We understand that people are not one-dimensional creatures that are simply responding to whatever life is throwing at them, but rather we see people as a complex representation of their life experiences that have helped formulate their view of themselves, and their beliefs of how they fit into the world they live in. We know that sometimes people’s life blueprint can get disrupted by an unexpected turn of events that may end up affecting them both physically and mentally, that may not always be evident to the human eye. Due to life demands, you may be feeling overwhelmed or stressed with your life situation and do not know where to turn or you have no one to talk to.
Whatever your assessment or counselling needs are, we are here to help.
Whether it is for employment, legal or personal purposes, at Integral Psychological Services we can provide an informed and evidence-based evaluation for either your lawyer or employment, as well as to help determine treatment needs.
Psychological evaluation is strongly recommended in response to personal and physical injury situations. The Psychological evaluation can provide objective documentation of psychological conditions that are affecting adjustment and functioning. The Evaluation can also be very helpful in identifying the need for psychological therapy. The post-accident therapy can be very helpful in helping individuals begin to achieve improved adjustment and maximum recovery.
Our Psychologists are Registered Psychologists with both the Alberta College of Psychologists and the Canadian Psychological Association, and have over fifty plus years of combined Clinical and Forensic experience, as well as advanced training in both assessment and counselling.
As registered psychologists we can provide treatment/counselling for a number of different mental health issues, life changes, personal problems, or work related stress.
As a Registered Psychologist, David has held a variety of positions and duties with both the Correctional Service of Canada (CSC), and the Provincial Gaol system, as well as a provincial health care system where he has worked for over twenty plus years, and brings with him extensive Clinical and Forensic experience involving assessment, diagnosis and treatment of a variety of conditions and issues, which includes: trauma/PTSD, anxiety disorders, mood disorders, ADHD, depression, anger management, chronic pain, personality disorders, life transition, and grief. He particularly has an interest in working with and assessing adult clients in the area of anticipatory anxiety, trauma and PTSD, which includes providing treatment for First Responders, and Military, and victims of abuse/assault. Through his ongoing career in corrections, David has a very well-informed understanding of how trauma is formed, and what holds it in place, and how to help people suffering from this wearing/exhausting disorder, move beyond it, so they can get on with their lives.
David’s other professional areas of interests includes completing complex forensic (pre-trial) psychological assessments, as well as neuropsychological evaluation and assessment of persons with head injury concerns, and/or concussion, including persons with chronic pain and complex medical/clinical problems associated with accident related incidents, and the therapeutic treatment and management of same. David is formally trained in a number of evidence-based therapeutic approaches, which includes: Cognitive Behavioral Therapy (CBT), as well as Cognitive Processing Therapy (CPT), and Accelerated Resolution Therapy (ART), with David having a special interest in using ART due to its quick and effective manner it helps alleviate a person’s problems and issues.
As a registered psychologist, Dr. Robert J. Trifiletti has held a variety of positions throughout his thirty-five plus year career, which includes working with the Correctional Service of Canada (CSC), Alberta Health Services (AHS) at the Southern Alberta Forensic Psychiatric Center (SAFPC), as well as with the Canadian Military and various hospitals. He is also a former Adjunct Supervisor and assistant Professor in the Clinical Psychology Program at the University of Calgary, and has worked a number of years in private practice with Clinical Psychology Consultants. As such, Dr. Trifiletti brings him extensive experience in clinical and forensic assessments, neuropsychological evaluation, as well as disability assessment. His areas of interest include a focus on post-head injury evaluation/adjustment, psychological adjustment to chronic pain, injury accident mental health related mental health concerns, adult attention deficit disorder (ADHD), clinical depression, as well as anxiety disorders. Dr. Trifiletti is formally trained in a number of evidenced-based therapeutic approaches, including Psychodynamic Psychotherapy, Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), and Dialectical Behavior Therapy (DBT).
As Registered Psychologists, we are qualified to provide assessment and treatment in the following areas:
We provide objective evaluation of psychological factors that impact individuals in several important areas of functioning: Long term psychological impairment/ disability and how it will affect functioning ability to maintain meaningful employment, enjoyment of life, ability to carry on with social activities, ability to perform household responsibilities, and recreational activities the long term prognosis for recovery.
Importantly, we can assist lawyers by documenting the specific psychological conditions, severity of problems, the reality of the individual’s adjustment circumstances, and the need for psychological treatments, as well as recommendations for additional treatment and consultation.
We provide an informed and evidence-based evaluation focused on the following critical personal psychological injury concerns: Our clinical evaluation experienced includes psychological injuries associated with injury accidents (motor vehicle, pedestrian accidents, etc., medical or related malpractice.
Some of the most common psychological injury sequelae following exposure to physical and/or personal injuries include:
1. Trauma and stressor-disorder symptoms (acute stress and posttraumatic stress disorder), clinical depression, anxiety disorder, panic disorder symptoms, and impairment in psychosocial adjustment. The trauma-related symptoms can include reexperiencing of disturbing and unwanted intrusive thoughts, flashbacks, and memories of the incident(s), considerable anxiety and hyperarousal, detachment and withdrawal, and avoidance reactions, alterations in mood, a strong sense of moral injury, and deterioration in adaptive functioning, loss of quality of life and independent functioning.
