Jenna J. Torres

Hi, Thank you for your question. CBT techniques for anxiety include cognitive restructuring, which refers to changing negative thought patterns that contribute to feeling anxious, and behavioral interventions, which could be altering daily routines to improve overall health and well-being such as: practicing relaxation techniques, deep diaphragmatic breathing, progressive muscle relaxation, grounding exercises, mindfulness meditation, practicing positive mantras or positive self-talk, guided imagery and visualization, journaling or stream of consciousness writing, drawing or other forms of artistic expression, listening to music, exercise or going for a walk, petting your dog or cat, and reaching out for support from a trusted friend or family member. To change automatic negative thoughts, it is important to identify, evaluate, challenge, and reframe them. CBT is a short-term and highly effective treatment for many common issues, including depression and anxiety. CBT explores and helps to resolve negative automatic thoughts and underlying core beliefs about the self, other people, and the world using structured activities and specific interventions. CBT also involves behavioral activation and development of new coping skills. You can even teach yourself CBT! Here are some of my favorite book recommendations: The CBT Toolbox: A Workbook for Clients and Clinicians. Premier Publishing & Media. Riggenbach, J. (2012). <https://www.amazon.com/CBT-Toolbox-Workbook-Clients-Clinicians/dp/1936128306> Doing CBT: A Comprehensive Guide to Working with Behaviors, Thoughts, and Emotions. The Guilford Press: New York. Tolin, D.F. (2016). <https://www.amazon.com/Doing-CBT-Comprehensive-Behaviors-Thoughts/dp/1462527078> The Cognitive Behavioral Workbook for Anxiety, Second Edition: A Step-By-Step Program. New Harbinger Publications: Oakland, California. Knaus, W.J. (2014).The Anxiety and Worry Workbook: The Cognitive Behavioral Solution. The Guilford Press: New York. Clark, D.A., Beck, A.T. (2011). <https://www.amazon.com/Anxiety-Worry-Workbook-Cognitive-Behavioral/dp/160623918X> Retrain Your Brain: Cognitive Behavioral Therapy in 7 Weeks: A Workbook for Managing Depression and Anxiety. Althea Press: Dunedin, New Zealand. Gillihan, S.J. (2016). <https://www.amazon.com/Retrain-Your-Brain-Behavioral-Depression-ebook/dp/B01M0ILKMQ> Change Your Thinking: Overcome Stress, Anxiety, and Depression, and Improve Your Life with CBT. Da Capo Press: Boston, Massachusetts. Edelman, S. (2007) I hope this has been helpful! Best, Jenna Torres, PsyD Clinical Psychologist LifeStance Health 626-239-9320

Hi, Thank you for your question. Yes, therapy can help after divorce! It is a safe place to process any thoughts or feelings you may be experiencing, work through grieving the loss of your marriage, and get support regarding potential legal issues. I hope this has been helpful! Best,

Hi, Thank you for your question. Yes, CBT can help a child with anxiety! I hope this has been helpful! Best, Jenna Torres, PsyD Clinical Psychologist LifeStance Health 626-239-9320

Hi, Thank you for your question. Five types of therapy are helpful for aggression: - Cognitive Behavioral Therapy (CBT) can help you learn to identify and change unhelpful behavior patterns and practice more helpful coping techniques. This approach doesnt focus much on past experiences, but it can help improve symptoms of depression, anxiety, personality disorders, bipolar disorder, and ADHD. - Psychodynamic Therapy can help you address mental health symptoms and emotional distress by tracing their roots to earlier life events. - Dialectical Behavioral Therapy (DBT) can help you build and practice skills to tolerate distress, regulate emotions, and navigate interpersonal relationships more effectively. - Interpersonal Therapy can help you explore relational challenges that affect your mood and contribute to depression and other mental health symptoms. - Parent management training can help address tense family dynamics or unhelpful parenting tactics contributing to or reinforcing aggressive behavior. In some cases, a therapist might also recommend working with a psychiatrist to explore medication options for aggression. Some psychotropic medications may help ease aggressive thoughts and behaviors that happen with mental health conditions. These include antipsychotics like risperidone (Risperdal) and haloperidol, and mood stabilizers like carbamazepine (Tegretol), lithium, and valproic acid. I hope this has been helpful! Best, *Jenna Torres, PsyD* LifeStance Health

Hi, Thank you for your question. I would recommend going to a detox facility, residential inpatient rehab, possibly outpatient groups, and 12 step recovery in addition to having a therapist and psychiatrist to support you through getting sober and maintaining sobriety. I hope this has been helpful! Best, *Jenna Torres, PsyD* LifeStance Health

