHD testing refers to the diagnostic assessment of an individual’s possible deficits in attention, hyperactivity, and impulsivity that may impair academic, home, and other areas of functioning. Testing will aim to determine whether a child or adolescent meets the criteria for Attention Deficit Hyperactivity Disorder (ADHD), indicate whether further and more comprehensive neuropsychological evaluation may be appropriate, and to make recommendations that could be utilized by parents, educators, therapists, and medication providers. We offer ADHD evaluation and testing services for children and adolescents ages 8-18.

WHEN IS ADD and ADHD EVALUATION HELPFUL?

Challenges with attention, hyperactivity, and impulsivity can affect a student’s academic functioning, interactions with peers, and family life. These challenges can also contribute to problems with mood, anxiety, conflict, and self-esteem. ADHD evaluation and testing services can often be helpful for individuals with a history of the following:

  • Difficulty following rules at school
  • Challenges with keeping up with schoolwork
  • Difficulty with listening or seeming like one is “not listening”
  • Trouble staying in seat or waiting one’s turn
  • Poor organization
  • Difficulty with attention to detail
  • Patterns of making decisions without considering consequences
  • Lagging social skills – seeming to miss more subtle social clues

WHAT IS THE PROCESS LIKE?

ADHD evaluation is broken into 3 essential components:

  1. Initial Evaluation (45 minutes): An interview with Dr. Tilghman-Osborne will determine whether ADHD testing would be helpful and help you understand what to expect.
  2. Testing (2-3 hours): Parent and child complete questionnaires and tasks onsite, and questionnaires are sent to the appropriate school contact. Results are then tabulated to help create a report of results and recommendations.
  3. Feedback Session (45 minutes): You and possibly your child will go over the results and recommendations. We can also include anyone else who may be appropriate.

There are no invasive procedures, no pain, no needles, or electrodes. The testing involves filling out several questionnaires and completing a number of different paper-and-pencil or computerized tasks that at times feel like puzzles and games. For every hour the doctor spends completing direct testing, he spends approximately one hour scoring and interpreting the results and preparing a report. Generally, the doctor will offer you a 45-minute feedback session to review the results 2-4 weeks after the completion of the testing. After reviewing the results with you, you will receive a report which can be sent to a physician, school, or other professional at your request. Additional consultation can be requested.

HOW ARE THE TEST RESULTS USED?

Use of test results depends on the reason for the evaluation. Generally, ADD and ADHD evaluations may:

  • Confirm or clarify a diagnosis
  • Help inform or recommend therapeutic intervention
  • Help with educational recommendations and services (such as 504 plans and IEPs)
  • Inform possible intervention with a medication provider

Results may also suggest your child may benefit from referrals to other specialists for neuropsychological evaluation or other mental health concerns.

TO SCHEDULE AN EVALUATION FOR ADD and ADHD TESTING

Patients may call or speak with an Intake Coordinator at (401) 294-0451 or contact them at Receptionist@RICBT.com.

Img-MedicationsYou may want to consider whether medication would be helpful. Our in house psychiatrists and psychiatric nurse practitioners  work with a wide range of adult mental health issues, including OCD, anxiety, and depression. Our Intake Coordinators can help you determine who might be a good match. We also are happy to collaborate with psychiatrists and primary care physicians in the community.

Under the leadership of Paul Bowary, MD, we are proud to offer TMS (Transcranial Magnetic Stimulation) as a treatment for depression at RICBT. Learn more about TMS by visiting our TMS page.

We are actively developing other services. Please let us know if there is a problem area you would like to see us address.

RICBT and OneCBT strive to advance the mental health, well-being,
and effectiveness of the people we serve.

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Our self-pay rates will soon be updated. Please contact our staff for more information.

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