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 almost by accident. 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.
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.
As mentioned above, we use the Interpersonal Cognitive Behavioral Treatment system as our Center's practice model. I-CBT focuses on emotion and emotional intelligence and goes deeper than traditional CBT. Treatment for many 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. Treatment combines talk therapy and psycho-education in a step by step manner. 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. It's all based on how you work the program!
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.
You might have heard that our treatment involves three tiers: individual, groups, and Parent Empowerment Training. This program is for any child, teen and at times some young adults. Parents are taught the same skills as their children in addition to behavioral skills. The program requires commitment, but you will quickly see, especially if you have been to other places, why the program has had the success that it has.
No! Treatment does use groups, but the emphasis for us is on individualized treatment. In our program, depending on your age and circumstance - you will have individual treatment, group and behavioral parent training (18 years and younger), young adults - individual and group (depending on age and severity parents are welcome to join the Parent Empowerment Training) - adults typically just individual therapy. When you call the office, we can give you a really good idea of what your treatment will most likely consist of, provide you your estimates for out of pocket costs - please keep in mind that it is not a guarantee of treatment and it is the Psychotherapist that will oversee and conduct the treatment plan. The consultants can only provide you general details.
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.
Interpersonal Cognitive Behavioral Treatment is a treatment system created by Thomas A. Cordier, PhD. The treatment is delivered in a step by step process. I-CBT combines some of the best that psychology has to offer into one hybrid treatment consisting of CBT & Emotional Intelligence. Treatment is delivered in a series of workbook modules that build upon each other, that in the end of treatment creates a self help book that is tailored around the specific individual undergoing treatment. The treatment manual is an excellant tool to re-review and use whenever an indivual wants. When issues become overwhelming again or symptoms return, patients who have already learn the system can then just focus on a specific problem. We call this a "tune up" and these sessions are more short term depending on the scope of services.
I-CBT is a universal treatment system that is used as a basis for most mental health issues as the center. If we can not treat your symptoms based on this system, we would consider treatment outside of the scope of our services. The treatment is tailored to the individual that is undergoing treatment.
Often, providers who do not understand our program will refer to us as "cookie cutter" this could not be further from the truth. Our system is universal in the sense that it covers essential skills that apply to us as humans. However, each individual has a unique experience because the treatment is tailored around their needs, while growing the other aspects of their mental health wellness.
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" . I-CBT is Integrative as it incorporates some of the best tools ever developed in mental health and may be added to the model making I-CBT organic and allowing the model to evolve and incorporate new ideas and concepts that are evidence based or show promise for advancements.
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."
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.
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.
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.
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.
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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