I began working in mental health 23 years ago and have worked in community-based therapy, lockdown facilities, in-home therapy, and different schools. I have found over time that the most rewarding factor of doing this work is giving people comfort and support, not only solutions. No matter what type of therapy the client prefers, the environment is based individually on the client. I do not press the pace of the session. Normally, there's a check, but other than that, it depends on the pace the client feels comfortable with for that session.
In the first session, it is important to identify reasons that services are requested and specific barriers that the client may be having in daily functioning. It will be largely gaining symptomology and information for a diagnosis which will help generate goals but the pace and discussion will be based on the client's comfort level.
I have found that one or two goals focusing on daily functioning are associated with an overarching goal that leads to lifelong stability and consistent use of coping skills/ resources best serve the client. These goals are identified in collaboration with the client and can be adjusted to fit their needs as they change over time.
I have worked with a wide variety of clients both Spanish and English speaking. I've worked with clients from the ages of 6 years old to 60 years old on a variety of conditions, including anxiety, autism, depression, bipolar disorder, and schizophrenia.
Anthony Rivera offers therapy covered by Central California Alliance for Health (Medi-Cal), Gold Coast Health Plan (Medi-Cal), L.A. Care Health Plan (Medi-Cal), Orange County Mental Health Plan (Medi-Cal), Partnership HealthPlan of California (Medi-Cal) and San Francisco Health Plan (Medi-Cal) in California.
have found that one or two goals focusing on daily functioning are associated with an overarching goal that leads to lifelong stability and consistent use of coping skills/ resources best serve the client. These goals are identified in collaboration with the client and can be adjusted to fit their needs as they change over time.
Mindfulness-based cognitive therapy, MBCT, is a modified form of cognitive therapy that incorporates mindfulness practices that include present moment awareness, meditation, and breathing exercises. This therapy was formulated to address depression.
For younger clients incorporate play therapy through Interactive and psycho educational projects and videos. Using specific themes depending on clients previous experiences such as trauma.