What is Interpersonal Cognitive Behavioral Therapy?

What is Interpersonal - Cognitive Behavioral Therapy

I- CBT therapy is based on the Cognitive Affective Theory and the development of neurogenisis in the brain.  Interpersonal Cognitive Behavioral Treatment is a psychoeducational treatment system created by Thomas A. Cordier, PhD. The treatment is delivered in a step by step process using a self help workbook in conjunction to psychodynamic aspect of therapy.  I-CBT combines some of the best that psychology has to offer into one hybrid treatment consisting of cbt, mindfulness, interpersonal, intrapersonal development, and utilize other evidence based models.  It is the first treatment method ever created that incorporates neurology, cbt, emotional intelligence and mindfulness into mental health clinical treatment. 

Treatment is individualized after a thorough assessment is performed and a therapy treatment plan created. This process allows the therapist to discover the primary mental health issues and create a treatment plan that will outline the work that will be done to accomplish the patient's goal.  

 The self help workbook corresponds with the psychoeducational element of treatment.  It is used in sequential order as to cover every aspect of mental health wellness. Later after therapy goals have been accomplished, this workbook becomes an excellent resource for individuals because the workbook reviews all the work that was accomplished during therapy. However, when reviewing the workbook is not enough, "tune up" sessions maybe necessary. Tune up sessions may re-review some of the basic elements of therapy, or use the skills that have already been developed to target the presenting issue.  Typically, a "tune up" will take less time then the initial therapy sessions. 

I-CBT as can be a highly effective treatment remedy for those who work the program.  Like any treatment regimen, it is less effective if not delivered properly by a therapist or if the person seeking treatment fails to follow the suggested exercise and self help work.  Those that do follow the treatment program, will find tremendous benefit and value. 

Treatment for Depression , Anxiety, Behavioral Disorders

I-CBT is a universal treatment system that is used as a basis for most mental health issues at the center.  The treatment is tailored to the individual that is undergoing treatment. There are two types of I-CBT Treatment. The first simply, I -CBT and the second the I -CBT Family Systems Treatment. The later is for ages 18 and under, or a young adult who is having a difficult time managing their mental health issue. The major difference in treatment between the two is the supportive element of the parent(s)/guardian(s). The family systems focuses on training the parents to implement the skills and behavioral changes outside the clinical setting. The family systems also incorporates group sessions into the treatment plan in order to better address mental health issues in a group dynamic while allowing for younger patients to begin adapting the skills among peers. 

This sounds simplistic

To provide the treatment correctly providers are highly trained prior to being allowed to treat patients at the center. The I-CBT is complex in learning how to properly deliver, in fact, providers within the center are required to attend on-going training and supervision no matter their distinction and prior training.  The talented I-CBT provider makes learning the materials easy, but this is due to their commitment to ongoing training and the highest standards of clinical treatment. It takes a minimum of a year to be considered a gold standard provider. They are responsible for teaching and guiding you on your mental health journey.

What does the "I" in I-CBT refer to?

The "I" in I-CBT refers to three main concepts: Interpersonal, Intrapersonal, Integrative. Many make the mistake of assuming the "I" means the relationship between provider and patient. True, the therapeutic bond is key for progress. However, the "I" has a much deeper meaning: the incorporation of Interpersonal Skills or "Emotional Intelligence" and "Intra" personal skills, the understanding the self. I-CBT is Integrative as it incorporates some of the best tools ever developed in mental health. However,  it also integrates the knowledge of each provider's individual talents into their own clinical sessions, as well as sharing their talents among a pool of other I-CBT providers in "clinical rounds."  Clinical rounds is a weekly meeting where I-CBT providers gather to discuss difficult issues pertaining to their patients and seek guidance from their colleagues. Collectively, the rounds team determines the best approach or solution to best help the patient and/or family.   