Hi, Thank you for your question. There are many different therapies that are effective for depression, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), psychodynamic therapy, humanistic therapy, Interpersonal Therapy (IPT), Eye Movement Desensitization and Reprocessing (EMDR), and Mindfulness Based Cognitive Therapy (MBCT). Depression reduction techniques include deep diaphragmatic breathing, progressive muscle relaxation, grounding exercises, mindfulness meditation, practicing positive mantras or positive self-talk, guided imagery and visualization, and journaling or stream of consciousness writing. I would recommend you seek services from a mental health professional to help with panic attacks. I hope this has been helpful! Best, *Jenna Torres, PsyD* LifeStance Health

Hi, Thank you for your question. PTSD can be resolved through different therapeutic approaches, including Somatic Experiencing (SE), Eye Movement Desensitization and Reprocessing (EMDR), and Cognitive Behavioral Therapy (CBT). Within CBT, Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) are recommended. Medications have also been found to be helpful in relieving symptoms of PTSD, particularly antidepressants with the strongest evidence supporting Selective Serotonin Reuptake Inhibitors (SSRIs). Some of the most common symptoms of trauma targeted by psychotherapy and pharmacological interventions include: reliving the traumatic experience through flashbacks, avoidance of people and places that trigger the trauma, intrusive memories or nightmares, insomnia, anxiety, numbness, loss of interest, and depression. I hope this information has been helpful! Best, Jenna Torres, PsyD LifeStance Health

Hi, Thank you for your question. There are many different therapies that are effective for panic attacks, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), psychodynamic therapy, humanistic therapy, Interpersonal Therapy (IPT), Eye Movement Desensitization and Reprocessing (EMDR), and Mindfulness Based Cognitive Therapy (MBCT). Panic reduction techniques include deep diaphragmatic breathing, progressive muscle relaxation, grounding exercises, mindfulness meditation, practicing positive mantras or positive self-talk, guided imagery and visualization, and journaling or stream of consciousness writing. I would recommend you seek services from a mental health professional to help with panic attacks. I hope this has been helpful! Best, *Jenna Torres, PsyD* LifeStance Health

Hi,Thank you for your question. There are many different types of therapies to treat paranoid schizophrenia. *Cognitive Behavior Therapy* (CBT) can help change thinking and behavior. A therapist will show you ways to deal with voices and hallucinations. With a combination of CBT sessions and medication, the client can eventually tell what triggers their psychotic episodes (times when hallucinations or delusions flare up) and how to reduce or stop them. CBT can help you feel less distressed about your psychotic experiences, feel less depressed and anxious, reduce alcohol and drug use, deal with suicidal thoughts, and overcome feelings of hopelessness. *Cognitive Enhancement Therapy *(CET) is also called cognitive remediation. It teaches people how to better recognize social cues, or triggers, and improve their attention, memory, and ability to organize their thoughts. It combines computer-based brain training and group sessions. *Psychoeducation* helps people with schizophrenia (and their partner or family) understand the illness. Psychoeducation programs explain about symptoms, treatment options, recovery, and services that can help. You can have psychoeducation individually or in groups. It can include written information, videos, websites, meetings, or discussions with your case manager or psychiatrist. Your family can help you understand your diagnosis and support you in your treatment. Family psychoeducation programs help the person with schizophrenia and their family communicate better and solve problems. Family psychoeducation is also good for family members. It can be very upsetting to see someone you love become unwell with schizophrenia. *Medications* include newer antipsychotic drugs which are also called second-generation or atypical antipsychotics. Theyre newer than the first-generation drugs. They generally cause fewer side effects, such as repetitive or involuntary movements like eye blinking, than older antipsychotics. Second-generation antipsychotics work about equally as well as older drugs. The one exception is clozapine, which is effective against schizophrenia that doesnt respond to other treatments. *Electroconvulsive Therapy* (ECT) which attaches electrodes to the person's scalp. While theyre under general anesthesia, doctors send a small electric shock to the brain. A course of ECT therapy usually involves 2-3 treatments per week for several weeks. Each shock treatment causes a controlled seizure. A series of treatments over time leads to improvement in mood and thinking. Scientists dont fully understand exactly how ECT and the controlled seizures it causes help, although some researchers think that ECT-induced seizures may affect the release of neurotransmitters in the brain. It can help when medications no longer work or if severe depression or catatonia makes treating the illness difficult. Living With Schizophrenia Most people with this condition do get better with treatment and support. Exercise, eat healthy foods, manage your stress, and stay connected with your loved ones. Staying mentally and physically strong can help you feel more in charge of your illness and your life. People with schizophrenia do best if they have: - medication and psychological treatment together not just one or the other - medications to manage depression or anxiety, if needed - education about their illness (individual psychoeducation) - a supportive partner, family member or friends involved in their care - access to 24-hour crisis support - a mental health professional who takes care of planning and coordinating their individual care (case management) - support to find and keep a job or continue education - somewhere safe and affordable to live - support to maintain a healthy lifestyle. - I hope this information has been helpful! Best, Jenna Torres, PsyD LifeStance Health

