Patricia Wilkins-Vacca, LCSW, PC
845-527-9456
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Disorders/Issues treated: 
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Trauma
Family conflicts/issues
Anxiety and Panic disorder
Depression
ADHD/ADD
Bipolar disorder
Childhood Sexual Abuse
Childhood Trauma
Parenting
Life Transitions
Grief and Loss
Separation and Divorce
Adolescent Emotional and Behavioral Development
Family and Work Relationships


My treatment approach is a cohesive mix pulling from several evidence based modalities. I use a variety of therapeutic tools tailored to each individuals/familes unique needs. We will use whatever approach works best for YOU. I do not believe in "cookie cutter" approaches. One size does not fit all.  I utilize a cohesive mix of several evidence based modalities: 

AF EMDR (Attachment focused)

Trauma informed practices

Somatic therapy

Individual Psychotherapy

Family Therapy

Cognitive-Behavioral Therapy

Psychodynamic

Bio-psychosocial 

Reality Based Therapy

Mindfulness Therapy

Motivational Interviewing


A brief word about psychopharmacology.  Although medication management is often needed, I do not feel that it should always be the first "go-to."  I truly believe that everything else should be tried first, especially with children and adolescents. I also believe that there are times when medication is absolutely necessary, and that if left untreated, a disorder can become debilitating, or that at times medication will help in the therapy process.  I will gladly assist you in making this decision and weighing the risks/benefits.  I also respect that some clients come to treatment and are currently using a medication that is working for them and wishes to add therapy to their treatment.   If it is decided that a client could benefit from medication management, I will provide several referrals to local psychiatrists that I trust and work closely with.  I will also prepare my client for their psychiatric evaluation and consider questions that might be asked during the evaluation.  I will be glad to converse with your Doctor as needed and at your consent.   
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