About New England Center for Cognitive Behavioral Therapy and Psychiatry

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Mission Statement | Understanding I-CBT/CBT Treatment | Frequently Asked Questions

Mission Statement

Here at NECBT we consider it our mission to set the standard of Evidence Based Mental Health Treatment, and help as many people as we can while we do so! NECBT’s success is characterized by our clinical responsiveness to both individual and family needs, as well as our superior level of clinical treatment. Our growth and success is founded on dedication, expertise, experience and excellent patient outcomes.

Each member of our clinical team is dedicated to helping patients eliminate their anxiety and depression, gain control of their lives, and optimize each patient’s human potential by providing our consistent and Clinically-Proven, Evidence-Based solutions. NECBT is committed to treating others as we ourselves would like to be treated!

We are constantly refining our quality, expanding our capabilities, increasing our efficiency, and further elevating our already-superior level of patient care. NECBT is dedicated to raising the bar throughout mental health and the healthcare industry as a whole.

NECBT: moving mental health forward!

Understanding I-CBT/CBT Treatment


How we Work | What is CBT? | The Difference Between I-CBT and CBT | Does CBT Work? | Can I Discuss My Feelings? | Can I Discuss What Is Bothering Me? | Is CBT a Cure? | Medication Management


How I-CBT Treatment Typically Works

Interpersonal Cognitive Behavioral Therapy (I-CBT) is an innovative form of therapy that falls under the umbrella term of Cognitive Behavioral Therapy (CBT). I-CBT was developed by American Psychotherapist Thomas A. Cordier. Although the therapy embraces the majority of guidelines and the implementation of CBT, the I-CBT concept also focuses a great deal on the interpersonal relationship between the patient and therapist as the primary source for patient improvement.

I-CBT not only serves as a treatment modality but is also a treatment system that coincides with individual treatment, involving various forms of I-CBT groups, behavioral training for parents and specialized treatment for children and adolescents with special needs. I-CBT is also very effective for military members and veterans struggling with PTSD and readjusting to civilian life. The treatment of patients and the training of clinicians using the I-CBT system are universal in that patient treatment and clinician training of the CBT methods are presented in a similar fashion.

Each patient is assigned one-on-one therapy, group therapy, and a variety of other treatments depending upon individual needs. When treating children and adolescents, we require parents to attend the first five sessions with their child or adolescent to better learn how to reinforce I-CBT strategies in the home environment and aid parents in dealing with their own difficulties. For many, the treatment lasts approximately 16 weeks.

Contrary to many interpretations of CBT, Cordier believes that therapy cannot be truly effective unless the patient trusts and generally likes his or her therapist. For the first part of therapy the therapist focuses a great deal on building rapport with the patient. CBT is taught in unison with rapport building through an organized manual that can be learned and understood by patients of all ages. The therapist helps the patient begin to think rationally by first challenging the quick, well-learned irrational thoughts, or “action thoughts,” that cause the patient’s negative emotions and unwarranted behaviors. When the time is deemed appropriate, the therapist begins helping the patient challenge his or her negative core beliefs (developed in childhood and reinforced as the years go on) by discussing and challenging assumptions based upon the patient’s negative core beliefs. Once the patient and therapist are satisfied with the progress that has been made, the patient is “graduated” from the I-CBT program.

The treatment of patients and training of clinicians using the I-CBT system is universal in that patient treatment and the training of clinicians are presented in a similar fashion through the presentation of the I-CBT manual.

Here is what you can expect during treatment at New England Center for Cognitive Behavioral Therapy:

Step 1: Come in for a Mental Health Evaluation. This may take place over the course of two sessions. After a diagnosis is determined, a treatment plan specific to your treatment goals is developed based on our I-CBT principles.

Step 2: After the evaluation, you will begin treatment. In most cases, depending on how ingrained your core beliefs are, treatment typically lasts approximately 16 to 20 weeks. However, with more severe cases of anxiety or depression, treatment can last much longer. In some cases, medication may be necessary.

Each session corresponds with workbook and self help assignments to help you reach your goals and stay on track. Each session works as a bridge into the next session. It is important that you attend each weekly session, otherwise you may lose ground on the work that you have been already doing. Lastly, we monitor your progress on a session by session basis using a test battery.

