Oct 3

Hi from NYC

3 comments

Hi folks - I'm Elliot Kaminetzky and I am a Clinical Psychologist specializing in OCD and anxiety over the life span. I run an OCD and anxiety specialty private practice in lower Manhattan and also provide internet-based PCIT (myocdcare.com/parenting). Seeing the powerful role of parents/caregivers in addressing externalizing disorders in PCIT, I see SPACE as an ideal parallel for their addressing the internalizing disorder of anxiety.

 

I would love to provide the treatment online as well and was wondering if anyone knows whether there has been research, even exploratory, on its efficacy via teletherapy. Given that most teletherapy comparison studies show similar outcomes regardless of format (in-person v. internet), I would predict that SPACE would follow suit (potentially even better results given context dependent learning factors).

 

Curious to hear your thoughts and glad to be part of the community!

 

EK

Hi Elliot, glad to have you in the forum!

In our current ongoing clinical trial of SPACE at Yale we are offering the option of doing treatment either in person or over video-chat (Zoom). Lot's of parents do prefer the zoom and although we are not yet done with the study and don't have outcomes analyzed the impression is that it works very well. The therapists feel it's just as effective. Curious what others' experience has been?

I just launched a virtual program for parents who are seeing signs of anxiety in their kids and have gotten a lot of positive feedback. I think that psychoeducation and support is valuable whether it's face to face or done virtually.

New Posts
  • Hi, I am very pleased with using the SPACE program with my patient. I had one particular family who was referred to me after seeing three other therapists to help address their son’s OCD. The child was engaging compulsive behaviors (asking questions) at least 3hrs per day and was adamant that he wouldn’t engage in treatment. After doing SPACE, I worked with the family around reducing accommodations, and we saw significant changes right away. The child’s rituals during bedtime went from asking questions for at least 90 mins to 5-10 mins after the 1st week. I was shocked! I have been using SPACE with the family for almost two months now, and the parents tearfully mentioned during a session that for the first time in years, they feel that they are using strategies “ that work ” and have hope for their future (thanks to this program). I highly recommend for other providers to learn about SPACE.
  • Just wanted to say thank you to all of the parents and professionals who are commenting on this forum. On my profile I mentioned that I am a parent of a very anxious/ depressed and avoidant 23 year old daughter who school refused after a bullying incident 10 years ago and has been on a down hill trajectory ever since. She has had a past history of OCD as a young child as well. It has been a second full time job trying to help my daughter move forward in life with little success. It has taken a grave toll on our entire family unit. Therapy, meds.. have not helped one bit .She is a reluctant participant with a great degree of hopelessness and apathy. Through reading and great luck I have happened onto Dr Lebowitz’s research on SPACE therapy and how I can apply this to our situation. I immediately identified with the theory. I immediately understood how it might help. Frankly we have nothing to lose. I am fearful but also excited as heck to start applying the practice. The question now is HOW?! I can barely find information on SPACE much less a provider to support us. So please ! Everyone get trained and pass the word. There is a HUGE unmet need.. not only for the young kids just beginning their difficulties... but also for the young adults who suffer now and whose families really had no idea 10 years ago how over accommodation may have played a huge part in their ensuing problems. I will buy all the books and continue to Read as much as I can. Again.. thank you to Dr Lebowitz and all the providers who have chosen to make it their life’s work to help people in despair and distress. You have a gift. We families are forever grateful.
  • Hello. My name is Tara and I'm writing from Ireland. I trained in NVR some years ago with Dr Declan Coogan (NUI Galway) and I now train practitioners in this model/programme which is becoming increasingly popular in Ireland. I am also a PhD student - exploring parent experiences of child to parent violence and NVR. This work introduced me to the SPACE programme and I had the pleasure of attending Dr. Lebowitz's presentation in Tel Aviv last year. In partnership with a colleague (a Systemic Family Therapist), I am using SPACE in a group setting. Eleven parents attend weekly and we find the manual to be very helpful and an excellent guide. This is my second group. For the first, I partnered with a Clinical Psychologist and parents reported that it was very useful. Although we have planned and studied for this in great detail, I am mindful of the fact that we have not availed of SPACE training. Is it likely to be available in Europe at any stage? The parents that have attended our groups have made significant changes. Moving away from waiting for the child to be treated and taking action themselves -essentially moving from protector to supporter - has been a new and positive position to take in relation to their child's anxiety. I would really welcome the opportunity to connect with others around SPACE and to further my learning. I am committed to attending the formal training as soon as I can. I expect that this forum will be very much welcomed by practitioners. Tara