About Treatment
Coming to treatment, Types of treatment, and Treatment methods
Coming to Treatment
Highly recommended. Microphones on headsets can reduce background noise and earphones can contribute to privacy. A headset for your phone may be helpful if we switch to telephone for audio.
Starting treatment or meeting a new therapist can be an overwhelming or anxiety producing process. People often delay starting treatment – as the saying goes, “don’t put off till tomorrow what you can put off until the day after tomorrow”. You’ve gotten this far. There’s required paperwork before we can schedule treatment. This has been streamlined as much as possible, but is necessary to ensure legal, ethical, and business compliance. If you wish to start that, please click here.
Brief phone consultation
We will have a brief telephone consultation to make sure I may be able to provide assistance and that there is a good client-therapist match. This is done after paperwork is completed. If there is a joint decision to proceed, we will schedule your intake assessment and address technical aspects as needed. Following initial evaluation, a tentative diagnose(s) will be provided – the reason for this is to provide treatment that is appropriate for your specific problems, communicate effectively with your other providers (if you like), and may allow you to seek reimbursement from your insurance.
Please be aware that you are not considered a client until the initial intake meeting.
Individual Treatment
People come to individual treatment for many different reasons. Sometimes this is for assistance in adjusting to a life change such as loss, relationships, or a new medical condition. Other problems may be new or long-term concerns. These can include mood, anxiety, sleep, trauma, emotional regulation, compulsive behaviors, chronic pain, interpersonal effectiveness, distress tolerance, or other challenges. Treatment is individual, though there may be times when your partner or another person can be present for a limited period to clarify treatment goals or allow collaboration.
I use treatments that have evidence they are likely to be effective for your specific challenges. These include, but are not limited to, cognitive behavioral therapies, behavioral interventions, Dialectical Behavior Therapy (DBT), Prolonged Exposure, relaxation/mindfulness. When appropriate, more than one type of therapy will be used. On occasion, known treatments may not be effective or need adaptation. In those cases, we will explore options along with consideration of risk – benefit and alternatives. You will receive information on specific treatment recommendations at the end of the intake process, and at any time during your treatment.
Group Treatment
This may be offered in the future, primarily for Dialectical Behavior Therapy skills. If you have an interest in this, feel free to send an e-mail.
- Online group for family members of people with compulsive sexual behaviors/addictions.
- Future groups may include Dialectical Behavior Therapy skills. If you have an interest in this, feel free to send an e-mail.
Telehealth
In the past, I was skeptical about telepsychology; however, research supports the effectiveness of online therapy and I had excellent experience working online since the pandemic. While there are some drawbacks, there are many benefits including scheduling and reduced transportation time.
Resources to Learn About Some Therapies
There’re a lot of acronyms and information about treatment. Below are some reliable resources:
- Cognitive behavioral therapies
- Behavioral interventions: https://psycnet.apa.org/record/2017-42211-002
- Dialectical Behavior Therapy: https://www.health.harvard.edu/blog/dialectical-behavior-therapy-what-is-it-and-who-can-it-help-202401223009
- Prolonged Exposure: https://www.apa.org/ptsd-guideline/treatments/prolonged-exposure
- SMART Recovery: https://smartrecovery.org/
- Cognitive Behavior Therapy for Insomnia (CBT-I): https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia
- Cognitive Behavior Therapy for Chronic Pain (CBT-CP): https://cehs.usu.edu/adrc/files/healthfair-handouts/Booth10-CBTManagementChronicPain.pdf
IF YOU ARE IN A MENTAL HEALTH CRISIS, SUCH AS PLAN AND INTENT TO HARM YOURSELF OR OTHERS, OR ARE EXPERIENCING VERY EXTREME DISTRESS, PLEASE CALL 988 (Suicide & Crisis hotline), 911, OR GO TO THE NEAREST EMERGENCY ROOM. Infinity Behavioral Health – Kretchman and Associates, PLLC does not have the resources to assist a person in an active mental health crisis and we consider safety the primary concern.
Infinity Behavioral Health – Kretchman and Associates, PLLC is not affiliated or associated with Infinity Behavioral Health Services, Inc., Infinity Behavioral Health of Texas, LLC, or any other similarly named company.
Contact
Phone:
(469) 842-8411
Email:
DrK@infbh.com
Address:
6355 N. Commerce St, Suite 106, #34 North Las Vegas, NV 89031
Psychology licenses:
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