Crystal Harrel (She/Her)

There are multiple reasons individuals may struggle with anxiety. Whether this be because of environmental factors (job, family, relationships), medical conditions, or past traumatic events. Some ways to manage anxiety include identifying triggers, learning coping skills (mindfulness, relaxation techniques) increasing physical activity, learning to be assertive, and building self-esteem. This can be done through cognitive therapy, exposure therapy, and structured problem solving.

Depression can be caused by stressful life events (loss of a loved one, loss of employment, trauma, divorce, isolation, lack of emotional support, as well as chronic pain or chronic medical illnesses. Depression can also be caused by faulty mood regulation by the brain, and genetic vulnerability. Three of the more common methods used in depression treatment include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. I prefer to use a blended approach of these methods.

The most common issues in relationships are financial issues, lack of sexual intimacy, unresolved conflict, lack of trust, boredom, cheating and/or other forms of betrayal. We can get to the root of the problem you are facing and find new ways, to increase positive communication and strengthen connections. Modalities and interventions may include learning reflective listening skills, solution focused therapy, emotionally focused therapy and cognitive behavioral therapy.

Cognitive Behavioral Therapy (CBT) is used to reduce symptoms of various mental health conditions. By utilizing CBT skills, individuals become aware of their thoughts, emotions and behaviors. Situations, thoughts and behaviors influence our emotions. By making these connections we can reshape negative or inaccurate thinking. Mental Health Disorders that may improve with CBT include Depression, Anxiety, Phobia's, PTSD, Sleep Disorders, OCD, Substance Use Disorder, Bipolar Disorders.

Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy that was originally developed to help individuals who experience intense emotions. DBT can be helpful in treating depression, anxiety, borderline personality disorder, addictions, eating disorders and PTSD. The DBT model utilizes skills of mindfulness, dialectical thinking, emotional regulation, distress tolerance, interpersonal effectiveness and validation. I provide DBT techniques and interventions as appropriate.

Motivational Interviewing (MI) is an evidence-based approach that encourages Clients to resolve ambivalence (mixed feelings) to make positive behavioral changes. MI focuses on enhancing an individual's motivation and autonomy when facing uncertainty associated with behaviors, that prevent change. This is a client centered approach, as changes require desire and actice participation. MI is most helpful for those who are resistant or unprepared to make necessary life changes.