For your initial (one hour) evaluation, Dr. Ori Shinar will focus on collecting a detailed psychological and medical history and evaluate you for all possible psychological/psychiatric disorders.
After he inquires about any other information that would be relevant to your treatment, Dr. Shinar will work with you to determine your target goals in therapy and formulate a treatment plan specifically tailored to your needs. He will answer your questions about CBT, your diagnosis, your prognosis and estimated time of treatment, or any other concerns you may have.
The first session/evaluation is considered a trial session to assess if you are a good fit for this style of therapy. If both parties agree that there it’s a good fit in terms of style, personality, and your target goals, you and Dr. Shinar agree to move forward in treatment. And of course, if it is determined we are not a good fit, you will be referred to a therapist or psychiatrist how may better serve your therapy needs.
Follow-up sessions are weekly 45 minute sessions that involve focusing on a plan to meet your target goals. This may involve techniques called “cognitive restructuring” which includes identifying, challenging and rebuilding irrational thoughts that contribute to your fears or negative mood. You may be assigned homework assignments such as outside readings or to keep daily self-monitoring logs. Dr. Shinar will start to help you discover any harmful choices you may be making that trigger your emotions and help you find healthier more adaptive alternatives. Each person is different and the length of treatment will vary based on several factors including your level of motivation, severity of symptoms, and how compliant you are toward doing the work to meet your goals.
A fundamental part of CBT involves open communication between you and Dr. Shinar. You and Dr. Shinar give each other regular feedback about the treatment process while he encourages you to let him know what you feel is most helpful to you and what you think needs improvement. To keep you focused and goal-directed, he will provide you with routine positive feedback about how you progress in therapy with occasional redirection if he feels you are losing steam or diverting from you goals.
After achieving your goals, Dr. Shinar will suggest to reduce the frequency of sessions to biweekly or monthly visits. At this point in treatment, the focus will change to relapse prevention and preparing you to “graduate” from therapy. Even after treatment ends, many clients prefer to return for monthly “booster” sessions to keep them on task and prevent relapse. But the ultimate goal is to encourage you to end treatment and move forward autonomously!