Intensive OCD & Anxiety Treatment

About the Program

Intensive Outpatient Programs (IOPs) are popular choices for clients desiring and needing improvements to their mental health in a shorter time span. Some of the issues with IOPs is that typically they come with a se team of professionals who might not be a good fit for the client. Additionally, sometimes clients need an intensive program, but they are not interested in the group components or would like to arrange their psychiatric care separately.

For these reasons and more, Manara Counseling, LLC offers the most important elements of an intensive program with more flexibility. Clients needing psychiatric care, can select and arrangement appointments at more flexible times, thus allowing more of regular, daily life to continue.

Additionally, clients often wonder why they should engage in an intensive program compared with weekly treatment. There can be a lot of reasons such as ensuring daily engagement and accountability, which prevents prolonging progress which can create sometimes create fatigue, hoplessness, and more debilitation. Many would prefer an intensive program rather than taking much longer to see progress.

This program is designed to help you take back control from OCD. Here’s what you need to know:

🕒 How the Program Works

  • Sessions are one-on-one by HIPAA compliant video tools.
  • We’ll meet for 100 minutes each session for 4 sessions per week.
  • The program usually lasts 6–12 weeks, but the length can be adjusted based on your needs.

🎯 What We’ll Do

  • ERP (Exposure and Response Prevention):
    • You’ll practice facing fears without doing rituals or compulsions. This retrains your brain so OCD has less control.
  • Acceptance and Commitment Therapy is used seamlessly while doing ERP so that acceptance of thoughts and value led actions are practiced.
  • CBT Skills:
    • We’ll work on noticing and challenging unhelpful thoughts.
  • Coping & Management Tools:
    • You’ll learn ways to manage emotions, handle triggers, and prevent relapse.

🔑 The Goal

The goal is not to erase all intrusive thoughts (no one can do that). Instead, the goal is to:

  • Lower OCD and Anxiety’s power over your life
  • Build confidence in handling uncertainty and difficult emotions
  • Spend less time stuck in rituals and more time living the life you want
  • Live a life that is in more in line with your values
  • Be the navigator of your life rather than the navigated

Treatment Map

Your plan will be tailored to your needs and goals. Below is a general idea of what to expect during a 6 week intensive treatment program delivered via video conferencing:

Week 1 – Intake

  • Session 1: Intake Assessment
    • Intake & consent forms
    • Baseline assessments
    • Homework: Track thoughts, emotions, and behaviors
  • Session 2: Extended Session
    • Regular Follow Up: OCD & Anxiety education with ERP education
    • Education related to Acceptance and Commitment Therapy (ACT)
    • Build exposure hiearchy

 

Weeks 2–4 – Core Treatment

  • 100 minute sessions, 4–5 days per week
  • Daily structure:
    • Check-in & skills
    • Therapist-guided ERP
    • Self-directed ERP with support
  • Processing & homework

 

Weeks 3–4 – Midpoint Review

  • Progress check (Y-BOCS, PHQ-9, GAD-7)
  • Adjust goals & hierarchy

 

Weeks 5–6 – Tapering & Relapse Prevention

  • Fewer sessions per week depending on progress
  • More independent ERP practice
  • Ability to add more weeks to the program to improve progress
  • Relapse prevention plan

 

Discharge

  • Final review & assessments
  • Aftercare plan

Appointment Selection

How to get started:

1. Schedule a Meet & Greet to get answers to your questions about the program.

2. Schedule an initial intake appointment

3. Schedule an extended appointment so we can work on the treatment planning.

4. Schedule one date of the intensive treatment appointment. Dr. Aisha will contact you for the remaining three dates which will be sequential. We meet four days per week, all in a row.

Sample Scheduling:

Week 1:

Sunday: Intake Appointment
Tuesday: Extended Appoinment

Week 2 Onwards:

Intensive Program: You schedule Sunday. Dr. Aisha will manually schedule Monday, Tuesday, and Wednesday. 

FAQs

We value transparency in policies to help you make an informed decision related to your care. You may book a free meet and greet to discuss any questions related to how care is provided to help you make the best decision. Below you will find the most commonly asked questions and policies related to them. Please reach out with any unique circumstances you may have: aisha@manaracounseling.com

Confidentiality means that information about you is never released to others without your written permission. Everything said in therapy is confidential and will not be disclosed except when reporting is required or permitted by the HIPAA Privacy Standard or Florida and Texas laws. Exceptions to confidentiality include the following:

    • suspected abuse of a child, developmentally disabled person, or dependent adult
    • potential suicidal behavior
    • threatened harm to another, which includes knowledge that the client has HIV when there is an unwillingness to inform individuals with whom the client is intimately involved
    • when required by a compulsory process such as by orders signed by a judge. Client notes are kept brief and do not include sensitive information except where absolutely necessary. 

