DR. LUANA MARQUES

“Life begins at the end of your comfort zone.”

– Neale Donald Walsh

My name is Dr. Luana Marques, and it is my pleasure to welcome you to my website. My website is designed to be your personal portal to empirically-supported, state-of-the-art, cognitive and behavioral treatment (CBT).

My personal philosophy is to teach you the skills necessary to overcome your emotional difficulties in the shortest appropriate time frame.

The main goal of my practice is to empower individuals to overcome their emotional difficulties by relying on CBT strategies.

BiographyClinical TrainingPublications

Dr. Marques is a licensed clinical psychologist in the states of Massachusetts and New York and an expert in Cognitive Behavioral Therapy (CBT) for a wide range of psychiatric disorders.

She received her B.S. in Psychology from the State University of New York at Buffalo (SUNY Buffalo) in 2001, as well as her Masters and Ph.D. at SUNY Buffalo in Clinical Psychology in 2005 and 2007, respectively. She completed an internship and postdoctoral fellowship in the CBT track at the Massachusetts General Hospital (MGH) and was subsequently hired as a post-doctoral fellow in the Obsessive Compulsive Disorder Clinic & Research Unit at MGH. Currently, Dr. Marques is the senior clinical psychologist at the MGH Center for Anxiety and Traumatic Stress Disorders program, as well as an Associate Professor of Psychiatry at Harvard Medical School.

In addition to her extensive clinical expertise, Dr. Marques also has an active research career at MGH. Dr. Marques was awarded a MGH Clinician Teacher award to teach cognitive processing therapy (CPT) to community mental health workers who are treating patients diagnosed with posttraumatic stress disorder (PTSD).

Dr. Marques is also the director and founder of Community Psychiatry PRIDE, Community Psychiatry Program for Research, Implementation and Dissemination of Evidence-Based Practices. Community Psychiatry PRIDE is a dissemination and implementation psychiatry research center that focuses on reducing disparities in mental health in the communities across Massachusetts. The program’s central focus is researching the implementation of evidence-based practices in resource-constricted settings. Specifically, the program is designed to study the process by which EBTs can be effectively disseminated to community clinics, which in turn leads to increased access and quality of care across a wide range of psychiatric disorders. Dr. Marques’ primary research project at PRIDE is an NIH-funded study that examines implementation of Cognitive Processing Therapy for PTSD in diverse community settings such as Massachusetts General Hospital Chelsea Community Clinic and North Suffolk Mental Health Association. Dr. Marques is also directing a study that investigates the Barriers to Treatment of Post Traumatic Stress Disorder and Depression as well as the integration of primary care and mental health within the community clinic.

In the past, Dr. Marques served as a co-investigator and study therapist on a Department of Defense funded Randomized Trial of Sertraline, Prolonged Exposure, and their Combination for PTSD in OEF/OIF veterans as well as three NIMH funded clinical trials examining the enhancement of CBT for Social Anxiety Disorder, Panic Disorder, and Complicated Grief. With the support of an ARRA minority supplement, she began to work closely with minority populations at MGH community mental health clinics, where she has become increasingly aware of the substantial implementation gap in empirically supported psychotherapeutic treatments for anxiety disorders.

In addition to her clinical and research work, Dr. Marques is also the author of Almost Anxious, a self-help book in the Harvard Medical School Almost Effect series that addresses sub-clinical anxiety disorder and provides practical and useful skills to take charge of everyday anxiety.

Dr. Marques is fluent in Portuguese and Spanish, which has allowed her to gain valuable clinical experience with minority populations. For more information about Dr. Marques, please see below.

Curriculum Vitae (CV)

Dr. Luana Marques received her B.S. in Psychology from the State University of New York at Buffalo (SUNY Buffalo) in 2001 and her Masters in 2005 and Ph.D. in 2007 at SUNY Buffalo in Clinical Psychology. She has since received extensive clinical training and experience.

Post-Doctoral Training
2007- 2009: Clinical Fellow in Psychology (Psychiatry)
Massachusetts General Hospital/ Harvard Medical School

2005-2006 : Intern in Psychology
Massachusetts General Hospital/ Harvard Medical School

Clinical Experience
2009-Current
Therapist
Optimizing Treatment for Complicated Grief
Center for Anxiety and Traumatic Stress Disorders (CATSD)
Massachusetts General Hospital and Harvard Medical School

2008- 2011: Therapist
D-Cycloserine Enhancement of Panic Disorder (PD)
Center for Anxiety and Traumatic Stress Disorders (CATSD)
Massachusetts General Hospital and Harvard Medical School

2007- 2011: Therapist
D-Cycloserine Enhancement of Exposure in Social Phobia
Center for Anxiety and Traumatic Stress Disorders (CATSD)
Massachusetts General Hospital and Harvard Medical School

2006- 2009: Therapist
Behavior Therapy for Adults with Tourette Syndrome
Massachusetts General Hospital and Harvard Medical School
The purpose of this multisite study is to compare the efficacy of a structured Habit Reversal Training protocol to enhanced supportive psychotherapy in adults with Tourette Syndrome.

