program

ORBIS Center offers programs in Advanced Clinical Supervision, Advanced Psychodynamic Training, and Executive Coaching, catering to the diverse needs of mental health professionals and executives seeking to enhance their skills and knowledge.

Patient Safety Evaluation Committee

The Patient Safety Evaluation & Monitoring process is essential in assessing safety risks for psychiatric patients undergoing polypharmacy, including managing underlying medical conditions and concomitant medication use. Comprehensive monitoring of drug interactions has resulted in improved interdisciplinary communication and the implementation of safer treatment plans. This proactive approach enhances suicide and homicide prevention, ensures timely hospitalizations, and significantly reduces the risk of harm to patients.

Additionally, regular safety follow-up and medical monitoring of patients’ treatment progress, implementing necessary treatment and preventative measures, is fundamentally important step toward patients stabilization and recovery . This ensures that the plan of medical care and treatment services provided is of high quality, patient-focused, efficient, and cost-effective. Ultimately, our efforts lead to substantial improvements in patients’ overall safety and quality of life.

Advanced Clinical Supervision & Training

Clinical Supervision represents an essential process of experiential learning. It is not only a mandatory component of psychotherapeutic training but also an integral part of ongoing psychotherapeutic practice, particularly in clinical work with so-called ‘severe patients.’

Training standards across various psychotherapeutic modalities vary in duration, quality, and theoretical approach to Clinical Supervision. In some modalities, supervision follows a peer-supervision model exclusively. In others, significantly more complex modalities, psychotherapeutic training entails continuous supervision with a Clinical Supervisor, typically involving a minimum of three different Clinical Supervisors throughout the training period. Regardless of the supervision training experience, Clinical Supervision is an ongoing “learning-through-experience” process for any Mental Health Professional who values continuous professional improvement and development.

In the Humanistic field of psychotherapy, especially Body Psychotherapy and Somatic Psychology, training standards usually encompass numerous supervision hours, combining work with the Training Supervisor and peer supervision in both individual and group settings. Most training in Body Psychotherapy does not adequately cover the necessary component of psychoanalytic theories and their clinical application and integration. This is crucial for clinical practice, particularly when working with difficult patients requiring therapeutic reconstruction. Consequently, most Body Psychotherapies are primarily methods for ‘growth and development’ in relatively healthy client populations. Problems arise when therapists encounter developmental issues necessitating a psychoanalytic development model and appropriate techniques for working with challenging patients.

Early in their training, most educators and newly graduated psychotherapists encounter the so-called ‘difficult patients’ or ‘patients who are difficult to reach’ (Joseph, 1975). These patients often have serious developmental issues requiring techniques significantly different from standard psychotherapeutic approaches. Therapy for these patients is complex, demanding, and often prolonged. Frequently, patients may suddenly discontinue therapy without notice, manifesting a “negative therapeutic reaction” stemming from unanalyzed transference/countertransference, and powerful phenomenon of projective identification. Therapists may also choose to refer these patients to more experienced colleagues due to overwhelming countertransference reactions. Therapy with these patients can reach an impasse, often becoming extremely exhausting and stagnant, with minimal progress and desired psychological change. Chronic stagnation encapsulates patients further in pathological configurations of complex primitive defense mechanisms – pathological defense constellations – that must be understood and adequately formulated. Psychoanalytic formulation is essential in these cases, allowing necessary ‘metabolization’ (Bion) of typically inaccessible content.

Individual and Group Clinical Supervision and Clinical Consultations occur weekly for 50 and 90 minutes, respectively, predominantly via the Zoom platform. This integrative psychoanalytic approach emphasizes the modern Kleinian (Melanie Klein and followers) and Bion’s (Wilfred Bion and followers) models of understanding and clinical work with pre-genital dynamics and Primitive Mental States. This approach facilitates the analysis of transference and countertransference contents, with adequate processing crucial for working with so-called ‘difficult patients.’

Transforming Lives with Applied Behavioral Analysis Approach: Empowering Neurodivergent Individuals

Applied Behavioral Analysis (ABA) is a well-established, evidence-based approach that focuses on understanding and improving behaviors. ABA is particularly beneficial for neurodivergent individuals, such as those with Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), and other developmental or neurological differences.

What is Applied Behavioral Analysis (ABA)?

ABA uses principles of learning and behavior to bring about meaningful and positive changes in behavior. It involves observing behavior, analyzing its function, and implementing strategies to encourage desired behaviors while reducing those that may be harmful or disruptive. Techniques such as positive reinforcement, task analysis, and discrete trial training are commonly used in ABA to teach and reinforce new skills.

Support Across Lifespan

ABA is versatile and can be tailored to meet the needs of children, adolescents, and adults:

Children: Early intervention is crucial for young children. ABA can help develop essential life skills such as communication, social interaction, and self-care. Programs are designed to be engaging and fun, fostering a love for learning and exploration.
Adolescents: For teenagers, ABA focuses on enhancing social skills, academic performance, and independence. It can also address challenging behaviors, providing strategies to manage stress and emotions.
Adults: ABA support for adults aims at promoting independence, improving daily living skills, and enhancing quality of life. It can also assist in vocational training and community integration.

Benefits for Neurodivergent Individuals

ABA offers numerous benefits for neurodivergent individuals, including:

Personalized Support: ABA programs are tailored to the individual’s unique needs, ensuring targeted and effective interventions.
Skill Development: Helps in acquiring new skills and improving existing ones, enhancing overall functioning.
Behavior Management: Provides strategies to manage challenging behaviors, promoting positive behavior changes.
Empowerment: Encourages autonomy and self-confidence, empowering individuals to lead fulfilling lives.

Applied Behavioral Analysis is a powerful tool in supporting neurodivergent individuals across their lifespan. By offering personalized, evidence-based interventions, ABA helps individuals achieve their potential and enhances their quality of life by providing compassionate, effective, and mindful support.