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My Approach

Research demonstrates that the most critical factor in successful therapy is not the specific technique used, but the quality of the therapeutic alliance between the client and therapist.* This means I care more about creating a safe space for you to grow, versus using a specific protocol.
 
I believe there are many different pathways to recovery. While operating from a cognitive behavioral foundation, I intentionally integrate one or more additional evidence-based interventions into care. Together, we can create a individualized treatment plan that effectively addresses what's important to you. 
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I'm Big on...

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A Directive Approach

I practice a hands-on approach that values accountability with flexibility. You remain in the drivers seat, while I’m in the passenger seat to help you set goals between session, increase action, and address thoughts or behaviors that are keeping you stuck.

Hardware Tools

Dialectical Behavior Therapy (DBT) Skills

Dialectical Behavior Therapy (DBT) skills are strategies for finding the balance between two opposing needs we have as human beings:  accepting what is and working towards change. Skills are developed through four core areas of mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation.

First Aid

Trauma-informed Care

Trauma informed care means operating from a lens of “what happened to you?” vs. “what wrong with you?” This means understanding how recent or adverse child events (ACEs) fundamentally shape the person you are today and how you interact with the world around you.

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Cognitive Processing Therapy (CPT) 

Traumatic experiences often shake our belief system to the core, keeping us stuck in patterns of avoidance, guilt, intrusive thinking, or hypervigilance.  CPT aims to restore functional beliefs regarding our experience of personal safety, trust, power, self esteem, and intimacy. Through cognitive restructuring, we can learn to think, feel, and behave differently in our daily life. 

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Measurable Outcomes

I believe in providing measurement-based care, which involves using periodic reassessment and screening to evaluate changes in your symptoms and functioning. Continuous reassessment helps us evaluate progress in therapy, or the need to adjust the treatment course.

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Attachment-based Therapy 

Early experiences with our primary caregivers shape the adults that we become, how we experience emotion, and our ability to form healthy, secure relationships in adulthood. Attachment-based therapy aims to identify one’s attachment style, their relational strengths and vulnerabilities, and how to develop more satisfying relationships.

Peer Support

 Connecting to others who share your lived experience is a powerful tool to accelerate healing, as a supplement to clinical support.  Whether you are a first responder, an overwhelmed parent, or navigating addiction recovery, you are not alone.  Many forms of peer support are free, confidential, and accessible in-person or online.   In most cases, exploring peer support is a strongly  recommended component of my clients' treatment plan.
Group Therapy

References 

The Power of Therapeutic Alliance 

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  • Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438–450. Available at https://doi.org/10.1037/0022-006X.68.3.438

 

Contact

To request an appointment, please click here.
 
For questions, to make a referral, or request a brief phone call, use the form here or email laurenkosc@proton.me.
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If you having suicidal thoughts or need support immediately, call or text 988 or visit 988lifeline.org. 

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