With intensive sessions I was able to process the traumatic events immediately and I felt my healing process begin after the very first session.

Intensive Trauma Therapy (ITT) differs from traditional trauma therapy in several significant ways: 

1.  Session Length and Frequency:

•  ITT consists of extended therapy sessions organized in blocks of time, lasting 3 to 6 hours per day, ideally spanning multiple days per week, typically over a period of 1 to 3 weeks. 
• Traditional trauma therapy typically involves 45-60 minute sessions scheduled on a weekly or bi-weekly basis, extending over a more extended period. 

2.  Session Intensity:

• ITT offers a concentrated and immersive therapy experience, allowing individuals to address their trauma and healing more deeply in a shorter time.
• Traditional therapy extends over a longer duration, with therapeutic work spread out over months or even years. 

3.  Target Population:

• ITT is most effective for individuals dealing with specific and isolated trauma rather than continuous or repetitive experiences. It can also be particularly beneficial for those with acute trauma symptoms requiring rapid resolution.
• Traditional trauma therapy is suitable for a broader range of individuals, including those with less severe trauma, who may find benefit in a less intense and more gradual therapeutic approach. 

4.  Treatment Outcome:

• Both ITT and traditional trauma therapy have the common goal of promoting healing and recovery from trauma. However, the difference in time frame and intensity can impact the speed and depth of progress individuals make in their therapeutic journey.
•  ITT can often provide quicker relief from acute trauma symptoms due to its concentrated approach, whereas traditional therapy tends to prioritize a longer-term healing process. 

In Intensive Trauma Therapy, a variety of therapeutic approaches may be integrated, depending on the needs of the individual. In my practice, I favor EMDR (Eye Movement Desensitization Reprocessing) therapy, but I also recognize that CPT (Cognitive Processing Therapy), a type of cognitive-behavioral therapy, may be a more appropriate clinical approach depending on the circumstances. The specific approach used will be determined after thorough consideration of several factors reviewed during the initial assessment session. 

EMDR therapy, short for Eye Movement Desensitization and Reprocessing, is a specialized and evidence-based psychotherapy approach that helps individuals process and heal from distressing or traumatic experiences. EMDR therapy is effective for PTSD and other emotional challenges that are linked to trauma, including anxiety, phobias, and depression. 

Similar to EMDR therapy, Cognitive Processing Therapy (CPT) is an evidence-based psychotherapy for PTSD. CPT is a specialized form of Cognitive Behavioral Therapy (CBT) that follows a 12-session protocol. During CPT, individuals are taught to assess and modify distressing thoughts associated with a specific trauma. Changing these thoughts can lead to a change in emotional well-being. 

The benefits of intensive trauma therapy are notably impactful:

• Efficient Symptom Reduction: ITT is designed to quickly and significantly reduce symptoms, hastening the restoration of your overall well-being and quality of life.
• Flexible Scheduling: ITT offers flexible scheduling, including extended office hours, evenings, and weekends.
• Condensed Format Reduces Length of Time in Treatment:  ITT's flexible scheduling minimizes disruptions from daytime obligations by eliminating the number of days that therapy appointments are scheduled. Treatment typically can be completed during short-term absences from work using PTO, vacation, or short-term disability, etc.
• Uninterrupted Therapy:  Longer blocks of sessions offer the advantage of uninterrupted trauma processing, facilitating deeper exploration and comprehensive healing, free from the time constraints typically imposed in traditional therapy formats. 

Intensive trauma therapy involves deep and focused exploration of trauma, which might feel more overwhelming than traditional therapy due to its depth and pace. Precautions are taken to mitigate unexpected responses, although not all adverse reactions can be anticipated.

To minimize risk and maximize benefits:

• Comprehensive Initial Evaluation:  A detailed personal history is collected and an assessment of any untreated mental health problems is conducted  to understand your background thoroughly and ensure readiness and suitability for intensive trauma therapy. 
• Stabilization Resources: Vital resources provide support and grounding throughout therapy.
• Identifying External Support: Identifying external support persons who can offer help between sessions enhances continuity and safety.
• Requirement to pursue follow-up with a community provider: Intensive Trauma Therapy is a short-term intervention and all patients who participate in intensives are required to follow-up with a community provider for ongoing therapeutic work. Dr. Rosen will assist with connections with community providers.

Start by sending me a message through the CONTACT tab on my website or calling me directly at 203-482-9274. We will schedule a free 15-minute phone call to discuss your concerns and why you think intensive trauma therapy might be a good fit. I will also answer any basic questions you have. If it seems appropriate to proceed, we will schedule an initial consultation interview.

The total cost of your treatment will depend on the duration of your therapy. Here's a guide to help estimate the total cost.  

Step 01:  Initial Consultation Interview

• Duration: 50 minutes
• Cost: $250
• Description: During this interview, we will review relevant personal, clinical, and medical factors to determine if intensive trauma therapy is the right fit. Alternative therapy approaches will also be shared to help you make the best decision regarding your mental health care.

• Note: This consultation can be conducted either in-person or remotely. Dr. Rosen is an out-of-network provider for most major health insurance companies (in-network provider for Anthem BCBS and Aetna). Payment for out-of-pocket expenses is due at the time of service, and a detailed receipt will be emailed to you for potential insurance reimbursement through your out-of-network benefits. Please call your insurance company before your first visit to understand what your policy covers.

Step 02:  Intensive Trauma Therapy Written Good Faith Estimate

• Timeline: Emailed to you within 48 hours following the Initial Consultation Interview
• Description: You will receive a written 'Good Faith Estimate' outlining the estimated duration and total cost of Intensive Trauma Therapy. This estimate will include the number of anticipated session blocks (ranging from 3 to 6 hours each) and proposed dates for treatment initiation. Full day and half-day session blocks vary in price from $750 to $1800, depending on the length, weekday versus weekend, and daytime versus evening hours of block scheduling.

Step 03:  Comprehensive Assessment and Preparation Session  

• Duration: 3 hours
• Cost: $750
• Description: This session includes a thorough history taking, an explanation of how trauma has impacted your brain health, and time permitting, the beginning of the preparation phase with positive resourcing strategies targeting stress reduction and emotional stabilization.

Step 04: Follow-Up Session Blocks

• Description: With a plan in place, follow-up session blocks are scheduled. Sit back with confidence as you realize that you've taken a major step to move forward from your trauma, better.

This structured approach ensures transparency in costs and provides a clear path for your treatment journey.

If you choose to undergo intensive trauma therapy with Dr. Rosen, please be aware that this specialized treatment is an out-of-pocket expense. Because of its session time block component, you will pay for therapy at the time services are provided.

It is possible that your out-of-network benefits will recognize the first "therapy hour" of each treatment block (CPT 90837) as reimbursable. After completing your intensive trauma therapy treatment, you will receive an itemized statement with all the necessary information for potential reimbursement from your insurance plan or Health Savings Account (HSA) for out-of-network coverage.

It's advisable to check with your insurance provider beforehand to understand your coverage.