Adult Individual Therapy

Individual counseling is useful for addressing a variety of concerns – from general life stress, to recovery from traumatic events, to specific mental health conditions.

Our providers are trained in a Family Systems approach to treatment.
Your presenting concern is viewed through a framework that includes understanding how multiple layers of influence, such as biological, psychological, spiritual, and familial-generational, co-create and maintain your concerns.

Common Concerns We Can Help Address:

ADD, ADHD, and ODD
Anger management
Anxiety
Attachment issues
Behavioral concerns
Depression
Divorce
Gender and sexuality (see Pride Program)
Grief and/or loss
Life transitions
Parenting
Perinatal Wellness (see Bloom)
PTSD
Relationship issues
Stress management
Trauma
And More…

Additional Training/Therapeutic Approaches:

CBT (Cognitive Behavioral Therapy)
CBT + (Cognitive Behavioral Therapy Plus)
TF–CBT (Trauma-Focused Cognitive Behavioral Therapy)
DBT (Dialectical Behavioral Therapy) (see DBT)
EFT (Emotionally Focused Therapy)
FFT (Functional Family Therapy)
Motivational Interviewing
Certified Brain Health Coach
Certified Eating Psychology Coach
Maternal Mental Health Specialist
Infertility Specialist
At least one provider in our office has received additional training in these areas.
For information about who offers each, see Our Providers.
We now offer Online Therapy for Washington State.

New Clients

CBT: Cognitive Behavioral Therapy

CBT allows for self-reflection and self-correction.

Cognitive Behavioral Therapy (CBT) has been shown to be an effective method for improving mental health and quality of life for concerns ranging from generalized anxiety to depression to eating disorders and more serious concerns.
Unlike other forms of therapy, CBT focuses on the “right now,” rather than deep-diving into the cause of the problem. It helps clients to recognize their own unproductive thoughts and behaviors in the moment and provides methods to change them.

Core Principles

Psychological problems are, at least in part, due to:

Unhelpful ways of thinking
Unhelpful learned behaviors

Core Goals

Decrease and manage symptoms of presenting concern
Decrease and replace unhelpful ways of thinking
Decrease and replace unhelpful behaviors
Develop effective coping methods
Resolve relationship conflicts
Cope with grief/loss
And more…

Common Strategies

Learn to recognize perception distortions, and reevaluate in the context of reality
Understand behaviors and motivations of others
Develop confidence in self
Adapt problem-solving skills to difficult situations
Face fears
Utilize role playing to prepare for upcoming situations
Use techniques to calm mind and body

CBT has been supported in both psychological research and clinical practice, and has been found to be as or more helpful than comparable techniques and medications.

CBT+ : Cognitive Behavioral Therapy Plus

Cognitive Behavioral Therapy Plus (CBT+) is an integration of multiple therapeutic techniques, specifically:

Cognitive Behavioral Therapy (CBT)
Acceptance and Commitment Therapy (ACT)
Compassion Focused Therapy (CFT)
Dialectical Behavior Therapy (DBT)

All of these therapies are evidence-based and emphasize approaching problems from different perspectives.

CBT+ allows for a broader view of the presenting concern, and incorporates real-world problems into the framework. For example, CBT+ integrates concerns such as poverty, racism, and marginalization into the approach to treatment.

CBT+ also adds a stronger emphasis to relationships and dives further into the history of the client.

EATING PSYCHOLOGY

Eating Psychology Coaching is an exciting and cutting edge approach developed by the Institute for the Psychology of Eating.

Oftentimes, our eating challenges are connected to work, money, relationships, family, intimacy, life stress, and so much more.

It effectively addresses concerns including:

Weight concerns
Binge eating
Emotional eating
Overeating
Body image challenges
Various nutrition related health concerns

According to the Institute for the Psychology of Eating – In America:

Nearly 70% of adults are classified as overweight or obese
~90% of women are unhappy with their appearance
81% of 10 year old girls experience a fear of being fat
97% of women confess they have at least one “I hate my body moment” each day
~75% of all diseases could be prevented with better nutrition
~108 million individuals are on a diet
99% of those who diet gain back the weight they lose within a year
Within a decade, 67% of the population is projected to have some form of diabetes

Eating Psychology coaches are able to support you with both strategies and nutrition principles.

