At The Concord Center, we are dedicated to supporting individuals and families through every stage of life. Our team of experienced professionals is committed to providing evidence-based care tailored to the unique needs of each client.
Individual services at The Concord Center offer one-on-one therapy tailored to your goals. You’ll work with a clinician who provides personalized, evidence-based care designed to help you make meaningful progress. These sessions may include the treatments listed below.
Services we provide
Treatments we provide
Acceptance and Commitment Therapy (ACT) is an evidence-based behavioral treatment developed to improve emotional and cognitive flexibility as well as engagement in valued activities. Through experiential exercises, metaphors, and skill building, ACT focuses on six core principles: increasing one’s awareness of the present moment, practicing willingness to experience emotions and sensations (acceptance), unhooking from unhelpful repetitive thoughts (cognitive defusion), learning to separate the self from one’s life experiences and circumstances (self-as-context), identifying life values, and increasing commitment to engaging in activities consistent with one’s values (committed action). ACT is a transdiagnostic treatment, meaning that it can be helpful for a wide range of mental health problems, including anxiety, OCD and related disorders, mood disorders, and chronic pain.
Evidence Based Article(s)
Behavior therapy (BT) focuses on changing problematic behaviors through principles of learning, especially classical and operant conditioning. BT begins with a careful analysis of observable behaviors, including their antecedents (ie, precursors) and consequences. Once contributing factors are identified, BT uses structured techniques to modify behavior, reduce distress, and improve quality of life. Common methods include positive reinforcement, exposure therapy, and behavioral activation. It is often used to treat conditions like anxiety, phobias, depression, and ADHD.
Evidence Based Article(s)
Cognitive Behavioral Therapy for Insomnia (CBT-I) is an evidence-based, multi-component treatment that targets difficulties with initiating and/or maintaining sleep. CBT-I is considered the “gold standard” for insomnia-related issues, and is often the first-line treatment recommended by medical and mental health professionals when an individual is struggling with chronic insomnia. CBT-I is designed to be short-term (typically delivered in 6-10 sessions), and has been demonstrated to be effective via in-person or telehealth services.
There are four primary components of CBT-I: sleep restriction (which ultimately works to increase an individual’s sleep drive); stimulus control (which uses behavioral modifications to help the brain and body associate their bed with sleep); sleep hygiene (which aims to help create healthy sleep habits); and cognitive therapy (which helps an individual change their relationship to their thoughts that can interfere with sleep). Individuals who participate in CBT-I are also asked to track their sleep-related behaviors using a sleep log, and to complete regular homeowork assignments.
Evidence Based Article(s)
DBT-C is an adapted version of traditional DBT designed for children (7-12 years old) who experience severe emotional and behavioral dysregulation. This comprehensive treatment actively involves both parents/caregivers and the child.
The treatment begins with a minimum of 12 weeks of parent-only sessions. During this crucial phase, parents enhance their own emotional regulation, learn effective responses to their children’s challenging behaviors, and begin mastering core DBT coping skills. This foundational work is essential for fostering lasting positive changes in the child’s emotional and behavioral regulation.
Parents will learn strategies to address a wide range of their child’s symptoms, including verbal and physical aggression, self-harm, suicidal ideation, stealing, lying, and emotional meltdowns.
Once parents have established a strong foundation, children join the treatment. They will either meet separately with the therapist in one-on-one sessions (complementing the weekly parent sessions) or participate in family sessions alongside their parents. In this phase, all family members learn vital skills in mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. DBT-C concludes when parents are consistently responding to their child’s behavior effectively, and the entire family has a solid grasp of foundational DBT skills for coping and communication.
Evidence Based Article(s)
Child-Parent Psychotherapy (CPP) is an evidence-based, relationship-oriented treatment for young children and their caregivers. It is specifically intended for families where the child has experienced a significant stressor, trauma, or attachment disruption. CPP is also helpful for families where the caregiver has experienced a significant stressor or trauma that might impact their parenting. The primary goal of CPP is to strengthen the child-caregiver relationship as a way of restoring the child’s developmental progress and sense of safety and connection.
