Online Referral Form
Use this form to make an appointment or refer a patient to the ADC/CCBT
Our outpatient clinic offers weekly cognitive-behavioral therapy (CBT) in either group or individual format. However, many clients prefer to come in for treatment on a daily basis.
 
There are several reasons to consider such a program:
  1. Preliminary evidence suggests that treatment, particularly in the earlier stages, may be more efficacious when sessions are massed (e.g., daily) than when they are spaced (e.g., weekly).
  2. Clients who have not responded optimally to less intensive interventions may respond well to Accelerated Cognitive Behavioral Therapy treatment.
  3. Some clients will find it more convenient to come for treatment for a briefer period of time, rather than stretch out their treatment. This may be especially true for clients who have difficulty adjusting their work schedules, or who come in from out of town.

Our Accelerated Cognitive Behavioral Therapy program consists of cognitive-behavioral therapy that includes a strategy called exposure. Exposure-based CBT is the most effective known psychological treatment for anxiety disorders. Clients work with a therapist individually to develop a step-by-step plan to confront feared situations while refraining from unhelpful responses such as avoidance, compulsive behavior, or rituals that give a false sense of safety. Over time, clients learn that they can handle these situations, and they find that their fear is reduced considerably. There is a wealth of scientific evidence showing that the majority of clients respond very well to this form of therapy. The staff at the Anxiety Disorders Center are expert clinicians and scientists who specialize in the application and study of CBT for anxiety disorders in adults, children, and adolescents.

Is this an inpatient, partial hospital, or residential program?
The Accelerated Cognitive Behavioral Therapy program at the Anxiety Disorders Center is a specialized education and therapy program that does not fit into any of these categories. Clients do not stay overnight at The Institute of Living.  Each visit lasts from 1.5-2 hours and clients are expected to spend additional time during the day completing homework exercises on their own.  Those who live outside the Hartford area may chose to stay in a local hotel (The Anxiety Disorders Center can help those from out of town locate an appropriate hotel).

Is this service covered by my insurance plan?
Please be advised that most insurance plans do not pay for the Accelerated Cognitive Behavioral Therapy program and our staff members are not contracted with any insurance companies to provide this service. Therefore, the client will be responsible for all costs. We will provide you with an invoice and you are free to seek reimbursement from your insurance company if you wish. Clients who wish to use their insurance plans may receive weekly treatment through our outpatient clinic.

Does “Accelerated Cognitive Behavioral Therapy” mean that this treatment is harder than regular treatment?

Not necessarily.  The words “Accelerated Cognitive Behavioral Therapy” mean that treatment is delivered on a daily, rather than weekly, schedule.  This allows you to receive immediate feedback and support from your therapist about your exposure homework exercises.  However, we recommend difficult exposures for most of our clients with obsessive-compulsive disorder and panic disorder, regardless of how frequently they come in.  Therefore, Accelerated Cognitive Behavioral Therapy is more focused and possibly more effective, but is not necessarily more difficult than weekly treatment.

Is the Accelerated Cognitive Behavioral Therapy Program billable through my insurance company?

No, the Accelerated Cognitive Behavioral Therapy Program is not billable through insurance.  Costs for the Accelerated Cognitive Behavioral Therapy Programs are listed below:

Service
Cost for entire program
3 Week OCD Accelerated Cognitive Behavioral Therapy
$4,500 Licensed psychologist
$2,500 Postdoctoral fellow
1 Week OCD Accelerated Cognitive Behavioral Therapy
$3,500 Licensed psychologist
$2,000 Postdoctoral fellow
1 Week Accelerated Cognitive Behavioral Therapy (Specific Phobia, Panic, Agoraphobia)
$2,500 Licensed psychologist
$1,500 Postdoctoral fellow
School Refusal
$5,500 Licensed psychologist
$3,000 Postdoctoral fellow
1 Day Accelerated Cognitive Behavioral Therapy (Specific Phobia)
$500 Licensed psychologist
$300 Postdoctoral fellow
1 Week Group OCD Accelerated Cognitive Behavioral Therapy
$2,500 Licensed psychologist
Depression
$4,500 Licensed Psychologist
$2,500 Postdoctoral fellow
ADHD
$4,500 Licensed Psychologist
$2,500 Postdoctoral fellow
* Postdoctoral fellows are clinicians that have their Ph.D., but are not licensed. The postdoctoral fellowship is a 2 year training program in which fellows receive specialized supervised training in Anxiety Disorders and Cognitive Behavioral Therapy prior to taking their licensing examination.


ADHDAttention Deficit Hyperactivity Disorder (ADHD) Program

Adults with ADHD get distracted easily, and have difficulty sustaining attention to work, school, or other important tasks. Many also have problems with short-term memory, decision-making, and problem-solving.

The Accelerated Cognitive Behavioral Therapy Program for ADHD includes 16 sessions of cognitive behavioral therapy, delivered 2 days per week for 8 weeks. During this program, clients will learn how to organize, plan, and reduce distraction. They will also engage in cognitive therapy and cognitive remediation. Cognitive therapy involves identifying negative thought patterns and developing more rational views of the world. Cognitive remediation involves computerized training to improve attention, memory, and problem-solving.


