Frequently Asked Questions
Huddle.care is an online anxiety treatment community inspired by acceptance-based cognitive behavioral theory. Members are placed in cohorts of 20-30 individuals with similar anxiety disorders. Each member receives a free video chat consultation that results in an individualized diagnosis and treatment plan. The program includes a weekly lecture for the whole cohort that focuses on education and community building and weekly small groups that focus on applying and practicing the cognitive behavioral treatment skills. The small groups are scheduled flexibly. They are available twice daily between Monday and Thursday and members can sign up for up to two groups per week. Each member is also encouraged to commit to daily homework and weekly progress assessments.
At Huddle.care, we’re enthused about leveraging technology to increase connection. We are traditionally trained and licensed psychotherapists who believe in the importance of the therapeutic relationship and recognize the benefits of social support. We seek to use technology to increase the opportunity for human connection, rather than attempting to replace relationships with technology. Our technology-enabled practice streamlines the intake, diagnostic, scheduling, and billing process while maintaining the quality of care offered by highly trained, licensed psychotherapists.
Transparent and comprehensive diagnostic assessment
After selecting your treatment needs and availability, you’ll receive an email prompting you to log in to our HIPAA-compliant portal and take a comprehensive diagnostic assessment. This collection of valid and reliable questionnaires evaluates your psychiatric symptoms, including your mood, anxiety, substance use, and experiences of trauma, as well as your thinking patterns. Huddle.care’s assessment is based on the latest advances in CBT and screens for specific thinking patterns that are known to create and maintain psychiatric symptoms. We’ll assess what’s happening in your mind, provide you a transparent report that explains what’s happening, and then teach you how to relate differently through education and practice in a group setting.
Anxiety disorders are common and treatable. Americans don’t have access to a trained behavioral health provider in more than half of the United States. Even in locations with many behavioral health options, providers vary in their skill and effectiveness; choosing a provider can be an expensive leap of faith. At Huddle.care, we’ve pivoted to video-based services to offer equal opportunity to care, regardless of location. We’ve also chosen to hire only trained and licensed psychotherapists in order to take the guesswork out of choosing a provider.
Anxiety disorders are chronic, episodic disorders. Sufferers will likely need support at more than one time in their lifetime. We strive to offer a comprehensive assessment and diagnosis plus education and guidance for managing your symptoms. It can be time-consuming and expensive to seek individual psychotherapy for every anxious episode or on an ongoing basis. Research indicates that group therapy is as effective as individual therapy for anxiety disorders. However, group therapy is often not the treatment of choice for psychotherapists due to the logistical burden of getting and keeping groups going. Huddle.care leverages technology to streamline group treatment so that highly skilled psychotherapists have the chance to help more people more effectively.
Acceptance-based cognitive behavioral therapy is based on a theory of psychological science that studies the relationship between thoughts, feelings, and behaviors. The idea is that feelings influence thinking, thinking influences behavior, and behavior influences feelings. Regardless of why someone is thinking, feeling, or behaving a certain way, they can learn to observe it and choose to respond differently. Flexibility in how you think, feel, and behave creates opportunity to live better.
The Huddle.care Program has two stages.
Stage I is an 8-week structured curriculum that includes community time, education, group therapy, assessment, and homework. Members must commit to the full 8 weeks.
Stage II is open for those who have completed Stage I. All of the features of Stage I will be continued in Stage II, but commitment is month-by-month.
Many of our members experience a rapid reduction in distress within 1-3 weeks of starting our program. Oftentimes, acknowledging that you need help, describing what you experience, and receiving a helpful and compassionate response will immediately reduce some of your sufferings. In addition, the nature of an anxiety disorder is that the more that you try to avoid your suffering, the worse it becomes. Accurate information and education about anxiety, which you’ll receive in the first few sessions, will likely decrease that suffering.
That said, individuals’ duration in the program varies. While research indicates that CBT is effective in 6-12 weeks, our experience as psychotherapists taught us that clients do better if they see a reduction in anxiety as an ongoing process, not a prescription. The format of our groups is based on that concept.
Here are examples of why some individuals stay in treatment longer than others:
- CBT can be a completely new way of thinking about your thoughts, feelings, and sensations that requires practice and ongoing discussion.
- The frequency and intensity of anxiety symptoms vary considerably and can relate to variability in outcome.
- Some individuals have more than one anxiety disorder, or a combination of an anxiety disorder and mood symptoms, trauma symptoms, or life challenges, that require more time.
- Some life circumstances make it hard for clients to practice the new way of thinking and behaving outside of session. The change process is often slower for clients who have less time and opportunity to practice outside of session.
The Huddle.care Program has 5 components.
This time offers group members the chance to share their stories with the whole group. This important part of the Huddle.care program increases hope, connection, and motivation.
Community time will include a short (20-30 minute) lecture about a different topic each week.
