PTSD, Trauma and Recovery Program

Programs and Therapies

Complex PTSD Skills | group therapy

  • Individual Planning meeting 
    At the start of treatment, you will meet with a psychology clinician who will help you build your individual treatment plan. You may decide to participate in some or all of the interventions. 
  • Distress Tolerance (4 weeks) 
    Post-traumatic stress disorder (PTSD) can cause individuals to have stronger emotional reactions to stressors, making them difficult to tolerate.  This brief 4 session intervention helps build skills to better tolerate distress and avoid causing more harm.   
  • Emotion Regulation (4 weeks) 
    PTSD can make it more difficult to regulate our emotions.  This intervention offers concrete skills that help us decrease the intensity of our emotions and their impact on our functioning. 
  • Boundaries (4 weeks) 
    The changes PTSD makes to our emotion regulation and view of safety and trust can make it difficult to set healthy boundaries and communicate effectively.  This intervention focuses on assertiveness skills and how to keep healthy boundaries.  

Cognitive Processing Therapy (CPT) | individual and group therapy options

Cognitive Processing Therapy (CPT) has been shown as an effective psychotherapy treatment for post-traumatic stress disorder (PTSD) and improving overall recovery from PTSD. It is based on cognitive therapy strategies and seeks to challenge and modify the internal beliefs and behavioral tendencies we may develop from traumatic experiences. The CPT Group Program is currently limited to female participants and lasts for 12-18 weeks. The program includes distress tolerance and emotion regulation skills training as part of the therapy and skills training program. 

Prolonged Exposure Therapy (PE) | individual therapy 

This specific type of therapy is used to reduce the long-term effects of a traumatic experience and PTSD symptoms, such as intrusive emotions, dreams, memories, and fear and avoidance. In addition to teaching individuals focused breathing and grounding skills to manage anxiety, Prolonged Exposure teaches individuals how to gradually, and safely, approach and process trauma-related memories, feelings, and triggers that are often avoided. It involves two important treatment methods called Imaginal Exposure and In Vivo Exposure. Together these focused treatments help individuals effectively process trauma and reduce anxiety and fear. Imaginal Exposure involves focused recall and retelling of a traumatic event to help process emotions and memories associated with that traumatic event. In Vivo Exposure involves use of gradual, focused activities to confront and face PTSD triggers that produce anxiety, fear and avoidance associated with a traumatic experience. The treatment typically lasts 10-12 sessions, each lasting about 90 minutes each.


See our Locations tab for meeting days and times. Consistent attendance is required to maintain enrollment in the program. In-person and virtual options are available.  


CPT was developed by Patricia Resick, Ph.D., A.B.P.P. (Duke University), Candice Monson, Ph.D. (Ryerson University) and Kathleen Chard, Ph.D. (Cincinnati VA Medical Center and University of Cincinnati). 

Meet the Care Team


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Joe Gieck, PhD, is a licensed clinical psychologist providing psychotherapy to adult and adolescent individuals. Dr. Gieck received his doctoral degree from the University of Wyoming in 2007 and completed his psychology internship at the Salem VA Medical center in 2006-2007.

As Psychology Services Director, Dr. Gieck works to improve delivery of integrated mental health and behavioral health therapy services to all communities served by Carilion Clinic.

Prior to coming to Carilion Clinic, Dr. Gieck worked for the Department of Veterans Affairs where he was involved in a range of clinical and research activities, as well as development of population-based education and care systems. Most recently Dr. Gieck served as the Director of Psychology Training and Psychology Professional Practice at the VA Eastern Colorado health Care System.

Dr. Gieck's primary philosophy as a psychologist includes providing patient-centered, evidenced-based care to help individuals reach their personal health goals. He is trained in multiple evidenced-based treatments for a range of psychiatric disorders, including Cognitive Behavioral Therapy, Cognitive Behavioral Therapy-Insomnia, Prolonged Exposure Therapy for PTSD, Cognitive Processing Therapy for PTSD, Exposure and Response Prevention for anxiety disorders, and Motivational Interviewing.

Dr. Gieck's areas of clinical interests include treatment of health-related psychological conditions, depression and mood disorders, and anxiety and trauma disorders. Primary areas of research interest include high reliability systems in health care and operations-based research to inform population-based mental health care delivery.


