Joseph Rhinewine, PhD, LLC

522 SW Fifth Avenue, Suite 725, Portland, Oregon 97204
One Centerpointe Drive, Suite 110, Lake Oswego, Oregon 97035

503-222-2361 • drjoe.rhinewine@yahoo.com
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 About Therapy

I use an integrative approach to psychotherapy which draws mostly on evidence-based treatments. Evidence-based treatments are those that have received a great deal of support in scientific studies, including controlled clinical trials.

I use Cognitive-Behavioral Therapy to promote change, while balancing this treatment modality with the "softer," acceptance-oriented approach of Mindfulness Training. For families I use Family-Systems Therapy. In my conceptualization of problems, and in my longer-term work on relational issues, I draw on Psychodynamic therapy models.

Generally speaking, I believe in therapy as a way to accomplish goals, which may include
  • feeling better and being less stressed-out
  • relieving anxiety and depression
  • coping better with problems
  • enjoying richer and more harmonious relationships
  • increasing self-esteem and confidence
  • becoming more decisive
Upon attainment of one's treatment goals, client and therapist should decide whether to set new goals and continue therapy, or to end the course of treatment. Often my clients experience some relief from acute symptoms such as anxiety within the first few months of treatment. Some clients then elect to continue therapy in order to work on more longstanding issues, such as one's habitual ways of relating to others. Such work often takes considerably longer, but can be very rewarding.

After therapy is concluded, ideally through a mutual decision process, its benefits may be felt for many years, even the rest of one's life. However, sometimes its effects diminish over time. "Booster" sessions or second rounds of treatment are often helpful for individuals who find the benefits of therapy receding and fading over time. Returning to therapy for several more sessions after some time has passed can be an excellent way of consolidating the gains one has made, and making changes more permanent.

Please feel free to ask me questions about my approach in our first telephone conversation at 503-222-2361.

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