The Work We Do
Each provider at Fringe has unique experience, training, and knowledge. We tend to take an eclectic approach to therapy, blending training and intuition as we craft treatment that is individualized for each client.
Inference-based Cogntive Behavior Therapy (I-CBT) for OCD
Inference-Based Cognitive Behavior Therapy (I-CBT) is a specialized approach to treating obsessive-compulsive disorder (OCD). It focuses on addressing faulty reasoning processes, particularly the tendency to make irrational inferences or assumptions that lead to obsessive thoughts. Unlike traditional CBT, which targets behaviors and beliefs, I-CBT helps individuals recognize and challenge the moments of doubt that trigger obsessions. By identifying these "inferential errors," individuals learn to trust reality over imagined scenarios, reducing compulsive behaviors. This therapy emphasizes correcting reasoning patterns rather than focusing solely on the content of the obsessions.
Exposure and Response Prevention (ERP) for OCD
Exposure and Response Prevention (ERP) is a highly effective therapy for obsessive-compulsive disorder (OCD). It involves gradually exposing individuals to anxiety-provoking situations or thoughts (exposure) while preventing them from performing their usual compulsive behaviors (response prevention). This process helps individuals confront their fears, reduce anxiety over time, and break the cycle of obsessions and compulsions. ERP is based on the principle of habituation, where repeated exposure to feared stimuli reduces their emotional impact. By resisting compulsions, individuals learn to tolerate discomfort and develop healthier ways to cope with distressing thoughts or situations.
Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT) is a mindfulness-based approach that helps individuals live meaningful lives despite emotional pain or challenges. ACT focuses on six core processes: acceptance (embracing emotions without judgment), cognitive defusion (distancing from unhelpful thoughts), present moment awareness (mindfulness), self-as-context (viewing oneself beyond thoughts and feelings), values clarification (identifying life priorities), and committed action (taking steps aligned with values). Rather than eliminating distress, ACT teaches individuals to accept it, focus on what matters, and take purposeful action. It’s effective for various mental health issues, including anxiety, depression, and chronic pain.
Written Exposure Treatment for PTSD
Written Exposure Therapy (WET) is a brief, evidence-based treatment for post-traumatic stress disorder (PTSD) and trauma-related distress. It involves writing about a traumatic experience in a structured format over five sessions. Participants describe their thoughts, feelings, and details of the event, encouraging emotional processing and reducing avoidance behaviors. WET is designed to help individuals confront and reframe their trauma, leading to reduced symptoms and improved emotional well-being. It’s an effective, time-efficient alternative to traditional trauma therapies, requiring minimal clinician intervention while providing meaningful relief for many individuals.
Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) is a structured, evidence-based therapy that combines cognitive-behavioral techniques with mindfulness principles. It helps individuals manage intense emotions, improve interpersonal relationships, and develop effective coping strategies. DBT focuses on four key skills: mindfulness (staying present), distress tolerance (coping with crises), emotion regulation (managing emotions), and interpersonal effectiveness (building healthy relationships). Originally developed for borderline personality disorder, DBT is now widely used for other mental health conditions, including depression, anxiety, and PTSD. It emphasizes balancing acceptance and change to promote personal growth and resilience.
Somatic Therapy
Somatic therapy is a body-centered approach that integrates physical awareness into mental health treatment. It focuses on the connection between the mind and body, helping individuals process and release trauma stored in the nervous system. Techniques may include breathwork, movement, touch, and mindfulness to address physical sensations linked to emotional distress. By tuning into bodily experiences, somatic therapy aids in regulating the nervous system, reducing stress, and promoting healing. It is effective for trauma, anxiety, chronic stress, and PTSD, empowering individuals to develop a deeper sense of safety, resilience, and emotional well-being.