2006- 2009: Therapist
Massachusetts General Hospital and Harvard Medical School
Cognitive-Behavior Therapy Treatment Development for BDD
The purpose of this study is to develop a flexible modular cognitive behavioral treatment for patients suffering from BDD. Efficacy of the developed treatment is tested against a wait-list control.

2006- 2007: Therapist; Clinical Internship
Massachusetts General Hospital and Harvard Medical School

2002- 2006: Diagnostic Interviewing
Posttraumatic Stress Disorder in Motor Vehicle Accident Survivors
The Center for Anxiety Research State University of New York at Buffalo

2003-2005: Therapist
Posttraumatic Stress Disorder in Motor Vehicle Accident Survivors
The Center for Anxiety Research
University at Buffalo, State University of New York.

2003- 2005: Student Therapist
Psychological Services Center
State University of New York at Buffalo

2000- 2005: Co-Leader, Support Group for Obsessive-Compulsive Disorder
Buffalo General Hospital
Buffalo, NY

2001:Co-Therapist, Group Cognitive Behavior Therapy
Obsessive Compulsive Treatment and Research Program
Buffalo, NY

Original Articles
Robinaugh, D. J., McNally, R. J., LeBlanc, N. J., Pentel, K. Z., Schwarz, N. R., Shah, R. M., Moore, C., Nadal-Vicens, M. F., Marques, L., Bui, E., & Simon, N. M. (in press). Anxiety sensitivity in bereaved adults with and without complicated grief. Journal of Nervous and Mental Disease.

Chang, T., Weiss, A., Marques, L., Baer, L., Vogeli, C., Trinh, N…Yeung, A. (in press). Race/Ethnicity and Other Social Determinants of Psychological Well-being and Functioning in Mental Health Clinics. Journal of Health Care for the Poor and Underserved.

Hoge, E., Hazel, B., Marques, L., Metcalf, C., Brach, N., Lazar, S., & Simon, N. M. (in press). Mindfulness and self-compassion in generalized anxiety disorder: Examining predictors of disability. Evidence-Based Complementary and Alternative Medicine.

Zalta, A. K., Dowd, S., Rosenfield, D., Smits, J. A. J., Otto, M. W., Simon, N. M., Meuret, A. E., Marques, L., Hofmann, S. G., & Pollack, M. H. (2013). Sleep quality predicts treatment outcome in CBT for social anxiety disorder. Depression and Anxiety, 30, 1114-1120.

Smits, J. A. J., Rosenfield, D., Otto, M. W., Marques, L., Davis, M. L., Meuret, A. E., Simon, N. M., Pollack, M. H., & Hofmann, S. G. (2013). D-cycloserine enhancement of exposure therapy for social anxiety disorder depends on the success of exposure sessions. Journal of Psychiatric Research, 47(10), 1455-61.

Hofmann, S. G., Smits, J. A., Rosenfield, D., Simon, N., Otto, M. W., Meuret, A. E., Marques, L.…Pollack, M. H. (2013). D-Cycloserine as an augmentation strategy with cognitive-behavioral therapy for social anxiety disorder. American Journal of Psychiatry, 170(7), 751-8.

Marques, L., Bui, E., LeBlanc, N., Porter, E., Robinaugh, D., Dryman, M. T., Vicens, M. N., Worthington, J., & Simon, N. (in press). Complicated Grief symptoms in anxiety disorders: Prevalence and associated impairment. Depression and Anxiety. Epub ahead of print.

Hoge, E.A., Bui, E., Marques, L., Metcalf, C. A., Morris, L. K., Robinaugh, D.J., Worthington, J. J., Pollack, M. H., & Simon. N. M. (2013). Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: Effects on anxiety and stress reactivity. Journal of Clinical Psychiatry, 74(8), 786-92.

Greenberg, J. L., Falkenstein, M., Reuman, L., Fama, J., Marques, L., & Wilhelm, S. (2013). The phenomenology of self-reported body dysmorphic disorder by proxy. Body Image 10(2), 243-246.

Marques, L., Porter, E., Keshaviah, A., Pollack, M. H., Van Ameringen, M., Stein, M. B., & Simon, N. M. (2012). Avoidant personality disorder in individuals with generalized social anxiety disorder: What does it add?. Journal Of Anxiety Disorders, 26(6), 665-672.

