Areas of Treatment

Dr. Selles works with youth, families, and young adults who are struggling with unhelpful thoughts, feelings, sensations, and/or behaviors. Dr. Selles has the most expertise in helping people whose primary difficulties relate to:

  • Anxiety (e.g., fears around health, safety, situations, or experiences)

  • Avoidance (e.g., staying away or running from situations, objects, people, thoughts, or feelings)

  • Compulsions (e.g., needing to wash, order, check, repeat, or rigidly complete activities)

  • Obsessions (e.g., experiencing unwanted and uncomfortable thoughts, urges, or images)

  • Not-Right Sensations (e.g., feeling incomplete, uneven, contaminated, or imperfect)

  • Worry (e.g., thinking a lot about things; feeling unsure, doubtful, or stressed)

Where needed, Dr. Selles provides support to caregivers (e.g., parents, partners) around:

  • Communication (e.g., discussing feelings and behaviors, setting expectations)

  • Impacts (e.g., on work, relationships, home life, and emotional well-being)  

  • Involvement (e.g., getting drawn in to resolving or managing the problem)

  • Reactions (e.g., worry, frustration, guilt, criticism)

  • Relationships (e.g., improving dynamics, building trust)

  • Structures (e.g., rules, reinforcement, consistency)

 
 

Dr. Selles can also help address difficulties relating to:*

  • Tics (e.g., uncontrolled movements or noises)

  • Body-Focused Repetitive Behaviours (BFRBs) (e.g., skin picking, hair pulling)

  • Big Emotions (e.g., anger, distress, often losing control, trying to control other)

  • Low Mood (e.g., feeling down, inactive, negative, insecure)

  • Past Events (e.g., something that stuck and continues to have negative effects)   

  • Attention (e.g., trouble listening, disorganization, procrastination)

*If these are the primary areas of concern, you may be better served by other treatment providers

Dr. Selles is not well suited for helping with:

Extreme reactivity, dangerous behaviors, manipulation and persistent lying, intellectual disorders, excessive rigidity, eating disorders, severe depression, active suicidality and self-harm, complex family problems, complex trauma, substance problems, mania, or psychosis.