Special-Services

                        

Cognitive Behavioral Therapy                  

                                                                                       Updated Aug. 8, 2016

                                                                                          Program begun 1983

Many patients face occasional difficult social problems in their lives.  Some are definitely caused by the actions of other people, but sometimes patients face problems because they simply do not know how to handle a particular kind of problem.  “Cognitive" methods of problem solving are based on patient-physician discussions so the patient to develop the skills to think clearly about what the desired solution might be.  “Behavioral" methods in medical care are usually based on changing the behavior of the patient.  Usually, changing one’s own behavior results in setting things up so that other people become more cooperative.  The idea of “Therapy" refers to the specific set of beneficial decisions developed during physician visits.

In 2008, Dr. Vidaver undertook additional studies in CBT to be able to provide these benefits for many patients during their regular office visits in the setting of primary care medicine.  Most patients do have simple enough problems that they do not require formal referrals to psychological or psychiatric care.  Rather, most patients can benefit from structured discussions and “homework exercises” so they can work out their problems mostly by themselves, and with the guidance of a trained physician.

CBT is useful for many patients.  Also, it is financially achievable because it is an integral part of their regular medical care.  Sleep disorders, and family social problems are two of the more common conditions with important medical complications that usually respond well to CBT with office visits every few weeks.  Usually, such therapy can be completed in only a few months.  This program is available to most patients upon request.  Of course, complex cases can be referred to additional consultative psychological services.


Suboxone (buprenorphine) Treatment                                    

                                                                                        Updated Oct. 28, 2016

                                                                                         Program begun 1995

Suboxone is the first medication approved for treatment to block the effects of abused, addictive narcotics.  Generic formulations are available, and frequently cost less.  This treatment is available with Dr. Vidaver in an office-based program.  Many patients who have had problems with opioid (narcotic) dependency problems can be helped toward good health.    After an initial interview to confirm this is an appropriate treatment, most patients can started on Suboxone.  Most patients who are making the transition from opiates to Suboxone need a planned “induction” to the medication — usually, there is only a short time until patients feel no further "urges" for opioid use.  Regarding counseling, Dr. Vidaver follows his training from the American Society of Addiction Medicine and usually sees each patient every month or two for individualized psycho-social counseling.  The goal is to achieve a restructuring of the patients’ social lives toward improved self-esteem, financial stability, and smoothly functioning relationships with both family and friends.


Smoking Cessation Program                 

                                                                                      Updated Oct. 28, 2016      

                                                                                       Posted August 2012

In the last few decades, many adults have decided they would like to quit smoking, but they have found it a difficult effort.  In 2014, we introduced a new program to help people quit smoking.  Some patients have used a gradual reduction, some have done better with nicotine supplements, and a few patents have benefitted from prescription medications.  The medicine Chantix has halped many patients.  The new "electronic cigarettes" have given us all new choices.  Careful review of why someone smokes is important, so the treatments can be individualized.

If you want to quit smoking, please feel free to ask the doctor for help.  Most people have been surprised that after a while of thinking of the benefits of smoking and the health risks, they find it straight forward to stop smoking.


New Program

Sleep Disorders                                               

                                                                                      Updated August 8, 2016

                                                                               First posted November 11, 2013

Many people in the United Stated have difficulty falling asleep or staying asleep, or both.  The Center for Disease Control estimates about one person in five has a sleep disorder.  Furthermore, the Food and Drug Administration issued a waraning this year that some medications prescribed for sleep aids have potential complications.  We approach this set of disorders with a combination of carefully selected medications and behavioral modifications.  So far, most patients have seen improvements in their sleep patterns.  Individualized evaluations can be arranged, sometimes including Sleep Laboratory studies when indicated.

UPDATE 2016:  Some of the Audio CD Programs described in the sidebar are useful for improving the quality of one's sleep patterns.  Additionally, we have been able to direct many patients to useful video programs on the Internet.  Some of the available items have included instructions for relaxation, meditation, self-hypnotic sleep induction and even highly technical binaural sounds for improvement of either sleep or relaxation.



                                   

Diamond© Lawrence Vidaver year 2013 … 2017