Sung, S., Porter, E., Robinaugh, D., Marks, E., Marques, L., Otto, M., Pollack, M., & Simon, N. (2012). Mood regulation and quality of life in Social Anxiety Disorder: An examination of generalized expectancies for negative mood regulation. Journal of Anxiety Disorders, 26(3), 435-441.

Weingarden, H., Marques, L., Fang, A., Leblanc, N., Buhlmann, U., Phillips, K.A., & Wilhelm, S. (2011). Culturally adapted Cognitive Behavioral Therapy for Body Dysmorphic Disorder (BDD): Case Examples. International Journal of Cognitive Therapy, 4(4), 381-396.

Marques, L., Beck, J. G., Gudmundsdottir, B., Palyo, S. P., & Coffey, S. F. (in press). Romantic Relationship satisfaction and PTSD symptoms among motor vehicle accident survivors: A preliminary examination of sex differences. Journal of Family & Marital Therapy.

Hoge E. A., Marques, L., Wechsler, R. S., Lasky, A. K., Delong, H. R., Jacoby, R. J., Worthington, J. J., Pollack, M. H., & Simon, N. M.. (2011). The role of anxiety sensitivity in sleep disturbance in panic Disorder. Journal of Anxiety Disorders, 25(4), 536-538.

Marques, L., LeBlanc, N. J., Weingarden, H. W., Greenberg, J. L., Traeger, L. N., Keshaviah, A., & Wilhelm, S. (2011). Body dysmorphic symptoms: Phenomenology and ethnicity. Body Image, 8(2), 163-167.

Marques, L., Weingarden, H., LeBlanc, N, & Wilhelm, S. (2011). Treatment utilization and barriers to treatment engagement among people with Body Dysmorphic symptoms. Journal of Psychosomatic Research, 70(3), 286-293.

Robinaugh, D. J., Marques, L., Sung, S. C, Traeger, L., Marks, E. H., Beck, J. G., Pollack, M. H., & Simon, N.M. (2011). Understanding the relationship between social support and Posttraumatic Stress Disorder following a motor vehicle accident: The mediating role of post-trauma cognitions. Journal of Abnormal Psychology, 25(8), 1072-1078.

Marques, L., Weingarden, H., LeBlanc, N., Siev, J., & Wilhelm, S. (2011). The Relationship between Perceived Social Support and Body Dysmorphic Symptom Severity: The Role of Gender. Brazilian Journal of Psychiatry, 33(3), 238-244.

Marques, L., LeBlanc, N., Robinaugh, D., Weingarden, H., Keshaviah, A., & Wilhelm, S. (2011). Correlates of quality of life and functional disability in individuals with Body Dysmorphic Disorder. Psychosomatics, 52(3), 245-254.

Marques, L., Alegria, M., Becker, A., Chen, C., Fang, A., Chosak, A., & Diniz, J. (2011). Comparative prevalence, correlates of impairment, and service utilization for eating disorders across U.S. ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders. International Journal of Eating Disorders, 44(5), 412-420.

Clapp, J. D., Olsen, S. A., Beck, J. G., Palyo, S. A., Grant, D. M., Gudmundsdottir, B., & Marques, L. (2011). The Driving Behavior Survey: Scale construction and validation. Journal of Anxiety Disorders, 25, 96-105.

Hinton, D., Pich, V., Marques, L., Nickerson, A. & Pollack M. (2010). Khyâl attacks: A key idiom of distress among traumatized Cambodia refugees. Culture, Medicine, and Psychiatry, 34(2), 244-278.

Marques, L., LeBlanc, N., Weingarden, H., Timpano, K., & Wilhelm, S. (2010). Barriers to treatment and service utilization in an internet sample of individuals with Obsessive-Compulsive Disorder. Depression and Anxiety, 27(5), 470-475.

Li, Y., Marques, L., Hinton, D., Yuan, W., & Xiao, Z. (2009). Symptom dimensions in Chinese patients with Obsessive-Compulsive Disorder. CNS Neuroscience and Therapeutics, 15, 276-282.

Chosak, A., Marques, L., Fama, J., Renaud, S., & Wilhelm, S. (2009). Cognitive therapy for OCD: A case illustration. Cognitive and Behavioral Practice, 16, 7-17.

Marques, L. (2009). A look at the 29th ADAA Conference: Cultural considerations for anxiety disorders. Depression and Anxiety, 26, 498-502.

Marques, L., Kaufman, R. E., LeBeau, R., Moshier, S. J., Otto, M. W., Pollack, M. H., & Simon, N. M. (2009). A comparison of emotional approach coping (EAC) between individuals with anxiety disorders and nonanxious controls. CNS Neuroscience & Therapeutics, 15, 100-106.

Chosak, A., Marques, L., Greenberg, J. L., Jenike, E, Dougherty, D. D., & Wilhelm, S. (2008). Body dysmorphic disorder and obsessive-compulsive disorder: similarities, differences, and the classification debate. Expert Review of Neurotherapeutics, 8, 1209-1218.