Hi, Thank you for your question. Yes, therapy can help with obsessive thoughts. Exposure and Response Prevention (ERP), an evidence-based practice that utilizes exposure hierarchies to address the compulsive behaviors used to neutralize anxiety that accompanies the obsessive thoughts, has been shown to be highly effective in treating OCD. I highly recommend you seek out some support from a mental health professional to guide you through the process. I hope this has been helpful! Best, Jenna Torres, PsyD Clinical Psychologist LifeStance Health

Hi, Thank you for your question. Yes, counseling can help with relationships! I hope this helps. Best, *Jenna Torres, PsyD* Clinical Psychologist LifeStance Health

Hi, Thank you for your question. Yes, psychologists can treat sleep disorders including insomnia by developing an understanding of normal and disordered sleep, and understanding the root of what may be causing your sleep disorder so that they can treat it. Sleep psychologists can help those experiencing sleep problems related to: - Insomnia <https://sleepeducation.org/sleep-disorders/insomnia/> - Obstructive sleep apnea <https://sleepeducation.org/sleep-disorders/sleep-apnea/> - Narcolepsy <https://sleepeducation.org/sleep-disorders/narcolepsy/> - Parasomnias (e.g. nightmares, sleep terrors, sleepwalking, bedwetting) - Sleep movement disorders (e.g. restless legs syndrome) - Sleep cycle disorders - Dependence on sleep medications Sleep disorders most amenable to interventions provided by sleep psychologists include: chronic insomnia, circadian rhythm disorders, and PAP non-adherence. Often, sleep psychologists may use cognitive behavioral therapy <https://sleepeducation.org/patients/cognitive-behavioral-therapy/> to treat sleep disorders. Cognitive behavioral therapy helps you change actions or thoughts that are hurting your ability to sleep well. Studies have found that cognitive behavioral therapy for insomnia is more effective than medications used to treat insomnia. It is the role of sleep psychologists to administer this type of behavioral therapy to treat sleep disorders. Because many sleep disorders affect overall health, sleep psychologists may work closely with other members of the sleep team, including physicians, surgeons and dentists, to treat co-occurring health issues. The treatment for your sleep disorder depends on its underlying cause. If youre experiencing trouble sleeping, I would recommend you seek out support from a mental health professional. I hope this helps. Best, *Jenna Torres, PsyD* Clinical Psychologist LifeStance Health

Hi, Thank you for your question. A psychologist would be involved in palliative care for the following reasons: - *Symptom management.* A palliative care plan will include steps to address symptoms and improve comfort and well-being. The care team will answer questions, such as whether pain medicines will affect treatments from the primary health care provider. - *Support and advice.* Palliative care services include support for the many difficult situations and decisions to make when facing a serious illness that may relate to stress, spiritual questions, financial concerns, and may offer guidance or connection with community resources. - *Care techniques that improve comfort and sense of well-being.* These may include breathing techniques, healing touch, meditation, visualization or simply listening to music with headphones. - *Referrals.* Your palliative care specialist may refer to other care providers, for example, specialists in psychiatry, pain medicine or integrative medicine. - *Advance care planning.* A palliative care team member can talk about goals and wishes for the care. This information could then be used to help develop a living will, advance directive and a health care power of attorney. I hope this helps. Best, *Jenna Torres, PsyD* Clinical Psychologist LifeStance Health

Hi, Thank you for your question. Some symptoms of depression may get better on their own, but some may not get better. A combination of psychotherapy and medication management can be helpful for the symptoms of depression that don't get better on their own. There are lots of different kinds of psychotherapy including cognitive-behavioral therapy (CBT), dialectical-behavioral therapy (DBT), family systems, psychodynamic or psychoanalytic, humanistic-existential therapy, group therapy, couples therapy, family therapy, play and art therapy, interpersonal therapy, mindfulness-based therapy, eye movement desensitization and reprocessing (EMDR), and motivational interviewing. Almost anyone can benefit from psychotherapy as it is designed to help a person deal with a variety of mental health issues, including depression, anxiety, mood disorders, trauma, eating disorders, substance abuse, personality disorders, relationship problems, stress management, anger and irritability, ADHD, behavioral issues, adjustment issues, etc. I hope this information has been helpful! Best, Jenna Torres, PsyD

Thanks for your question. Yes, counseling can help with anger issues! The best therapy for anger is done by a Certified Anger Management Specialist. This therapy helps a person learn to manage anger by first identifying the feeling and the factors that contribute to feeling that way (underlying causes of the anger), and then learning healthy coping skills to use. Coping skills can include reading, listening to music, writing/journaling, calling a friend or talking to someone about the situation, playing with a pet, deep diaphragmatic breathing, progressive muscle relaxation, mindfulness and meditation, drawing or other forms of artistic expression, exercise or going for a walk, etc.

