Adult Psychological Services

 

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Initial Appointment

Bryn Mawr Psychological Associates provides therapy to adults of all ages. The initial evaluation provides an opportunity for you and your psychologist to meet each other and to start the process of discussing the issues of concern to you. Your therapist will talk with you about your background, family, and current day life in order to get a comprehensive understanding of the difficulties for which you are seeking support. By the end of the initial appointment there should be direction and planning for how therapy can be of benefit to you. You should have a good sense when you leave the first session that your psychologist can help you. Ongoing therapy sessions are typically scheduled once a week or once every other week in the early months. Often this changes to an "as needed" basis of less frequency as improvement is achieved. Our primary treatment orientation is Cognitive Behavorial Therapy (CBT) although other orientations are often utilized. Our primary goal is to help all adults who meet with us to develop effective coping skills, and to reclaim their happiness and sense of fulfillment.

 

College Students

It is fairly common throughout the year for parents to reach out to us from long distance to enquire about the potential benefit of counseling for their college student and how best to follow through with that.  We are happy to converse with any parent to see if we can be of help or offer any other resources.

There are many excellent colleges in close proximity to Bryn Mawr Psychological Associates.  Our practice is accessible by car, train, and walking (depending upon the college).  College is a time of excitement and new experiences for young people but also a time of new stressors such as balancing relationships, academic independence, easy access to substances, and less personal support/guidance from parents. 

Some students come to college with known challenges such as substance use, academic challenges, mood or anxiety disorders, ADHD, and Aspergers. Often parents do not learn that a difficult situation has developed until after their college-age young adult is experiencing serious academic issues sometimes preceded by other significant concerns such as avoiding classes, escalated substance use, excessive gaming, withdrawal from their peers, or having gotten into a problematic relationship. 

Young Adults

Some of the most common reasons for young adults to seek psychological services include relationship issues, problems with job/career, stress from college, anger, and problems with substance use. This is also a time that young adults often struggle with psychological issues such as depression, anxiety, and ADD. Sleep, family relationships, studying, romantic relationships, and judgment can all be adversely affected. Despite many positives, young adults sometimes report this as being the period of feeling the most in crisis in their lives.

Adults

Adults cope daily with a wide range of internal and environmental stressors and most of the time are capable of doing so. However, sometimes the stressors become too overwhelming or may be worsened by a health or work crisis leading to psychological strain beyond what may be manageable without additional support. Distressing situations with children, aging parents, or marital problems are often a contributing factor. Loneliness, lack of social support, family conflict, anxiety, and sleep problems are common symptoms resulting from the above issues. Many adults seek therapy to converse with an objective, supportive, trained psychologist and to develop strategies for overcoming their distress. Some adults attend just a few sessions while others with long-standing emotional or personal issues continue to work with a psychologist for an extended time.

Senior Adults

We work with adults who are newly retired as well as those in their 80’s and 90’s. Older adults seek therapy for a wide range of issues including coping with the change that retirement brings, anxiety, significant health issues, marital concerns, loss of a spouse, and loneliness. Meeting with a psychologist is often a new experience for senior adults. However, they often report appreciation for the opportunity to talk over their concerns in a comfortable, supportive atmosphere and to gather additional perspective.

Couples/Marital

Couples/Marital counseling is one of the most common reasons people seek therapy and one of the most challenging to treat. Each partner brings a unique history with finances, relatives, intimacy, etc., into the relationship. The marriage can then face further challenges of child-rearing, health concerns, work-life balance and/or concerns about infidelity. Often communication and closeness break down and everyday interactions become painful. Providing a safe and objective setting for partners to talk with each other with careful therapeutic intervention is essential for good progress in therapy. At times much can be gained in just a few sessions and for others the work is more involved. Therapeutic goals include healthy communication, transcending the past, respect for the needs of involved children, and determining best choices for the future.

Parenting

Parents with children of all ages seek therapy from us for difficult matters regarding their children. Many times parents are looking for reassurance as to whether or not their child’s behavior is within the normal range and will improve all on its own. For parents of very young children there are often concerns about eating, sleeping, separation anxiety, and managing tantrums. Parents of school age children seek a wide variety of services for behavioral, emotional, and educational concerns outlined in the Child and Adolescent section. Peer issues, academic struggles, perfectionism, substance use, and violation of house rules are frequent concerns of parents with adolescents. Middle-age and older adults sometimes face stressful issues of troubling romantic relationships of their children and multigenerational conflicts involving their children and grandchildren. See Child & Adolescent Services for much more detail on our services for parents/families/children.

Adult High Fx ASD

A common referral to our practice is for young adults who are high functioning on the autism spectrum and struggling with progressing successfully in college, employment, or independent living. Our psychologists gather the parent concerns and generally invite them in the initial appointment.  Prior reports are often reviewed so that we can make use of those assessments.  Our work with young adults on the spectrum is generally focused on the concerns that they bring to us which may include any of the following: Stress in their family relationships, problems with their sleep cycle, navigating romantic relationships, depressed mood, executive functioning problems, cognitive flexibility, OCD, loneliness, tech addiction, finding work, and independent living.  Young adults on the spectrum are attending college in record numbers.  Sometimes the stresses associated with all the changes of being at college becomes overwhelming and the student can benefit from the support of a psychologist with expertise in treating ASD.  We also treat adults on the spectrum who are struggling with stress and difficulties in the work setting.  Lastly, we provide brief, expert assessments of adults of all ages who are questioning whether they may be on the Spectrum.

Adult ADD

Requests for brief Adult ADD evaluations come from the adults of all ages, their parent or spouse, or their physician.  Sometimes there is a desire/curiosity to see if the diagnosis fits and at other times an assessment is requested to help determine if the criteria for diagnosis is met so that the client might pursue a medication evaluation with their physician.  This evaluation generally consists of completion of standardized rating forms of ADHD and Executive Functioning symptoms, interview of the client, gathering data from a family member if indicated, and gathering data about symptoms and functioning in childhood.  Sometimes a letter confirming the results is requested for the physician is requested.

 

 


Bryn Mawr Psychological Associates is located along Pennsylvania's Main Line. Our office is based in Bryn Mawr, which is convenient to Ardmore, Wayne, Radnor, Haverford, Newtown Square, Villanova, Wynnewood, Lower Merion, Havertown, Berwyn, Devon, Paoli, Rosemont, Gladwyne, Narberth, Broomall, West Chester, Media and other towns in Montgomery County, Delaware County, and Chester County, PA.