For eating psychology articles, look here.

The strategies provided are doable, sustainable, and nourishing and, most importantly, yield results.

DBT: Dialectical Behavior Therapy

What is DBT?

Dialectical Behavior Therapy is a type of talk-therapy and a modified form of cognitive-behavioral therapy. It was developed by Marsha Linehan in the 1980s and has since been used to address a number of mental health concerns. The overall purpose of DBT is to “learn how to change your own behaviors, emotions, and thoughts that are linked to problems in living and are causing misery and distress,” (Linehan 2015).

This includes:

1. Developing and enhancing emotional and behavioral capabilities.
2. Increasing motivation by reframing inhibitions and reinforcing contingencies.
3. Assuring that new skills are able to be applied to “real-life.”

What does “Dialectical” mean?

Dialectical, as related to DBT, means “two opposite ideas can be true at the same time, and when considered together, can create a new truth and a new way of viewing the situation. There is always more than one way to think about a situation.” DBT encourages a shift from “either/or” thinking to “both/and” thinking. For example, “this is really hard for me, and I’m going to keep trying.” (Rathus 2015).

Who does DBT help?

Intense emotions
Impulsivity
Self-harm
Strong reactions during communication
Feelings of worthlessness
Unhealthy relationships
Borderline Personality Disorder (BPD)
Depression
Anxiety
Anger
PTSD
Eating Disorders

This kind of therapy focuses on adjusting client behaviors to increase quality-of-life. DBT also emphasizes strategies for communication, commitment, and structure.

Who doesn’t DBT help?

Perinatal Wellness

Supporting families throughout their reproductive journey.

Integrated Therapy Services offers counseling to address the emotional and relational components of early parenthood. Pregnancy and postpartum counseling can help new, expecting, or planning parents cope with and overcome issues including:

Personal Concerns

Grief
Loss of self
Feelings of failure
Rage
Insomnia
Racing, intrusive, and/or scary thoughts
Isolation
Depression
Anxiety

Relationship Concerns

Navigating changes in relationship with partner
Bonding with the baby
Handling adjustments with family

Many parents suffer from depression, anxiety, and an inability to sleep during pregnancy or after the birth of the child. Women frequently struggle with similar symptoms after a miscarriage, stillbirth, or loss of a baby.
We are here to help.

ITS recognizes and supports all kinds of families, traditional and non-traditional.

For more information about our Bloom Providers, please see:
Our Providers.

Pride Program

Focused on providing a safe and therapeutic environment

Our Pride Program is focused on providing a safe and therapeutic environment to help foster resilience and compassion with members of the LGBTQ+ community and family members. Therapists are trained in working with individuals, families, and couples in this community from a systemic perspective.

ITS’ Pride Program specializes in working with individuals, couples, and families who are seeking support with:

Transcare
Dysphoria
Coming Out
Relationship Issues
Anxiety
Depression
Trauma
Life Transitions and Stress
Grief or Loss
Parenting
Alternating Groups (ask for more information)
And more…

For some people medical transitions can be a component of mental health care. We take care in providing longer term treatment and coordination with other medical professionals on an as needed basis to reduce gate keeping as much as possible.

It is a sad truth that members of this community experience higher rates of depression, anxiety, suicide, substance use, and trauma. It is our mission to create a space of compassion and safety while working through whatever concerns people bring.

For more information, please call the office.

*This content is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional healthcare services including the giving of medical/ psychological advice. No provider-patient relationship is formed. The use of this information and the materials linked to this website is provided at the users own risk. The content is not intended to be a substitution for individual medical or psychological advice, diagnosis or treatment. Users should not delay obtaining medical/psychological advice regarding any condition they have and should seek the assistance of their medical provider.