Posts in Change
Therapy + Coaching Via Skype :: NYC And Worldwide

I am delighted to meet with my clients in my office, or via Skype, FaceTime or a HIPPA-compliant platform for video and/or telephone sessions. Sometimes this option is necessary when work/life demands are great, or you are ill, moving or out of town and cannot meet in-person. Skype therapy and coaching works great for busy couples who may have parenting conflicts. Coaching by Skype is ideal for busy professionals who are also unable to schedule regular ongoing appointments. For established psychotherapy clients who are high-functioning, Skype or virtual, tele-therapy can be a wonderful adjunct to in-office appointments. While I believe that face-to-face sessions are ideal and the only option for many, I understand that for high-functioning clients who lead full and busy lives, therapy or coaching by Skype may be a practical alternative to commuting or meeting in my psychotherapy office. With many clients, I am able to deliver the same types of modalities that I use in-person, such as: psychodynamic psychotherapy, cognitive behavior therapy or CBT, DBT skills, mindfulness, Focusing-Oriented Therapy, somatic therapies, relationship counseling, executive, stress and well-being coaching and even EMDR with high-functioning clients.

What is online tele-medicine?

For psychological consultations, therapy, mentoring and coaching, mental health professionals and their clients are able to conduct private sessions remotely without missing sessions. This ensures the continuity of our work together and facilitates progress and much needed emotional or goal-attainment support.

What do you need to work with a coach or therapist remotely? You will need

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NYC Online Therapy + Coaching for Manhattan professionals, high-profile clients, KIMBERLY SEELBREDE, MSW, LCSW is a licensed Psychotherapist, Coach & Mind-Body Consultant in private practice providing psychotherapy, coaching and psychological consultations nationally and internationally for individuals and couples in transition, crisis or just needing solution-focused support.
Executive Coaching Failures :: When Psychological Blocks And Conflicts Interfere With Successful Coaching Outcomes

You’ve hired a top-notch life coach, maybe even the best executive or performance coach to whip you into shape, but now find that you are either stuck or that you made some temporary progress and are now reverting to your old ways. Coaching fails many hopeful clients and for some very important reasons.

You simply can’t move forward if you don’t get help clearing blocks and obstacles that are often unconscious, but sabotage your best efforts. Professional coaching can be very effective and successful, but sometimes you must dig a bit deeper to unearth unconscious beliefs about yourself and internal conflicts. Many well-meaning coaches lack the psychological training to be able to detect and support client needs when an executive's problem(s) stem from underlying emotional and psychological issues. For many, coaching can actually be detrimental when symptoms that are present are longstanding, stubborn, severe and ignored. An example of this would be attempting to coach individuals with severe personality disorders. Coaching methods utilized by trained professionals may utilize any number of high-level and cutting-edge modalities that have a proven track record of helping people overcome self-sabotage, problem, repetitive behaviors and psychological conflicts. Some examples include: EMDR therapy combined with coaching; CBT and DBT Skills blended into coaching sessions, psychodynamic (insight-oriented) coaching and depth psychology.

Many fear or do not trust therapy and prefer a coaching model that is “here and now” focused and results and solution-driven. What happens when executives stumble onto patterns and obstacles that come up for them again and again? Executives, creatives, officers and entrepreneurs hire coaches to help them remove obstacles and learn to find clarity in their lives so that they can see things about their thoughts, actions and behaviors that may be

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NYC Online Therapy + Coaching for Manhattan professionals, high-profile clients, KIMBERLY SEELBREDE, MSW, LCSW is a licensed Psychotherapist, Coach & Mind-Body Consultant in private practice providing psychotherapy, coaching and psychological consultations nationally and internationally for individuals and couples in transition, crisis or just needing solution-focused support.
CBT :: Coaching + Therapy Techniques For Changing Thoughts And Behaviors

We ALL need a little help sometimes, even when we have awareness of our challenges and difficulties. It's really hard for many to ask for help, so I thought I'd share some useful techniques that I use in my own private practice in NYC working with therapy and coaching clients. CBT techniques are very helpful tools to be used in therapy, coaching and useful when applied to everyday life situations. What follows are some of the most common problems that clients struggle with and CBT techniques that are helpful. 

  1. Journaling—This technique gathers information and data about habitual thoughts, emotions and moods. Included in journal entries can be: time of day, the source or trigger, the intensity of the feeling state and the response or action taken. You can add more helpful and adaptive coping responses that might be considered in the future.

  2. Catastrophizing—This tendency is to go immediately to an irrational thought that something is far worse than it actually is. Catastrophizing generally takes two different forms: making a catastrophe out of a current situation or a future situation. Step one is to identify when your are doing this. Next, use your smartphone or journal to write the thoughts down throughout the day and add a corrective statement to counteract the negative belief.