2. Chronic pain disorder.
3. Neurocognitive Disorder involving post-accident traumatic head injury (post-concussion syndromes)
4. Depression: involving persistent sad and irritable mood, loss of motivation/interest, fatigue, sleep disturbance, potential for self-destructive behavior, suicidal thoughts, etc.
5. First responder exposure to potentially traumatic incidents/circumstances
6. Driving Anxiety and Phobia reactions
7. Sexual abuse/victimization
8. Military occupational stress injuries
9. Medical and related malpractice circumstances
Psychological evaluation is strongly recommended in response to personal and physical injury situations. The Psychological evaluation can provide objective documentation of psychological conditions that are affecting adjustment and functioning. The post-accident therapy can be very helpful in helping individuals begin to achieve improved adjustment and maximum recovery in order for the person get their life, and mental health back on track, or to help them get back to work.
Summary of Psychological Consultation:
1. Objective evaluation of the psychological impact of physical and personal injuries, diagnosis of psychological conditions, and severity of symptoms.
2. Provide objective recommendations for further consultation and treatment needs, including need for trauma processing
3. Documentation of psychological conditions and issues adversely impacting adjustment for purposes of legal claim and compensation.
Cognitive Processing Therapy (CPT) is a cognitive-behavioral therapy (treatment that focuses on thoughts and feelings) for Posttraumatic Stress Disorder, or PTSD, and related conditions. PTSD can develop when an individual experiences a traumatic event such as physical and sexual abuse or assault, accidents, threats, military combat, or being a witness to violence or death. CPT focuses on the connections between thoughts, feelings, behavior and bodily sensations. CPT is an evidenced based therapy which means that it has been proven to be effective through rigorous scientific research.
CPT provides a way to understand why recovery from traumatic events is difficult and how symptoms of PTSD affect daily life. The focus is on identifying how traumatic experiences change thoughts and beliefs, and how thoughts influence current feelings and behaviors. An important part of the treatment is addressing ways of thinking that might keep individuals “stuck” and get in the way of recovery from symptoms of PTSD and other problems.
CPT lasts for 12 therapy sessions (50 minutes each) during which individuals will:
Accelerated Resolution Therapy, often referred to as ART, is a form of psychotherapy with roots in existing evidence-based therapies but shown to achieve benefits much more rapidly
(usually within 1-5 Sessions).
Clients suffering from trauma and other mental health problems such as:
and many other mental and physical conditions can experience remarkable benefits starting in the first session.
The client is always in control of the entire ART session, with the therapist guiding the process. Although some traumatic experiences such as rape, combat experiences, or loss of a loved one can be very painful to think about or visualize, the therapy rapidly moves clients beyond the place where they are stuck in these experiences toward growth and positive changes. The process is very straightforward, using relaxing eye movements and a technique called Voluntary Memory/Image Replacement to change the way in which the negative images are stored in the brain. The treatment is grounded in well-established psychotherapy techniques, and the end result is that traumas and difficult life experiences will no longer trigger strong emotions or physical reactions. Importantly, clients do not even have to talk about their traumas or difficult life experiences with the therapist to achieve recovery.
ART incorporates a combination of techniques used in many other traditional psychotherapies. ART works directly to reprogram the way in which distressing memories and images are stored in the brain so that they no longer trigger strong physical and emotional reactions. ART accomplishes this through the use of rapid eye movements similar to eye movements that occur during dreaming. Although techniques similar to these are used in other types of therapies, ART’s very specific and directive approach can achieve rapid recovery from symptoms and reactions that may have been present for many years. ART combines long respected, sound treatment practices with safe and effective methods validated by current scientific research studies conducted by the University of South Florida.
Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.
CBT is based on several core principles, including:
CBT treatment usually involves efforts to change thinking patterns. These strategies might include:
CBT treatment also usually involves efforts to change behavioral patterns. These strategies might include:
Not all CBT will use all of these strategies. Rather, the psychologist and patient/client work together, in a collaborative fashion, to develop an understanding of the problem and to develop a treatment strategy.
CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions, and behavior.
CBT therapists emphasize what is going on in the person’s current life, rather than what has led up to their difficulties. A certain amount of information about one’s history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.
About Psychodynamic Psychotherapy
Psychodynamic therapy is similar to psychoanalytic therapy in that it is an in-depth form of talk therapy based on the theories and principles of psychoanalysis. But psychodynamic therapy is less focused on the patient-therapist relationship, because it is equally focused on the patient’s relationship with his or her external world. Often, psychodynamic therapy is shorter than psychoanalytic therapy with respect to the frequency and number of sessions, but this is not always the case.
Psychodynamic therapy is primarily used to treat depression and other serious psychological disorders, especially in those who have lost meaning in their lives and have difficulty forming or maintaining personal relationships. Studies have found that other effective
applications of psychodynamic therapy include addiction, social anxiety disorder, and eating disorders.
