Children & Adolescents Therapy

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Tatiana Scharr is a Certified Trauma-Focused Cognitive Behavioral Therapist (TF-CBT) and a Certified Clinical Trauma Professional (CCTP). She works exclusively with children and adolescents exhibiting symptoms as a result of trauma or presenting with problematic sexual behaviors.

Tatiana provides specialized therapy for children and adolescents who have experienced trauma. Using Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), she helps young clients process their experiences, develop coping strategies, and work toward recovery. This includes addressing traumas such as bullying, sexual abuse, molestation, domestic violence, and immigration trauma.

* Tatiana does not work with children and adolescents outside of this scope *

GUIDANCE

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NURTURING

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DEVELOPMENTAL

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GUIDANCE ✴ NURTURING ✴ DEVELOPMENTAL ✴

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  • Psychoeducation:

    • What is Trauma? Educating the child and caregiver about trauma and its effects.

  • Parenting:

    • Improving Relationships: Enhancing closeness, warmth, and support.

    • Skill Reinforcement: Teaching and

      reinforcing the use of skills learned in therapy.

  • Relaxation:

    • Awareness: Creating awareness of the capacity to shift from a state of tension or distress to relaxation.

    • Skills: Teaching specific skills for calming and reducing distress at the moment.

  • Affect Modulation:

    • Identifying Feelings: Increasing the capacity

      to identify a range of feelings and developing a feelings vocabulary.

    • Cognitive Triangle: Teaching the relationship between thoughts, feelings, and behaviors.

    • Rating Feelings: Learning to rate feelings at different intensities.

What to Expect in TF-CBT Sessions

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  • Cognitive Coping:

    • CBT Triangle: Teaching or revisiting the CBT Triangle.

    • Identifying Thoughts: Helping the client identify automatic unhelpful or inaccurate thoughts causing distress.

    • Thoughts and Feelings: Gaining buy-in that thoughts drive feelings and thoughts can be changed.

    • Coping Statements: Generating coping self-statements.

  • Trauma Narrative:

    • Facing Trauma: Helping the client face and process traumatic experiences.

    • Identifying Cognitions: Identifying unhelpful or inaccurate trauma-related cognitions and altered core views.

    • Reframing: Developing more helpful or accurate ways to think about the trauma.

    • Understanding Trauma: Developing a helpful understanding of what happened, that acknowledges the trauma but does not define the child.

  • Enhancing Safety:

    • Safety Plan: Creating a safety plan for ongoing dangers and teaching safety skills for future

      risky situations.

Tatiana Scharr offers specialized Problematic Sexual Behavior Cognitive Behavioral Therapy (PSB-CBT) for children ages 7-12. This therapy is designed to address and manage inappropriate sexual behaviors that go beyond normal developmental curiosity and typical childhood exploration.

Children naturally exhibit curiosity about their bodies and sexual behaviors as part of their development. This can include behaviors such as touching their own genitals, asking questions about bodies, or playing doctor with peers. These actions are generally harmless and part of normal sexual development.

Problematic Sexual Behaviors are Distinct in Several Key Ways:

HOWEVER…

  • These behaviors are not typical for the child’s age or developmental stage. For example, a young child displaying explicit knowledge or actions that are unusual for their age may indicate exposure to inappropriate content or experiences.

  • Problematic behaviors may involve forcing, threatening, or intimidating others into sexual activities, which is not a part of normal curiosity.

  • Engaging in sexual behaviors in public settings or in front of others and having difficulty understanding or respecting boundaries and privacy differentiates problematic behaviors from typical curiosity.

  • Problematic behaviors often involve interactions with children of significantly different ages or developmental stages, indicating a potential issue with power dynamics or understanding of consent.

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  • Recurrent or compulsive sexual behaviors that are difficult to redirect and show an excessive preoccupation with sexual content or activities are clear indicators of problematic behaviors.

* Examples of problematic sexual behaviors include frequent masturbation in inappropriate settings such as public places, engaging in explicit sexual acts with dolls or toys beyond age-appropriate curiosity, demonstrating an advanced understanding of sexual acts or language, inappropriately touching peers, siblings, or adults, and seeking out or being preoccupied with sexually explicit media.

Adult Therapy

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Tatiana Scharr, LCSW, is a Certified Clinical Anxiety Professional (CCAP) and a Certified Clinical Trauma Professional that provides compassionate and expert care for adults facing a variety of challenges. Whether you are struggling with anxiety or depression or have experienced sexual trauma, Tatiana offers a safe and supportive environment to help you heal and grow.

Tatiana also specializes in addressing sexual dysfunctions and problematic sexual behaviors, such as excessive masturbation or excessive use of pornography. She understands that these behaviors can often be linked to deeper emotional and psychological concerns and works with clients to uncover the root causes, helping them reclaim control over their lives.

In addition, Tatiana offers a specialized focus on sexual dissociation, particularly for women who feel objectified and disconnected from their own sexuality. Through a compassionate and trauma-informed approach, she helps women reclaim their sexual identity and rebuild a sense of self-worth, guiding them toward a healthier and more fulfilling sexual experience.

Adult Therapy Specialties

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  • CPT is designed to help individuals process and overcome trauma. Tatiana works with clients to challenge and modify unhelpful beliefs related to their trauma, fostering a more balanced and realistic perspective.

  • CBT is an effective approach for addressing various mental health issues, including anxiety and depression. Tatiana helps clients identify and change negative thought patterns and behaviors to improve their emotional well-being.

  • Somatic Therapy focuses on the connection between the mind and body, helping clients release tension and trauma stored in the body. Tatiana uses this approach to promote holistic healing and improve overall mental and physical health.

  • For individuals experiencing sexual dysfunction, Tatiana provides specialized interventions to address concerns such as low sexual desire and other sexual dysfunctions. This includes exploring underlying causes and developing strategies to enhance sexual health and satisfaction.

  • Mindfulness techniques are integrated into therapy to improve overall mental health and sexual experiences. These approaches help individuals stay present, reduce stress, and enhance their connection with themselves and their partners.

  • Tatiana supports individuals dealing with the unique challenges of immigration trauma and acculturation difficulties, helping them navigate cultural transitions and build resilience.

TRANSFORMATIVE

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SELF-AWARENESS

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REFLECTIVE

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TRANSFORMATIVE ✴ SELF-AWARENESS ✴ REFLECTIVE ✴

What to Expect

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During an Adult Therapy Session

When beginning therapy with Tatiana, clients can expect a compassionate and non-judgmental environment where their unique experiences and needs are valued. The first few sessions typically involve a comprehensive assessment to understand the client's history, current challenges, and therapy goals. Based on this assessment, Tatiana collaboratively develops a personalized treatment plan.

Throughout the therapy process, clients engage in various therapeutic techniques tailored to their specific concerns. Regular sessions provide a safe space to explore thoughts and emotions, develop coping strategies, and work toward meaningful change. Tatiana's integrative approach ensures that therapy is dynamic and responsive to her clients’ evolving needs.