Treatment of Depression:

Typically, with uncomplicated depression, cognitive-behavioral therapy (CBT) is how we start treatment. This means we develop a plan, gain an understanding of what the depressed brain does, and find motivators to move forward.

However, depression often is complicated. It may stem from a pattern of behavior that was learned, or required to cope in a difficult situation. I offer tools to help deal with depression at the same time that we work to understand the source of the depression.  By gaining insight into depression, people can move to make changes to help alleviate the depression.


Treatment of Obsessive Compulsive Disorder:

Dr. Nelson provides exposure and response prevention therapy (ERP), a type of cognitive-behavioral therapy, which is the standard of care for OCD.  Obsessive Compulsive Disorder (OCD), is a problem linked to intrusive thoughts that increases anxiety and is relieved by certain rituals or compulsive behaviors. OCD falls under the umbrella of anxiety.  Prior to beginning the exposure and response prevention therapy, we work together to learn and practice skills to cope with anxiety. These skills include mindfulness, emotion regulation skills, and distress tolerance skills from the dialectical behavior therapy modality. During ERP work, we don’t focus on the meaning of obsessions, rather we work to understand the thinking process behind the intrusive thoughts and develop a course of action.  As OCD symptoms decline we also develop a wellness plan that helps prevent the growth of OCD symptoms.