Information may also be disclosed if you sign a written authorization or in the event that you file a complaint against your counselor. Payment by check, bank, or credit card allows bank employees to view names of Manara Counseling, LLC clients. If you have caller identification on your phone, Manara Counseling LLC or Aisha Chaudhry may appear on the monitor or screen. 

In keeping with generally accepted standards of practice, supervision and consultation may be made regarding the management of your treatment with other mental health professionals who are all bound by the same rules of confidentiality.

If a client’s husband, family member, parent, friend, or anyone, contacts me asking about a client, there will be no acknowledgment.  A release of information to allow information to be discussed can be completed if the client wishes to share information. 

Dr. Aisha is on your side and will abide by the rules of confidentiality as outlined. Your privacy will be completely protected per state and federal laws.

A 24-hour notice is required to reschedule. The notice needs to be given during business hours. If a client does not reschedule an appointment on time and also doesn’t show up for your appointment, the session fee will not be rescheduled, and a new appointment must be made. 

Clients are given a grace period of 15 minutes to meet for the appointment otherwise the session will be marked as a no-show, and a new appointment will need to be made and paid for. It’s kindly requested to offer the threapist 15 minutes grace as well to meet you for your appointment. Every effort is made to be on time for your appointment, but sometimes clients have crises and emergency needs that have to be managed. Every effort to will be made to work with you.

Cancellations are not accepted. Please use your reschedule link in your email confirmation to reschedule your appointment. Reschedules need to be done at least 24 hours in advance.

Please note we provide superbills upon request for clients in Florida, Texas, Michigan, Virginia, and Vermont for mental health services. 

In-network provider insurance is not accepted; however, you may check with your insurance to see if they will pay for our services for out-of-network.

If your insurance company will pay for mental health services out-of-network, please request a superbill from us – typically after every 4 sessions or about once a month. A superbill is a receipt showing where you’ve paid for your mental health services, which you will then submit to your insurance company for reimbursement.

Please note that superbills contain the following information:  diagnosis, dates of service, duration of service, and the charge for that service. Insurance companies will not reimburse for mental health services that do not have a diagnosis because in their perspective that is what would warrant treatment. 

We cannot guarantee your insurance company will pay for some or any of your services since we are considered out of network. Please call your insurance company before scheduling if you would like to see if they will share the costs of your care.

Questions to ask your insurance company:

  1. Do you pay for mental health services out-of-network? 
  2. Do you pay for intensive treatment plans, and if so does it require preauthorizations?
  3. If so, how much will be covered? (Usually, they will give a percentage or dollar amount).
  4. Is there a yearly maximum amount OR number of sessions that I can be reimbursed for?
  5. Is this only after a certain yearly deductible amount is met and if so how much is that? 
  6. Are virtual visits (telehealth) eligible for reimbursement?
  7. How long does it typically take to be reimbursed after the bill is submitted? 
  8. Do I need pre-authorization or a referral from anyone like a primary care physician or anyone else to receive mental health care services?
  9. How do I submit claims?
  10. Is there anything else I need to know about utilizing my out-of-network benefits (limitations, rules, or other “small print” things to know)?

For a very large percentage of people across all faiths, spirituality has proven to be an instrumental tool in helping individuals find meaning, heal, and develop strength and resilience. As an Aalimah and therapist, I endeavor to provide comfortable, loving care at the level my clients feel is most optimal for them. 

We are all works in progress and reach different stages and levels at various times. My goal is to help my clients reach where they aspire toward.

If you are located outside of Florida, Texas, Michigan, Virginia, or Vermont, you will be a coaching client or I will provide ‘faith-based counseling’ which includes a framework of counseling related to Islamic principles as I am a qualified Aalimah with a six-year degree in Islamic studies. Because I am an experienced therapist, you will greatly benefit because of the high level of training and education therapists undergo.

If I work with you as a coach, however, I will not be able to correspond with teachers or other health professionals from a clinical perspective. As I do not take insurance, payment is still out of pocket, and superbills or supportive documents (letters, notes, and the like cannot be created or issued).

Please call 988, 911, or go to your local emergency room in the event any of the following may apply to you:

    • having thoughts of suicide
    • have tried to commit suicide
    • are hurting yourself through any means
    • feel you may hurt someone else

After your life or anyone else’s life are not in danger, then please make an appointment to be seen. This practice is not equipped to provide emergency, crisis care.

Chat-based counseling is not provided at this time.

Dr. Aisha does not engage in court appearances for any reason.

I can absolutely appreciate the need for access to healthcare for men; however, this practice focuses exclusively on the needs of women. Male (or anyone else) should not appear in the sessions or in the room while clients are undergoing therapy. This is so that clients can have a safe space to freely speak about their struggles.

Marriage counseling is not provided. Care is provided to women and teens 13 years old and up. 

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