Patients are usually seen once a week for 50 minutes
sessions, but more intensive therapy is another option depending on the clinical
needs of specific patients.
Family or significant others are commonly included in both
assessment and intervention phases of cognitive behavioral therapy as clinically
indicated. This is especially important when the family members are
negatively involved in reassuring and/or doing rituals for the patient.
Participation in the therapy will guide family members how to engage in a healthy
manner with the anxiety sufferer.
These are small groups, usually composed by 5 to 7 members,
who meet once a week for 75 minutes for a limited period of time. Its focus
is on psychoeducation, support and cognitive behavioral methods (e.g. cognitive
reestructuration, exposure therapy, etc). The cognitive behavioral
techniques are targeted to the specific diagnostic presentation.
Effective treatment for anxiety and obsessive-compulsive
disorders is not always available where you live. John Silvestre has had
extensive experience working with people nationally and internationally using the
phone. When working internationally it helps that he speaks fluently, Portuguese
Supervision And Consultation
Clinicians interested in learning and being supervised on
CBT for Anxiety and Obsessive Compulsive Disorders can contact John
Silvestre. When necessary a telephone consultation can be arranged.