Patricia Wilkins-Vacca, LCSW, PC
845-527-9456
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Disorders/Issues treated

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 eclectic. 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.  Some modalities used are:

Individual Psychotherapy

Family Therapy

Cognitive-Behavioral Therapy

Play Therapy

Reality Based Therapy

Group 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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