CPP has a strong emphasis on parent work. This is because a secure and supportive caregiver relationship is central to a child’s wellbeing, particularly following adverse experiences. Before bringing the child into the therapy room, the therapist and caregiver engage in a series of parent sessions where they work together to understand both the child and the parent in the context of their lived experiences.
During the core intervention phase of treatment, the parent and child participate in joint play-based sessions. Sessions focus on observing interactions, encouraging positive communication, and gently exploring past events through child-led play. Together, the parent, child, and therapist construct a narrative that builds understanding, security, and trust. Over time, CPP can help repair disrupted attachment bonds, reduce behavioral problems in children, and enhance the caregiver’s capacity and confidence in supporting the child’s development.
Evidence Based Article(s)
Cognitive Behavioral Therapy (CBT) is a structured, time-limited, and evidence-based form of psychotherapy that focuses on identifying and challenging unhelpful thoughts, beliefs, and behaviors to improve emotional regulation and develop healthier coping strategies. Rooted in the idea that our thoughts, feelings, and behaviors are interconnected, CBT helps individuals recognize distorted thinking patterns and replace them with more realistic and constructive thoughts. It also involves learning relaxation strategies and engaging in mood-boosting activities or activities that help you face your fears. It is widely used to treat a variety of mental health conditions, including depression, anxiety disorders, PTSD, and OCD, and typically involves active collaboration between therapist and client, with homework assignments to reinforce skills learned in sessions.
Evidence Based Article(s)
Cognitive Processing Therapy (CPT) is an evidence-based cognitive therapy designed to help individuals recover from posttraumatic stress disorder (PTSD) and related trauma symptoms. Traumatic experiences often impact the way that people view themselves, others and the world. CPT helps individuals recognize and systematically challenge maladaptive beliefs that are interfering with daily functioning and contributing to the maintenance of PTSD symptoms. CPT helps individuals learn to experience natural emotions associated with their trauma and challenge thoughts that contribute to feelings of shame, self-blame, and guilt. CPT helps clients address the impact that trauma has on trust, safety, self-worth, and relationships. CPT includes a minimum of 12 sessions, with homework assignments to reinforce the skills learned during sessions.
Evidence Based Article(s)
Comprehensive Behavioral Intervention for Tics (CBIT) is an evidence-based treatment for Transient Tic Disorder, Chronic Tic Disorder, and Tourette Syndrome. This behavioral treatment is direct, symptom-oriented, and time-limited. CBIT consists of three primary components – awareness training, habit reversal training, and environmental adaptations. During awareness training, the individual learns to be more aware of their tics and their urges to tic (AKA the premonitory urge). Once awareness is raised to the tic itself and its premonitory urge, the individual can begin to make changes to their daily activities in ways that can be helpful in reducing tics. Sometimes, this means peers or adults in their environment also making changes to their reactions or responses to their loved one’s tics. The final primary component of CBIT is habit reversal training, during which individuals train themselves to engage in a competing behavior when they experience the premonitory urge specific to their tic.
CBIT has been proven effective at significantly reducing tics and improving one’s ability to function day to day without impairment. CBIT is not a cure for tics, as tics are involuntary and often have a neurological basis. However, it is a strongly effective management strategy that can be used throughout the lifespan.
Evidence Based Article(s)
The Comprehensive Behavioral (ComB) model is a an evidence-based, flexible, individualized approach to treating Body-Focused Repetitive Behaviors (BFRBs) such as hair pulling, skin picking, and nail biting. It was developed by Charles Mansueto and his colleagues as a new wave Cognitive Behavioral Therapy (CBT). ComB is a four phase treatment that begins with a detailed functional assessment to identify the specific factors that maintain the behavior for each individual. These factors fall into five domains: sensory, cognitive, affective, motoric, and environmental (“place”). For example, someone may engage in a BFRB in response to a sensory urge, out of boredom, during moments of anxiety, or automatically while in a certain location.
Once these patterns are identified, treatment focuses on developing personalized strategies that directly target the most influential domains. This may include using competing responses, modifying the environment, building emotional regulation skills, and challenging cognitive distortions. The goal is not only to reduce the behavior but to increase the individual’s awareness and sense of control over their triggers.
