Center for Creative Transformation

Philosophy of Treatment

By David E. Roy, Ph.D.

At CCT, we see the general goal of therapy as helping people become better managers of their inner world. This is the one arena where we have a realistic chance of change. The specific goals of therapy depend upon a person's needs and desires.

Our aim with couples is to assist their efforts to become more caring and understanding partners. We find that self-understanding helps achieve this goal. We find great value in the work of John Gottman and Harville Hendrix as well as family systems theory.

My background in theology and religion makes it possible for me and those working under my supervision to assist those who are religiously and spiritually grounded to better use these resources in their healing. We never force any particular religious perspective on a client and we are comfortable working with persons who are not religious.

At CCT, we take psychotherapy very seriously as a healing art.  This means it is informed by modern science, but its goals and process should not be dictated exclusively by science.  Psychotherapy, which has the potential to assist individuals in their quest for a more fulfilling life and a greater sense of peace and joy, is hard work for both client and therapist.  It is a process that takes significant time and steady effort.  There are no realistic quick fixes, no crash courses.

We have the background and experience to enable me to work with individuals, couples, and families, at the appropriate level of depth needed to resolve current frustrations as well as any old issues that may feed into the present situations. 

Comments on Managed Care:

We believe clients are best served by adhering to the strictest form of confidentiality. Because of this, we are opposed to many forms of "managed care." Managed care routinely requires revealing to an employee of the insurance company detailed information about a case in order to have sessions approved. The employee, who often does not have experience as an outpatient psychotherapist (or even the credentials to see clients in an outpatient setting) makes a determination about the treatment, including number of sessions, frequency of visits, even acceptable methods of treatment. Further, this employee enters the confidential information into a company database. We have learned from others how easy it is for unauthorized persons within and without a company to gain access even to supposedly secure databases.

In addition, we oppose managed care plans that attempt to dictate how a client should be treated. We have been trained in a variety of approaches and reserve the right to make the judgment as to which approach or combination of approaches are best suited to a particular client and a particular problem.

If you are on some sort of managed care plan (PPO, HMO, etc.) but choose to see us instead, we will work with you to set an appropriate fee.

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