TREATMENT

Martha S. Urbaniak
Clinic for Children & Families

Given recent guidelines and restrictions from local, state, and federal agencies for COVID-19, we are temporarily suspending all of our in-person services. Urbaniak Clinic treatment and services are available via telehealth at this time. To inquire about services for new clients, please see Referrals.

Located in Durham, the Urbaniak Clinic is an outpatient mental health clinic serving children from infancy to age 21 and their families.

Our therapists use evidence-based treatments proven to be effective and healing for children and adolescents who’ve experienced trauma and young children with significant oppositional behaviors.

Symptoms & Behaviors

Many children and teens have been through adverse, traumatizing, or stressful experiences such as:

  • Violence at home, in school, or in the community
  • Intensive medical treatment/illness
  • Natural disasters
  • Neglect or physical abuse
  • Sexual abuse or assault
  • Separation from a parent or caregiver
  • Loss of a loved one

Everyone reacts to these experiences in different ways. Some children lash out while others are overwhelmed and withdrawn. These reactions may be child traumatic stress.

Other reactions can be:

  • Feelings of sadness, guilt, or loneliness
  • Social or emotional withdrawal
  • Acting younger than expected for age (bedwetting, thumb sucking, clinginess)
  • Changes in eating or sleep patterns
  • Nightmares
  • Flashbacks or being more worried and fearful
  • Difficulty getting along with family and friends
  • Trouble concentrating or paying attention in school
  • Verbal or physical aggression
  • Increased irritability or angry outbursts
  • Complaints of aches and pains

 

Treatment & Services

Licensed therapists work with a child’s family system to promote hope for their future through a reduction in symptoms and return to a healthy developmental path.

We use treatment models grounded in clinical research and proven to reduce the symptoms of child traumatic stress. Many services are offered in English and Spanish.

All clinical services begin with a comprehensive assessment. Treatment is delivered in weekly outpatient sessions. Medication management by an onsite psychiatrist may be available.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

TF-CBT is design to address the needs of children ages 3 to 21 with Post-Traumatic Stress Disorder, depression, behavior problems, and other difficulties related to traumatic experiences. TF-CBT improves a child’s or teen’s functioning following stress or trauma, enabling them to manage worries and fears, sleep problems, and harmful behaviors. Parents or caregivers are involved in treatment to support their child and reduce their own stress.

Parent-Child Interaction Therapy (PCIT)

PCIT is designed for children ages 2 to 7 who display oppositional or aggressive behavior that may or may not be due to trauma. It places an emphasis on changing interaction patterns through play. Treatment sessions focus on parenting skills, using the parent-child relationship to increase the child’s pro-social behavior and decrease problem behaviors.

Child-Parent Psychotherapy (CPP)

CPP is designed for children ages 0 to 5 and their parent(s) or primary caregiver(s). The goal is to support and strengthen the relationship between caregiver and child so that they can heal and recover together from trauma or chronic stress.

Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS)

SPARCS is for adolescents ages 12 to 21 who have experienced or witnessed traumatic events, or who are suffering from chronic stress. It builds on their strengths to identify purpose and create meaning in their lives. Adolescents learn how to solve problems, cope, and communicate so that they are better equipped to cultivate healthy relationships and a more positive self-concept.

Other Services

Cognitive Processing Therapy: CPT is for individuals age 17 or older who have experienced recent or childhood traumatic events. Treatment focuses on developing skills to reframe unhelpful thoughts related to the event, allowing the individual to make meaning of the trauma and process their emotions. CPT is limited to teen clients or to parents or caregivers with children in treatment.

The Center for Child & Family Health does not provide the following services:

  • Psycho-educational testing or therapies for learning difficulties
  • Parental custody evaluations
  • Forensic investigation to determine abuse and neglect

Referrals

To inquire about treatment, families or their professional care providers may complete the online referral form below or call the Clinic Administrator at (919) 385-0701.

Please allow 1 business day for a response from the Clinic Administrator. All referrals require phone screening between the referral source, legal guardian, and an Intake Coordinator.

Following the phone screening, a telehealth appointment may be scheduled for a comprehensive evaluation of symptoms to determine the appropriate course of treatment or an alternative referral.

Families may contact the Clinic Administrator to discuss insurance and other financial concerns prior to your first telehealth appointment. For specific information on coverage and benefits, please contact your insurance provider.

Forms

The following forms may be completed prior to your child’s mental health evaluation at CCFH:

Seleccione con el botón para descargar los sigiuentes impresos y completarlos antes de la evaluación de salud mental de su niño/a en CCFH:

Staff

Cherry Chevy, MD Director of Psychiatric Services
Shirley Pugh Clinic Business Manager
Myra DeMarchena Clinic Administrator, Bilingual English/Spanish
Victoria Carrice, LCMHCA Mental Health Clinician
Ebonie Holmes, MA, LCMHC Mental Health Clinician
Judith Rose, LCSW Mental Health Clinician
Tiana Sherrod, LCMHC Mental Health Clinician / Intake Coordinator
Sara Skinner, LCSW Mental Health Clinician, Bilingual English/Spanish
Whitney Winslow, LCSW Mental Health Clinician, Bilingual English/Spanish

Resources

Resources

Supporting Mental Health in Latinx Families

Childhood Trauma

Resources

Resources and Community Updates for COVID-19

COVID-19, Early Childhood, Evidence-based Treatment, Home Visiting

Video

CCFH Treats the Effects of Childhood Trauma

Evidence-based Treatment

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