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.

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.

Img-AssessmentRICBT can conduct a psychological assessment with your child or adolescent. You may wish to have your child formally evaluated by one of our developmental experts if you have any of the following concerns: underperformance in school, ADHD symptoms, signs of a learning disability, concerns about their social or emotional development, or behavioral problems. We can also determine what may be contributing to their anxiety or difficulties getting along with their peers or family members.

The first step in getting your child evaluated is to arrange for a one-hour initial evaluation to discuss the most important question you are trying to address. Based on this first meeting, we will suggest what type of testing needs to be conducted and how long that will take. After the testing appointments, we will have you come back for a feedback session in which we review our results and conclusions with you thoroughly and provide written recommendations for you, your child, and school personnel.

Img-MedicationsAfter working on your concerns with a therapist at RICBT, there may come a point where you and your clinician want to consider whether adding medication to your treatment would be helpful. We have a number of psychiatrists with whom we collaborate in the community. We would also be happy to collaborate with your existing primary care doctor. Our affiliated psychiatrist, Dr. Chiappone, works primarily with anxiety problems and OCD. If you are struggling with these issues, you may be able to have an evaluation with her. If so, she will conduct her own thorough assessment and offer you treatment recommendations. She will then meet with you regularly to see whether the medication has been helpful and whether any changes are needed.

Img-ProgramsYou might consider participating in one of our focused programs addressing one of four topics: insomnia, weight, stress, or DBT. Each program begins by having you meet individually with a clinician who specializes in the area. If you are a good match, you then participate in structured individual meetings in which you discuss predefined topics, engage in specially-designed exercises, and identify ways to make progress between meetings on the issue.

In the insomnia program, your clinician will work with you to thoroughly assess your sleep. You will learn about factors that maintain insomnia, whether your problem is having trouble falling asleep, staying asleep, or waking up too early. You will be guided through proven strategies that help people break the cycle of disrupted sleep, increase the quality of their sleep, and reduce worry about insomnia.

In the weight program, you will work with your clinician to identify many of the psychological factors related to losing weight and keeping it off. You probably already know a lot about nutrition. What you will learn in the weight program is how to work on all the other issues which can be at play. There are often emotional barriers to losing weight and emotional triggers to eating. There can be attitudes that interfere with progress or make relapse more likely. You will work through a structured program that helps you learn about all these subtle processes and help you to make real and sustainable changes.

In the stress management program, you will identify sources of stress, triggers for it, and ways in which your body, thoughts, feelings, and behaviors all interact when you are feeling stressed. You will learn a wide range of strategies to reduce stress, avoid set-ups for future-stress, and improve self-care. You will finish with a much greater appreciation for the importance of getting stress under control and a toolbox that helps you do so.

You might participate in the DBT program, in addition to individual therapy, if you would like to learn specific and proven skills to help you feel more stable emotionally. In 12 weeks, you will learn skills (mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness) to help you increase your ability to be in the present moment, mindfully, and without judgment. You will learn to manage relationships better, as well as how to manage your reactions to your emotions. You will also learn a number of coping skills to survive a crisis when you can’t do something to change the situation itself right away.

You might be a good match for one of our groups. Whether you have tried one before or are new to groups, you will probably find them surprisingly comfortable and helpful. They all offer a great blend of support and strategies. We encourage you to express interest in one or more of our groups below. What we offer changes frequently and new groups begin when there are enough registrants. Please both express your interest using the form and give our office a call.

To learn more about and register for our new Yoga for Anxiety program, please visit our separate RICBT Learning Community site.

East Providence Groups

Procrastination and Organization Skills Group

This group, led by Selene MacKinnon, Psy.D., will address various types of procrastination and perfectionism.  Attendees will learn to understand their reasons for procrastinating and learn skills to manage and decrease it. It will also will address situational and chronic disorganization.  Attendees will learn skills to reduce clutter and maintain organization. The group meets weekly on Mondays, from 5:30-7:00 p.m.

Tuition: $50/week. Insurance may reduce tuition. Please call us if you would like to discuss your insurance plan. The next group will begin in spring, 2018.

