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Psychotherapy Theoretical Orientation


Thomas A. Gonda, Jr., MD
 

Listed below are many theories that I use
in thinking about your particular situation. 

Because of my background in Western medicine and surgery, I am practical in thinking about a theoretical approach in our therapy sessions.  I want to develop a treatment plan that will guide our work to pragmatic change to make your life better.  I can use what seems appropriate for you, or, we can discuss a different specific area of interest. I am very flexible in changing a treatment course. I have education, training, experience and a sincere interest in taking advantage of the usefulness of the following modalities:

1.
Crisis Intervention.  Many, if not most, clients seem to enter psychotherapy because of an acute, serious challenge of a crisis level.  Examples of crisis situations include:  suicidal thoughts, domestic violence, health issues, death, bereavement, rape, substance abuse/dependence, PTSD (post traumatic stress disorder)  and many other situations.  I will try to help you get through this critical time.

2.
Person Centered Therapy  (PCT), also known as: "Humanistic Approach" is an "all purpose," useful and gentle approach to working with you.   PCT is best for those who "just want to talk about what's on their mind" with an empathetic healer.

3.
Existential Therapy This style is useful for those questioning meaning, value and purpose.  It is an intermediate length therapy.

4.
Cognitive Behavioral Therapy  (CBT)  This approach is best for focusing on problem solving.  We will examine thought distortions, faulty assumptions and core beliefs.  CBT is not oriented to understanding the root cause of a problem, but is meant to alleviate the symptoms.  It is typically 10 or so sessions.

5.
Dialectical Behavioral Therapy  (DBT)  This approach looks at seemingly opposites points of view and attempting to make sense of it all. We will do mindfulness exercises that will help emotional regulation.  This therapy seems to be effective with teenagers, BPD (borderline personality disorders), and other "personality disorders."

6.
Adlerian Therapy.  This approach is useful for defining one's role in the community and the world.  Issues of self-esteem, the family, unconscious and dreams are examined. 

7. 
Psychodynamic/Psychoanalytic Therapy.  This style is long-term, usually several times a week for many months or years.  We will examine the unconscious, dreams, relationships, past influences and hopefully come to an understanding of your desires, motives, drives, and dynamics of your relationships.  It is oriented to uncovering the cause of the presenting problem or an exploration of the dynamics of your personality. This approach has essential features of Freudian-type psychoanalysis. In a traditional psychoanalytic approach, the portion of the patient's id-relationship to the therapist is made conscious by the therapist taking the place of the patient's superego. In small gradual steps, an interpretation allows the patient to become aware of repressed tensions, anxieties by release of small amounts of libidinal id energy and awareness of unhealthy defenses. 

8. 
Family Therapy.  The family together will look at their boundaries, past family tendencies, anxiety, emotional reactivity and communication styles.

9.
Couples Therapy, Marriage Therapy.  This therapy helps couples understand conflicts and improve their relationship. Couples therapy gives you the tools to communicate better, negotiate differences in personality and values, problem solve and even argue in a healthier way. An emphasis is placed on: establishing goals, fairness, objectivity, clarity of thought and purposeful communication. What do you want to do in this relationship? The effective therapist does not to take sides and mediates toward a solution focused dialogue. Common problems addressed:  alcoholism and drug abuse, anger, anxiety, blame, blended-family problems, communication, financial conflict, infidelity, jealousy, job stress, loss of love/affection, parenting conflicts, personality differences, physical abuse, psychological abuse, religious differences, sexual abuse, sexual dysrunction and work/home role strain. I also work with couples going through separation/divorce and require mediation and emotional support.