Blog

Evidence-Based Practice

Hello!

There has been a lot of talk regarding “Evidence-Based Practice.” What this refers to in my mind is being mindful and adhering to the APA’s Division 12 list of Evidence-Based Treatment when any client comes in for therapy. This resource can be found at the following link: https://www.div12.org/psychological-treatments/.

These evidence-based treatments have been treatments studied and published by journals that have demonstrated efficacy in therapeutic settings. Rather than depend on any treatment, I am mindful of those treatments that have been shown to work. There are a few treatments including CBT, EMDR, and others from the list that I utilize in treatment. The therapeutic alliance in addition to Division 12 treatment has been found to produce effective treatment.

So, if you’re an LGBTQ individual who is seeking counseling in Los Angeles, or if you are any individual experiencing anxiety, I encourage you to reach out to me for more information. The link above is provided for your reference, however.

Until next time,

Best,

Patrick

LGBTQ Therapy for Individuals

One of my specialties is LGBTQ Therapy for individuals. Therapy for LGBTQ individuals: Gay counseling and therapy for other members of the LGBTQ community is very important to me. As an openly gay man, I want people in the LGBTQ community to receive competent LGBTQ Affirmative counseling. So often providers are merely tolerant, and that is not okay with me. I want to be able to affirm your experience and not make you feel like an “other.” LGBTQ counseling in Los Angeles is more common than other places, but it is still not always affirming and validating. Affirming counseling validates your lived experience as authentic and the therapist understands that an LGBTQ individual has different circumstances than a straight / heterosexual individual.

Please reach out to learn more. I offer both in-person therapy as well as video therapy options.

~Patrick

Accepting Things Out of Your Control

A common theme with anxiety is that the anxious mind wants to give the illusion that you can control things that you really cannot. How many times have you wished you could control your energy level, the different areas in your life, such as dating, and other things? I imagine there may be many things you wish were in your control. It can be hard to accept and let go of these things as would it not be great to be able to know what will happen in the future? Let’s pretend that we were able to control the future and know everything… we would be bored! Sure, things would be easier if we knew the result of things, but I find when I ask people this question that the unfortunate side effect would be eventual boredom. This is true even for people I have asked who try to have control over what they cannot control to the degree that everything they can control is tightly controlled.

But the next time your anxious brain pops up to ask you about how wonderful control would be, remember there are downsides. And it just is not possible.

There is a concept called Radical Acceptance, where we just simply accept that we do not have control over many things. By acknowledging our desire for more control and then just accepting that there is no control, it can be quite powerful. This may seem too simple to be true, but this concept has been studied and has shown benefit.

You can contact me and learn more about it and other ways to accept the uncertain. It takes effort, but an ongoing conscious effort to reclaim reality has been been shown to be greatly beneficial.

Patrick

Is Therapy Right for Me?

It can be tough to decide if therapy will help. You’ve never met the person and even with a phone conversation, you don’t know where it will go.

This is true of all relationships in life. Relationships are always uncertain. But the therapeutic relationship is one that is sacred, one where I cannot break confidentiality except for the few mandated times (which are discussed prior to the onset of therapy).

Therapy has gained more and more acceptance these days. I think as we all are troubled with things that seem like they shouldn’t affect us, we see the benefit of therapy. The interesting thing is that normalization for having our thoughts and feelings is a huge part of therapy and part of why it benefits us so much.

We grow up not knowing if everything we think is appropriate. We have set rules we follow and when we come into ourselves and see how so many things violate those “puritan” rules, we wonder and are left wondering unless an impartial witness can tell us otherwise.

It’s easy for clients to feel this way. I personally feel that just about everyone could benefit from therapy. I’ve always felt that way, even before I considered becoming a therapist. As a person who felt different than everyone else, I had tremendous benefit when a therapist would tell me that what I was experiencing was normal.

And for those things that I couldn’t seem to solve myself, I learned that having a guide to help me find the strength within to solve things was of tremendous benefit.

These days I see more people coming to therapy and being thankful that there’s someone else who can serve as an observer and also offer skill-building, when appropriate.

The therapy room also is a microcosm of how relationships in real life work, so that invites a lot of great insight into the room as to how we communicate.

As a therapist, I see the benefits of increased insight and increased skills to support one’s goals as invaluable.

Call or message me for a free consultation and I’ll be glad to answer your questions.

I’m also open to comments as to entries to write for this blog. Contact me at patrick@patricktullytherapy.com to let me know what would be helpful!

Until next time,

Patrick

CBT-I for Insomnia – Break free from an inability to sleep!

Cognitive Behavioral Therapy, often shortened to CBT, can be used to treat many conditions with the potential of short-term relief of many symptoms. Insomnia is one such condition, and there’s even an entire form of CBT that is devoted to it, called CBT-I (unsurprisingly). Insomnia is a reality for many people living in a society filled with stress and anxiety. With having to meet tight deadlines and be as productive as possible, it’s no wonder we’re losing sleep.

The problem with insomnia is that we can feel unable to sleep even when we WANT to sleep. This is unbelievably frustrating. We might try an antihistamine which only makes us feel tired the next day and doesn’t always work. Plus, it only works when we take it.

CBT-I (CBT for Insomnia) promotes multiple strategies to help combat problems with sleep. One of the main tools is Sleep Restriction Therapy, which instructs clients to not go to bed until late in the evening and to not take any afternoon naps. The client is told to write a sleep diary so as to keep track of their sleep patterns. What ends up happening is that over time, usually a series of a few weeks at a minimum, people find out through their journals what contributes to their sleep difficulties and also start to go to bed earlier as they were able to sleep better and better with the sleep restriction therapy.

So, the journal writing kept track of how well the person slept and the sleep restriction therapy led to better quality sleep. With the collaboration of the therapist, you’re able to discover more of what might be contributing to your insomnia that you didn’t realize before. In addition, the therapist can work with you, especially with the journals to see how the sleep restriction helps your sleep patterns as well.

CBT is an evidence-based treatment, and so is CBT for Insomnia (CBT-I). This means the treatment has been empirically-validated in multiple studies, which demonstrates efficacy in multiple trials with patients.

If you’re struggling with insomnia, please do not hesitate to give me a call! We can work on this issue together and I’m confident we can resolve it. It’ll take work but we’ll collaboratively set goals so you finally get a restful night of sleep on a regular basis!

Patrick