Sessions include 4-6 members each. Dr. Perry will co-lead each group with another clinician. The format is semi-structured, prompting members to share challenges and learnings from weekly homework as well as discussion about the weekly topic. Members can sign up for up to 2 groups per week.
Homework is individualized based on members’ diagnosis and treatment plan. At the end of each group, members will be prompted to commit to their specific homework each week.
Members will take an assessment on a general measure of distress and impairment prior to the start of the program to establish a baseline of functioning. On a weekly basis, members will take assessments that contribute to their understanding of the topic that week. Members will take the same general measure of distress and impairment at the end of Stage I to assess for progress. Stage II includes similar assessments on a weekly basis.
The format of the group therapy portion of the program is semi-structured. The interventions used will be consistent with acceptance-based CBT principles, without being manualized, productized, or protocol-driven.
In the first group, you should expect to share your anxiety story, explaining what type of anxiety you suffer from, how it has impacted your life, how long you’ve experienced it, and what you’re hoping for from the group. After members share, the psychotherapist will structure the group based on the issues that members share in common. On an ongoing basis, each member will start the group by sharing an anxiety experience (Example: “I noticed that my heart was racing as I tried to get on the bus and I decided to avoid it”) or question about anxiety (Example: “Can we talk more about perfectionism?”). The group leader will then facilitate the group based on the relevant topics for each member that week.
Absolutely! As professional healthcare providers, we respect the services provided by our colleagues, including psychiatrists, physicians, social workers, licensed counselors, and allied health professionals. We’re happy to collaborate with other members of your healthcare team and there is a section of our intake assessment that collects information about the other providers with whom you work.
Your Huddle.care group can be a standalone treatment. You can also use it for ongoing education and support for your anxiety disorder while you work on other issues with an individual therapist and/or psychiatrist. The combination of individual and group acceptance-based CBT can be a powerful way to address your anxiety disorder, offering you space to discuss the idiosyncratic aspects of your distress in individual therapy and the opportunity to practice and get support in group therapy.
You’ll receive a series of valid and reliable psychological assessments at the beginning of the program and at regular intervals to assess your progress over time. These assessments will track anxiety symptoms as well as thinking patterns that are characteristic of anxiety disorders. In addition to your subjective decrease in anxiety, the result of your Huddle.care assessment will help you track your progress.
Anxiety disorders are chronic, episodic disorders. Those with the biological sensitivity to developing an anxiety disorder have that sensitivity throughout their lifespans. Other factors such as life circumstance and coping style contribute to the occurrence or lack of an episode. With that in mind, some individuals quickly understand what’s happening, relate to it effectively, and are able to manage anxiety symptoms after only a few weeks of treatment. Others benefit from ongoing guidance, support, and accountability. Huddle.care’s program is flexibly designed to meet the needs of both types of individuals and everyone in between.
Our clinicians are licensed psychotherapists. They have masters degrees and doctorate degrees in clinical or counseling psychology or social work. Training to become a licensed psychotherapist varies slightly by degree. All degrees require two to six years of graduate coursework; over 4,000 hours of supervised clinical work; passing national and state-based exams; and ongoing continuing education to maintain licensure. Many of our clinicians have post-graduate specialty training in anxiety and OCD treatment.
Every Huddle.care psychotherapist is highly trained and skilled. The psychotherapist you are placed with is dependent on several variables, including your treatment needs as well as availability and the treatment needs and availability of other clients. We’ll use the information we gather from you through the assessment and consultation to match you with the best psychotherapist to meet your needs.
Your consultation, including a secure psychiatric assessment, diagnosis, and treatment plan are all free. If after the free consultation you’d like to join the Huddle.care program, it begins on the first day of the month. Learn more about our pricing and reimbursements for those with out-of-network insurance benefits.
All services provided by Huddle.care are fee-for-service and outside of all insurance networks. While we choose to maintain the quality of our service by working outside of the constraining requirements of insurance companies, we strive to make our service affordable. In that effort, we’ve partnered with Better, a service that streamlines out-of-network insurance reimbursement for clients. When you sign up for Huddle.care, you will be prompted to sign up for Better, so that our team can work with their team to help you get prompt insurance reimbursement.
When you choose to join the Huddle.care Program, you are committing to Stage 1, which lasts for 8 weeks. After you complete Stage I, you are in Stage II, which means that you have completed the introductory curriculum and you are committed to Huddle.care on a month-to-month basis. Stage II commitment starts and ends during the first week of every month. You can cancel your group membership at the end of the month by emailing firstname.lastname@example.org.
We use HIPAA-compliant video conferencing and electronic health record software. It has multiple layer security with 100% end-to-end encryption. It only transmits encrypted data and never has access to your PHI. Your data is hosted in a Tier 1 secure hosting provider that specializes in helping healthcare organizations achieve and maintain HIPAA and HITRUST security requirements.
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