ComB emphasizes collaboration and self-efficacy, helping clients create a toolbox of coping skills tailored to their own needs. As progress is made, treatment shifts to maintenance and relapse prevention, preparing the individual to manage future challenges independently.
Evidence Based Article(s)
DBT-PE is an evidence-based treatment designed specifically to help individuals struggling with Posttraumatic Stress Disorder (PTSD) who also experience difficulties with emotional regulation, impulsivity, or self-destructive behaviors. It combines the skills and mindfulness strategies of Dialectical Behavior Therapy (DBT) with a focused approach to processing traumatic memories through Prolonged Exposure (PE) therapy.
This integrated approach helps clients safely face and work through painful trauma-related memories and symptoms, while simultaneously building coping skills to manage intense emotions and reduce self-harm or avoidance behaviors.
Key components of DBT-PE include:
Skills training in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness (from DBT)
Trauma processing through gradual, controlled exposure to trauma memories (Prolonged Exposure)
A focus on safety and stabilization before, during, and after trauma work
Individual therapy combined with group skills training and coaching support
DBT-PE is particularly effective for individuals who have struggled with PTSD alongside challenges such as borderline personality disorder, self-injury, or substance use. This compassionate, structured treatment empowers clients to regain control, reduce trauma symptoms, and build a more fulfilling, balanced life.
Evidence Based Article(s)
Dialectical Behavior Therapy for Adolescents (DBT-A) is an evidence-based treatment designed to support teens who struggle with intense emotions, impulsive behaviors, self-harm, suicidal thoughts, or difficulty managing relationships. Adapted from the standard DBT model (See Dialectical Behavior Therapy), DBT-A is tailored to meet the developmental needs of adolescents and focuses on helping them build practical skills to manage emotional distress and make effective decisions. Treatment includes individual therapy, skills training groups, and phone coaching, all aimed at teaching four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT-A empowers teens to take control of their emotions, improve their coping strategies, and work toward creating a more stable and fulfilling life.
Evidence Based Article(s)
Dialectical Behavior Therapy, or DBT, is a type of CBT therapy that helps people learn how to manage intense emotions, improve their relationships, and build a more stable and fulfilling life. Originally developed by psychologist Dr. Marsha Linehan, DBT was first created to treat people with borderline personality disorder (BPD), but today it is used to help people of all ages and with a variety of mental health challenges, including depression, eating disorders, post-traumatic stress disorder (PTSD), and substance use issues.
DBT combines elements of two approaches: acceptance and change. The “dialectical” part refers to finding a balance between accepting oneself while also working to change harmful behaviors. This is done through five key areas, called “modules,” which form the foundation of DBT:
- Mindfulness – Learning how to stay present in the moment and observe your thoughts and feelings without judgment.
- Distress Tolerance – Building skills to cope with crisis situations and emotional pain without making things worse.
- Emotion Regulation – Understanding and managing intense emotions, so they feel less overwhelming.
- Interpersonal Effectiveness – Learning how to communicate more clearly and assertively while maintaining healthy relationships.
- Walking the Middle Path – A module especially useful for teens and families, but helpful for anyone. It focuses on reducing “all-or-nothing” thinking, encouraging flexible thinking, validating others while still holding boundaries, and finding balance between independence and connection. It’s about meeting in the middle rather than swinging between extremes.
A “full model” DBT program typically includes several parts:
- Individual therapy (one-on-one sessions with a trained DBT therapist)
- Skills training groups (similar to a class, where clients learn and practice DBT skills)
- Phone coaching (where clients can contact their therapist between sessions for help using skills in real-life situations)
- Consultation team (a group of DBT therapists who meet regularly to support each other and ensure they’re providing the best care)
Therapists at The Concord Center who provide DBT go through foundational training, which is an in-depth process that teaches them how to deliver the therapy in a structured and effective way. This training also emphasizes the importance of therapists staying supported and emotionally grounded themselves, which is why the consultation team is such an important part of the model.