Step 3: Your therapist will begin to indicate that you are ready to move on, and will give you an idea of when your last session will be.
 

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What is Cognitive Behavioral Therapy?

Our favorite question! Cognitive Behavioral Therapy (CBT) is a problem-solving and action-oriented therapy which has been found to be one of the most effective forms of treatment for anxiety and depressive disorders. This therapy is a universal treatment for several different problems and has no barriers when treating ethnicity, gender, education, or age (other than young children). CBT works on issues and behaviors of the "here and now," emphasizing current life factors that maintain the problem, though past experiences can be directly relevant to the patients’ distress and is welcomed into the discussion.

Cognitive Behavioral Therapists help patients understand that, although biological and environmental conditions can contribute to problems, to a large degree the patients themselves create their own psychological disturbances and have the ability to significantly change these disturbances. Therapists play an integral part in correcting the irrational evaluations, emotions, and behaviors of their patients by guiding them toward rational goals and purposes and assisting them in generating alternative courses of action.

Cognitive Behavioral Therapy also helps patients to understand that distorted patterns of thinking have problematic emotional and behavioral consequences. Teaching patients to self-monitor their thoughts and feelings on a day-to-day basis, through the utilization of a workbook that corresponds with weekly treatment, helps patients unravel core beliefs and their relation to ongoing feelings and behaviors. In cognitive behavioral treatment, patients learn to detect and dispute their irrational beliefs by discriminating them from their rational alternatives. Over time, this enhanced awareness will lead them to actively challenge their dysfunctional thoughts by employing cognitive, emotive, and behavioral methods of change.

Preceding every single feeling we have or action we take is a deep-rooted thought in our minds. The human brain is biologically wired to our bodies to respond to a stimulus by first thinking, then feeling, and finally, responding by acting or behaving (in this precise order). Therefore, if we change our thoughts, then naturally our feelings and actions will also change.

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What is the difference between I-CBT and CBT?

Cognitive Behavioral Therapy is an umbrella that includes a number of goal-oriented therapies that focus on individual thoughts as being the cause of behavioral health issues. CBT includes such diverse treatments as Cognitive Therapy developed by Dr. Aaron Beck, Rational Emotive Behavioral Therapy developed by Dr. Albert Ellis, Rational Living Therapy, Dialectical Behavioral Therapy, among others.

Interpersonal Cognitive Behavioral Therapy (I-CBT) also falls under the umbrella term of CBT. However, I-CBT not only serves as a CBT modality, but is also a treatment system that coincides with individual treatment, involving various forms of I-CBT groups, behavioral training for parents and specialized forms of treatment for children and adolescents with special needs. I-CBT is also very effective for military members and veterans. The treatment of patients and the training of clinicians using the I-CBT system are universal in that patient treatment and clinician training of the CBT methods are presented similarly.

The main function of I-CBT that sets it apart from other forms of CBT is the focus on the relationship built between the patient and the therapist. While we believe that it is using the CBT skills that will ultimately lead to positive change in your life, we also believe that those changes will not take hold unless you form a real trusting bond with your therapist, believe that they care about you as a person, and form a working alliance with them to help you get better. The relationship is the foundation on which the CBT skills are built.

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Does CBT Work?

CBT has been proven to be one of the most effective forms of treatment for Anxiety and Depression. However, there is a tremendous amount of skill involved in delivering the treatment effectively. At New England Center for CBT, our track record for helping patients is excellent. Over 90% of all people that have worked through our I-CBT treatment have experienced significant change in the way they feel. We have been working on an ongoing study that examines the results of each patient’s daily outcomes and overall treatment. In our depression study, there have been significant decreases in patients’ depression scores when comparing their first session to their last session. A patient may first come in with a score as high as a 64 in our Depression test, but after leaving may have a score as low as 0! CBT doesn’t work for everyone, however, we’ve found that when you combine an individual that is motivated to feel better, an empathic and supportive therapist, and usage of comprehensive CBT with a highly trained therapist the results are terrific.

Does CBT work for children?