  3. Cognitive Distortions—Alone or with a therapist, you practice identifying harmful or negative thoughts that are automatic for you, then challenge these thoughts that lead to vulnerability or distress in your daily life.

  4. Cognitive Restructuring—Once you identify the distortions or inaccurate views, you can begin to learn about how this distortion took root and why you came to believe it. When you discover a belief that is destructive or harmful, you can begin to challenge it. Instead of accepting a faulty belief that leads to negative thoughts about yourself and poor self-esteem, you could take this opportunity to think about something in a different way.

  5. Write Down Self-Statements to Counteract Negative Beliefs—This is a challenge especially if your belief is strong or it has served you in some way. Confront these negative thoughts by introducing a positive more correct thought. Positive thoughts or self-statements help to interrupt old patterns and create new neural pathways.

  6. Exposure and Response Prevention—If you suffer from OCD, you can expose yourself to whatever creates the compulsive behavior that follows. Avoid doing the behavior by writing about it instead in a journal or notepad.

  7. Interoceptive Exposure—If you struggle with panic attacks or anxiety, this technique involves exposing yourself to bodily sensations that elicit responses that lead to distress and panic symptoms. As you experience unpleasant symptoms, unhelpful thoughts arise and you can learn to tolerate the experience, reduce avoidance and develop a different way to view these symptoms such discomfort, but not dangerous.

  8. Play the Script Until the End—This technique involves imagining the worst case scenario, letting it play out in the mind. For those who struggle with fear and

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NYC Online Therapy + Coaching for Manhattan professionals, high-profile clients, KIMBERLY SEELBREDE, MSW, LCSW is a licensed Psychotherapist, Coach & Mind-Body Consultant in private practice providing psychotherapy, coaching and psychological consultations nationally and internationally for individuals and couples in transition, crisis or just needing solution-focused support.
#shrinkthinks DBT Quick Reference :: Holiday Survival Skills For Anxiety, Addiction Triggers, Emotions And Problem Behaviors

Many of my psychotherapy patients ask for a Dialectical Behavior Therapy or a DBT cheat-sheet to have handy because... life happens, it's easy to feel overwhelmed, and it's hard to remember what to during those challenging moments! This is a basic list to remind you that you DO have other options at your disposal to help you better manage your relationship problems, trauma symptoms, addiction and eating disorder triggers, anxiety, depression, self-harm urges, relationship challenges, stress and strong emotions. With the holiday season comes lots of stress--and with no shortage of emotional triggers--people struggle with: alcohol and food in abundance, family stressors and memories that reignite feelings of anger, loss, sadness, longing and loneliness.

Even though situations and stressors are present, DBT can help you make healthier choices for yourself! A good place to start is to remember to focus, breathe and be mindful. When the skills don't work

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NYC Online Therapy + Coaching for Manhattan professionals, high-profile clients, KIMBERLY SEELBREDE, MSW, LCSW is a licensed Psychotherapist, Coach & Mind-Body Consultant in private practice providing psychotherapy, coaching and psychological consultations nationally and internationally for individuals and couples in transition, crisis or just needing solution-focused support.
#shrinkthinks DBT DIY :: Making A Distress Tolerance Kit For Healthier Coping

Whether you're trying to manage eating disorder symptoms or alcohol/substance abuse problems, creating a "coping skills" toolbox--a place to keep things that can help you feel calmer and more grounded is a practical and helpful tactic in supporting your recovery goals. Instead of using symptoms and negative behaviors, turning to your toolbox can give you other options that immediately engage your five senses and include healthier distractions, self-soothing strategies and making different choices in the moment!

TOOLBOX TIPS

What you will need for your self-regulation and coping toolbox:

  • Tactile (something to feel) - textures, warm or cold objects, stuffed animal, stress ball, the ground beneath your feet

  • Visual (something to see or look at) - flowers, photos, art, vivid colors

  • Auditory (something to hear) - music, focusing on sounds in the environment, meditation guides, books on tape

  • Olfactory (something to smell) - essential oils, perfume, candles

  • Gustatory (something to taste) - gum, mints, sweet or sour candies

DISTRACTION TIPS

How to Distract yourself when you have the urge to reward yourself in negative ways or when you have self-destructive urges:

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NYC Online Therapy + Coaching for Manhattan professionals, high-profile clients, KIMBERLY SEELBREDE, MSW, LCSW is a licensed Psychotherapist, Coach & Mind-Body Consultant in private practice providing psychotherapy, coaching and psychological consultations nationally and internationally for individuals and couples in transition, crisis or just needing solution-focused support.