We have been helping people learn how to make the changes they want since 2008. Anger issues got you in trouble? Have a troubled teen? Drugs? Relationship woes? In a rut in life? You're not alone. There are other people out there going through the same stuff too. This is temporary. We will meet, identify issues, work together to create a plan, follow through with some reasonable interventions, and figure out ways to make the changes last. Please call or request an appointment online to get started.
Our therapists have successfully helped our clients see new hope and make meaningful change in their lives. You do not need to suffer unnecessarily. We can help. Our therapists will work with you to give you the tools you need to make positive, lasting, and meaningful change in your life.
Our therapists are licensed by the New York State Office of the Professions and have all received post graduate training in various specialty areas.
We specialize in Anger Management, Substance use, Adolescent Issues, Relationship woes, and fulfillment. We also offer basic and therapeutic supervised visitation as well as mediation.
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Counseling can be provided at the individual or group level. Individual counseling often focuses on reducing or stopping substance use, skill building, adherence to a recovery plan, and social, family, and professional/educational outcomes. Group counseling is often used in addition to individual counseling to provide social reinforcement for pursuit of recovery.
Counselors provide a variety of services to people in treatment for substance use disorders including assessment, treatment planning, and counseling. These professionals provide a variety of therapies. Some common therapies include:
Cognitive-behavioral therapy teaches individuals in treatment to recognize and stop negative patterns of thinking and behavior. For instance, cognitive-behavioral therapy might help a person be aware of the stressors, situations, and feelings that lead to substance use so that the person can avoid them or act differently when they occur.
Contingency management is designed to provide incentives to reinforce positive behaviors, such as remaining abstinent from substance use.
Motivational enhancement therapy helps people with substance use disorders to build motivation and commit to specific plans to engage in treatment and seek recovery. It is often used early in the process to engage people in treatment.
12-step facilitation therapy seeks to guide and support engagement in 12-step programs such as Alcoholics Anonymous or Narcotics Anonymous.
Some forms of counseling are tailored to specific populations. For instance, young people need a different set of treatment services to guide them towards recovery. Treatments for youth often involve a family component. We work with youth to build skills and support engagement in positive activities.
Anger itself is a normal and healthy emotion. It is a strong emotion that generally has a target. Anger can serve to protect your identity, mobilize you to take action, or cue you to something wrong that needs attention. As is the case for most things however, too much can be problematic. Anger greatly impairs your ability to make logical or sound decisions. This can result in damaged relationships, problems at work, or even commitment of violent acts. Anger can be very damaging to the body. Prolonged or intense anger can cause your body to produce elevated levels of adrenaline, epinephrine, and cortisol. This can cause high blood pressure, depress your immune system, and affect your memory. If left untreated, anger can have psychological, social, and physical consequences that can greatly affect your ability to live a satisfying and fulfilling life. The good news is that there is hope. By learning new ways to deal with these feelings, you can begin to restore damaged relationships with your spouse, family, friends, and co-workers. Head in the Right Direction offers group and individual anger management services. In therapy you will share your struggles, find relief in the knowledge that you are not alone, and learn new skills to identify and respond to your feelings in healthier ways
Court-involved therapists are mental health professionals who provide therapeutic services to individual and family members involved in Court processes. Court cases involving therapeutic services introduce unique factors and dynamics that require consideration in the treatment process. Both the treatment process and information provided to the therapist are likely to be influenced by the individuals involvement in a legal process. The treatment plan is directly linked to the purpose of court involvement. We treat a variety of court mandated or suggested issues including: substance use, DWI, anger management, and therapeutic supervised visitation. We can also help when the court has a questions they are seeking answered by a mental health clinician. Often the court will request a forensic evaluation to answer some question the court has been posed with that would help to plan future interventions. We provide regular updates to the court and will submit more comprehensive evaluations when requested or indicated.
Adolescents are faced with a world of possibilities, opportunities and choices, and the challenge of finding their place in the world. The transition from childhood to adulthood can lead to a variety of emotional and behavioral problems that may cause upheaval for the entire family. For parents, finding the right balance between protecting your child and helping them become independent can feel like an emotional roller coaster ride. Often the guidance and perspective of an experienced therapists can help set both child and parent on the right course.
We can make it easier for you and your teen to navigate this often exhausting, though normal, life transition. As experts in adolescent therapy, we provide a safe, confidential setting for your teen to comfortably share concerns, experiences and hopes. We work with your teenager to achieve open and effective communication and problem-solving skills that will lead to success in school, with friends, within the family and whatever is next.