CBT for Weight Loss and Wellness

In this group, led by Dr. Engler, you will learn about the psychological approach to weight loss and maintenance, using Judith Beck’s acclaimed book, The Beck Diet Solution. You will experiment with new thoughts, beliefs, and behaviors when it comes to eating and food. You will end up with a much larger toolbox to help you prevent relapse and reduce anxiety and frustration around eating and weight issues. The group offers either a daytime or evening section that meets for six months.

Tuition: $50/week. Insurance may reduce this amount. Please call us if you would like to discuss your insurance plan. The next daytime section will begin in the fall, 2017; the next evening section (Tuesdays, 6:00 to 7:30 p.m.) will begin in the winter, 2018.

Dialectical Behavior Therapy (DBT) Group

You may feel disconnected from your feelings, or you may feel overwhelmed by intense emotions. Both ways of experiencing emotions can cause major difficulties when facing life’s many challenges. You may end up trying to cope in ways that make life worse in the long run, like using substances, lashing out at others, self-injuring, or overeating.

DBT was developed by Marsha Linehan, Ph.D., to help give people skills to manage their emotions and their lives more effectively. In our DBT group, you will learn many skills in the four categories of mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. These skills help you to identify and manage your emotions, participate fully in the present moment, tolerate difficult situations, and improve interactions with your friends, family, and colleagues.

The group, led by Heather Schatten, PhD, is organized into two parts, 12 weeks each, and meets on Wednesdays, from 5:30 to 7:00p.m. You are encouraged but not required to participate in both parts. In the fall, we will cover the distress tolerance and interpersonal effectiveness modules. In the spring we will cover the mindfulness and emotion regulation modules.

Tuition: $50/week. Insurance may reduce this amount. Please call us if you would like to discuss your insurance plan. The next group started September 27, 2017 but is still accepting participants.

North Kingstown Groups

Managing Anxiety and Depression with Cognitive Therapy

This group teaches members the cognitive therapy approach to emotional problems. Using a workbook called Mind Over Mood, you will examine and change how you think and act, especially in difficult situations or when you are upset. As you learn to challenge and restructure your thought patterns, and act more effectively in situations, you will be much less vulnerable to negative moods and much better able to manage these moods when they do occur. You will also examine underlying negative “core beliefs” from childhood that can lead you to have more negative thoughts and beliefs as an adult. Julie Pearson, LICSW, runs the 12-week group on Tuesdays, from 6:30 to 8:00 p.m.

Tuition: $50/week. Insurance may reduce this amount. Please call us if you would like to discuss your insurance plan. The next group will begin in October, 2017.

Strategies for Managing Anxiety, Depression, and Stress as a Young Adult

This group led by Deirdre Murphy, LICSW, is based on Mindfulness and Acceptance tools that will help you learn ways to feel more comfortable in your skin and take control of your life during your college or young adult years (ages 18 – 25). Instead of avoiding situations or important goals in your life, this group will be a great opportunity to develop healthy coping skills, build confidence and relax with who you are. This is a 10-week group that meets on Wednesdays from 4:30 p.m. – 6:00 p.m.

Tuition: $50/week. Insurance may reduce this amount. Please call us if you would like to discuss your insurance plan. The next group will begin mid-October, 2017.

Be Your Best You: Strategies for Surviving and Thriving in High School

This group led by Deirdre Murphy, LICSW, is based on Mindfulness and Acceptance tools that will help you reduce stress & conflict, accept yourself, and play to your strengths. This fun and supportive group will help to enhance resiliency skills such as how to bounce back from drama, focus in school, make good friends, and lift your mood. This is a 10-week group that meets Thursdays from 5:45 p.m. – 7:15 p.m.

Tuition: $50/week. Insurance may reduce this amount. Please call us if you would like to discuss your insurance plan. The next group will begin mid-October, 2017.

RICBT Learning Community Classes

Open the RICBT Learning Community Website

To Express Interest in our Groups

Please use this form to express interest in one or more of our Groups and Workshops. This helps us plan groups. We will also reach out to you to provide more information and tell you how to sign up. Usually, we will have you meet with the group leader to discuss the fit of the group. We will call or email you to follow up. Please give us a call if you would like to know more right away, or if we don't reach out to you within a day or two.

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