• Skip to main content

Evie Preston, LCSW

Mindfulness-Based Psychotherapy

  • Mindfulness-Based Philosophy
    • How I Work
    • Resources
  • Bio
    • Poets Corner
  • Services
    • Individual Therapy
    • Other Modalities
      • Adolescent Therapy
      • Couples and Family Therapy
      • Group Therapy
    • Addiction Treatment
      • Overview
      • Recovery
      • Co-dependency
      • Addiction Treatment Resources
      • Interventions
  • Events/Trainings
  • Contact
    • Forms
  • Blog

ernest

Group Therapy

April 18, 2013 By ernest

Group therapy is a dynamic and powerful form. Groups focused on addiction and recovery, loss and grieving, women’s or men’s issues, along with other specialty topics, can provide  understanding and acceptance to the person who is suffering. Exchanging of ideas, feelings, perceptions and needs, allow the group members to form safe bonds as they delve into difficult issues.  Group is often but not always used in conjunction with individual therapy. Clients can take issues explored in their individual sessions to the group and receive feedback that continues to inform and nurture the individual session.

In group therapy we practice:

  • relationship building
  • conflict resolution
  • effective communication
  • dealing with emotions
  • deep listening

“Mindfulness, also called wise attention, helps us see what we’re adding to our experiences, not only during meditation sessions but also elsewhere.”

Sharon Salzberg

Filed Under: Uncategorized

Addiction Treatment | Overview

April 14, 2013 By ernest

Addiction Treatment | Evie Preston - Hudson Valley Psychotherapist

“A further sign of health is that we don’t become undone by fear and trembling, but we take it as a message that it’s time to stop struggling and look directly at what’s threatening us. ”

Pema Chödrön

 

After decades of working with addictions of all kinds, I continue to feel great empathy, and respect for the individual who takes the courageous first step to get help. This almost always inludes joing a 12 Step Program. I believe that AA, NA and other 12 Step Programs are the critical element to long term recovery for the addict and family and friends who have become co-dependent in relation to the addict. Along with a 12 Step group, individual therapy is almost always necessary.

Addiction is a lonely, painful, humiliating illness which can leave people feeling devastated, hopeless and alienated from friends and loved ones. It wreaks havoc not only on addicts, but on everyone around them.

Addiction Treatment

Making the first appointment is often the hardest part.  Is depression making one drink or is drinking making them depressed? After taking a detailed personal and family history, I engage the client in a kind of detective work. Together we investigate all aspects of the client’s pattern of using. It is only after doing this that we can ascertain what, if any, extra treatment is needed in conjunction with the therapy.

Once they begin a personalized treatment, the addict can work towards full recovery. Alcohol, drugs, pills, gambling, food, sex or spending no longer hold the addict hostage. “Clean and sober,” recovering addicts can regain their life and continue to grow emotionally, physically and spiritually.

 

Filed Under: Addiction Treatment

Addiction Treatment Resources

April 11, 2013 By ernest

Hospitals and Rehabilitation Centers

Willingway Hospital

Arms Acres

Hazelton

The Caron Foundation

Filed Under: Addiction Treatment

Co-dependency

April 11, 2013 By ernest

“The alcoholic wraps himself around the bottle and the co-dependent wraps him/herself around the alcoholic.” Unknown

Essentially, the co-dependent loses their identity in the identity of the addict. The co-dependent becomes addicted to the addict in much the same way  the addict becomes addicted to the drug. The 12 Step group, Al-Anon immediately provides comfort, insight and education to the co-dependent.  Co-dependency is a very real disorder, and once the co-dependent is in treatment, they learn to:

  • witness their reactivity and mood changes “caused” by the addict;
  • start to take control over their actions and reactions as well as their moods, inspite of what the addict may be doing or saying;
  • become self directed and make decisions that are not influenced by and are independent of the addicts behavior; and
  • establish boundaries with the addict and start living their own life again, whether or not the addict is clean.

 

Filed Under: Addiction Treatment

Recovery

April 11, 2013 By ernest

Addiction Recovery | Evie Preston - Hudson Valley Psychotherapist

“Like all explorers, we are drawn to discover what’s out there without knowing yet if we have the courage to face it.”

Pema Chödrön

THE FIRST STEP—UNDERSTANDING

  • We use drugs or alcohol for many reasons. In the beginning it can feel great, exciting, even transcendent! Sometimes we use to simply relax. We use to feel included, accepted, part of the group or to help when upsetting things happen. Sometimes we use to simply feel sane.
  • Eventually however, no one seems to understand our situation, and friends and family often hassle us with recriminations and accusations.
  • We become secretive and defensive in order to guard against these “unfair” attacks.
  • Eventually we can become caught in a cycle of using and guilt. We feel we can neither live with our “friend” or without it. A pattern of using, shame, remorse, denial and using again ensues. We feel utterly powerless and hopeless.

GETTING HELP

  • Taking the first step to get help is a courageous act of self-respect and faith. Maybe there is a better way.
  • A safe haven that provides open and honest discussion is a must.
  • My job is to provide this and more, such as acceptance and nonjudgmental compassionate listening.
  • Understanding, knowledge and action organically grow from this type of secure and welcoming environment.
  • Together, we explore and create a working plan for recovery.

 

 

Filed Under: Addiction Treatment

Couples and Family Therapy

April 11, 2013 By ernest

Family TherapyFamilies are complex social systems. Each member influences the others in dynamic, often complicated ways. The system requires attention, communication and cooperation from its members in order to function in a healthy way. Because families are so complex, there are ample opportunities for conflicts, miscommunication, alienation and loneliness to occur.

In couples the dynamics can also be complex. It may be a strong relationship but problems may develop none the less. We feel scared and angry and often can become blaming, accusatory and “fixed” in our view of our partner. In this situation the core issues need to be identified.

Reaching out for Help

  • Using the tools of deep listening, compassionate engagement, modeling and boundary setting, we work to untangle the web of despair and foster healing and growth.
  • We will establish the foundations from which to rebuild trust.
  • We will analyze the root of misunderstanding and conflict.
  • Once the anger has been quelled and the origin of the conflict understood, we can then put behavioral changes and healthier strategies into place.

Couples Therapy

Filed Under: Modalities

Adolescent Therapy

April 11, 2013 By ernest

Adolescent Therapy-1“And I can’t be running back and fourth forever between grief and high delight.”  J.D. Salinger

The search for identity, self-esteem, autonomy and peer acceptance are some of the themes adolescents struggle with. This profoundly intense developmental stage is challenging to both parents and adolescents alike. At times communication is good and there is mutual understanding. Then suddenly parents will find themselves feeling shut out and teens isolated and angry.  Often this stage of life feels like a roller coaster for both adolescent and parent.

 

  • Depression and anxiety can often plague the teen who is struggling with these major life themes.
  • Feeling alienated from a parent is common no matter how supportive the parent may be.
  • Creating a power struggle is a natural outcome in the search for independence.
  • Experimenting with drugs and alcohol is not uncommon. Careful evaluation is needed to determine possible addiction.

Adolescent Therapy Treatment Needs

  • Adolescents respond well to honest, direct discussion with a caring therapist who does not patronize them.
  • Goal-oriented, cognitive/behavioral therapy which is often short term is normally the treatment of choice.
  • In some instances family therapy helps resolve anger, disappointment and misunderstandings between teens and their parents.

 

Adolescent Therapy-2

Filed Under: Modalities

Copyright © 2025 Evie Preston LCSW