We are sensitive to balancing your adolescent's desire for privacy and your need to ensure their safety and wellbeing. While your child's agenda is the focus of sessions, your input and concerns are always incorporated and addressed in sessions. We also encourage periodic meetings with parents to discuss progress and offer advice to help parents balance autonomy with accountability.
Head in The Right Direction's supervised family visitation service, often referred to as “Therapeutic family visitation”, is an important component in child welfare cases in which children have temporarily been removed from the home of their parents or guardians due to abuse or neglect. This service allows a parent to visit with their child in a safe, home-like environment or in the community when indicated while the visits are monitored and documented by a licensed therapist. Families also receive therapeutic coaching and mentoring on appropriate interactions during these visits. Documentation of visits is provided to the courts to help make decisions related to family reunifications or alternative permanency options. We also offer basic supervised visitation services, as well as, exchange services. Exchange services allow for the child(ren) to transition from custodial parent to non-custodial parent while allowing for compliance with orders of protection that may be in place.
These services are not covered by insurance companies.
Please view our conditions and process for visitation documents for any frequently asked questions. If you are considering starting visitation with us, please view the Child of divorced or separated parents Bill of Rights and the Parental Alienation Supplement.
Online therapy is the delivery of mental health counseling via the Internet. People also know it as e-therapy, distance therapy, Internet therapy and web therapy. Therapists and online therapy networks use a variety of mediums such as apps for texting, video chatting, voice messaging and audio messaging.
Studies have proven the efficacy of therapy via the internet to the point where it has become a viable alternative and supplement to in-office therapy. There are even people who can afford and make time for in-office therapy but choose online therapy.
Here are some common reasons why people prefer online therapy:
(or use it as an alternative or supplement to in-office therapy)
Couples therapy, relationship counseling, marriage counseling; whatever name you decide to call it, is never an experience you're likely excited about. It might not be as bad as it sounds though. If you're a little worried about what might happen, here are a few things you can expect.
Evidence-based approaches are key to understanding effective therapy, whether for individuals or for couples. This means that the therapy you are receiving was tested against alternative methods, preferably in randomized controlled trials. Psychologists who provide evidence-based treatment don't stick to one particularly theoretical orientation just because they learned it in graduate school. Instead, they adapt their approach to ensure that they are following the best evidence- both clinical and research.
Some couples seek marriage counseling to strengthen their bonds and gain a better understanding of each other. Marriage counseling can also help couples who plan to get married. Premarital counseling can help couples achieve a deeper understanding of each other and iron out differences before marriage.
In other cases, couples seek marriage counseling to improve a troubled relationship. You can use marriage counseling to address many specific issues, including:
Once the couple enters therapy, the therapist's interpretation of issues may offer the couple a new perspective, which permits a change in feelings and behavior. The therapist may act as a mediator, attempting to clear up misunderstandings in communication. This is often difficult for people to do themselves because they are emotionally caught up in the situation. The therapist may also help the partners consider alternative ways of handling problematic situations.
We all want to feel happy, and each one of us has different ways of getting there. Our goal is to help improve satisfaction, increase helpful thinking, gain realistic expectations, overcome challenges and help you to reach your unique personal goals and maximum potential.
Fulfillment therapy helps you to examine all aspects of your life. It focuses on life skills and personal development with the goal of helping you to achieve a deeper level of satisfaction, increased self-esteem and a sense of fulfillment in all aspects of your life. We will address and try to minimize the impact of any mood disorder, past trauma, or the effect of unhealthy relationships.
We will explore the underlying beliefs which are the basis of all your feelings and actions. These beliefs are often subconscious and taken for granted that they are automatic and thus invisible. By gaining awareness, a person can see where he or she has maintained self-limiting beliefs, and can then experiment with more self-fulfilling beliefs and behavioral options which haven't been considered before.
We will work to:· Create balance in all areas of your life - work, relationships with family, friends, and children, spirituality, finances, recreation, and health. · Substitute self-enhancing beliefs for self-limiting beliefs. · Identify and enhance your unique values, passions, and gifts. · Develop sophisticated communication skills that will intensify your positive personal impact in all interactions.· Heighten your personal motivation and accountability.
In wellness therapy, an individuals mental, nutritional, physical, environmental, and self-care domains are brought into focus. Through a detailed and thorough assessment, a therapist is able to pin point sources of life stress and create a structured approach to resolving these issues. Holistic Psychotherapy is a technique used in individual, couple and family therapy session formats. The use of meditation, creative arts, nutritional supplementation, and exercise can be used in conjunction with other holistic treatments such as massage, acupuncture, and chiropractic to promote overall health and wellness. Our Cold Spring office has practitioners that offer these holistic treatments on site.