What We Address and How We Treat

Our team at McLean Counseling Center addresses wide range of problems in children, adolescents and adults. Each of us has developed expertise further in certain areas.
Please review the list and scroll down to see our treatment modalities.

ADHD

(Attention Deficit Hyperactivity Disorder) and issues related to initiating and finishing tasks and projects

Range of ADHD symptoms such as

  • Easy distractibility/difficulty concentrating
  • Restlessness
  • Impulsive behaviors (making hasty actions that occur in the moment without first thinking about them, which may  have high potential for harm)
  • Problems initiating and finishing projects
  •  Learning Disorders

Family and relationship problems

  • Parent -adolescent disruptive relationships
  • Dealing with your teen’s mood swings
  • Handling teens with high risk behaviors
  • Limited  social life/feeling isolated
  • Difficulties in dating and having a healthy romantic life
  • Couples and marriage
    • Frequent arguing/ disagreements
    • Breakdown in communication
    • Angry outbursts
    • Avoidance behaviors

Physical symptoms resistant to medical treatments or without an explanation

 

  • Chronic headaches and stomachaches
  • Diffuse muscle tension and joint pain
  • Tiredness and fatigue
  • Functional neurological symptoms such as muscle weakness without an explanation, paralysis, loss of a sensation or vision without an explanation
  • Irritable bowel syndrome and other issues related to gastrointestinal system

Mood and Anxiety Disorders

These can be depressive symptoms due to biological factors, life stresses, post-partum depression, or other reasons; overly elevated mood due to bipolar disorder or a variant; or anxiety due to biological reasons or life stresses.

Depressive symptoms can include

  •   Sadness
  •   Low energy
  •   Lack of interest in formerly pleasurable activities
  •   Hopelessness
  •   Suicidal thoughts

Anxiety symptoms can include

  •   Excessive worry
  •   Feeling on edge
  •   Sleeplessness
  •   Having phobias
  •   Panicking
  •   Fear of social settings
  •   Obsessive thoughts and rituals that      interfere with daily living

Immigration and its emotional burdens

 

  • The struggles of leaving and arriving
  • Homesickness
  • Issues related to finances and marriage in a new setting
  • Acculturation and family adjustment to a new environment and potentially different set of values

 

Work stress

  • Work life balance

  • Addressing dysfunctional work environments

  • Emotional conflicts in the work environment

  • Work stagnation or un-fulfillment

  • Handling difficult bosses or coworkers

Autism Spectrum Disorder

This includes a wide range of developmental delays that can lead to limitations in a variety of areas.

 

  • Early childhood behavioral and developmental issues
  • Ongoing social problems that include difficulty communicating and interacting with others
  • Repetitive behaviors as well as limited interests or activities
  • Symptoms that hurt the individual’s ability to function socially, at school or work, or other areas of life

Trauma-related disorders

Issues around acute stress or Posttraumatic Stress Disorder that includes being involved in  or witnessing a traumatic event.

Incidents of trauma can include

  • A car accident
  • Child Abuse
  • Witnessing or being the victim of a ctime
  • Witnessing or being the victim of domestic violence
  • Military combat
  • Kidnapping
  • Being involved in a natural disaster
  • Being diagnosed with a life-threatening condition

These all can cause nightmares, irritability, avoiding situation that reminds the person and daily living can get affected

Life transitions

  • Changing schools
  • Graduation
  • Going off to college
  • Starting a new job
  • Separation
  • Divorce
  • Births of children
  • Illness
  • Death
  • Empty Nest Syndrome
  • Return home of an adult child

How We Treat

The first step is a comprehensive evaluation and assessment of our patients to understand the issues the patient is facing. This evaluation includes reviewing a history of treatment failures, successes, and treatment options that may not have been tried in the past.

We start with getting a thorough history of the difficulty, and considering psychological testing as an option to shed light on the details of certain disorders if necessary.
Our psychiatrists will discuss medication intervention if necessary and recommend therapeutic modalities to be considered. Either our psychiatrist will take over the full treatment, which entails medication management and therapy, or the psychiatrist will coordinate therapy with one of our psychologists.
Regular team meeting allow consistent coordination of care, benefiting our patients.
Treatments are tailored to the individual’s schedule and urgency of need.


Some psychotherapeutic modalities we use at McLean Counseling Center are:

Psychodynamic Therapy

Getting to the bottom of what’s going on by understanding an individual’s underlying issues.

  • Psychodynamic therapists believe in understanding the underlying roots and causes of emotional struggle. He or she looks to historical events and relationship in your life to better understand where certain psychological difficulties come from. By doing so, the therapist can better help the individual cope with stressful lifes challenges.
  • Early in life, patterns of relating to thoers, coping with stress, and how we understand the world are set based on early interactions and relationships. Many patterns, useful in helping us handle maladaptive situations, can become counterproductive later in life as out situations changes. Detecting and understanding these patterns helps an individual gain insight and develop the ability to bring about positive change in their life.

 

Cognitive-Behavioral Therapy (CBT)

This is a common type of psychotherapy for addressing certain issues. CBT helps retrain your alarm systems to better match up with the reality of your life stresses. This modality is designed to tackle a specific struggle directly using behavioral strategies and manuals to reach goals.

 

Psychological Testing

Psychological assessment is a process that uses various methods to assist gaining insight. This includes identifying behavior, feelings, personality, beliefs, thoughts, and abilities.

Every client who completes psychological testing at McLean Counseling Center will receive unbiased and unprejudiced information that can be used to provide a clearer picture of you or a loved one. Furthermore, you will receive tangible information on what you can do to improve your life. Some things you may gain from testing:

  • Make an accurate diagnosis (ADHD, Autism Spectrum Disorder, Anxiety Disorders, Depression, Personality Disorders, and more)
  • Determine approximate IQ
  • Screen for possible neuropsychological issues, such as dementia
  • Admissions testing for Independent Schools
  • Verify accommodations needed for ADHD and other disorders
  • Identify strengths and weaknesses
  • Discern problem solving and learning tendencies
  • Provide a direction for treatment
  • Assist parents, spouses, children, and/or friends how to best help their loved one

 

Medication Intervention And Management

Treatment has to be customized for each individual. Our particular expertise is to combine effective therapy with necessary medication intervention.

Three Critical Factors must be right:

  1. Choosing the right medication
    • Everyone is built differently
    • We must find the right key to fit your lock
  2. Discovering the right dosage
    • Psychiatric medications vary more than other medications
    • Too little or too much just won’t work
    • Dosage must be optimized
  3. Waiting the right length of time
    • The brain is a slow responder
    • It takes a week or so, or even longer, even assuming we’re using the right medication at the optimal dosage

Transcranial Magnetic Stimulation (TMS)

TMS is a new, cutting-edge, FDA-Approved treatment for Resistant or Refractory Depression. For some, medication just doesn’t result in good recovery or results are just mediocre. Sometimes there is recovery but at the price of excessive, unwanted side effects. Our colleagues at Roundhouse Square Counseling Center, under the leadership of Dr.David Charney, have years of experience treating patients with TMS, and we closely work with them to cover all angles.

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