Jane Rekas, LCSW, CHt
Licensed Clinical Social Worker
880 82nd Dr. (Building A)
Gladstone, OR 97027
503-659-5515 x 1279
971-200-5925 work cell https://westernpsych.zoom.us/j/5535097351
Here are examples of the elements that psychotherapy can include:
Helping a person become aware of ways of thinking that may be automatic but are inaccurate and harmful. (An example might be someone who has a low opinion of his or her own abilities.) The therapist helps the person find ways to question these thoughts, understand how they affect emotions and behavior, and try ways to change self-defeating patterns. This approach is central to cognitive behavioral therapy (CBT).
Identifying ways to cope with stress. This approach is central to Distress Tolerance in Dialectical Behavior Therapy (DBT).
Examining in depth a person’s interactions with others and offering guidance with social and communication skills, if needed. This approach is central to Interpersonal Effectiveness in Dialectical Behavior Therapy (DBT).
Relaxation and mindfulness techniques. This approach is central to Mindfulness and Wise Mind in Dialectical Behavior Therapy (DBT).
Exposure therapy for people with anxiety disorders. In exposure therapy, a person spends brief periods, in a supportive environment, learning to tolerate the distress certain items, ideas, or imagined scenes cause. Over time the fear associated with these things dissipates.
Tracking emotions and activities and the impact of each on the other. This approach is central to Emotion Regulation in Dialectical Behavior Therapy (DBT).
Safety planning can include helping a person recognize warning signs, and thinking about coping strategies, such as contacting friends, family, or emergency personnel. This approach is central to Reasons for Living in Dialectical Behavior Therapy (DBT).
Supportive counseling to help a person explore troubling issues and provide emotional support; however, we need to be working towards measurable treatment goals.
Your assessment appointment is aimed at determining your initial diagnosis based on your symptoms. You or your child need to have a billable diagnosis to justify services.
You may schedule up to 4 appointments in advance; however, we do not offer standing appointments. Evening hours are needed by many clients and thus only available every other week.
Your appointment time is saved for you, so please call to reschedule or cancel more than 48 hours in advance, so the time may be free for another client.
An unexplained no show will be forgiven once with later explanation, but then will result in fees explained in your intake paperwork packet. If you have OHP, this may result in cancellation of your recurring appt. time, or limits on number of appts. scheduled if repeated no shows occur.
If you are more than 20 minutes late, this is considered a “no show,” and you will need to reschedule. This applies to virtual visits as well.
WPCS is a group practice, meaning providers are not on salary but paid by each appointment billed.
After appointments, please schedule at the front desk, or call 503-659-5515.
After 5pm, the receptionist may leave early. I will be out to get you. Please call to reschedule.
Your Treatment Plan most likely says 2-4 times per month as goal. This may mean we meet every other week at times or after a few appointments.
Appointments are 45 minutes with some insurance, or 53 minutes long, and may end at 5 min. till the hour for paperwork.
45 min insurances: ___UBH
Please do not schedule two appointments in one week unless in crisis or preapproved.
COMMUNICATION @ LifeStance, formerly Western
You can leave me a message at 503-659-5515 x 1279 (work cell is 971-200-5925 text only for scheduling). Instead, please sign up for the client portal.
LifeSTance After Hours Crisis Line: 503-727-3764
National Help Line: 1-800-923-HELP (4357) or 1-800-273-TALK
National Suicide Hotline: 1-800-SUICIDE (1-800-784-2433)
Oregon "Warm Line" 1-800-698-2392
Jane Rekas, LCSW, CHt
Jane earned her B.A. in Psychology from Reed College in 1987, her MSW from Portland State University in 1992. She has been a Licensed Clinical Social Worker since 1997.
http://www.janerekaslcsw.com/p/cv.html CV and Training
Individual, Child, Adolescent, Family, Couples, Medicare (older adults), Groups. Early Head Start and Head Start experience.
Jane has returned to the area from the Gorge. Originally from California, Jane came to Portland for college. She has studied Jungian Astrology for over 35 years.
