Understanding Addiction and Outpatient Group Therapy

Watch this video with Dr. Dawn-Elise Snipes to learn a bit more about Addiction.

Note: If you are feeling suicidal or your depression is severe, contact a health professional immediately or dial 911 to be taken to your nearest emergency room. Online videos are not a substitute for the assessment and advice of a licensed healthcare professional.

The Naked Therapy Alternative…

Awwww…..keep your pants on I am getting to it….
No, really, I mean keep your pants ON!

All seriousness aside, I have heard therapists complain that dress clothes are off-putting to their clients, supposedly creating more of a power dis-equilibrium, but I think getting naked it taking it to a pathological extreme? What is next, fetish dressing?

The naked therapist’s attempt to connect naked therapy with Freud is, at best, misguided. Freud used free association to let your mind go where it needed to, believing that if you talked long enough uncensored, the root of the issues would come out. She is proposing letting your hands wander, and let me tell you, what is coming out is certainly NOT the root of the issue. Considering she is targeting male clients, I wonder if Freud would say she is suffering from penis envy. HMmmmmm.

How exactly does staring at this naked woman really help JohnTom fix his marriage? The naked therapist is not licensed or certified as a counselor. She is not regulated by anybody.

When you look for a counselor, make sure he or she is licensed and in good standing. These people have been trained to identify signs that there may be a bigger problem or you are getting worse. They also take an oath to “above all do no harm.” Make sure you understand, by the end of the assessment, how he or she is going to help you solve your problems. If it does not make sense, question it. There are a lot of people out there (even licensed ones) using practices that are not commonly accepted. This does not mean they are bad, but it is important to make sure you believe it will work for you.

If you can think of a possible reason why it would make sense to pay $150/hour for a naked, unlicensed “therapist” to talk to you, please share. I am at a loss…

Substance Abuse | DUI Treatment Manassas|Fairfax|Arlington|Alexandria

Who Said: Removing the shoulds (and the stress) from our lives.

So often we get stuck in the shoulda, coulda, woulda trap without even knowing why.  Who said  you should have been a lawyer instead of a teacher?  Who said you could have been a millionaire, but instead you chose to be a cop.  What makes you thing that you would have done anything differently?  Shoulda, coulda, woulda, but didn’t.  Through listening to our parents, teachers, friends and the media, we develop a litany of “Shoulds” in our head.  Most of the time we take these things at face value without even asking ourselves if we believe it is something we should do, or if it is just something others are trying to convince us we should do.   When we start to get depressed or stressed out, often it is because of all of the things we are telling ourselves we should be doing, but are not.  For example, there used to be a commercial in which a very pretty woman sang about being able to bring home the bacon, fry it up in the pan and never let you forget you’re a man.  In reality, how many women can work a full time job, do all of the house chores, errands and cooking and handle the bedroom as well without getting stressed out?  Very few.  Unfortunately, many women in the 70s and 80s grew up believing that they “should” be superwomen, able to be everything to everyone all of the time.

There are times when we are unable to do things and we wish we could have.  However, many times these things we “should” have done are simply overly high standards or goals someone else has tried to convince us that we care about. If you are going to beat yourself up over something you “shouda” done, then at least make sure you are the one that believes that and why. Try filling in the following statements: “I believe I should have done this because ______.  The fact that I did not do it means that I am _________.”  If you can fill in that statement with something that is reasonable and true, then move to the next step.  If you cannot complete the exercise with reasonable answers, then you have to ask yourself why you are beating yourself up for something that really does not make that much difference anyway.

There is a basic principle that we do the things that are most rewarding (and least painful).  Sometimes there is something that you truly believe you “should” do, like going on a walk instead of eating another piece of chocolate cake.  If it is something that you really want (as opposed to something someone else tells you to do), then the challenge becomes figuring out how to make the desired activity(exercise) more rewarding than what you currently are doing (eating cake).

The first step is to do what we call a decisional balance exercise.  Identify the pros and cons of eating a second piece of cake and the pros and cons of exercise.  It is important to make the pros of exercise and the cons of eating cake strong arguments for exercise.  If you need to, add incentives.  For example, under the pros of exercise, say that you will get to go buy a new outfit every time you successfully complete 20 miles of walking (over multiple days of course).

So, to sum it all up.  Identify what is important in your mind to do and why.  Those are the goals you focus on.  The rest of it can be delegated, ignored or compromised.

Face-to-Face and Online Counseling

Gainesville-NOVA Counseling now has counselors in Manassas, Tyson’s Corner and Fairfax who strive to make mental health and substance abuse counseling convenient, effective,  and even anonymous.   We understand your busy lifestyle may make it hard to go to a counseling appointment each week, or you may be afraid that your career will be jeopardized if anyone finds out that you are seeking counseling services.  DUI, DWI, Substance Abuse and Mental Health assessments can usually be done within 24 hours, and you can be enrolled in outpatient or intensive outpatient services that same day.

Our outpatient services are available six days a week, including Saturdays and evenings by appointment.  We address addiction, anxiety, anger, adult and child ADD/ADHD,  bipolar disorder, depression, eating disorders, grief, obsessive compulsive disorder (OCD), stress, and Trauma/PTSD.  Our clinical director, Dr. Dawn-Elise Snipes also specializes in working with persons in law enforcement and the military.  We use a solution focused, cognitive-behavioral approach to help you set goals, develop a plan and begin working toward a happier life.

Costs:

  • Assessment: $150
  • Individual Counseling Appointments (In the office or via video conferencing): $85/50 minute session
  • Intensive Outpatient Services $250 per week during phase 1 and $150 per week during phases 2 and 3.   IOP Groups meet on Monday, Wednesday and Thursday from 6:30pm-8pm.  If you cannot attend in person, you have the option of attending via video conferencing with Skype.
  • Written reports for court or probation officers: $30/per page
  • Court Testimony for sentence mitigation: $1000 per half day, includes preparation time.
  • Expert witness services: $1850 nonrefundable retainer.

Our individual, group and intensive outpatient etherapy/online counseling uses a secure, encrypted video stream to provide face-to-face services for addiction, anxiety, depression or PTSD within the comfort of your own home.  All you need is a computer with a webcam (it does not have to be an expensive one), and DSL or better internet connection.   Logging in is easy.  You go to a page on the internet and login using whatever screen  name you choose and a password that will be emailed to you when you sign up for the program.  Dr. Snipes and her staff look forward to the opportunity to help you!