Common Questions & Answers

What is Cognitive Behavioral Therapy

Cognitive Behavioral Therapy is an umbrella term for evidence based treatment that envolves helping patient/clients change their thoughts. Many types of models fall under the CBT category such as: Cognitive Therapy, Rational Emotive Therapy, Dialectic Behavioral Therapy, Interpersonal Cognitive Behavioral Therapy, Trauma Focused CBT.  The CBT model that is used at New England Center for Cognitive Behavioral Therapy is called Interpersonal Cognitive Behavioral Therapy, considred the "new school of thought" in CBT due to it's structured nature and the usage of a step by step manual. 

How long is Cognitive Behavioral Treatment?

 Treatment for most lasts about 24 - 28 week. Please use this as an estimate, because treatment is focused on the individual and the individual's ability to start incorporating the skills into their lives.  There is simply no way of telling just how long each person will take. However, less than 1% of the patients stay for longer than one year.   

Do you use CBT for children ?

We do treat children up through adolescents. However, with  young children, we will work primarily with  parents to teach them interventions and tools to use within the household.  Depending on age and issue, we craft the treatment plan that will have the most optimal outcomes for children and their families.  Most treatment plans include a parent training component and a child or teen group. Treatment plans are based on assessment and the mental health issue being presented. Any child or teen coming out of a hospital setting the requirement for treatment is Parent Training and groups.  

Parent Training and Groups

Parents are taught skills and techniques to be used in the household and in conjunction with your child/teens treatment. We hold these sessions as an 8 week seminar to reduce the number of individual sessions required to incorporate parents into the treatment plan saving time and money.  Parents are an integral aspect of treatment because they need to begin implementing the techniques at home and using with the school. Each evening session would otherwise be considered two individual sessions. We charge one rate for each class (as opposed to paying for two separate hours). In addition, we would have an estimate of an additional 16 hours of clinical time for parents and we have limited openings to accommodate more individual sessions. Our goal for treatment is consolidate time for purpose of savings and keeping treatment on course.  

Is your program just a group?

Treatment plans are created around the individual and individual need. An individual may be assigned to a group based on the clinical assessment and treatment plan in conjunction with individual therapy.  We do offer workshops for individuals who are interested in just learning one aspect of our treatment or for learning all the skills for self improvement. However, these workshops are not covered by insurance. There fees are based on the person presenting, time and topic. 

Can I come in to see if I am going to like the Psychotherapist

You may come in to see if you like your therapist. However,  the first time you meet with a Psychotherapist, we start the assessment and billing process and they will explain the program. You are free to drop out of the program at anytime. If for some reason you and your psychotherapist don't click, we may place you with another provider. However, it is rarely the case.


About the Cordier's

New England Center for Cognitive Behavioral Therapy was first created in 2003, by Dr. Thomas Cordier and his wife Jennifer. Dr. Cordier is the founder of the Interpersonal Cognitive Behavioral Treatment system that has gained a tremendous amount of popularity here in New England.   

Dr. Cordier first began developing the model in 2003. He had just opened his private practice and had clients that said they were "getting better," but he believed that they were not. So, he began testing them with empirically validated testing batteries to understand if they were making true progress. As he suspected, there was little improvement in the scores, even though the clients reported how much they loved meeting with him.

 Dr. Cordier started investigating Cognitive Therapy (Beck) and Rational Emotive Behavioral Therapy (Ellis)  and found that these two models were the closest thing to a solution. However, he began to notice serious flaws in both that created serious treatment gaps.  As a result, he began to dig deeper and research how to improve and strengthen the quality of his treatment and lessen the treatment gaps (or problems). 

The number one treatment gap that he discovered was that researchers and therapists were not looking at the big picture of "an individual's mental health".  Instead researchers and therapists tend to look at patients through a "one dimensional" lens. However, human beings are more complex and their lives are interwoven and blended with a number of complexities and experiences. Dr. Cordier's model is based on the biopsychosocial model that incorporates not only some of the best  psychology as to offer, but also incorporates emotional intelligence and biology.  In 2016, Dr. Cordier  published his first textbook validating his first study with teens and depression.  (Interpersonal Cognitive Behavioral Therapy, the 21st Century Recipe for Success, Nova Publications).