Thank you for your question. The best therapy for dementia depends on what stage your grandmother is in. Cognition-enhancing medications, Cognitive Stimulation Therapy, and Rehabilitation or Occupational Therapies may help to manage symptoms. I would recommend consulting with her doctor.

Hi, Thank you for your question. There are many different types of therapies to treat schizophrenia in children.
*Cognitive Behavior Therapy* (CBT) can help change thinking and behavior. A therapist will show ways to deal with voices and hallucinations <https://www.webmd.com/schizophrenia/what-are-hallucinations>. With a combination of CBT sessions and medication, the client can eventually tell what triggers their psychotic episodes (times when hallucinations or delusions <https://www.webmd.com/schizophrenia/guide/delusional-disorder> flare-up) and how to reduce or stop them. CBT can help you feel less distressed about your psychotic experiences, feel less depressed and anxious, reduce alcohol and drug use, deal with suicidal thoughts, and overcome feelings of hopelessness.
*Cognitive Enhancement Therapy *(CET) is also called cognitive remediation. It teaches people how to better recognize social cues or triggers, and improve their attention, memory, and ability to organize their thoughts. It combines computer-based brain training
<https://www.webmd.com/news/breaking-news/brain-training/brain-training-promise> and group sessions.
*Psychoeducation* helps people with schizophrenia (and their family) understand the illness. Psychoeducation programs explain symptoms, treatment options, recovery, and services that can help. You can have psychoeducation individually or in groups. It can include written information, videos, websites, meetings, or discussions with your case manager or psychiatrist. Your family can help you understand your diagnosis and support you in your treatment. Family psychoeducation programs help the person with schizophrenia and their family communicate better and solve problems. Family psychoeducation is also good for family members. It can be very upsetting to see someone you love become unwell with schizophrenia.
*Medications* include newer antipsychotic drugs which are also called second-generation or atypical antipsychotics. They’re newer than first-generation drugs. They generally cause fewer side effects, such as repetitive or involuntary movements like eye blinking, than older
antipsychotics. Second-generation antipsychotics work about equally as well as older drugs. The one exception is clozapine, which is effective against schizophrenia that doesn’t respond to other treatments. Living With Schizophrenia
Most people with this condition do get better with treatment and support. Exercise, eat healthy foods, manage your stress, and stay connected with your loved ones. Staying mentally and physically strong can help you feel more in charge of your illness and your life. People with schizophrenia do best if they have:
- medication and psychological treatment together – not just one or the other - medications to manage depression or anxiety, if needed
- education about their illness (individual psychoeducation)
- a supportive partner, family member or friend involved in their care
- access to a 24-hour crisis support
- a mental health professional who takes care of planning and coordinating their individual care (case management)
- support to find and keep a job or continuing education
- somewhere safe and affordable to live
- support to maintain a healthy lifestyle.

Hi,Thank you for your question. Some psychiatrists may do couples therapy, but probably more mental health professionals practice couples therapy, such as a clinician with the following licenses: PhD, PsyD, LMFT, LPCC, LCSW.I hope this information has been helpful!

Hi,

Thank you for your question. You should see a counselor for anxiety when
the symptoms are causing impairment in your life, such as at work or school
or in relationships.

I hope this has been helpful!

Best,

*Jenna Torres, PsyD*
Licensed Psychologist
LifeStance Health
(626) 808-4600 x109

Thank you for your question. PTSD can be resolved through different therapeutic approaches, including Somatic Experiencing (SE), Eye Movement Desensitization and Reprocessing (EMDR), and Cognitive Behavioral Therapy (CBT). Within CBT, Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) are recommended. Medications have also been found to be helpful in relieving symptoms of PTSD, particularly antidepressants with the strongest evidence supporting Selective Serotonin Reuptake Inhibitors (SSRIs).
Some of the most common symptoms of trauma targeted by psychotherapy and harmacological interventions include: reliving the traumatic experience through flashbacks, avoidance of people and places that trigger the trauma, intrusive memories or nightmares, insomnia, anxiety, numbness, loss of interest, and depression.