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Rebecca McDermott, PhD, is a licensed clinical psychologist providing assessment and psychotherapy to adult clients. Dr. McDermott received her masters and doctoral degrees from Western University and completed her psychology residency/internship at The Royal Ottawa Hospital. Her primary focus is on treating anxiety, trauma, and obsessive compulsive disorders. 
 
Prior to coming to Carilion Clinic Dr. McDermott worked at the Kingston Health Science Center in the chronic pain service. She was involved in a range of program development, clinical, teaching, and research activities. 
 
Dr. McDermott believes in the inherent worthiness, capacity, and value of everyone she works with. Her role is to bring excellent, evidence-based services and create an environment where her patients can acquire skills and thrive, while feeling valued and in control. She is trained in multiple evidence-based treatments for a range of problems, including Prolonged Exposure Therapy for PTSD, Cognitive Processing Therapy for PTSD, Exposure and Response Prevention for anxiety disorders, Acceptance and Commitment Therapy, and Motivational Interviewing. Dr. McDermott is passionate about helping her patients reach their personal goals and feeling empowered by the psychotherapy process. Her research interest is in making psychotherapy more effective for the individual or finding “what works for whom”.


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Lisa Jones-Worrell, LCSW, is a licensed clinical social worker who provides psychotherapy to clients across the lifespan. Lisa received her Bachelor of Arts in Psychology from California State University Hayward, in Hayward, California and her master’s degree from Radford University in Radford, Virginia. Her primary focus is working with people who struggle with anxiety, depression and prolonged trauma. 

Lisa has years of experience providing support through an evidence-based, eclectic approach which centers around Cognitive Processing Treatment for PTSD, Cognitive Behavioral Treatment (CBT) for anxiety and depression, Prolonged Exposure Therapy for PTSD as well as utilizing a Strength Based Approach. She is trained in Motivational Interviewing and utilizes Supportive Therapy.

Prior to coming to Carilion Mental Health Outpatient, she worked as a certified employer assistant professional (CEAP) at Carilion Clinic EAP, where her focus of interest was working with first responders. Prior to this position Lisa worked as a clinical social worker with Carilion’s Inpatient Rehab for children and adolescents. Lisa has worked in various therapeutic clinical settings providing individual, couples and family therapy utilizing Structured Family Therapy.

Lisa’s areas of interest include building clinical services for first responders in our community. Currently, Lisa is the clinical supervisor of the Roanoke City Sheriff’s Departments peer support team. She is CISM trained through the Virginia Law Enforcement Assistance Program (VALEAP).

Schedule an Appointment

How to schedule an appointment

  1. Request a referral from your primary care physician or other clinician to Carilion Psychology
  2. In your request, ask that CPT GROUP be referenced in the referral information
  3. Once received, you will be contacted for an intake appointment to determine whether this group or other treatment options are more appropriate

Most health insurances are accepted by Carilion Clinic; a co-pay may be required. Please contact your insurer for specific behavioral health benefits and co-pay requirements.

Questions? Call 540-527-4900 (Roanoke) or 540-731-7311 (NRV).

Locations

Carilion Mental Health at Carilion New River Valley Medical Center
2900 Lamb Circle, Christiansburg
For more information, call 540-731-7311.

Carilion Mental Health at Tanglewood Center
4434 Electric Road, Roanoke
For more information, call 540-527-4900.

*Consistent attendance is required to maintain enrollment in the program. In-person and virtual options are available.

Giving Back

With your help, Carilion Mental Health can continue to provide life-changing mental health programs to people throughout the Roanoke area, the New River Valley and Southwest Virginia.

Your donation supports our mission of improving the health of the communities we serve. To get involved and make a gift, please visit the Carilion Clinic Foundation webpage.

Your gift can be designated to specific mental health programming by select “Other” under the “Designation” tab and entering “Carilion Mental Health” in the text box. Your generosity will help others find a path to healing.

We thank you for your support.

 

Make a Donation

Request a referral from your primary care physician or other clinician to Carilion Psychology.

New River Valley: 540-731-7311
Roanoke: 540-527-4900

Feel better. Additional treatment programs are available!