Dual Diagnosis


CBT Track

The CBT program at Mt. Sinai Wellness Center finds in uniqueness through the way therapy is conducted. CBT stand for Cognitive Behavioral Therapy, meaning that through a specific technique, the therapist attempts to guide the patient into restructuring the distorted thought process of that patient. The model of Thinking, Feeling, Acting is where the therapist begins his or her assessment, so that he or she can begin to conceptualize where the patient is in their cognitive and emotional state. What makes the CBT program at Mt. Sinai so unique is through the approach we take.

Our theoretical orientation is strictly an existential, psychodynamic approach into therapy, meaning that through using the Here and Now approach into mapping out the patients psyche, the therapist remains fully present with the client as he or she guides the patient into understanding the origins of their distorted thinking, so that the revelation of the clients thoughts process is fully grasped. Correlating this approach with addiction, the therapists main focus is to understand the cognitive relationship the client has with his or her addiction, again, so that the patient can restructure their thought process by replacing the cognitive need to limit ones consciousness, in order for them to, what the existential theorists refer to as, find their freedom.

DBT Track

Our Dialectical Behavior Therapy (DBT) track is a highly structure form of behavior therapy. “Dialectical” refers to the integration of opposites, and in our program, this means the balance between acceptance and change. This form of behavior therapy aims to assist individuals with pervasive emotional dysregulation, non-suicidal self-injury (NSSI), and a previous diagnosis of Borderline Personality Disorder (BPD). This track is led by a licensed professional who is intensively trained in DBT. There are four group modules that each individual is taken through which included Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance.

Through each of these modules, the individual will learn skills to better regulate their emotions and to replace dysfunctional coping strategist with more adaptive behaviors. Along with the skills training modules, the individual will receive weekly individual sessions that include the tracking and review of the individual’s diary card. The diary card tracks severity of urges and compliance with treatment, as well as the daily use of coping skills being taught in the group sessions. In those moments where the individual was unable to utilize effective skills, a behavior chain analysis is conducted to identify how and where the individual could have implemented more effective coping strategies. Some of the instruments used to identify progress throughout treatment include the DBT Ways of Coping Checklist and Borderline Symptom List 23. We utilize these instruments throughout the individual’s treatment to ensure the implementation of the most effective and evidence based treatments possible.

Trauma Track

Mt. Sinai Wellness Center (MSWC) uses an integrated, holistic approach to treatment, meaning to treat the “whole” person. The use of this approach (mind, body, soul connection) leads the patient to improved overall well-being and life style.

The trauma track is a trauma-informed, highly individualized treatment program for patients who have severely been impacted and suffer from PTSD, ASD (Acute Stress Disorder), Complex Trauma and co-occurring diagnosis of depression, anxiety and substance abuse. Patients will receive extensive treatment services which will include daily process groups, recreation therapy, and individual sessions weekly. This track is facilitated by a licensed therapist with certification in trauma work and several years of experience working with patients with complex trauma.

The program is evidence-based using various modalities to treat the patient. MSWC will use the following modalities:

Prolonged Exposure – is a form of behavioral therapy and cognitive behavioral therapy designed to treat PTSD, characterized by re-experiencing the traumatic event through remembering it and engaging with it, rather than avoiding the memories of the events.

EMDR- Eye Movement Desensitization and Reprocessing – is a therapy proven to help reduce symptoms related to depression, trauma, PTSD, anxiety, addictions, and phobias. The disturbing memories are reprocessed by the brain, changing negative cognitions to positive cognitions, resulting in painful feelings being exchanged for more resolved, peaceful feelings.

CBT- Cognitive Behavioral Therapy – is a goal-oriented psychotherapy treatment that takes a practical approach to problem-solving. Its goal is to change patterns of thinking or behaviors that are behind a patient’s difficulties, and so change the way they feel.

Seeking Safety – is a present focused therapy that helps clients attain safety from trauma, PTSD and substance abuse by emphasizing coping skills, grounding techniques, and education.

Beyond Trauma – is a curriculum designed for women dealing with both trauma and addiction. Beyond Trauma emphasizes that they are intricately linked.
Experiential therapies will include Tai Chi, Yoga, Equine Therapy, Meditation, Acupuncture, Massage, Music and Art Therapy.

Assessments will be used throughout treatment to track outcomes/improvements of symptoms. MSWC will use CAPS-5, PTSD Symptom Scale, PTSD Check List, Beck’s Anxiety Scale and the TRS Trauma Recovery Scale to follow our patients throughout their stay in our program.

It is our desire at MSWC to meet our patients where they are, build rapport and provide a safe environment in order for our patients to engage in the deep work of recovery from trauma and its affects on the patient’s lives. We also desire our patients to experience a sustained healthy lifestyle that will produce wholeness, purpose, improved relationships and over all wellness.