It is difficult to deliver CBT to children, but they are our favorite challenge and one of our specialties. Their brains are still developing, so speaking to children in terms and definitions that they can grasp is key to success. Overall, our method for treating children is to incorporate the CBT with various therapeutic techniques such as Play Therapy and Yoga. However, what is instrumental in our children’s success is the parent coaching and Behavioral Parent Training that most patients’ parents need to attend to support and reinforce the child’s treatment.
Please see our pages on Children & Teens for more information.

What if my teen is resistant to seeing another therapist?

Our team of experts has excellent skills building trust with some of the toughest adolescents. Many of our teen patients were resistant when they began therapy, but now love the treatment, and even look forward to attending each week! We believe that teens like knowing that they are working with an individual that won’t judge, can teach them important life skills, and provide them with a new way of looking at situations. I-CBT is an excellent treatment option for most teens. If they give it a try for a week a two, they may find it was just what they were looking for and a refreshing change from some of their former therapists. We also offer a variety of treatment groups depending on what challenges the teen is facing.

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Will I be able to discuss my feelings and what is bothering me?

This is a very common question! The answer is ABSOLUTELY. This is the rapport building aspect, or Psychodynamic and Interpersonal aspect, of our treatment. As therapists we are trained on various models of treatment and these are incorporated into your treatment. Some approaches work for some but not for others. Discussing your thoughts and feelings is essential to the success of your treatment. However, unlike many other forms of therapy we will do something with the information that you provide, rather than just simply asking, “How does that make you feel.” We are going to apply your feelings and thoughts and discuss end goals to the behaviors.

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Is CBT a cure?

As of right now, this is one of the best methods of treatment for Anxiety and Depression. You cannot cure someone of depression or anxiety, but you can help people feel in control of their lives. CBT may not work for everyone, but with our treatment most of the people that challenge their irrational thinking and begin implementing their skills learned in sessions, see significant changes occur. Ultimately, the CBT therapist encourages the individual to be self-reliant and incorporates relapse prevention into treatment in order to maintain progress after discharge. Patients may return for a “tune up” on occasion, a session from time to time, when particularly stressful events arise.

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Medication Management


Is medication necessary?

Sometimes. In some cases medication is necessary depending on the nature of the patient’s condition. However, even when medication is necessary, our treatment goal is to have the patient off medication as soon as possible. We are easily able to coordinate care between therapy and medication management to improve outcomes.
Regarding children, we prefer to use therapy before recommending medication. Even in the case of ADHD or ADD, behavioral treatment is our first course of action.
Our policy: Medication only when absolutely necessary.

Does your medical staff treat children, adolescents and adults?

Yes. Our medical staff is trained in treating all age groups.

What is the cost for Medication Management?

NECBT Medication Management currently accepts Medicaid A-D, Tricare, and Anthem. However, we are always working on paneling for new insurances, so when you call to schedule your appointment, please know your insurance information and check in with us about your options. Otherwise, fees are out of pocket. We accept MASTERCARD, VISA and H.S.A. accounts.
• Assessment Fee is $350.00
• Medication Management Appointment Fee is $95.00
• Additional paperwork, such as letters for the court system or additional work to coordinate care outside of the practice costs a prorated fee of $150.00/hour.
We believe strongly that if medications are going to be used, the patient will benefit tremendously from I-CBT treatment.
If you need a Forensic Evaluation or any kind of legal correspondence, please have your attorney call to make arrangements on your behalf. Forensic and legal services cost $500 per hour.

Frequently Asked Questions

Do you offer confirmation calls?
Although we generally schedule patients for the same appointment time each week, we do offer courtesy confirmation calls. However, it is the patient's responsibility to know their scheduled appointment, even if they do not receive a call.

What are your Late-Cancel/No-Show Policies?
We require at least 24 hours notice for all cancellations. All cancellations which occur on the date of the appointment will be charged a missed appointment fee of $80.00, to be paid prior to the next session. The missed appointment fee is $60.00 with a credit card on file.

How much will treatment cost?
Treatment costs vary depending on the experience of your clinician and the type of treatment program that you are in. Insurance coverage varies depending on your provider and your plan.

What is an Admin Fee?
We require an Admin Fee of $33.75 per month to cover the costs of all testing and materials not covered by insurance. This fee is goes into effect only after your first session, in case you decide that I-CBT is not for you. This fee will be waived for veterans who are Rank E-3 or lower, and people having financial difficulties. In order to receive our military waiver you must present your ID

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