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Therapy Modalities

Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is a unique, action-oriented form of psychotherapy grounded in behavioral science that focuses on increasing psychological flexibility – the ability to contact the present moment more fully and, based on what the situation affords, change or persist in behavior in the service of chosen values. Rather than trying to eliminate difficult thoughts and feelings, ACT teaches skills to reduce their influence and impact through acceptance and mindfulness strategies (Acceptance, Cognitive Defusion, Being Present, Self-as-Context). Clients learn to clarify what is truly important and meaningful to them (Values) and use that knowledge to guide intentional, purposeful behavior (Committed Action). ACT is transdiagnostic, meaning it's effective for a wide range of conditions including anxiety, depression, OCD, chronic pain, and psychosis, by targeting the common underlying process of psychological inflexibility and experiential avoidance. It helps individuals stop struggling with internal experiences and start living a more vital, value-driven life.

Animal-Assisted Therapy (AAT)

Animal-Assisted Therapy (AAT) is a therapeutic intervention that intentionally includes animals as part of a formal treatment plan to achieve specific health or human service goals. Delivered by licensed professionals with specialized training, AAT leverages the human-animal bond to facilitate therapeutic progress in areas such as mental health, physical rehabilitation, and cognitive function. Unlike casual animal visits (Animal-Assisted Activities), AAT is goal-directed, individualized, and documented. Therapists guide client interactions with trained animals (most commonly dogs, but also horses, cats, and others) to address objectives like reducing anxiety or depression, improving social skills, enhancing communication, increasing motivation for physical therapy, or boosting self-esteem. Sessions involve structured activities where the animal acts as a catalyst for change, providing comfort, motivation, or a non-judgmental presence that aids the therapeutic process. Research indicates benefits for diverse populations, including children with autism, individuals with PTSD, older adults with dementia, and patients in hospital or rehabilitation settings. AAT integrates animal interactions into established therapeutic frameworks to enhance engagement and outcomes.

Biofeedback

Biofeedback is a mind-body technique that teaches self-regulation by providing real-time information about normally involuntary physiological processes. Using electronic sensors attached non-invasively to the body, specialized equipment measures functions like muscle tension (EMG), skin temperature (Thermal), sweat gland activity (EDA/GSR), heart rate patterns (HRV), or brainwave activity (EEG/Neurofeedback). This information is displayed back to the individual via auditory or visual signals. Under the guidance of a trained practitioner (often certified by BCIA), the client uses this immediate feedback to become aware of and learn to consciously influence these bodily functions—for instance, learning to relax specific muscles to reduce tension headaches, warm hands to improve circulation in Raynaud's, slow heart rate to manage anxiety, or alter brainwave patterns to improve focus in ADHD. Biofeedback is an evidence-based training approach used for various conditions including anxiety, chronic pain, headaches, hypertension, and incontinence. The goal is for the client to develop lasting self-regulation skills that can be used in daily life without the equipment.

Brainspotting

Brainspotting (BSP) is a neuroexperiential therapy developed by David Grand that focuses on identifying, processing, and releasing core sources of emotional and physical pain, trauma, and performance blocks. It operates on the principle that specific eye positions ("Brainspots") correlate with neural pathways holding unresolved experiences, particularly in the subcortical brain. The therapist helps the client find a relevant Brainspot by guiding their gaze while the client focuses on an issue or sensation, noting where activation increases. The client then holds their gaze on this spot, engaging in "focused mindfulness" of their internal experience (sensations, emotions, memories) often while listening to bilateral sound. This process is believed to stimulate the brain’s innate capacity to process and release stored traumatic or stressful material that may be inaccessible through talk therapy alone. The therapist provides a deeply attuned, containing presence ("Dual Attunement") rather than directing the processing content. Brainspotting is used primarily for trauma and PTSD but also for anxiety, somatic conditions, and enhancing performance. While research is still emerging, it is considered a potent brain-body approach.

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