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Jill Lawrence, LMSW, MSW is a counselor in Des Moines, IA specializing in counseling and social work. Jill Lawrence, LMSW, MSW is affiliated with Nystrom and Associates.
600 42nd Street
Des Moines, IA 50312
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Cognitive-Behavioral Therapy (CBT)
Cognitive-behavioral therapy, or CBT, is a form of psychotherapy or treatment for mental illness. It comes in a variety of methods, but the basic concept behind all CBT is the same -- thoughts cause feelings, which cause actions. If someone wishes to change problematic behaviors or emotions in their lives, they need to start by changing their thoughts. CBT examines ideas and looks for patterns that may be causing harmful actions. The therapist helps patients modify those thought patterns and, in doing so, helps them feel better and cope more effectively.
CBT is one of the most widely studied forms of psychotherapy, and it has been shown to be extremely effective for a variety of mental illnesses. Some of the issues that respond well to CBT include mood disorders, personality disorders, eating disorders, substance abuse, sleep disorders, and psychotic disorders. In some cases, CBT has been shown to be as effective or even more effective than medication. One of the interesting things that the scientific study of CBT has shown is that CBT actually changes the way the brain works, physically improving its function.
CBT differs from traditional psychotherapy in a few key ways. One of the most important distinctions is the emphasis on the power and responsibility of the patient in CBT. The patient will be encouraged to be the one asking the questions in CBT therapy, and most patients are assigned homework to complete outside of therapy sessions. There is a concept in CBT that everyone has power the power to change how they feel, even if they cannot control the situation, and this can be very empowering for patients. Because of this power shift, the therapist-client relationship is not as critical to success in CBT as it is in other modes of therapy. Patients should still get along well with their therapists, but they do not need a deep, dependent emotional connection to them. Finally, because CBT often treats a specific issue or problem, it is usually shorter in duration than traditional therapy. While some therapies may continue for years, CBT lasts on average just 16 sessions.
Family Therapy Services
Family therapy is sometimes also called family counseling or marriage and family therapy. It is a form of mental health care and therapy that treats a couple or entire family as a unit, paying special attention to how the members of the family interact with each other. Each family has a unique personality, communication style, and unique problems they face together. In family therapy, all members of the family attend counseling sessions as a group, and together they learn how to identify conflicts within and without the family, as well as how to communicate better and problem-solve together.
Some topics commonly addressed in family therapy include:
Family therapists may work in group practices, private practices, schools, or hospitals. They work with families of all different kinds to help them live together as a stronger unit.
Post-Traumatic Stress Disorder (PTSD)
Post-traumatic stress disorder (PTSD) is a mental health disorder that people may develop after experiencing or witnessing a traumatic event. PTSD causes recurring nightmares, flashbacks, and disturbing memories about the traumatic event. It is frequently triggered by particularly intense and life-threatening incidents. For example, someone involved in a serious car accident may have severe anxiety about the accident months or even years later. War veterans and people involved in armed conflict are particularly prone to developing PTSD. In decades past, PTSD was called shellshock and was used to describe the negative emotions that soldiers endured from war. Today, medical professionals who treat PTSD recognize that it can occur in all types of people and can result from all types of traumatic incidents. It is not known exactly why some people develop PTSD, although PTSD frequently arises from:
People who have experienced significant and repeated trauma are more likely to develop PTSD. Those who have disorders like depression or a family history of depression may also be more prone to PTSD. PTSD symptoms typically begin one month to one year following the traumatic event. There are four main categories of PTSD symptoms:
The intensity and frequency of these symptoms can vary over time. PTSD symptoms may suddenly return after disappearing for years. Many PTSD patients find treatment helps to gradually reduce their symptoms over time.
The most common treatments for PTSD are psychotherapy and oral medications. Psychotherapy for PTSD can include cognitive therapy (therapy to change thought patterns), exposure therapy (therapy to confront memories of the traumatic incident) and eye movement desensitization and reprocessing therapy (EMDR). EMDR integrates exposure therapy with guided eye movements to help patients confront and process their trauma. Certain oral medications may help with PTSD, such as antidepressants and anti-anxiety medications. Self-care, support groups, and relaxation may also benefit those with PTSD.
The path to overcoming PTSD can be long and challenging and people with PTSD can benefit greatly by seeking professional treatment from a mental health care provider. Treatment can reduce PTSD symptoms, provide essential coping strategies, and improve one's quality of life.
She has a state license in Iowa.
Licensed In: Iowa
Jill Lawrence, LMSW, MSW is associated with these hospitals and organizations:
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Ms. Jill Lawrence specializes in social work and counseling and practices in Des Moines, IA. Her clinical interests include adolescent issues, cognitive-behavioral therapy (CBT), and family therapy services. She is affiliated with Nystrom and Associates.
