Counseling

The trained staff at COBYS Family Services offer professional psychotherapy and support to individuals, couples, and families at locations in Lancaster and Lebanon Counties. COBYS therapists are providers for several insurance companies, and uninsured clients may qualify for an affordable sliding scale, based on income and family size. Here are the types of issues that our therapists address. At this time we are accepting clients dealing with the following issues:

  • Marital and couples’ therapy
  • Relational issues
  • Family therapy
  • Depression, anxiety

    We also address but cannot currently accept new cases relating to these therapies:

  • EMDR
  • TF-CBT (children ages 3 – 18) – see below for more information on this type of therapy.

 

Unfortunately, we are currently experiencing waiting lists of several months. Please contact us for details and estimated wait periods.

To schedule an appointment at any of our counseling centers, please complete the Counseling Inquiry Form or contact us at 717-661-3548.

 

COBYS accepts the following insurance plans: Aetna, Aetna Better Health, Amerihealth Caritas, Capital Blue Cross, CCBH, Cigna, Compsych, Gateway, Geisinger, Highmark, Independence Blue Cross, Mazzitti & Sullivan, Optum/United Health Care, Quest, Quest EAP, Tricare (Humana Military), United Health Care Community Plan, UPMC, UPMC for You, Wellspan and Wellspan EAP

For an overview of COBYS Counseling Center and the State of Mental Health in Lancaster County click here.

 

Specialized Services

We also provide some specialized services:

Incredible Years Dina Dinosaur Group Therapy

Dina Dinosaur is an 18-week, 36-hour small group child training program for children aged 4-8 who are difficult to manage, aggressive, or who may have disruptive behaviors. Research demonstrates a reduction in children’s aggressive and disruptive behavior, increase in pro-social behavior, more positive conflict management skills, and an increase in problem- solving strategies, as well as increased emotional literacy. The Dina Dinosaur program utilizes puppet and video modeling, coaching and reinforcement with structured activities, visual imagery, fantasy play, as well as live role plays.

While children attend Dina School, parents attend the Incredible Years Parenting Program. The Incredible Years program prepares parents to promote more positive behaviors between parent and child, improve compliance at home and at school, reduce aggression and behavior problems in and out of the home, learn positive and consistent discipline, and gain support that includes other parents.

Learn more at: incredibleyears.com/programs/child/

Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

TF-CBT is a short-term treatment intervention for children who exhibit behavioral or emotional symptoms as the result of having experienced a trauma. Both children and parents are involved in the treatment process.

TF-CBT primarily reduces symptoms of Posttraumatic Stress Disorder (PTSD). PTSD is characterized by problems with managing trauma-related negative emotions and physical reactions caused by memories or reminders of the trauma that may lead to maladaptive coping such as avoidance of reminders. These reactions often interfere with functioning at home, in school, and in interpersonal relationships.

The specific components of TF-CBT are summarized by the acronym PRACTICE:

  • Psychoeducation is provided to children and their caregivers about the impact of trauma and common childhood reactions.
  • Parenting skills are provided to optimize children’s emotional and behavioral adjustment.
  • Relaxation and stress management skills are individualized for each child and parent.
  • Affective expression and modulation are taught to help children and parents identify and cope with a range of emotions.
  • Cognitive coping and processing are enhanced by illustrating the relationships among thoughts, feelings, and behaviors. This helps children and parents modify inaccurate or unhelpful thoughts about the trauma.
  • Trauma narration, in which children describe their personal traumatic experiences, is an important component of the treatment.
  • In vivo mastery of trauma reminders is used to help children overcome their avoidance of situations that are no longer dangerous, but which remind them of the original trauma.
  • Conjoint child-parent sessions help the child and parent talk to each other about the child’s trauma.
  • Enhancing future safety and development—the final phase of the treatment—addresses safety, helps the child to regain developmental momentum, and covers any other skills the child needs to end treatment.

Learn more about the effects of trauma on children and TF-CBT at:
nctsn.org/resources/audiences/parents-caregivers
nctsn.org/sites/default/files/assets/pdfs/tfcbt_general.pdf

Children are the light of the world. Our heart desire is to show them what God’s love looks like. – COBYS Resource Parents Jesse and Bethany