Child & Adolescent Therapy

When working with young children, we believe that talk therapy can be over-emphasized and limiting. We integrate expressive therapies such as art and sandplay in order to allow children ample strategies for communication, self-healing, and insight.

Play therapy refers to a large number of treatment methods, which uses one or more of the natural benefits of play. Play Therapy differs from regular play in that the therapist helps children systematically address and resolve their own problems. We employ the language of play to help children express what is troubling them when they cannot say their thoughts and feelings in words. Play may also be used to promote cognitive development and provide insight about inner conflicts or dysfunctional thinking in the child.

Play Therapy will help a child learn to:

  • Replace inappropriate behaviors with more successful behaviors
  • Develop new solutions to their problems
  • Increase respect for themselves and others
  • Learn to experience and express emotions with respect to the thoughts and feelings of others
Trauma-Focused Cognitive Behavioral Therapy

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is designed to help children and their parents overcome the negative and often devastating effects of trauma.

Traumatic life events that children experience may include child sexual or physical abuse; traumatic loss of a loved one; exposure to domestic, school or community violence; exposure to disaster, terrorist attacks, or war trauma; serious accident such as car or plane; and serious medical procedures, operations or hospitalizations.

This therapy will help parents learn optimal ways to support their child and the skills that the child is learning in therapy. It also teaches parents effective parenting skills in dealing with the behaviors that often accompany child victims of trauma.

Trauma-Focused Cognitive Behavioral Therapy helps the client develop stress management skills, affect regulation, problem solving and safety skills, communication skills, self-esteem empowerment and interpersonal trust. The intervention can be provided to children ages 3-18 and their parents.

Pride Program and Resilience Group

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.

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 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.

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 more information, please call the office.

Our Resilience Group is a group designed to cater to 13-15 year olds that fall under the Pride Program umbrella. The intention of the group is to create a safe, judgment free environment for members to foster resilience to deal with mental health, relationships, and larger societal oppression. This includes activities, minimal role-playing engagements, and techniques to help instill this growth. Seeing an individual therapist at our facility is not required to participate. Please contact for more information. *Please note that Resilience Group is not billable to insurance.*

Dialectical Behavior Therapy (DBT)

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.”

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


What are the different components of DBT? How do they work?

DBT Skills Training Group

  • Learn new behavioral skills to gain control of intense emotions, increase awareness of self and others, and reduce unhelpful, impulsive behaviors.
  • Skills Training Group is run like a class, where group leaders teach skills and assign homework as a way for participants to apply skills in their everyday life.
  • Group meets on a weekly basis for 2 hours per week for the duration of the program.

Individual DBT Therapy

  • Enhances client motivation to apply skills in everyday life.
  • Weekly one hour individual appointments run in conjunction with Skills Training Group.
  • Reinforces skill use and helps increase positive quality-of-life behaviors.

Phone Coaching

  • Reinforce skill use in difficult life circumstances.
  • Increase the individual’s ability to manage stressful situations on their own.

[Gross 2007]

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?

DBT is designed to help those with:

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


Who doesn’t DBT help?

DBT is not designed for those with:

  • Narcissistic Personality Disorder
  • Active psychosis
  • Schizophrenia
  • Violent history
  • Anti-Social Personality Disorder
  • Autism Spectrum Disorder





When can I join?

New DBT clients are able to join group at the start of each new module – Adults can join the group the first 4 weeks of each new module, teens can join the first two weeks. All clients are required to have at least one individual session with the DBT therapist prior to joining the Skills Training Group.

To join DBT, clients are required to sign a contract that they will only see the DBT therapist for the duration of the program. Due to the highly structured methodology of DBT, having only one therapist for individual and DBT treatment ensures that there are limited conflicting approaches and that each session is a continuation of previous skill-building sessions. This contract does not apply to couples or family therapy.

Please also note that there is an attendance requirement. If you miss more than 4 individual or 4 group sessions consecutively, you will not be permitted to continue, and you will have to restart at the beginning of the next module.

Adult Group

Designed for clients ages 18+.

Group meetings are Fridays from 11 AM – 1 PM every week.

The group meets for 48 weeks total (approximately a 1 year commitment).


Adult DBT Flyer

Teen Group

Designed for clients ages 13-18.

Group meetings are Wednesdays from 6 PM – 8 PM every week.

Parent(s)/Guardian(s) participation is mandatory.

The group meets for 24 weeks total

Teen DBT Flyer
Parent Child Interaction Training

Parent Child Interaction Training is an evidence-based treatment using very specific, step-by-step, live coaching sessions with both the caregiver and the child. Parent Child Interaction Training places emphasis on improving the quality of the relationship and changing negative interaction patterns.

Parent Child Interaction Training is a family centered treatment approach tailored for each parent and child’s specific needs. Parents are taught specific skills to use with their child to establish, improve, or maintain a nurturing and secure relationship while increasing their child’s positive behavior and decreasing negative behavior.

This is a short-term therapy provided in 14-20 sessions depending on the needs of the family. Parent Child Interaction Training requires weekly in office sessions and 5-10 minutes of homework each day. In order to help ensure long term success, booster sessions are offered at 1 months, 3 months, 6 months and 1 year following completion of treatment.

Parent Child Interaction Training can include multiple siblings and both parents.

Co-Parent Counseling

It is no secret that divorce can be difficult for all involved. Instead of being the end, the finalization of a divorce is really a new beginning. A beginning which redefines the family, requiring parents and children to navigate living as a different kind of family, but still a family nevertheless. It is well documented that the most harm to children during and after a divorce is how parents handle themselves and their interactions with each other, not the divorce itself.

However, despite the divorce, children still want and need both of their parents to continue loving and parenting them. For parents,  the idea of co-parenting and communicating with the other parent is often very difficult because they still feel raw from the emotions that they carry as a result of the break up of the marriage, not to mention the emotions raised by the process of the divorce itself.

Through Co-Parent Counseling, we help parents learn to change dysfunctional, emotionally-charged communication and behavior patterns by helping them adopt clearly-defined, respectful, and dispassionate approaches to problem-solving and decision-making.

Please note that Co-Parent Counseling is not considered medically necessary and is therefore not covered by insurance. For cash-pay rates, please call the office.

Eating Psychology

Eating Psychology Coaching is an exciting and cutting edge approach developed by the Institute for the Psychology of Eating. It effectively addresses weight concerns, binge eating, overeating, body image challenges, and various nutrition related health concerns. Oftentimes, our eating challenges are connected to work, money, relationships, family, intimacy, life stress, and so much more. Integrated Therapy Services looks to support you with coaching strategies and nutrition principles that are nourishing, doable, sustainable, and that yield results.

Meet our Providers

Our staff is trained to provide a broad range of therapies such as couples therapy, family therapy, and individual therapy for children, teens and adults.

our providers
call: 253.460.7248
fax: 253.564.4409
3560 Bridgeport Way W
Suite 2-C
University Place, WA 98466