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Therapy Approach

The foundation of my approach is cognitive behavioral therapy (CBT).  I am committed to using strategies that have been proven to be the most effective, and CBT is among the most empirically supported interventions that psychology has to offer for treating anxiety disorders, depression, problems with substance use / abuse, marital conflict, and other mental health issues.

Cognitive Behavioral Therapy (CBT)

CBT is a highly effective treatment for anxiety, focusing on identifying and changing negative thought patterns and behaviors. It equips individuals
with coping strategies and problem-solving skills. Research suggests that CBT can be as effective as, or even more effective than, medication for many individuals with anxiety disorders. Unlike medications, which primarily manage symptoms, CBT aims to address the underlying causes of anxiety, providing long-term benefits without the side effects associated with drugs. However, the most effective treatment plan often depends
on the individual, with some benefiting from a combination of CBT and medication.

Lonely woman standing absent minded and looking at the river
A free middle-aged man enjoying a beautiful view of the mountain valley. Unity with nature.

Acceptance and Commitment Therapy (ACT)

I greatly admire the work of Dr. Steven Hayes, who developed Acceptance and Commitment Therapy (ACT,
pronounced “act”). Whereas CBT is focused on identifying distorted or errant thinking that holds us back from our goals, ACT acknowledges that there are many situations in life that are difficult, anxiety-provoking, or painful even if
we are thinking correctly that still require us to move forward if we are to achieve our goals.

ACT uses mindfulness techniques to teach us to identify and accept these
“difficult” thoughts and feelings so that they have less control, while elevating the motivational power found in our deeply held values (e.g., loyalty, compassion, trust).

For example, at the time, I certainly did not think I was mature enough to get married, yet I value deep and lasting relationships and I loved my fiancé
immensely. So, I examined the fears and self-doubts, acknowledged this was a big step, accepted that this type of life-changing commitment comes with some angst, and did it anyway – even though I still had plenty of uncertainty and trepidation.

Compassion and Encouragement

Dr. Fishburne’s ‘Compassion and Encouragement’ approach is a cornerstone of his therapy, focusing on:

  • Empathetic Understanding: Deeply empathizing with each client’s experiences to create a strong therapeutic bond.
  • Building Trust: Establishing a safe and trusting environment, essential for effective therapy.
  • Supportive Encouragement: Continuously offering encouragement to help clients overcome challenges and realize their potential.

This approach is key in providing care with empathy, ensuring clients feel understood and supported throughout their therapeutic journey.