Kim H. Miller Psy.D.
Licensed Psychologist
Clinical & Neuropsychology
Cognitive Behavioral Therapy (CBT)
CBT treatment involves identifying and changing distorted, destructive thinking patterns that have a negative influence on emotions and behavior. Through CBT, thoughts are identified, challenged and replaced with more objective, realistic thoughts. Therapist and client work together in collaboration to develop an understanding of the problem and form an effective treatment strategy. CBT is used to treat a wide range of conditions including anxiety, OCD, panic disorder, depression, grief, anger management, chronic pain, serious illness, stress management, relationship problems and low self esteem.
Exposure Response Prevention (ERP)
ERP therapy is a behavioral technique used to treat OCD and related anxiety disorders. ERP involves gradual exposure to the situations that provoke anxiety or obsessions while preventing the compulsive response.
ERP is always done in a safe environment without intent to cause harm. After repeated exposures to the anxiety provoking situation, habituation takes place allowing for the client to overcome the emotional distress and ultimately break the cycle of obsessions and compulsions.
Mindfulness Based Approach
The practice of mindfulness focuses on paying attention to thoughts, emotions and experiences without judgment, reaction or distraction. This practiced skill teaches you how to shift your attention in order to promote a greater sense of presence and calm in life. Bringing mindful attention into your daily life can increase self-compassion, kindness, patience as well as a general sense of well- being. Mindfulness skills can be integrated into all therapies to reinforce positive and lasting change.
Habit Reversal Training (HRT)
Habit reversal training is an evidence-based highly effective behavioral therapy for people with unwanted repetitive behaviors or habits. HRT works on behaviors such as: tics, hair pulling, nail biting, and skin picking to name a few. HRT incorporates awareness of urges, identifying environments/situations that increase urges and developing competing responses to be used in place of identified behavior.
Building Resilience
Psychological resilience refers to the ability to bounce back from loss, adversity and obstacles that life throws at us. Resilience can be developed over time to find purpose and meaning in life.
Primary skills include effective problem solving, goal setting, self-care and compassion and improved self-awareness. Building resilience can lead to an increase in self -confidence, emotional regulation and optimism.
Cognitive Remediation Therapy (CRT)
Cognitive Remediation Therapy is a treatment strategy used to improve cognitive functioning and social abilities. CRT relies on understanding underlying neuropsychological functions to help individuals improve memory, attention, organizational skills, planning, reasoning and judgment as well as executive function. Compensatory strategies are used with the goal of generalization to home, school, work and daily life.