DBT is especially helpful for people who feel emotions very strongly and may have trouble managing those emotions in healthy ways. It offers concrete tools and strategies that can be practiced and used in everyday life. With commitment and the right support, DBT can help individuals build a life that feels more stable, meaningful, and under control.
Evidence Based Article(s)
Exposure and Response Prevention (ERP) Therapy is a form of cognitive-behavioral therapy (CBT) that is highly effective and the gold standard for treating Obsessive-Compulsive Disorder (OCD) and other anxiety disorders. ERP involves systematic, repeated exposure to feared thoughts, images, sensations, and/or urges (exposure), while preventing the usual compulsion or avoidant responses (response prevention).
ERP works as it helps the individual learn that the feared outcomes most likely will not occur, or that they can handle the distress that results if the feared outcome does occur. Put another way, ERP helps the brain learn and breaks the link between fear and avoidance and allows the individual to more effectively tolerate distress without engaging in time-consuming compulsions. Additionally, ERP often results in a reduction of anxiety and fear over time.
Treatment duration typically ranges depending on the severity of symptoms and individual needs. Intensive formats (e.g., multiple sessions per week) are also available and may accelerate progress for some clients. ERP is most effective when clients are actively engaged and practice exposures regularly between sessions.
Evidence Based Article(s)
Family-Based Therapy (FBT), sometimes called the Maudsley Approach/Method, is an evidence-based treatment primarily designed to support adolescents and young adults struggling with eating disorders such as anorexia nervosa, bulimia nervosa, and other disordered eating behaviors. FBT recognizes the important role families play in recovery and empowers parents and caregivers to actively support their loved one’s healing process.
Key features of FBT include:
- A collaborative approach where the family works as a team alongside the therapist
- Focus on restoring healthy eating patterns and weight stabilization
- Helping parents take an active role in managing and supporting their child’s nutrition during the early phases of treatment
- Gradual return of control overeating back to the adolescent as they regain health and stability
- Addressing family dynamics and communication to strengthen support and reduce conflict
FBT is built on the understanding that eating disorders affect the entire family system, and involving loved ones in treatment improves outcomes. It is typically a short- to medium-term therapy, with strong evidence supporting its effectiveness in promoting lasting recovery.
Evidence Based Article(s)
Modular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH-ADTC) is an evidence-based treatment for children and adolescents (ages 6-15) who experience anxiety, depression, PTSD, and/or conduct problems. The model utilizes a flexible framework, designed to target these aforementioned core problems as well as additional challenges. MATCH breaks treatment down into modules (short, skill-based sessions) that allows therapists to personalize care for each client. Core skill areas addressed in MATCH include: behavioral activation for depression, exposure therapy for anxiety, cognitive restructuring, anger management & problem solving, trauma processing and behavioral parenting strategies. Caregivers often participate in sessions to reinforce new behaviors and support skill building at home.
Evidence Based Article(s)
Pain Reprocessing Therapy (PRT) is an evidence-based treatment designed to help individuals reduce or eliminate chronic pain that is not primarily caused by ongoing tissue damage, such as certain types of back pain, headaches, fibromyalgia, or other persistent pain conditions. This type of pain in sometimes referred to as functional, neuroplastic, or nociplastic pain. It is grounded in neuroscience and focuses on the brain’s role in generating and maintaining pain signals. PRT helps individuals identify and change learned pain responses by addressing fear, stress, and unhelpful beliefs about pain, while building a sense of safety in the body. Treatment typically includes education about pain, guided experiential exercises, and skills to respond differently to pain sensations. The goal is to decrease pain intensity and distress, improve functioning, and help individuals regain confidence in their bodies.
Evidence Based Article(s)
Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment that helps young children (ages 2-7) with self-regulation challenges (i.e., attentional, emotional, behavioral). Some specific behavioral difficulties addressed in the treatment are defiance, tantrums and aggression.
PCIT has two unique features – 1) it is a dyadic treatment, meaning that both children and their caregivers participate together & 2), PCIT is held via live coaching, meaning that the therapist watches through a one-way mirror or live video while enhancing parenting skills in real time. Goals of the treatment include: strengthening the parent-child relationship, improving the child’s behavior, equipping parents in behavioral management and reducing familial stress.
