Services & Treatment

I can be reached at 360.402.6117 or via email at karameyerphd[at]gmail.com to schedule an appointment. I am happy to speak with you beforehand about your concerns in order to decide if my practice is a good fit for you.


The first few sessions will be dedicated to gathering a detailed history and assessing your current concerns. During this time, you may also be asked to complete some assessment measures to be included in the evaluation. We will then work together to determine what your needs and goals are.


Please read below for information about my specialties and treatment modalities.

SPECIALTIES

I provide individual therapy for children, adolescents, and adults presenting with the following concerns. I do not provide couples therapy, family therapy, or court mandated treatment. 

  • Anxiety Disorders: Generalized Anxiety, Social Anxiety, Panic, and Specific Phobias
  • Obsessive Compulsive and Related Disorders (Body Dysmorphia, Hoarding)
  • Body Focused Repetitive Behaviors: Trichotillomania (hair-pulling) & Excoriation (skin-picking)
  • Insomnia & Sleep Problems 
  • Depression
  • Stress Management
  • Attention-Deficit/Hyperactivity Disorder 

TREATMENT

Cogntive Behavioral Therapy (CBT)

  

CBT is a form of psychotherapy that emphasizes the role one's thoughts, feelings, and behavior on their well-being. Particular emphasis is placed on the role of negative thought patterns on one's emotional experiences and also how one's behavior choices work to reinforce those negative thought patterns. Studies have consistently demonstrated CBT is useful for a variety of problems. 

Exposure and Response Prevention (ERP)

ERP is a specific form of therapy used to treat OCD. In ERP, clients work with their therapist to develop a hierarchy of their feared situations. Then, individuals gradually face these feared situations in small steps (exposure), without performing their rituals (response prevention). Over time, ERP helps reduce anxiety and decrease symptoms. ERP is generally considered to be the "gold standard" treatment for OCD, as it has consistently been shown to be effective in treating OCD. 

Cognitive Behavioral Therapy for Insomnia

  

CBT-I is the first line behavioral intervention for insomnia. Treatment is based on the concept that chronic insomnia lasting from months to years is maintained by physical and behavioral factors that have little to do with what initially caused the insomnia. Accordingly, treatment targets the factors that have been shown to cause acute insomnia to become chronic. 

Mindfulness & Acceptance

 These interventions emphasize non-judgmental awareness of current experiences and an individual’s relationship to and avoidance of their internal experiences. They have been shown to be effective in treating a variety of concerns. As such, I work to integrate material from Mindfulness-Based Cognitive Therapy, Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).