Affiliation

Patient Testimonials

“I always tell everyone that Luana saved my life. I cant possibly recommend her highly enough. I had struggled with an acute panic and anxiety disorder for over two years. I worked very hard at trying to fix myself. I tried everything barring medication, REBT, psycho – analysis, hypnosis, homeopathy, meditation, but nothing clicked. It was to a point where i could barely leave my home. I was introduced to Luana through a YPO friend of my family. Luana immediately understood my situation and the constraints I was living with. She realized I wasn’t going to make it to her in Boston and decided to come out to India during her time off and help me through my problem. For me the results were nothing short of magical. In 4 days of working with her I was half way to being myself and by the time she left a week later I was nearly all back. This was 4 years ago. Since then I have helped solve a major business crisis, moved countries, married an amazing woman, followed my passion, started a new career and traveled all over the world. I cant give Luana all the credit :), but working with her was instrumental; a pivotal moment for me that helped me when I most needed it. Not everyone will be have the same sort of results in the same time frame as I did. But I have and always will recommend Luana for anyone who finds themselves having the challenging task of tackling tough mental health related issues. She is a great resource and one I value very much.”

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“I worked Dr. Marques in a personal and a couples settings. She was able to accommodate week long intensive sessions in India which made things much simpler for me logistically. Dr. Marques was able to help me to first understand and then fix deeply ingrained patterns that were irrational and counter-productive to my larger goals in life. I began with what I thought was an addiction and temper problem, and once we peeled away enough layers, it became apparent that the true problems were deeper and actually simpler and required me to relook at some of my basic assumptions and reactions. To that end, the CBT method is a powerful and science based method. It helps zero in on what is truly “broken” within your thinking and emotions and offers you the tools to build it back up. I also loved the fact that Dr. Marques and CBT has a holistic view of mental and physical wellness. It dovetailed perfectly with the meditation practice I began around the same time and helped me connect with what I defined as personal happiness. As I say to Dr .Marques – “you guys (CBT practioners) are the modern day scientific spiritual healers”.

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My one week CBT course with Dr Luana was nothing short of life changing. An intense week spent introspecting, unpacking my own habits and behaviour, coming to a deep understanding of why I do what I do. The experience was completely draining, but at the end of the week I felt lighter. I had come looking for the answer to a single question, and left with answers to many other hidden quagmires. More importantly, the week left me with vital tools to apply once I returned to my ‘normal life’. The results have shown in every aspect of my life, both personal and professional. I would advocate this course for anyone and everyone. Whether you have a nagging problem or not. This chance to remove the layers of habit building/patterns to expose who we truly are and what we truly want, is a gain for life.

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“I have been unable to fly short or long distances without a sedative as the experience of being in a flight aroused both panic and anxiety. This has been my condition for the last 18 years. I could have gone on like this for the rest of my life, but the dependency has made me feel like I had lost control of my life and my freedom. When I decided to do the CBT intensive exposure therapy with Dr. Marques I knew that it would not be easy. But the thought that maybe I could overcome my fear of flying and learn to handle anxiety and panic propelled me to undertake this exercise. I was diagnosed by Dr. Marques to have Claustrophobia. Dr. Marques taught me the skill of being “comfortably uncomfortable” and facing my fears and anxiety. I realized that there is no magic in handling panic but a rigorous practice of correcting one’s thinking and learning to identify the emotional and physical triggers that trigger the thoughts that feed panic and anxiety. Dr. Marques taught me how to prime my limbic brain so that it stops firing when the stimulus is a false alarm. This was a transformative experience.

Today I am flying short and long flights without any medication and though there may be some discomfort now and then I have learnt to cope and handle my thoughts and have a comfortable and often enjoyable flight. I still have some way to go to consolidate my wins, but I know for sure that there will be more wins as I keep working at it.

CBT has been a liberating and transformative experience and I would recommend it to all who seek to be free of panic and phobias.”

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“Please accept my heartfelt gratitude for your support and expert care over the past 18 months. I wanted to let you know how much your availability, expertise and ability to be both frank and compassionate helped us move forward as a family. On a personal level, I’m thankful to have added new cognitive behavioral strategies to my repertoire, finding they enable me to respond with greater discernment and wisdom. I feel more confident of my role within our family, understanding better how to communicate, listen and yet also hold my own within the dynamics of our unit. These are all things to be thankful for and I know they are a result of our willingness to all work hard under your tremendous guidance and support.”

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“Thank you again for your help and support with changing my life for the better in ways I didn’t think were possible. I can’t thank you enough for all you have done to help me work through my PTSD. You are an amazing person and Doctor. Thank you again for everything.”

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