When anxiety and OCD is strong, it feels right or even necessary to give into the worries. However, the more people surrender to the anxiety, unfortunately the stronger the anxiety becomes. A core component of treatment for anxiety and OCD, is referred to as Exposure and Response Prevention Therapy. Exposures help people systematically learn how to face their fears, rather than being controlled by their worries. While Exposures are a powerful treatment approach, the nature of how Exposures work is that they are designed to be challenging. Feeling anxious is difficult and intentionally doing something to feel anxious (i.e., Exposures) is tough work! However, the benefits of Exposure work for anxiety and OCD is significant, which is why research and the scientific literature recommend Exposure and Response Prevention as the gold-standard treatment approach for anxiety and OCD.
As is true with most things in life, high repetitions of proper practice lead to the best outcomes. The same is true with Exposure work. The benefits of an Intensive Treatment Program for anxiety and OCD is that it provides the structure, support, and environment for dedicating frequent and consistent practice, which is essential to achieve results. In addition, being a part of an Intensive Program allows children the opportunity to feel less alone. While anxiety and OCD are incredibly common, often times people feel isolated, “weird” and “not normal” because of their worries and ritualistic behaviors. Normalizing anxiety and OCD is an important part of the treatment process. This is done through education on anxiety and OCD, understanding the natural process of why people engage in rituals, and why rituals actually increase the worries in the long run. In addition, meeting and working with other children who are struggling with the same or similar worries provides a powerful treatment tool that is unique to group therapy.
At Clearview Horizon’s Intensive Program (CHIP), clients receive a comprehensive treatment approach that consists of individual therapy, group therapy, and anxiety and OCD education and training for parents. For children who are struggling with school specific challenges, such as attendance difficulties, with parental consent, our team is actively in contact with the school’s point person for the child. Comprehensive neuropsychological testing evaluations are also available through CHIP to assist with academic planning and support.
For further information regarding the program details and descriptions please click on the following dropdowns.
At CHIP, we take a collaborative approach to treatment, with parents having an active role. Parent(s) will be asked to join their child for the daily Check-In period. During the Check-Ins, parent(s) are updated on the exposures their child practiced during the programming that day. In addition, time is spent going over the homework plan to be practiced between sessions. The Check-Ins allow for continuity of the child’s treatment because with the support of parent(s), the child is better able to translate the skills they are learning in treatment into their everyday life. This time also provides opportunities for parents to ask questions or problem-solve any challenges that arise in the home or at school.
In addition to parents joining exposure sessions, CHIP offers a weekly, hour long parent educational group for all parents of the children in the program. Moreover, our “Office Hours” provide additional time periods when a CHIP team member is available to parents for discussing questions and providing continued support for implementing the CHIP skills at home with their child.
The program runs from 6-8:30pm, Monday through Thursday.
When helpful, additional time can be scheduled for neuropsychological testing. Each treatment day consists of your child working on their individualized treatment plan. Time is also dedicated each day to group therapy; all groups consist of targeted exercises and discussions to practice and help instill specific skillsets. The combination of individual and group therapy provides a holistic approach to learn, practice, and ingrain the empirically supported approaches for anxiety and OCD. Exposure and Response Prevention is a cornerstone of our treatment approach. In addition, therapeutic approaches such as Defusion (seeing thoughts as thoughts), Mindfulness, Acceptance, Self-Compassion, Emotion Regulation, and Distress Tolerance are all skills taught and developed through the individual and group work.
For intensive programs to be effective, consistency is key. Therefore, it is recommended for children to start CHIP with the full 4-day a week program. As children progress through the program and make therapeutic gains, children typically reduce from the 4-day a week program to a less intensive CHIP schedule. The duration of intensive programs is challenging to determine; however, most children stay with the full 4-day a week program for at least a month. We are flexible with the scheduling (i.e., how many CHIP days to attend per week) to best meet the needs of each child/family.
While CHIP is not contracted with any insurance panels, if your insurance has out-of-network reimbursement benefits, we provide the necessary paperwork for you to submit to your insurance company for their partial reimbursement for the services.
Kimberly Glazier Leonte, PhD
Janelle Alabiso, MA
The Directors have significant experience working at intensive and specialized anxiety/OCD treatment programs. Kimberly Glazier Leonte, PhD is the Program Director of CHIP. She previously worked at McLean Hospital’s adult Residential OCD Institute. Kimberly completed her internship at Rogers Memorial Hospital’s adult and child OCD Residential programs and her postdoctoral fellowship at Rogers Memorial Hospital’s adult and child partial hospitalization and intensive outpatient programs. Additionally, she was a research assistant at New York State Psychiatric Institute within the OCD research team. Janelle Alabiso, MA is the Clinical Director of CHIP. She completed her two-year advanced doctoral placement at McLean’s Anxiety and Mastery Program, an intensive outpatient program for anxiety/OCD. Additionally, Janelle previously served as the project coordinator for Boston University’s Compulsive Hoarding Research Project.
For further background information on Kimberly please click here and on Janelle please click here.
For additional information or to apply to CHIP please contact Kimberly Glazier Leonte, PhD at the following: