pathways2018@gmail.com | 415.267.6916

The important thing is this: to be able, at any moment, to sacrifice what we are
for what we could become. | Maharishi Mahesh Yogi

door opens.3At present there is no “quick fix” for impulse disorders and addictions.  However, if an individual commits to treatment they can recover their psychological and emotional health, experience freedom from their compulsive behaviors, and learn to get needs met in more healthy ways.  They can create a meaningful life, and deeper, richer intimacy with themselves and others, while also making positive contributions from their experiences and hard-earned wisdom to our collective community.

Below are the stages of the recovery process that we provide:


Stage One:  ASSESSMENT

Pathways Institute is unique in our commitment to deeply understanding the origins of your suffering. We do this by providing an assessment, where we get as complete a picture as possible regarding both the immediate issues as well as the contributing factors.  This assessment is not simply an intake, rather it is a comprehensive picture of the complex and multilayered issues with which you struggle, and helps us to form a treatment plan that will best meet your needs.

These sessions are attended by the person seeking help and perhaps significant others.  Immediate concerns are addressed, personal and social history is taken, and psychological testing is administered.  The assessment is performed in order to diagnose and create a comprehensive and individualized treatment plan for each person.  Additionally, forensic contacts with attorneys or probation officers may be needed.  Orientation to the program is provided.

The assessment may take several meetings, and includes a 30 minute feedback session where we discuss the outcome of the assessment and our treatment plan recommendations.

Intake and Assessment Forms

(click on the links below to download the appropriate form(s) for your intake/assessment)

For All Programs

Pathways Institute Orientation Booklet

Pathways Institute Client Contact Form

Pathways Institute Informed Consent

Pathways Institute Fee & Payment Agreement

Assessment Request Form

Social Media Policy

Telemedicine Informed Consent

Forensic Services Request Form

General Psychotherapy & Partners Program:

Pathways Institute Intake – General Program

Stealing Program:

Pathways Institute Intake – Stealing Program

Pathways Weekly Assessment of Compulsive Stealing (WACS)

Pathways Institute Stealing Assessment (PISA)

Yale-Brown Obsessive-Compulsive Scale Modified for Kleptomania (YBOCS-KM)

 Sex & Love Addiction Program:

Pathways Institute Intake – Sex Addiction Program

Sexual Compulsivity Scale

HBI-19

Sexual Symptom Assessment Scale

Alcohol & Drug Program:

MAST

DAST

 

Stage Two:  INDIVIDUAL AND GROUP THERAPY

Initially, group sessions along with individual therapy sessions provide helpful information about the impulse disorder(s), gently help to break down denial, teach how to manage impulses, identify cognitive distortions, identify feelings before they lead to impulsive behaviors, and help participants develop alternative behaviors.  In addition to accumulating valuable knowledge and skills, this stage provides a safe place to explore and learn about issues related to the behaviors and how to replace these behaviors with healthier, more deeply fulfilling ones. Each group member uses a workbook as part of their initial recovery process; the workbooks for compulsive stealing can be purchased by clicking this link.

As the behaviors and urges are more under control and participants begin to build a more healthy lifestyle, the group sessions and individual sessions become more process oriented.  Participants continue to engage in:

Ongoing Individual Therapy:  To increase self-awareness, deal with related issues (co-morbid conditions) and continue to build on the progress made, moving towards a more satisfying life overall.

Ongoing Group Therapy:  To continue to receive support and feedback from other recovering individuals in a therapeutic environment and to learn to maintain gains in the face of new stressors/avoid relapse.

Complimentary Therapies:  Psychotherapy is the foundation of our treatment program.  However, in addition to psychotherapy there is a growing body of evidence that other forms of treatment can also be helpful in treating the  issues we address:

  1. Meditation
  2. Psychotropic Medication
  3. Yoga Asanas and other forms of exercise
  4. Bodywork
  5. Dietary Considerations
  6. Occupational Therapy:To create a structure and daily plan to improve work life and everyday functioning.
  7. Self-help Groups (such as 12-step programs) for additional support
  8. Educational Specialists

 

Stage Three:  MAINTENANCE

In this stage, a gradual reduction of therapy is warranted.  Participants have not only gained control of their behaviors but have also worked-through the underlying issues and relapse is rare or nonexistent.  Here participants may attend individual therapy sessions less frequently and/or attend weekly group only.  Additionally, participants have the opportunity to provide mentoring to newer members and share their experiences and knowledge they have gained.