Diane Fleischman

My Specialty Areas:
Relationship Problems
Couples Counseling

Diane Fleischman, MSW, LCSW
3003 Willamette Street, Suite B
Eugene OR 97405

Phone: (541) 343-9221
Fax: (541) 343-6410

Counseling Techniques

Brief Solution Oriented Therapy.
Often trauma survivors do not wish to relive the events of the trauma yet wish to overcome the dysfunctional patterns of adaption they may have struggled with before coming into therapy. Brief solution oriented therapy allows individuals to capture those times when effects of the memories of abuse were not creating dysfunctional coping patterns and to build on them. Often there are moments or experiences which were positive and hopeful but are forgotten in the struggle with emotional and relationship problems in the present.

Anxiety can show up in many different ways.
It is estimated that 20% of the population suffers from anxiety sometime in their life. For most individuals, anxiety shows with both physical and emotional symptoms.

Physical symptoms may include: trembling, tightness in the throat or chest, rapid heartbeat or breathlessness, lightheadedness, cold hands, muscle tension, fatigue, disturbed sleep, gastrointestinal distress. Emotional symptoms may include: restlessness, feeling on edge, excessive worrying, fearing something bad is going to happen, inability to concentrate, frequent sadness.

For some the anxiety may come on after some stressful event or situation and resolve on its own after the stress is gone. For others the anxiety is either not linked to a specific stress or continues such that it interferes with simple daily activities, school and work. Anxiety may be causing you to avoid certain situations or keeping you from enjoying life to the fullest. Sometimes anxiety can be so limiting that it brings on depression.

In Panic Disorders, physical symptoms can be so extreme that individual may fear they are losing their mind or that they are going to die. Agoraphobia is a tendency to avoid certain situation because one fears becoming so anxious and yet be either trapped in the situation or at least unable to leave safely without embarrassment. A Phobia is a fear of a specific thing or situation. Common phobias are fear of snakes or spiders and flying in airplanes. Social Anxiety is fear of either performing in public or being around unfamiliar people where one is concerned about what others may be thinking of you. Obsessive-Compulsive Disorder is a combination of recurring thoughts that cause marked anxiety or repetitive behaviors such as hand washing that the person feels driven to perform. Post Traumatic Stress Disorder is the continued anxiety that follows having had a traumatic experience. Finally there is a Generalized Anxiety Disorder where the individual feel anxious all or nearly all the time without obvious reason.

Because everyone's anxiety is different. I use a combination of approaches.
Cognitive Behavioral Therapy (CBT). This approach is based on the idea that our thoughts influence how we feel, behave and physically react to events. In CBT we learn to recognize and better analyze our thoughts and shift them to regain control of our emotions. CBT has proven in hundreds of studies to achieve results quickly and to be as or more effective then medications, especially in terms of being a long term solution to the problem.

Relaxation Training/Mindfulness Meditation. Anxiety affects individuals both emotionally and physically. Learning to let go of stressful thoughts and feelings and become physically calm helps face the stresses of the day without tension or anxiety.

Desensitization of traumatic experiences. Through desensitization, past negative experiences lose the harmful affect attached to them so they no longer influence your present life. When appropriate I use a specific procedure called Eye Movement Desensitization and Reprocessing (EMDR).