OBSESSIONAL SPECTRUM ANXIETIES

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This Practice Welcomes Diversity

Social Anxiety: I treat social anxiety only if social skills are good and when it is secondary to one of the conditions above

Video Sessions

Massachusetts

Therapy via video is offered to clients in Massachusetts, who are unable to come to my office. Outside of Massachusetts, video session are only available to residents of certain states, owing to legal and licensing obstacles.

International

Internationally, there are no legal limitations on video therapy. I offer video sessions to those who live in the following regions or countries:

Canada
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Europe
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Latin American
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Asia
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Vietnam
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Australia
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Insurances Accepted
Ages Treated
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Teens 16 and older

I work with teens starting at age 16, seeking treatment for OCD. I am cautious when accepting teens, that the person have the maturity and the motivation to commit to therapy. I will do work with a teen who is being forced (or court mandated) into treatment. Teens must also be substance free.

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Young Adults

Anxiety can be a roadblock during the transition from adolescence to independent adulthood. Not uncommonly, obsessive compulsive symptoms worsen with the challenges of college or starting a career. Consequently, this is a phase of life when therapy can have enormous impact.

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Adults

I work with adults seeking treatment for one or more of the anxiety disorders I treat. Onset of anxiety usually predates adulthood. However, obsessions and/or anxiety can start in the postpartum. If retired, I do require that the person be engaged in community activities

Telephone Screening

I conduct a brief telephone screening prior to setting up an initial appointment in order to review the symptoms for which treatment is being sought. The screening is also intended to rule out conditions and circumstances I do not treat. I do ask that that all prospective clients read through this site, particularly my approach and the conditions I treat prior to contacting me.

Screening Questions
  • The specific anxiety symptoms and behaviors the person is struggling with.
  • That no co-existing conditions, beyond minor depression secondary depression and/or mild ADHD are present.
  • The reason(s) why therapy is being sought now.
  • That no co-existing conditions, beyond minor depression secondary depression and/or mild ADHD are present.
  • That motivation and commitment to change is very high and that the decision to seek therapy is not motivated by pressure from family, parents or spouses
  • The importance of being able to tolerate the significant distress experienced when facing fears and reversing avoidance.
  • The organizational skills CBT requires to complete homework: readings, monitoring and charting.The type of cognitive and behavioral therapy approaches I use.
  • Finally I review the inclusive nature of my practice, where clients of diverse sexual orientations, racial, ethnic, religious backgrounds -including immigrants regardless of legal status -are provided a safe therapeutic setting.
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© 2018 Robert Safion, LMHC

Treatment of Obsessional Spectrum Anxiety

6 Harris Street, Newburyport, MA 01950