Evidence Based Article(s)
Parent Management Training (PMT) is a behavioral intervention that teaches parents to change responses to their child, leading to a reduction in child’s disruptive behaviors. PMT emphasizes positive reinforcement strategies to increase desired behaviors and removal of attention to decrease problematic behaviors, such as hitting, yelling and arguing. Research has demonstrated effectiveness in treating Oppositional Defiant Disorder and Conduct Disorder as well as disruptive behaviors in children with a range of diagnoses, including Attention-Deficit/Hyperactivity Disorder (ADHD), Anxiety, and Disruptive Mood Dysregulation Disorder (DMDD). Clinicians who use PMT highly personalize parent coaching to address the issues arising for the specific parents and child.
Evidence Based Article(s)
The Program for the Education and Enrichment of Relational Skills (PEERS®) is an evidence-based social skills program for preschoolers, adolescents, and young adults who are interested in developing and maintaining close friendships and/or romantic relationships.
Participants are taught the curriculum through didactic lessons and role-plays and practice the skills during group socialization activities.
Parents attend separate sessions and learn how to support their adolescents in skill acquisition. Parent participation is required.
Adolescent participants will learn strategies related to:
- Developing and maintaining friendships
- Conversational skills
- Entering/exiting conversations
- Appropriate use of humor
- Handling disagreements
- Electronic communication
- Being a good sport
- Organizing get-togethers
- Handling teasing and bullying
- Changing reputations
Evidence Based Article(s)
Radically Open Dialectical Behavior Therapy (RO DBT) is an evidence-based, transdiagnostic treatment targeting mental health disorders characterized by excessive overcontrol. Overcontrol is characterized by emotional inhibition, perfectionism, rigid and rule governed behaviors, and difficulty connecting with others. As such, emotional overcontrol can result in aloof and distant social relationships, social isolation and loneliness. Diagnoses that commonly exhibit traits of overcontrol include refractory depression, treatment-resistant anxiety, anorexia nervosa, autism spectrum disorder, and obsessive-compulsive personality disorder. RO DBT helps people learn skills to increase flexibility, curiosity, openness, and social connectedness with goals of reducing loneliness, improving relationships, and creating a life worth sharing with others. Treatment modalities include individual therapy with a focus on improving social connectedness, a skills training class, and between session phone coaching to help clients implement skills in real life situations.
Evidence Based Article(s)
- https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/refractory-depression-mechanisms-and-efficacy-of-radically-open-dialectical-behaviour-therapy-reframed-findings-of-a-randomised-trial-on-benefits-and-harms/F65A7AF52437BE59D9FE70997B27F4B8
- https://www.radicallyopen.net/research-on-ro-dbt.html
SPACE (Supportive Parenting for Anxious Childhood Emotions) is a parent-based intervention originally developed to treat childhood anxiety and OCD, and it has been adapted for use with Avoidant/Restrictive Food Intake Disorder (ARFID). Rather than working directly with the child, SPACE for ARFID helps parents support their child’s eating by slowly changing the ways they adjust or give in to the child’s food fears or avoidances.
In the context of ARFID, children often avoid foods due to fear (e.g., choking, vomiting), sensory sensitivities, or lack of interest in eating. Parents understandably adapt—by preparing separate meals, avoiding certain situations, or applying pressure to eat – in an effort to reduce distress. While well-intentioned, these accommodations can unintentionally maintain the disorder.
SPACE for ARFID helps parents shift from accommodation to supportive responses. Treatment involves identifying specific accommodations, understanding their role in maintaining the child’s avoidance, and gradually replacing them with calm, firm support that communicates confidence in the child’s ability to tolerate discomfort and make progress.
The approach emphasizes empathy without enabling, guiding parents to say, in effect: “We understand this is hard for you—and we believe you can handle it.” Over time, with this consistent, supportive stance and through the reduction of food-based accommodations, children feel more capable, flexible, and in control around food.
