Sometimes We Just Feel Lost

Sometimes life can just feel too difficult.

It can feel like you are floating and

need direction. I can help.

You May Be Feeling Trapped

Family dynamics can feel out of control.

I understand that you need support. There is a

way of the pain. We can work through it together.

Anxiety And Depression Can Take Over

Life’s challenges can sometimes feel too overwhelming

You may feel scared and like you want to give up.

Let’s work through your pain and help you

develop strategies to cope and heal.

Relationships Can Be Difficult

It can be painful to struggle in your relationship.

The pain can effect your daily life and ability

to experience happiness. Let’s work together

to resolve your conflicts.

GAIN Assessment

//GAIN Assessment
GAIN Assessment2015-11-22T21:58:57+00:00

The Global Appraisal of Individual Needs (GAIN) originated in 1993 as a collaborative effort between clinicians and researchers to create a comprehensive and standardized biopsychosocial assessment tool. Dr. Michael Dennis, senior research psychologist and director of the GAIN Coordinating Center, led this project
through the development of the GAIN Initial (GAIN-I). His goal was to bridge the gap between clinical research and the growing movement toward evidence-based practice.

The GAIN has developed into a progressive and integrated family of instruments with a series of measures and computer applications designed to support a number of treatment practices, including:

  • Initial screenings
  • Brief interventions and referrals
  • Standardized clinical assessments for diagnosis, placement, and treatment planning
  • Subgroup and program-level needs assessment, evaluation, and secondary analysis

The GAIN family of instruments is appropriate for use with both adolescents and adults from a variety of populations in various levels of care. Some of these include:

  • Outpatient
  • Intensive outpatient
  • Short-term residential
  • Long-term residential
  • Therapeutic community
  • School-based programs
  • Co-occurring disorder programs

GAIN Progressive Approach to Assessment (2013). Chestnut Health Systems, GAIN Coordinating Center;

Welcome to my psychotherapy practice.
I'm Karen, a Therapist in Novato, California providing individual therapy, couples counseling, and family therapy.
Please call me at 415-368-3478
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