Mr Bob Safion, M.Ed

For those suffering from Obsessive Compulsive Disorder, I use CBT and Inference-Based Cognitive and Behavioral Therapy (I-CBT) approaches to guide clients through a structured, empirically-based method to manage and overcome this potentially debilitating condition. Sessions are paced and collaborative: we first deconstruct obsessional and anxiety narratives, identify the reasoning devices that maintain these, and set small, measurable goals that include progressive exposure-known as Reality Sensing in I-CBT- to safely recover previously avoided or feared situations. Homework is brief and incrementally targeted, so progress carries into daily life. Highly motivated people who appreciate clear structure, steady pacing, and hands-on practice tend to find this approach effective and life-changing. For Transport Agoraphobia with Panic, I start treatment with the classic Panic Control therapy, adding I-CBT to classic cognitive restructuring. We then organize the specific types of transport feared and avoided into a ladder of difficulty. I then introduce imaginal rehearsal, followed by virtual reality exposure, again using the oVRcome platform to prime desensitization. We finally move on to progressive, in vivo or live exposures to the feared transport situations. There follows a period of incemental exposure up the ladder of difficulty until the person is fully desensitized and able to recover normal travel. The final phase involves recovering areas of life, activities, career and relations that had been avoided or shelved, allowing the person to live a more complete life, previously lost to anxiety