Claiborn, James PHD
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I am a psychologist with over 40 years of experience treating people of all ages with all types of concerns. I specialize in treating Obsessive-Compulsive Disorder (OCD), Body Dysmorphic Disorder, and related problems such as tic disorders including Tourette's Disorder, Trichotillomania and Compulsive Skin Picking. Cognitive Behavioral Therapy (CBT) has been found to be effective in treating these conditions and others including anxiety disorders, depression and schizophrenia.

I have an independent practice in Portland Maine, and am licensed to provide Telehealth or online therapy in California, Delaware, Florida, Maine, New Hampshire, New York and Vermont. I no longer see clients in person; I do all my work via telehealth connection. I also offer coaching services by phone or internet (videoconferencing.) This life coaching activity is intended to help people enhance their lives and achieve their goals.

I am particularly interested in working with people who find that anxiety is impeding their progress in life.
Services
The focus of my practice is treating people with Obsessive-Compulsive Disorder and related problems.
If you are interested in working with me, please contact me and we will discuss arrangements.
I do not see clients in person; I do all my work via telehealth connection.
I accept many forms of commercial insurance as well as Medicare and MaineCare (Medicaid).
Licensed as Psychologist in NY since 1980, NH since 1983, ME since 2004, DE since 2010, CA since 2019, VT (Doctoral) since 2021.
Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders from the American Psychological Association College of Professional Psychology.
Obsessive-Compulsive Disorder, commonly called OCD, is a disorder involving obsessions and compulsions.
It is considered a psychiatric disorder and has traditionally been classified as an anxiety disorder since most people who have OCD have substantial anxiety that causes distress and interferes with their daily function.
With the publication of DSM-5, OCD in 2013 it was moved to its own category of Obsessive-Compulsive and related disorders.
This move is still somewhat controversial.
OCD is also sometimes referred to as a biobehavioral disorder or a psychobiological disorder.
Hoarding is a problem that is asked about frequently in connection with Obsessive-Compulsive Disorder (OCD).
We can define hoarding as acquiring and keeping objects to such an extent that it begins to impair the normal use of one's living space.
Most of the time the objects are considered of little or no value by others although commonly hoarders may also be collectors.
There are other disorders sometimes associated with hoarding including obsessive-compulsive personality disorder, schizophrenia or dementia.
Exposure and ritual (response) prevention (ERP) is a carefully studied and proven effective treatment for OCD.
The research is clear in showing that this method produces important reduction in obsessions and compulsions.
The benefits of doing ERP also tend to last for a long time.
This makes ERP a prime treatment for OCD.
There is a drawback and that is that ERP is very hard work and in particular doing exposure is at best uncomfortable and usually very anxiety producing.
If we look at the component parts there is evidence that exposure has its primary effect on obsessions and ritual prevention has its primary effect on compulsions.
I provide consultation and cognitive behavioral therapy online.
This type of therapy has been found to be effective for a range of problems including anxiety disorders, depression and schizophrenia.
I have a special interest in working with Obsessive-Compulsive Spectrum Disorders, including OCD, Trichotillomania, Compulsive Skin Picking, and Tic Disorders such as Tourette's.
Online therapy known as Telehealth is available to individuals in states where I hold a license.
Currently, I am licensed in CA, DE, ME, NH, NY and VT (Doctoral), and am registered in Florida as an out of state Telehealth provider.
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