Ricky Greenwald, PsyD - The Treatment Approach

The Treatment Approach

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Overview

Dr. Greenwald's treatment approach is focused on helping clients to realize their potential and achieve their goals. This treatment approach includes the typical "peak performance" interventions plus others to overcome obstacles and enhance outcome. It is based on his Fairy Tale phase model, so named because it is introduced with the telling of a fairy tale, in which each element of the story corresponds to one of the phases in treatment. For example, the hero's love for the princess (which moves him to try to slay the dragon) represents the treatment phase in which the client's motivation is identified and developed. The Fairy Tale model's phases of treatment are as follows:

evaluation including learning about the client's strengths, resources, trauma/loss history, life situation, and presenting problems
identification and enhancement of the client's goals and motivation
trauma-informed case formulation and treatment contracting
stabilization, potentially including case management, parent training, problem-solving, and strategic avoidance of high risk situations
identification and enhancement of coping and affect tolerance skills
resolution of trauma and loss memories
consolidation of gains
anticipation of future challenges

Effective and Efficient

Despite the fact that this model includes numerous phases of treatment, it's an extremely efficient treatment approach, because:

Not every phase requires a lengthy intervention; it depends on what is needed to ensure that the relevant outcome has been achieved.
When the outcomes are achieved in order, this makes subsequent interventions more efficient and effective. For example, a client who is already highly motivated will work harder at self-management skills training, and thus be more successful.
The interventions used are effective and efficient.

Works With Many Problems

The phase model is considered the standard of care within trauma-informed treatment. However, this treatment approach is not limited to a trauma focus. Rather, it can be applied to a broad range of problems, because trauma or loss is addressed in addition to using the most effective treatment approaches for the given problem.

Research Supported

This research-supported treatment approach uses a number of proven-effective interventions (as called for) to get the job done effectively and efficiently for the client and situation. Dr. Greenwald has helped to develop some of these interventions, which include:

Motivational Interviewing to help clients to identify and enhance investment/commitment in their goals.
Cognitive-Behavioral Training for self-management skills (including anger management, self-discipline, etc.).
Imaginal Rehearsal to practice (visualizing) effective behaviors
EMDR or PC for resolution of trauma or loss memories.
Relapse Prevention and Harm Reduction to help clients to anticipate future challenges and stay on track towards their goals.

Furthermore, the treatment approach maximizes the "common factors" (factors shared across treatment styles) that contribute to treatment success. The overall treatment approach has also been found to be effective in several studies.

CONTACT:

E-Mail Dr. Greenwald

Phone: (413) 772-2340

S-Mail:
Ricky Greenwald, PsyD
PO Box 544, Greenfield, MA 01302
USA

Home | Private Intensive Therapy Retreats | The Therapists | The Treatment Approach | About Dr. Greenwald