{"id":5246,"date":"2020-03-08T03:29:44","date_gmt":"2020-03-08T03:29:44","guid":{"rendered":"https:\/\/washingtonautismadvocacy.org\/resources\/?post_type=wpbdp_listing&p=5246"},"modified":"2020-03-08T03:29:44","modified_gmt":"2020-03-08T03:29:44","slug":"lisa-shaw-phd","status":"publish","type":"wpbdp_listing","link":"https:\/\/washingtonautismalliance.org\/resources\/business-providers\/lisa-shaw-phd\/","title":{"rendered":"Lisa Shaw, PhD"},"content":{"rendered":"

What I specialize in:
\n<\/strong>I am a Licensed Clinical Psychologist based in Issaquah, WA. I specialize in the treatment of:
\n* Anxiety Disorders (panic disorder, phobias, generalized\u00a0 anxiety, social\u00a0phobia)
\n* Obsessive Compulsive Disorder (OCD)
\n* Impulse Control Disorders (trichotillomania, skin picking)
\n* Attention Deficit Hyperactivity Disorder (ADHD)
\nI use behavior therapy (BT)\u00a0\/ cognitive behavior therapy (CBT)\u00a0in intensive outpatient and weekly outpatient treatment.<\/p>\n

My Treatment Philosophy
\n<\/strong>Behavior therapy is the treatment of choice for\u00a0anxiety, OCD, impulse control disorders, and ADHD.\u00a0 Scientific research has\u00a0demonstrated the efficacy of\u00a0behavioral therapy\u00a0<\/a>again and again. I believe that\u00a0behavior therapy is powerful and\u00a0effective\u00a0because it is\u00a0based on\u00a0strict scientific principles.<\/p>\n

In behavioral therapy, I first work to understand that problem. Then\u00a0I create a treatment plan that involves directly treating the core of\u00a0the problem. Typical treatment takes 6-8 weeks.\u00a0\u00a0It is as if I am a\u00a0coach and the client is an\u00a0athlete.\u00a0 I help the client decide what\u00a0they would like to achieve and then teach them the skills to attain their
\ngoals.\u00a0 The aim is reduce anxiety, create comfort, and stop repetitive and\u00a0unwanted behavior. Changing behavior also allows other emotional concerns to be\u00a0clearer so they can be addressed. Treating the problem efficiently brings short\u00a0and long-term relief. I have found clients to be highly satisfied with this\u00a0approach and to experience\u00a0significant improvement.<\/p>\n

Often I will partner with a treatment team involving a psychiatrist or attending\u00a0physician. This allows us to work together if medication is needed.\u00a0 Some\u00a0people find relief with behavior therapy alone.\u00a0 Some people combine
\nbehavior therapy with medication and find the combination to be the most\u00a0effective.<\/p>\n

How I treat
\n<\/strong>OCD is specifically treated with “Exposure and Response\u00a0Prevention (ERP).”\u00a0 ERP involves developing a hierarchy of obsessions and\u00a0compulsions and\u00a0gradually confronting these symptoms in order to stop them.
\nA person is exposed to the cues or triggers\u00a0that elicit\u00a0obsessions and\u00a0is then prevented from engaging in the related rituals. Although rituals serve\u00a0to temporarily reduce anxiety, they\u00a0actually increase anxiety in the long
\nrun. Therefore, if someone stops their rituals, they can face their fears.\u00a0This allows the anxiety and obsessions\u00a0to go away.\u00a0 Also,\u00a0the\u00a0cues will stop producing obsessions.\u00a0 Many people do rituals in\u00a0their head. These are called cognitive rituals.\u00a0 These can also be\u00a0successfully treated with ERP.<\/p>\n

Other anxiety disorders are often\u00a0treated with cue exposure as well.\u00a0 People are exposed to the cues that are
\nassociated with anxiety and avoidance until their anxiety subsides. For example,\u00a0a person afraid of heights will learn to feel comfortable on the 3rd floor, the\u00a04th floor, the 5th floor and continue until they graduate\u00a0on top\u00a0of\u00a0the space needle.\u00a0 A\u00a0person suffering\u00a0with social phobia\u00a0is often\u00a0afraid of embarrassment and humiliation.\u00a0 If they choose,
\nthey\u00a0can participate in social activities until they feel comfortable and\u00a0confident.\u00a0 Panic disorder often involves a fear of fear (bodily sensations\u00a0related to anxiety).\u00a0 People with panic disorder learn to be less fearful\u00a0of bodily cues and of feeling trapped.\u00a0 People with panic disorder with\u00a0agoraphobia often avoid situations associated with panic attacks.\u00a0 Behavior\u00a0therapy helps agoraphobics gradually learn to be comfortable in these\u00a0situations.\u00a0 Anxiety disorder treatment often includes relaxation and\u00a0breathing training, stress management, and skills training such as
\nassertiveness.<\/p>\n

Impulse control disorders are treated with habit\u00a0reversal, cues exposure, impulse control training and contingency
\nmanagement.\u00a0 Cue exposure in this case involves breaking the connection\u00a0between situations that have been paired with impulsive behavior and the\u00a0excessive behavior.\u00a0 This reduces the urge to be impulsive in high risk
\nsituations.<\/p>\n

The treatment for ADHD involves behavioral\u00a0management.\u00a0 Attention is improved by using immediate external
\ncontingencies to control attentive and on task behavior.\u00a0 Impulse control\u00a0is improved by arranging an environment that supports positive long term\u00a0consequences. Treatment often includes coordination with the school to obtain
\nappropriate accommodations and working with educational resources.<\/p>\n

425-681-3760<\/p>\n","protected":false},"excerpt":{"rendered":"

What I specialize in: I am a Licensed Clinical Psychologist based in Issaquah, WA. I specialize in the treatment of: * Anxiety Disorders (panic disorder, phobias, generalized\u00a0 anxiety, social\u00a0phobia) * Obsessive Compulsive Disorder (OCD) * Impulse Control Disorders (trichotillomania, skin picking) * Attention Deficit Hyperactivity Disorder (ADHD) I use behavior therapy (BT)\u00a0\/ cognitive behavior therapy […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"nf_dc_page":""},"wpbdp_category":[3319,3331],"wpbdp_tag":[3487,3600,3835,4134,4880,4951,5364,5607,5970],"class_list":["post-5246","wpbdp_listing","type-wpbdp_listing","status-publish","hentry","wpbdp_category-neuropsychologists-psychologists","wpbdp_category-psychotherapycounseling","wpbdp_tag-adhd","wpbdp_tag-anxiety","wpbdp_tag-behavioral-therapy","wpbdp_tag-cognitive-behavioral-therapy","wpbdp_tag-impulse-control","wpbdp_tag-issaquah","wpbdp_tag-ocd","wpbdp_tag-psychologist","wpbdp_tag-specialist"],"blocksy_meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/wpbdp_listing\/5246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/wpbdp_listing"}],"about":[{"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/types\/wpbdp_listing"}],"author":[{"embeddable":true,"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/comments?post=5246"}],"wp:attachment":[{"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/media?parent=5246"}],"wp:term":[{"taxonomy":"wpbdp_category","embeddable":true,"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/wpbdp_category?post=5246"},{"taxonomy":"wpbdp_tag","embeddable":true,"href":"https:\/\/washingtonautismalliance.org\/resources\/wp-json\/wp\/v2\/wpbdp_tag?post=5246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}