Loading Page
Prof. Blair Patton Bisher, NCC, PhD(c), MS is an addiction therapist in Amesbury, MA specializing in addiction therapy and counseling.
Connect with this therapist via:
Video Visits - connect over video conferencing software for a virtual session -- almost as if you're there in person
Phone Visits - good old-fashioned technology for those who don't want to worry about appearance or who have might have internet bandwidth limitations; a little bit like connecting with an old friend, but with a counselor instead
Instant Message (IM) Visits - real-time chat -- like a phone call, but over text
Connecting with a therapist can be difficult. BetterHelp can help with that. They have an online network of licensed and accredited psychologists, marriage and family therapists, clinical social workers, and counselors. You can connect with their therapists via online video, phone, real-time chat, or asynchronous messaging. Easily switch therapists until you find one that fits you. Sign up through DocSpot for a discount on your first month's subscription.
Addictions
Addictions are chronic diseases of compulsive or uncontrollable behavior which may have adverse health effects. Addictions can include substance abuse (such as the abuse of opioids, alcohol, or prescription drugs) and certain non-drug related behaviors, such as gambling or video games. People with addictions may experience an uncontrollable urge to use substances or perform certain activities, although these behaviors may be harmful to themselves and others.
Those suffering with a substance abuse addiction are often unable to cease their behavior without some form of medical intervention. Studies have found that repeat use of certain drugs can figuratively rewire the brain, resulting in alterations to neural pathways associated with dopamine. This means that repeat drug users may become reliant on consuming the substance in order to function. For example, those with alcohol addiction ("alcoholism") become physically dependent on alcohol and may experience extreme withdrawal symptoms when avoiding alcohol entirely; in rare cases, medically unsupervised withdrawal can lead to death.
Behavioral addictions are similar to substance abuse addictions; however, people with behavioral addictions are addicted to a behavior or emotion associated with certain behaviors, as opposed to drugs. In addition to gambling, common behavioral addictions include food, video games, social media, shopping, and pornography addictions. When performing the activity, people experience euphoria (a rush of dopamine) that slowly lessens over time, meaning they build a tolerance and dependency on a behavior. For example, people who are addicted to shopping may need to purchase more items or spend more money to feel the same rush that once fueled their addiction.
Addictions can be assessed through a variety of means such as diagnostic screening, abuse assessment, or psychiatric evaluation. Treatment can help patients recover from their addictions and manage mental and physical health conditions related to their addiction. People with addictions may be treated in rehabilitative treatment facilities, hospitals, and other clinical settings.
Addiction treatment for substance abuse may include:
Addiction treatments for both substance abuse and behavioral addictions may include:
Addiction treatment has expanded to include care for patient substance abuse in non-clinical settings. A number of community programs now provide at-risk substance users a safe place or means to use drugs and mobile doctor's services for drug-associated illnesses and injuries. Behavioral addictions are also gaining increased attention as researchers and mental health professionals seek to better understand and treat them. For example, some researchers are assessing the connections between video game addiction and childhood risk factors. More and more, mental health experts are recognizing the importance of meeting people with addictions where they are at, using more advanced treatments. Addiction treatment is intended to care for people with addictions with compassion and respect.
Dialectical Behavior Therapy
Dialectical behavior therapy, or DBT, is a form of cognitive behavior therapy (CBT) that was originally developed to help the most severely mentally ill and depressed patients accept therapy. It relies on the same concept in CBT that examines the relationship between thoughts, feelings, and actions, but in DBT the emphasis is first on acceptance rather than change. There is also an emphasis on mindfulness, 'being in the moment,' and relaxation techniques such as yoga. These are combined with a great deal of validation and encouragement from the therapist.
The word 'dialectical' means acting through opposing forces, and this word refers to a few different opposing concepts in DBT:
Dialectical behavior therapy was developed when therapists attempting to use CBT techniques on the most seriously ill patients ran into a problem. When they suggested that a patient change their thoughts, these very vulnerable patients would become overwhelmed and turn aggressive or suicidal. DBT was developed to support these patients with acceptance and validation while still guiding them towards changing problematic thoughts. Although also used for suicidal and self-harming patients today, these days, DBT is mainly used to treat borderline personality disorder. It is one of the few effective interventions for this serious illness.
DBT has been shown to be very effective at reducing self-destructive behavior. It can also be used to teach new coping skills and increase a patient's self-esteem and motivation to become healthier.
Sex Therapy
Sex therapy is, in essence, a form of psychotherapy that is specifically focused on the emotional and behavioral issues around human sexuality. Although sex therapists often work closely with medical doctors, sex therapy does not address medical issues, which are usually treated by a gynecologist or urologist. Sex therapists never engage in sexual activity with their patients. They are counselors that help individuals or couples resolve their emotional or communication issues about sex.
Some of the problems that a person might see a sex therapist for include:
During sex therapy, individuals or couples will talk about their sexual issue and their background. It is common to be given exercises to work on outside of therapy to improve communication, intimacy, or physical response. Sometimes these exercises bring up strong emotions, and then those emotions can be discussed during therapy. The goals of sex therapy are usually to obtain reliable information about sex, to improve verbal and physical communication between a couple, and to improve sexual performance.
Because of the nature of sex therapy and how vulnerable it makes most patients feel to discuss their sex life, it is extremely important to choose a sex therapist wisely. Referrals can usually be obtained via physicians or clergy, but it is also important to seek a credentialed therapist. The American Association of Sex Educators, Counselors, and Therapists (AASECT) offers certification to sex therapists, which ensures proper training and education, as well as a strict code of ethics.
Prof. Blair Patton Bisher, NCC, PhD(c), MS does not have any reviews yet, be the first to leave a review of Prof. Blair Patton Bisher, NCC, PhD(c), MS here: Leave a Review
Mr. Blair Bisher works as a counseling and addiction therapy. These areas are among Mr. Bisher's clinical interests: crisis intervention, person-centered therapy, and infidelity issues.
