Anger Management is a special program that is completed over a 12, 24 or 36 session with each session of 1 hour per day.  Typically a program can run for few weeks and throughout the program, there will be continuous assessments, readings, assignments, tests  or a final examination.  The first two sessions will be screening session where the clinician will decide whether a client needs a 12 or 24 or 36 sessions depending on the complexity of the case.  Clients are also encouraged to seek additional sessions if they feel that they have not reached the objectives or goals of the treatment plan.
To be stated in a simple way, the Anger Management program has 3 basic goals:

a)  To reduce levels of Anger in provocative situations

b) To learn effective coping behaviors in order to halt extreme Anger explosions

c)  To understand one’s own individual psychodynamics of Anger and develop an action plan through a Cognitive Behavior Therapy model as recommended by US Department of Health and Human Services, Rockville, MD.


Sex Counseling

What to expect 

Sex therapy typically begins with a lot of talking and sharing. The therapist will help you and your partner assess the problem and identify factors, thoughts, and behaviors that might be contributing to it.

If you are troubled by low libido, for instance, the sex therapist will try to create an atmosphere in which you feel less pressured and eventually more receptive to sex. Often women with low libido don’t really miss sex or don’t believe much can be done about their sex drive, so they decide to seek therapy only when they feel the problem threatens their relationship. If that’s your case, the therapist may help you reframe the problem not as a shortcoming of either you or your partner but as a couple’s issue that warrants a joint solution. This may require that your partner express a clear commitment to the relationship and that both of you explore the relationship dynamics that might explain your differing levels of desire. Your therapist is also likely to ask how much time per week you and your partner spend just enjoying each other’s company. If you don’t spend much time alone together, the therapist will likely have you focus on giving more priority to your relationship first. This might involve identifying the strengths of your relationship in earlier days and working together to build on those strengths. The therapist can also help you explore ways of being more physically affectionate without feeling the pressure to have intercourse.

Sensate focus exercises

The techniques that are often at the center of sex therapy involve a series of structured touching activities known as sensate focus exercises. These are designed to help couples increase their comfort with physical intimacy and familiarize themselves with each other’s (and their own) body.

Sensate focus techniques often are customized for individual couples, but they generally follow the four stages outlined in the table below. Sex therapists will often use other behavioral exercises and treatments (including treatments discussed later in this section) in addition to sensate focus, depending on a couple’s needs.

The stages of sensate focus technique

  1. Each partner spends about 30 minutes caressing the other’s naked body, head to toe and front and back, except for the genitals and breasts. The emphasis is on the “giver” touching in a way that he or she enjoys. The aim is to focus on each sensation and the reaction to it. If this is too much too soon, couples can start with simple hand-holding or back rubs.
  2. The couple repeats the exercise from Stage 1, except this time the “receiver” tells the giver what kind of touching he or she wants and gives direction on what’s most enjoyable.
  3. The couple expands the exercise from Stage 2 to include touching of the genitals and breasts, but not exclusively. The focus remains concentrating on sensations and expressing wants and pleasures without the goal of orgasm.
  4. The couple now may engage in mutual touching and stimulation to the point of orgasm, including intercourse if mutually desired.
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