The time therapy technique is a unique approach to group therapy in which the abstract concept of time is represented spatially by a "floor calendar" through which patients move as they discuss past and future events. The technique enables the therapist to assist patients in evaluating the appropriateness of future goals, in increasing their ability to cope with current stressors by reexperiencing positive events, and in resolving past traumatic events through a process of emotional disengagement called disassociative reassurance. Although time therapy technique as yet lacks empirical support, it has been used with adult chronic schizophrenic patients in an ongoing open-ended therapy group, where its effectiveness has been encouraging.

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Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy. Its main goals are to teach people how to live in the moment, cope healthily with stress, regulate emotions, and improve relationships with others.

Complex trauma therapy utilizes several modalities to address different symptoms. The current method for treating complex trauma is a combination of talk therapy, cognitive behavioral therapy, and exposure therapy.

One-at-a-Time Therapy (OAAT) is an evidence-based therapy model designed to address a specific issue in one session. OAAT enables you to develop strategies for moving forward in a single, goal-oriented therapy session. Research has shown that for many people attending one session of therapy is enough to help them get started on the changes they want to make in their lives or to take steps to address the issues that are causing them concern.

The goal of OAAT is for you to leave the session with new ideas and strategies to try out and to allow you time to put these into action. At the end of this session, your counselor will arrange a follow up phone call to find out how the new ideas and strategies are working out and to discuss options for additional support. If you feel you need additional support, you may opt for additional services at that time. The research shows that about 50 percent of individuals find that this single session meets their needs, while about 50 percent opt for additional services.

The One-at-a-Time Therapy (OAAT) approach may be used for a wide range of issues. In fact, many people find that regardless of the issue that they are struggling with, one session of therapy can be enough to help them get unstuck and begin moving forward again.

People choose One-at-a-Time Therapy (OAAT) for many of the same reasons they choose to attend ongoing counseling and other services. The focus of OAAT, however, is on addressing your most pressing concern in a contained and focused approach, drawing on your strengths and resources, creating strategies for you to try, and giving you time to put those strategies in place.

OAAT is not a substitute for ongoing therapy or a quick fix for bigger issues. It is an evidence-based option for issues that are happening right now and that you are ready to act to solve in the present moment.

Once you submit this document, an EACC staff member will contact you to set up an appointment. After your OAAT session, you will have time to reflect upon your insights and try out the strategies you develop. The therapist will schedule a brief follow-up session a few weeks after your OAAT appointment to check in and see how your strategies are working and to provide further resources if needed. If you opt for additional services, the therapist will discuss available services and resources at that time.



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When it comes to the latter, the time you choose may be more influential than you think. Is it a bad idea to do it during your lunch break? Should you try to have your session at the start of the week? Is there even such a thing as an ideal therapy schedule?

It can be helpful to develop a post-therapy ritual if your schedule allows it to come down from heightened emotions. This can be as simple as taking a nap, going on a quick walk, reading your favorite book, mindfully drinking a cup of tea, or anything that helps ground you back into your daily routine.

In this instance, for example, you may want to find a therapist who works on a routine weekly schedule (i.e. you see them at the same day and time every week). Not every therapist operates like this, so you may just have to succumb to one of the open slots they have left, but each case is different, so a conversation is definitely necessary to figure out a cadence that works for everyone.

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Online therapy is proven to be as effective, if not more effective than face-to-face therapy. A study conducted by Talkspace & the Journal of Telemedicine and e-Health showed that text-based therapy through Talkspace was highly effective and comparable to traditional therapy.Talkspace also generated greater satisfaction in terms of its delivery, accessibility, and affordability. Learn more with Talkspace research.

Therapy and psychiatry can both play an important role in your mental health treatment plan. In therapy, licensed therapists work with you to discuss personal challenges and devise a personalized plan, but they aren't able to prescribe medication.

This ever-expanding list of drugs from an already extensive range of options for metastatic renal cell carcinoma (mRCC) provides an opportunity to maximize the number of effective therapies that each patient receives, Recent Food and Drug Administration (FDA) approval of therapeutic regimens combining immune checkpoint inhibitors and TKIs only further emphasizes the need for biomarkers capable of identifying drugs that confer the longest duration of effect in individual patients. Moreover, as immunotherapy agents demonstrate overall survival (OS) benefits and clinical trials suggest that upfront cytoreductive nephrectomy is no longer superior to systemic therapy in patients with intermediate- or poor-risk prognoses, we anticipate an increasing shift in clinical practice toward a greater use of upfront systemic therapy [2,6,10,11,12,13,14,15].

The median number of therapies received per patient was two, while the median age at diagnosis was 60. The median OS of all-comers was 16.4 months, and the median therapy duration per patient was 9.92 months. Here, 139 patients were male (72%), and 55 patients were female (28%) (see Table 2).

Including all risk category patients, 53 patients (27.3%) experienced a benefit in every line of therapy received, while 49 patients (25.3%) experienced no clinical benefit in any line of therapy received (Figure 1). A total of 127 patients (65%) experienced a clinical benefit with first-line treatment. Heatmap analysis indicated that 42 patients (24%) with an intermediate- or poor-risk prognosis did not benefit from first-line treatment. A chi-square analysis of the full cohort demonstrated that clinical benefit did not depend on prognostic risk category (Figure 2). The median number of therapies received per patient was three in the favorable prognostic risk group and two in the intermediate/poor risk group. However, an unpaired t-test showed that this difference was not statistically significant (p = 0.238).

To address concerns regarding drug resistance in the context of agents having similar mechanisms of action, we examined how often patients received a clinical benefit from a later drug after failing a previous one. Despite drug failure in a prior line, 41 patients out of a total of 194 (21.1%) had a clinical benefit in a later line of targeted therapy (see Figure 1). Of note, five patients (2.6%) experienced their first clinical benefit in as late as the third line following two previous line failures.

Finally, we explored whether the timing of a therapy benefit would impact OS (i.e., if a clinical benefit in the first or second lines would result in longer OS). We found that a clinical benefit occurring within either the first or second lines of therapy positively impacted OS compared to no benefit at all (p < 0.001). As long as patients remained on drug therapy for a period of at least three months in the first and/or second line (p = 0.08, Figure 6), median OS was greater. Larger cohorts of patients are needed to confirm the lack of significance in OS between first- and second-line benefit. However, our analyses highlight the importance of careful selection of agents that provide at least three months of clinical benefit as first or second-line treatment in mRCC patients.

Our clinical cohort demographics closely matched those already reported in the literature [37]. Our cohort included patients whose median age, median OS, and median therapy duration in any line of treatment were similar to those demographics seen in clinical trials [38,39,40,41]. Our conclusions may thus be generalizable to a broader population. Our data corroborated prior studies showing no evidence for universal cross-resistance among targeted therapies, particularly VEGFR-directed TKIs. Moreover, we found significantly increased OS in patients who received more total lines of therapy and also a correlation of increased OS in patients with more beneficial lines of therapy. An expanded study of treatment sequencing in a larger cohort will be required to test whether sequential lines of beneficial therapy will ultimately lead to longer OS. 006ab0faaa

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