Our Approach


We provide treatments that have been tested and found to be effective. Included are a subset of the treatments we offer.

Exposure and Response Prevention for OCD / Exposure for Fear Disorders
Exposure-based approaches are the gold-standard for treatment of most Anxiety-related problems. Confronting fears and obsessions, while approaching them in new ways that increase confidence, has been shown to be highly effective for a range of anxiety disorders, including fears of specific situations (including flying, needles, driving), OCD, Panic Disorder, and Social Anxiety. Exposure approaches form the foundation of treatments for Anxiety at ECAS.

Prolonged Exposure (PE) / Cognitive Processing Therapy (CPT) for PTSD
Prolonged exposure uses the exposure techniques described above with a specific focus on traumatic memories. By approaching feared memories with skills and confidence, they lose their power and survivors can begin to develop new ways of confronting them. CPT, on the other hand, helps trauma survivors develop new ways of evaluating the thoughts and beliefs that may develop as a result of trauma, and begin to relate and interact with themselves and the world in new ways.

Acceptance and Commitment Therapy (ACT)
ACT emphasizes learning acceptance and mindfulness practices to use in response to difficult emotional experiences, and behavioral strategies to help people move toward making meaning in their lives. Research shows that these techniques are effective for a wide range of problems, including anxiety, depression, obsessive and compulsive-related disorders, substance use, and posttraumatic stress disorders. 

A key facet of our work with clients is to fully understand the cultural, social, and spiritual issues that shape the whole person. Cultural understanding is essential to prevent stereotyping clients and to better understand the client as an individual formed by all of their experiences. In addition, many mental health professionals are not aware of the effects of discrimination on mental health because of a societal tendency to deny or rationalize the presence of bias. This can cause minorities who seek help to feel misunderstood or invalidated by their therapist. Thus, all our therapists are committed to multicultural competence in their work with clients.

Culturally Informed

We take your specific needs into consideration to determine a treatment plan, not the requirements of insurance plans. Thus, we may at times suggest treatment options that are not covered by your insurance plan. For example, it may be recommended that you do an exposure exercise with your therapist or an Exposure Coach at your home or in the community, which may not be covered by insurance, but would greatly accelerate your treatment.


We think therapy should be goal-oriented and lead to measurable outcomes. We know you want to feel better, engage more fully, and move forward toward what you truly value. With that in mind, our therapists will collaboratively develop a treatment plan with you and track your progress, and make sure we are helping you move in the direction of change. We expect that you will be making progress within a few weeks, and believe a “Course of Treatment” is somewhere between 18-30 sessions.