When working with a psychologist, it can be challenging to find a clinician who is the right fit for you, along with being competent in treating the types of problems you are experiencing. Given this, Dr. Jacob provides patients with an initial, free, 15-minute phone consultation to help determine if she may be a good fit to help you. Patients deemed an appropriate fit will then be set up for an initial evaluation, where she will more comprehensively assess your symptoms and discuss potential treatment recommendations.
Diagnostic Interview/Initial Evaluation
Your initial appointment will be comprised of an interview that will comprehensively review the nature of the symptoms and problems you or your child are currently experiencing. This evaluation will also include obtaining information regarding your developmental and medical history, and any information regarding previous treatment. Please bring a list of any medications/dosages to your initial appointment, along with a set of new patient intake forms that you have completed. If it seems that you/your child would be an appropriate fit for Dr. Jacob to treat, she will briefly review an individualized treatment plan at this initial appointment.
Outpatient therapy is generally provided on a once weekly basis, though the frequency of sessions may vary depending on the nature and the extent of current difficulties, as well as treatment progress. Dr. Jacob primarily conducts cognitive-behavioral therapy (CBT), including use of exposure therapy, exposure and response prevention for OCD (ERP), and habit reversal training (HRT) in the treatment of her patients. Dr. Jacob uses evidence-based treatment approaches, which means that the treatment strategies she uses are supported by significant empirical research.
Intensive outpatient treatment may be an option for patients who lack access to a trained cognitive-behavioral therapist in their area, or for patients whose symptoms are causing significant interference with functioning due to symptom severity. A typical course of intensive treatment involves participating in daily therapy sessions, 5 days per week (for either 60- or 90-minutes per day), for a period of approximately 3 weeks. However, the exact length of treatment may vary depending on the nature of your symptoms and therapy progress, and thus exact treatment length will be flexibly tailored to each individual patient. Intensive treatment is often a good option for patients who wish to work intensively to make significant progress over a relatively short period of time. Dr. Jacob primarily conducts intensive treatment for OCD, but intensive treatment may be offered for other disorders or symptoms for which it is deemed an appropriate option. If patients are coming from out of town and need help with travel arrangements, please call the office to obtain further information.
Internet-based treatment via videoconferencing may be particularly useful for individuals who do not have access to a trained cognitive-behavioral provider in their area, or if an individual is housebound due to their illness. The initial intake evaluation will be conducted in Dr. Jacob's office, but sessions thereafter may occur via videoconferencing if deemed appropriate. Of note, although some research supports the use of videoconferencing technology, the effectiveness of video conferencing has not been fully established and therefore is not intended to take the place of face-to-face sessions if a qualified provider is available in your community.
Dr. Jacob believes in an integrated treatment approach and will gladly work with other professionals (e.g., psychiatrists, physicians, teachers) to facilitate comprehensive healthcare for patients. Oftentimes, this may be necessary as it may be challenging for patients to communicate the nature of their problems to other professionals. Dr. Jacob may also be available to consult with members of the community, schools, and other mental healthcare professionals.