ADHD Child & Adult, Bipolar Disorder , Depression, Grief/Death, Postpartum Depression , PTSD, Stress Management, Parenting Issues, Women’s Issues, DBT, EMDR, Abuse, Anxiety/Fears/Phobia/Panic Attacks, LGBTQ+, Religious/Spiritual Issues, Foster Care/DHS Involved,, Family Therapy
Brief Solution Focused therapy, Self Psychology, Systems Theory, Cognitive Behavioral Therapy CBT, Dialectical Behavior Therapy DBT, Energy Psychology, Transpersonal, Personality and Temperament, Hypnosis.
THEORETICAL ORIENTATION, PHILOSOPHY & APPROACH
My training is in ecology/systems theory, strengths-based and solution focused therapy, self psychology, cognitive behavioral therapy, dialectical behavioral therapy, positive psychology and addictions models.
I believe in the importance of social work values, such as service, social justice, dignity and worth of the person, importance of human relationships, and integrity, as well as ethical standards, such as commitment to clients, self-determination, informed consent, professional competence, cultural competence and social diversity, avoiding conflicts of interest, protecting privacy and confidentiality, reasonable access to records, and avoidance of dual relationships.
Blog http://www.janerekaslcsw.com/p/homework-packets.html (Downloads)
CONTINUING EDUCATION REQUIREMENTS
As an LCSW, I received 40 Continuing Education Units every 2 years. As a Licensed Clinical Social Worker, I am subject to Laws, Rules and Code of Ethics of:
Oregon Board of Clinical Social Workers
3218 Pringle Road SE, Suite 240, Salem, OR 97302-6310 firstname.lastname@example.org,
Phone: 503-378-5735 , Toll Free: 866-355-7050 Fax: 503-373-1427
Evidence Based Therapies
Some common mental health treatment methods that are considered EBPs are:
Functional Family Therapy
Assertive Community Treatment
Dialectical Behavior Therapy
Cognitive Behavioral Therapy
“Cognitive behavioral therapy (CBT) focuses on exploring relationships among a person's thoughts, feelings and behaviors. During CBT a therapist will actively work with a person to uncover unhealthy patterns of thought and how they may be causing self-destructive behaviors and beliefs.
By addressing these patterns, the person and therapist can work together to develop constructive ways of thinking that will produce healthier behaviors and beliefs. For instance, CBT can help someone replace thoughts that lead to low self-esteem ("I can't do anything right") with positive expectations ("I can do this most of the time, based on my prior experiences").
The core principles of CBT are identifying negative or false beliefs and testing or restructuring them. Oftentimes someone being treated with CBT will have homework in between sessions where they practice replacing negative thoughts with more realistic thoughts based on prior experiences or record their negative thoughts in a journal.
Studies of CBT have shown it to be an effective treatment for a wide variety of mental illnesses, including depression, anxiety disorders, bipolar disorder, eating disorders and schizophrenia. Individuals who undergo CBT show changes in brain activity, suggesting that this therapy actually improves your brain functioning as well.
Cognitive behavioral therapy has a considerable amount of scientific data supporting its use and many mental health care professionals have training in CBT, making it both effective and accessible. More are needed to meet the public health demand, however.”
CBT is the recommended treatment for Anxiety (including social anxiety), Panic, Depression, Insomnia. Applied Relaxation is also indicated for Panic disorder.
Dialectical Behavior Therapy (DBT)
I have been facilitating DBT since 2005. Dialectical behavior therapy (DBT) was originally developed to treat chronically suicidal individuals with borderline personality disorder (BPD). Over time, DBT has been adapted to treat people with multiple different mental illnesses, but most people who are treated with DBT have BPD as a secondary diagnosis.
DBT is heavily based on CBT with one big exception: it emphasizes validation, or accepting uncomfortable thoughts, feelings and behaviors instead of struggling with them. By having an individual come to terms with the troubling thoughts, emotions or behaviors that they struggle with, change no longer appears impossible and they can work with their therapist to create a gradual plan for recovery.