With help from the therapist, the patient is encouraged to speak freely about anything that comes to mind, including current issues, fears, desires, dreams and fantasies. The goal is to experience a remission of symptoms but also derive such benefits as increased self-esteem, better use of their own talents and abilities, and an improved capacity for developing and maintaining more satisfying relationships. The patient may experience ongoing improvements after therapy has ended. Although short-term therapy of one year or less may be sufficient for some patients, long-term therapy may be necessary for others to gain lasting benefits.
The theories and techniques that distinguish psychodynamic therapy from other types of therapy include a focus on recognizing, acknowledging, understanding, expressing, and overcoming negative and contradictory feelings and repressed emotions in order to improve the patient’s interpersonal experiences and relationships. This includes helping the patient understand how repressed earlier emotions affect current decision-making, behavior, and relationships. Psychodynamic therapy also aims to help those who are aware of and understand the origins of their social difficulties, but are not able to overcome their problems on their own. Patients learn to analyze and resolve their current issues and change their behavior in current relationships through this deep exploration and analysis of earlier experiences and emotions.
Dialectical behavior therapy (DBT) provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT specifically focuses on providing therapeutic skills in four key areas. First, mindfulness focuses on improving an individual's ability to accept and be present in the current moment. Second, distress tolerance is geared toward increasing a person’s tolerance of negative emotion, rather than trying to escape from it. Third, emotional regulation covers strategies to manage and change intense emotions that are causing problems in a person’s life. Fourth, interpersonal effectiveness consists of techniques that allow a person to communicate with others in a way that is assertive, maintains self-respect, and strengthens relationships.
DBT was originally developed to treat borderline personality disorder. However, research shows that DBT has also been used successfully to treat people experiencing depression, bulimia, binge-eating ,bipolar disorder, post-traumatic-stress disorder, and substance abuse. DBT skills are thought to have the capability of helping those who wish to improve their ability to regulate emotions, tolerate distress and negative emotion, be mindful and present in the given moment, and communicate and interact effectively with others.
DBT treatment typically consists of individual therapy sessions and DBT skills groups. Individual therapy sessions consist of one-on-one contact with a trained therapist, ensuring that all therapeutic needs are being addressed. The individual therapist will help the patient stay motivated, apply the DBT skills within daily life, and address obstacles that might arise over the course of treatment.
DBT skills group participants learn and practice skills alongside others. Members of the group are encouraged to share their experiences and provide mutual support. Groups are led by one trained therapist teaching skills and leading exercises. The group members are then assigned homework, such as practicing mindfulness exercises. Each group session lasts approximately two hours, and groups typically meet weekly for six months. Groups can be shorter or longer, depending on the needs of the group members. DBT can be delivered by therapists in many ways. For instance, some people complete the one-on-one therapy sessions without attending the weekly skills group. Others might choose the group without regular one-on-one sessions.
DBT is a cognitive-behavioral treatment developed by Marsha Linehan, Ph.D., in the 1980s to treat people with borderline personality disorder. Those diagnosed with BPD often experience extremely intense negative emotions that are difficult to manage. These intense and seemingly uncontrollable negative emotions are often experienced when the individual is interacting with others—friends, romantic partners, family members. People with borderline often experience a great deal of conflict in their relationships.
As its name suggests, DBT is influenced by the philosophical perspective of dialectics: balancing opposites. The therapist consistently works with the individual to find ways to hold two seemingly opposite perspectives at once, promoting balance and avoiding black and white—the all-or-nothing styles of thinking. In service of this balance, DBT promotes a both-and rather than an either-or outlook. The dialectic at the heart of DBT is acceptance and change.
Our Psychological services costs are based on the Psychologists' Association of Alberta (PAA) fee schedule.
For personal services we accept e-transfer, and cash, at this time. Payment is accepted prior to each session, without exception. Legal/Forensic assessments are typically invoiced by your legal representation, which we will accept payment by cheque, or e-transfer.
Please note, we do not direct bill to insurance companies at this time; as such, you are required to make payment upfront and we will issue you a receipt to submit for reimbursement from your insurance provider.
We ask that you provide us with 24-hour notice if you need to cancel or rebook your appointment. For appointments that fall on a Monday, please notify us for rebooking or cancellation Friday by noon.
We understand that life is not set in stone and things happen so you will be exempt for the first missed or cancelled appointments if cancelled with less than 24-hour notice. Please note, that from then on the full session fee will be charged directly to you, the client, or no shows or failure to cancel within the allotted time as insurers and referrals agencies do not reimburse for missed appointments. Please note that fees for missed appointments must be paid in full in order for you to be able to schedule further appointments.
Call our Office Administrator, Karen, at Integral Psychological Services Ltd to book your today, or submit your request by email and we will get back to you with your appointment details.
414 6 St S. Unit 206, Lethbridge, Alberta T1J 0N7
10:00 a.m. – 08:00 p.m.
10:00 a.m. – 08:00 p.m.
10:00 a.m. – 08:00 p.m.
10:00 a.m. – 08:00 p.m.
09:00 a.m. – 05:00 p.m.