DepressionDepression Program

Depression is one of the most common psychological problems in the United States. People with serious depression often experience persistently sad mood, lack of interest or enjoyment in activities, difficulty concentrating, low energy, disrupted sleep, and loss of appetite. Some people with severe depression also think about death or suicide.

The Accelerated Cognitive Behavioral Therapy Program for Depression includes 12 sessions of cognitive behavioral therapy, delivered 3 days per week for 4 weeks. Treatment focuses on cognitive restructuring and guided behavioral activation. Cognitive restructuring involves identifying negative thought patterns and developing more rational views of the world. Guided behavioral activation means that you will work with your clinician to increase activity levels. This may include starting or increasing activities such as exercise or hobbies. Other skills, such as problem solving skills or social skills training may also be included in the program. Your treatment will be tailored to your specific needs.


Specific Phobia Program

Specific phobias are exaggerated, irrational fears of specific things, places, activities, or situations. At times, these fears can become quite severe and can interfere substantially with people’s lives.

The Accelerated Cognitive Behavioral Therapy Program for Specific Phobia is one session of cognitive behavioral therapy delivered over 3 hours. After the initial assessment, treatment consists of exposure to the feared situation. Exposure refers to gradually facing frightening situations in a controlled manner until they stop triggering fear. In some cases, we can even use virtual reality technology to help with exposure. For example, people who are afraid to fly might be taken on a series of "virtual" or simulated flights before trying the real thing.

During these sessions people are also taught to identify and change behaviors and thought patterns that have strengthened their fears. Well-conducted studies have shown that even a single session of exposure, lasting between 1-3 hours, can lead to significant improvement.

For more information:
Learn about Specific Phobias

Specific Phobias
Specific Phobias
Specific Phobias


OCD Program

Obsessive-Compulsive Disorder Program

Our intensive program for obsessive-compulsive disorder (OCD) consists of 15 sessions delivered five days per week for three weeks. Each session lasts 1.5-2 hours. For those that are coming in from out of town or who may not be able to attend three weeks of daily treatment, we offer a one week treatment program that consists of 10 sessions (1.5 to 2 hours a session) over five days. There is a morning and afternoon session. This program includes three follow up phone calls after the tenth session. Please see our section on group therapy for opportunities to engage in Accelerated Cognitive Behavioral Therapy for OCD in a group format.

After the initial assessment, treatment consists of exposure and ritual prevention whereby clients gradually face feared activities, objects, and situations while refraining from compulsive behavior.
 
Several research studies indicate that exposure and ritual prevention is both effective and well tolerated by adults and children with OCD. Exposure and ritual prevention is considered a first-line treatment of choice for OCD.

How well does the program work?
Click here to see outcome data from our OCD Accelerated Cognitive Behavioral Therapy Program.
 
For more information:
 

Panic Disorder Program

Panic Disorder Program

Our Accelerated Cognitive Behavioral Therapy program for panic disorder (with or without agoraphobia) consists of five daily sessions delivered within a single week. Each session lasts 1.5-2 hours.

After the initial assessment, treatment consists of interoceptive exposure (in which clients gradually face feared physiological sensations that have triggered panic attacks for them in the past) and in-vivo exposure (in which clients gradually face activities that they have avoided due to fears of having a panic attack). They are also encouraged to refrain from their usual "safety signals" that prevent them from learning that they can handle these situations without panicking.
 
Several research studies indicate that CBT is both effective and well tolerated by clients with panic disorder. CBT is considered a first-line treatment of choice for panic disorder.
 
For more information:

School Refusal Program

School refusal is defined as refusal to attend classes or difficulty remaining in school for an entire day without a support person present. Children often refuse school due to strong feelings of anxiety, such as fears of separating from their parents or caregivers.

School Refusal ProgramDepending on the history of the child’s problems with school, the School Refusal Program may begin with an initial evaluation of the child's school records by an educational consultant and clinical social worker or psychologist, as well as a consultation with the child's school. Next, a clinical psychologist interviews the child and parents in order to determine the nature of the child's problems. The team reviews all of the information together in order to determine whether the School Refusal Program would be appropriate.
 
Treatment is tailored to match the child's specific needs, with the immediate goal of returning the child to school as quickly as possible. Depending on the child's concerns, treatment may involve gradual exposure to feared situations, skills training, anxiety management training, or helping parents with limit setting and rule enforcement. The treatment team will work closely with school personnel to assist them in providing an appropriate educational plan and transition for the child. By the beginning of the second week, it is expected that the child will begin to attend school at least part time.
 
The School Refusal Program includes 15 sessions of CBT, delivered five days per week for three weeks. Each session lasts 1.5 to 2 hours. CBT is provided individually or with the child's parents or guardians.
 


For more information contact:
Anxiety Disorders Center/Center for Cognitive Behavioral Therapy
Phone: (860) 545-7685
Email: ADC@hhchealth.org