Evidence Based Article(s)
Supportive Parenting for Anxious Childhood Emotions (SPACE) was originally developed for parents of children and adolescents with anxiety and OCD. However, it has since been adapted to help families with adult children who are having difficulty achieving independence. Highly dependent adult children also referred to as failure to launch (FTL) individuals remain financially, functionally, emotionally or otherwise dependent on parents as evidenced by them working less than 10 hours per week, and/or not engaging in training or educational pursuits. SPACE-FTL is a parent based treatment designed to help parents learn skills to change the choices that their adult child faces on a daily basis. Specifically, parents learn how to use supportive language to acknowledge and validate their adult child’s distress. At the same time, parents learn skills to systematically reduce accommodation of their adult child’s distress in order to promote opportunities for their adult child to move towards increased independence. SPACE-FTL treatment typically occurs over the course of 6-12 months, however, there is variation in treatment length.
Evidence Based Article(s)
SPACE (Supportive Parenting for Anxious Childhood Emotions) is a treatment for children and adolescents with anxiety, OCD, and/or related symptoms or challenges. Although SPACE treats anxiety in youth, the protocol is designed solely for parents or caregivers, meaning that children do not need to participate in sessions.
Parents who participate in this treatment learn strategies they can use to make changes to their own behaviors, and by doing so, help their child overcome anxiety. Treatment focuses on increasing caregiver support for their child while simultaneously helping caregivers reduce accommodations (i.e., things they do or don’t do to minimize their child’s distress in the moment, often leading to prolonged anxiety over time) made in response to the child’s anxiety.
SPACE treatment occurs over a minimum of eight sessions. It can be delivered to parents individually or in a group format. By completion of treatment, caregivers feel more confident in responding to their child’s anxiety effectively, children feel less anxious and can function more independently, and the whole family system is able to operate without disruptions from anxiety.
Evidence Based Article(s)
The Body Project is a group-based intervention for high school-aged girls that targets body image concerns. The group teaches adolescents to challenge unrealistic appearance ideals and develop a healthier body image. Through written, verbal, and behavioral exercises, participants learn and practice using tools that help them resist pressures to conform to societal beauty ideals, view and talk about their bodies more positively, and support others in challenging unhealthy body image expectations.
The program takes place over 4-6 sessions and can be delivered in school or other community settings.
Evidence Based Article(s)
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment designed to help children and adolescents recover from traumatic experiences, such as being abused, witnessing violence, being in an accident, or losing a loved one. It combines elements of cognitive behavioral therapy with trauma-sensitive approaches to address the emotional and behavioral effects of post-traumatic stress. TF-CBT typically includes both the child and their caregiver, focusing on developing coping skills, processing traumatic memories, and improving family communication. The goal is to reduce symptoms of PTSD, anxiety, and depression, while helping the child feel safe and supported.
Evidence Based Article(s)
Tabletop role-playing games (ex. Dungeons & Dragons, Pathfinder) can be used to deliver various types of therapy to children. While rolling dice, children gain practice regulating their emotions, collaborating with others, perspective taking, and expressing themselves through their character. Our TTRPG groups use the Game to Grow method, which was developed by the non-profit organization Game to Grow, which provides a supportive environment in which participants can develop the five “core capacities” of the approach, which include regulation, collaboration, planning, perspective, and pretend play. This type of group is effective for youth who may identify as neurodivergent by allowing them to engage socially through structured yet flexible play.
Evidence Based Article(s)
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP)
UP is an evidence-based, transdiagnostic cognitive behavioral therapy treatment that addresses emotion-focused disorders (anxiety, OCD, PTSD, and Depression). UP targets core psychological processes shared across these disorders, providing clients with skills and strategies to manage symptoms regardless of diagnosis.
The treatment is designed for individuals who experience frequent and intense negative emotions, negative reactions to these emotions, and tend to avoid or suppress them. UP consists of core skills to help clients navigate emotional challenges by developing emotional awareness, mindfulness skills, flexible thinking, interoceptive and situational exposures, and changing unhelpful behaviors.
There is an adapted curriculum for children (UP-C) and adolescents (UP-A). Treatment can be structured individually or as group treatment. There is also a parent curriculum with parent-focused handouts and information.