The therapist's role in DBT is to help the person find a balance between acceptance and change. They also help the person develop new skills, like coping methods and mindfulness practices, so that the person has the power to improve unhealthy thoughts and behaviors. Similar to CBT, individuals undergoing DBT are usually instructed to practice these new methods of thinking and behaving as homework between sessions. Improving coping strategies is an essential aspect of successful DBT treatment.
Studies have shown DBT to be effective at producing significant and long-lasting improvement for people experiencing a mental illness. It helps decrease the frequency and severity of dangerous behaviors, uses positive reinforcement to motivate change, emphasizes the individual’s strengths and helps translate the things learned in therapy to the person’s everyday life.
I run Emotional Empowerment DBT groups on Wed. 6-7:30pm and Thurs. 2-3:30pm.
DBT is the recommended treatment for Borderline Personality Disorder, but is also used for Mood (Depression and Anxiety) and PTSD. Schema therapy is also used.
CBT and exposure therapy are indicated for OCD and Specific Phobias.
Schema therapy was developed by Jeffrey E. Young, author of Reinventing Your Life.
Schema therapy is an integrative psychotherapy, combining theory and techniques from previously existing therapies, including cognitive behavioral therapy, psychoanalytic object relations theory, attachment theory, and Gestalt therapy.
Emotional Freedom Techniques (EFT) “Tapping”
“EFT has been described as a needleless acupuncture for the emotions. In addition to the simpler, all-purpose tapping protocol, EFT also instructs people to speak affirmations and engage in unusual, yet seemingly effective behaviors, including tapping, eye movements, humming, and counting. Gary Craig, a student of Roger Callahan, developed EFT, by combining EMDR’s eye movements and emphasis on shifting underlying cognitive belief systems with a more generalized acupressure point tapping, based on TFT. One cycle of EFT takes only a few minutes, generates little distress and it can be effective even if the client does not believe that it would be. There have been no formal research studies done to empirically prove efficacy of these acupressure techniques. However, clinicians and clients alike seem impressed with the results that they’ve been getting (author included).
According to van der Kolk, et al (1996), effective treatment requires exposure to, without total re-experiencing of, the traumatic material; too much arousal precludes assimilation of any new information. It may be that the tapping protocol in TFT and EFT provides a concrete physical stimulus drawing attention back to the here and now, anchoring clients in the present. It also appears that the physical, rhythmic stimulation has a calming and soothing effect on agitated clients. This is most likely produced by the reciprocal inhibitory relaxation response of the parasympathetic nervous system’s reducing the effects of the hyperactivated sympathetic nervous system (Carbonell and Figley, 1995). In EFT, you tap gently on certain acupuncture meridians on the face and the body as you tune into the problem you want to resolve. The tapping process, combined with your focused attention on the issue you want to resolve, can reduce physical and emotional pains, end cravings/habits, and relieve anxiety, fears and phobias, sometimes with remarkable speed and often with long-lasting positive effects.”
Internal Family Systems
“In IFS therapy, the Self represents the seat of consciousness and what each person is at the core. The Self demonstrates many positive qualities such as acceptance, confidence, calmness, wisdom, compassion, connectedness, leadership and perspective. Unlike visible parts, the Self is never seen. It is the witnessing “I” in the inner world—this aspect of an individual does the observing.
The IFS model aims to differentiate the Self from the other parts (managers, firefighters, and exiles) making up a person’s inner world. The ultimate goal of IFS is to unburden or restore extreme and wounded parts and establish a trusted, healthy, harmonious internal system that is coordinated by the Self.
ISSUES TREATED WITH IFS
IFS is used to treat a wide variety of mental health conditions and psychological wounds. It may be applied in family, couple, and individual situations. As of November 2015, this type of therapy is listed in the National Registry for Evidence-based Programs and Practices (NREPP) as an evidence-based practice. It has been shown to be effective for the improvement of general emotional and mental well-being and has been rated as promising to improve symptoms of phobia, panic, generalized anxiety, depression, and certain physical ailments.”
Attention Deficit Hyperactivity Disorder Specialist
Individual treatment is not indicated for ADHD, which responds better to group therapy, which is offered through WPCS. There is some application of CBT for ADHD focusing on increasing coping skills.
Relaxation Recordings: Adjunct to your Treatment