The Cordiers' wanted to develop solid and concrete solutions for individuals so that they could move forward in life. Ask anyone ever employed by NECBT,  the "wild west" of mental health does not exist here. Dr. Cordier ensures that the universal system can be replicated  by multiple providers, not just one good provider.  Patients can rely and understand understand the treatment they are receiving, how it will help, and be hopeful that their experience will be as successful as any other who came into the center.  Dr. Cordier ensures that the treatment model is being used correctly for each individual who is in his care at the center by providing extensive and on-going training.  

The Cordiers' Mission  is to move mental health forward by offering high quality treatment  consistent successful outcomes.   Everyday since 2000, the Cordiers have dedicated their lives to improve mental health and have healthier communities.  The Cordiers' and many others who have experienced the system believe that  I-CBT could be the key to successful treatment for millions of people struggling with mental health disorders.  

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HOw will i know when i'm ready to end treatment

Unlike many other treatment programs, we have stive to reach each individual's goals. We know when a person is ready to graduate when they have understood and have incorporated the skills into their daily life. Many will self report that they are moving forward in life more easily, but their test scores will all support their improvements. In addition, each section of the program is completed. When all of these elements have been accomplished, we graduate an individual. Graduation is when an individual no longer is in need of our services and they have mastered the skills and techniques that can help them stay "feeling good." 

Your Program sounds expensive

Yes, it does sound expensive. However, relatively speaking our programs cost much less and is more effective than most programs.  We use pay as you go, the individual sessions are heavily discounted. In many cases, insurance will cover a portion of treatment. We accept Medicaid, Anthem, Cigna. 

Why don't you take Aetna, UBH products (oxford health, ct care) or TriCare?

We do not take these insurances because of the numerous hassles and our limited staff. If we had individuals are larger support staff, we could have staff support just focus on these insurances. However, this would result in an increase of costs and services that we have already reduced to keep our program affordable for more people.  In addition, each of these insurance companies, Tricare in particular delays payments up to 90 days. In order to provide you with the highest quality of service and keep our rates down, we elected to keep these insurances at a bay. These insurance companies also reimburse us at a fraction of the cost of the services provided. We use Medicaid reimbursement rates to determine the cost of our services for out of pocket fees. 

Your program sounds intense

Yes, our program is intense. We like to use the word thorough. We want to make sure that each individual receives the quality of care they deserve. Our program has a 90% success rate, this is because our program is based on the biopsychosocial model - which looks at not only the presenting symptoms but everything that surrounds the issue. Our goal in treatment is to train you to become your own therapist and not have to rely on therapy for your entire life. Some folks may need on-going therapy, depending on their mental issue, but these folks will have specific skills and will always use these to fall back on when doing on-going work. People can benefit with coaching, but this is less mental health work and more guidance and self improvement type work. 

Fees VS cost of insurance

Your insurance covers your "Face to Face" time only. The fees for the program are separate. We charge a $50.00 monthly program fee in addition to the individual session, group or parent training. This fee keeps the cost of our entire program down. Rather than pay for it separately, the entire programs cost is shared among the participants of the program.  We do not charge for the program in advance because we stand by our work and you can leave the program at anytime without feeling like you have to finish because you paid such a large payment. 

Why are you not a "non-Profit"?

If we were a non-profit we would have to stick to specific agendas of the grant that is providing money and we would be forced to go by the guidelines of the grant limiting us to their agendas. Their agendas always look good on paper and mean well, but they often programs do not have the substance to provide the outcomes that they desire  - the focus becomes grant founding and how to get the next grant, not how do we find the most successful outcomes for individuals. These are two very different goals.  Our one and only agenda is to provide the best and most progressive services to maintain our 90% statistical outcome for our services.  If we were only interested in making money, we would go the non-profit route. The quality of our health care and the improvement of our healthcare system is contingent on the ability to innovate - this is one of our greatest privileges as American Citizens.  However, when you have a large organization that is top heavy, then the needs of the individual often go unheard or attended.  You are free to go to a non-profit and you will quickly see the quality of care. Are you a number in a statistic supporting a grant or are you an individual that deserves the most progressive treatment because you need to move forward in life.  We learned early on how to stick to our own standards of quality with authentic outcomes. Our mission is to move mental health forward - your mental health. 

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