Psychotherapy can help you, your child and your family to:

  • Change behaviors
  • Understand decisions
  • Develop skills to solve problems effectively
  • Cope with negative emotional states such as depression, anxiety, and stress
  • Discover strategies for addressing learning difficulties and behavior problems
  • Create positive family interactions
  • Increase life satisfaction 

Psychotherapy is quite dependent on the personalities of the therapist and the patient and the particular issues of concern to the patient.  It is important to understand that psychotherapy is not like visiting a medical doctor.  It requires substantial active effort on your part.  In order for therapy to be successful, you will have to work on things discussed both during our sessions and at home.  Psychotherapy works best when clients are willing to take risks in the form of trying new solutions to old problems and/or are actively willing to make changes.  Therapy can be a highly effective tool for changing one’s own behavior and/or thought processes, but is generally not helpful in changing thoughts and behaviors of other people.  However, changing one’s own behavior and attitudes frequently can lead to changes in others.  Dr. Aviv uses an eclectic approach meaning that she draws upon many frameworks and methods to deal with the problems that you hope to address and is experienced at selecting those which are most appropriate for each client’s individual situation.


You should know that there are a number of potential risks and benefits involved in psychotherapy.  Risks sometimes include experiencing uncomfortable feelings (e.g.  frustration, anger, sadness, anxiety, guilt, loneliness, helplessness, or other difficult emotions).  Therapy often requires discussing difficult and unpleasant aspects of your life.  However, psychotherapy has been shown to have benefits for people who undertake it seriously.  Therapy often leads to a significant reduction in negative feelings, better relationships with significant others, improved ability to cope with stressful feelings and difficult situations, and resolutions of specific problems.  However, there are no guarantees about your therapy results.  The initial sessions will involve an evaluation of your needs, your current concerns and possibly the collection of additional information (standardized questionnaires and possibly more formal psychological testing.).   After these initial sessions, Dr. Aviv will offer you some preliminary impressions and a proposed treatment plan.  You should evaluate this information along with your own opinions of whether you feel comfortable working with Dr. Aviv.  Since you will be committing time, money, and energy to the therapeutic process, you should be sure to select a therapist with whom you feel comfortable.

989 Gardenview Office Parkway
Saint Louis, MO, 63141
Tel:(314) 591-5564
Fax:(888) 820-9236

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