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Client TypesIn my private practice, I have used Cognitive-behavioral therapy (CBT) and/or medications to treat children and adults with the following conditions: AnxietyAnxiety (phobias, separation or social fears, school refusal, generalized anxiety, or post-traumatic stress). DepressionDepression – lasting feelings of sadness, helplessness, hopelessness, unworthiness and guilt, inability to feel happiness, a decline in school or work performance, changes in sleeping and eating habits. Attention Deficit Hyperactivity DisorderAttention Deficit Hyperactivity Disorder (ADHD) – short attention span, trouble concentrating, restlessness, forgetfulness, low frustration tolerance, problems getting along with family and friends, hyperactivity/impulsivity. Obsessive-compulsive DisorderObsessive-compulsive disorder (OCD) – recurring obsessions (troublesome and intrusive thoughts) and/or compulsions (repetitive behaviors or rituals such as hand washing, counting, checking to see if doors are locked) which are often seen as senseless but which interfere with an individual’s daily functioning. Eating DisordersEating Disorders – either food restriction (anorexia nervosa) or binge eating and vomiting (bulimia), or a combination of the two. Substance Abuse DisordersSubstance abuse disorders – alcohol, tobacco, marijuana, cocaine/methamphetamine/stimulants, heroin/opiates, LSD, club drugs (ecstasy, GHB, ketamine), prescription drugs (benzos, Ambien, Soma, etc.), inhalants. To find out more about buprenorphine maintenance treatment for opiate addiction, see Patient Services. Bipolar DisorderBipolar Disorder (manic-depression) – periods of depression alternating with manic periods, which may include irritability, euphoric mood, excessive energy, impulsive behavior, staying up all night, and grandiosity. PsychosisPsychosis – irrational beliefs, paranoia, hallucinations (hearing voices, seeing things that don’t exist), social withdrawal, strange behavior, persistent rituals, and deterioration of personal hygiene. May be seen in developmental disorders, severe depression, schizophrenia, and some forms of substance abuse. AutismAutism (or other pervasive developmental disorders such as Asperger’s Syndrome) – characterized by severe deficits in social reciprocity, language, and/or thinking or ability to learn, usually diagnosed in early childhood. Conduct DisorderConduct disorder – severe aggression, assaultiveness, excessive property damage, lying, cheating, self-abuse (cutting, head banging). Sleep ProblemsSleep problems – insomnia, night terrors, sleep walking, separation anxiety, excessive bedwetting beyond age 5.
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