EMDR Therapists in West Des Moines, IA
![Photo of Susan Sharp Heitshusen, MS, LMHC, Counselor](https://photos.psychologytoday.com/d13184e7-756b-419f-ad79-468e22269742/2/320x400.jpeg)
I am trained in Eye Movement Desensitization Reprocessing (EMDR) which helps address traumatic or emotionally disturbing life experiences.
We have all been through difficulties and transitions where we seek a sense of strength and healing. Therapy is a way of exploring struggles and developing strengths and coping strategies while enriching life by integrating the mind, body, and spirit to achieve a greater sense of purpose and meaning. It is my goal to walk a path with you in a non-judgmental, accepting, and empathetic atmosphere to help you discover and utilize your strengths, overcome barriers, and achieve mental wellness.
I am trained in Eye Movement Desensitization Reprocessing (EMDR) which helps address traumatic or emotionally disturbing life experiences.
We have all been through difficulties and transitions where we seek a sense of strength and healing. Therapy is a way of exploring struggles and developing strengths and coping strategies while enriching life by integrating the mind, body, and spirit to achieve a greater sense of purpose and meaning. It is my goal to walk a path with you in a non-judgmental, accepting, and empathetic atmosphere to help you discover and utilize your strengths, overcome barriers, and achieve mental wellness.
Additionally, I have completed training on the use of EMDR to heal trauma.
During my years in practice, I have noticed that many people feel like they are living their lives the way others would like them to live. This can create or contribute to depression, anxiety, and a general feeling of disconnection from oneself. Whether you're dealing with depression, anxiety, childhood or recent trauma, or sexuality issues, my work is dedicated to helping you find your most authentic voice so that you can create the life that you've always wanted to live.
Additionally, I have completed training on the use of EMDR to heal trauma.
During my years in practice, I have noticed that many people feel like they are living their lives the way others would like them to live. This can create or contribute to depression, anxiety, and a general feeling of disconnection from oneself. Whether you're dealing with depression, anxiety, childhood or recent trauma, or sexuality issues, my work is dedicated to helping you find your most authentic voice so that you can create the life that you've always wanted to live.
![Photo of Angie Allen, LMHC, Counselor](https://photos.psychologytoday.com/4f367ce5-6aa9-4907-9c94-911743e53dd4/2/320x400.jpeg)
I utilize cognitive behavioral therapy, EMDR, and client-centered approach to help the client work toward identifying, reaching, and maintaining goals.
Currently accepting new clients with Blue Cross Insurance! I am a Licensed Mental Health Counselor that utilizes a range of modalities to help address areas of concern including, but not limited to, depression, anxiety and trauma. My professional training includes working with children, adolescents, and adults with a variety of issues including marital distress, abuse, stress management, chronic illness, self-harm, and much more. I also have experience working with brain injury survivors and their family on their unique needs.
I utilize cognitive behavioral therapy, EMDR, and client-centered approach to help the client work toward identifying, reaching, and maintaining goals.
Currently accepting new clients with Blue Cross Insurance! I am a Licensed Mental Health Counselor that utilizes a range of modalities to help address areas of concern including, but not limited to, depression, anxiety and trauma. My professional training includes working with children, adolescents, and adults with a variety of issues including marital distress, abuse, stress management, chronic illness, self-harm, and much more. I also have experience working with brain injury survivors and their family on their unique needs.
![Photo of Wendy Tillgren, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/08b1bb83-8985-466e-837f-28b55da2f54e/2/320x400.jpeg)
Wendy Tillgren
Clinical Social Work/Therapist, LISW
Verified Verified
6 Endorsed
West Des Moines, IA 50265
I am trained in EMDR and TF-CBT as well as traditional talk therapy methods and will work these elements in combination to provide the best care to my clients.
I see primarily adolescents and adults to help work through most things life throws our way. I use a combination of evidence based treatments, compassion and humor to help find your best self. I have been in the field for over 15 years across various settings working with people who have experienced trauma, mood disorders, foster care/adoption concerns and general life stress.
I am trained in EMDR and TF-CBT as well as traditional talk therapy methods and will work these elements in combination to provide the best care to my clients.
I see primarily adolescents and adults to help work through most things life throws our way. I use a combination of evidence based treatments, compassion and humor to help find your best self. I have been in the field for over 15 years across various settings working with people who have experienced trauma, mood disorders, foster care/adoption concerns and general life stress.
![Photo of Alicia Peña, MS, LMHC, Counselor](https://photos.psychologytoday.com/0a82d554-100a-41b0-af20-325828de8d9e/1/320x400.jpeg)
Welcome! Life is a continual journey of healing the mind, body, and spirit. I am a Licensed Mental Health Counselor and I provide individual and family therapy. My passion is working with people from multi-cultural populations who have experienced trauma, PTSD, depression, anxiety, suicidal ideation, grief/loss, anger, irritability, stress, and substance abuse. I am a Certified EMDR Therapist and Consultant, (Eye Movement Desensitization and Reprocessing), and offer Mindfulness, Cognitive-Behavioral Therapy and Client Centered Therapy,
Welcome! Life is a continual journey of healing the mind, body, and spirit. I am a Licensed Mental Health Counselor and I provide individual and family therapy. My passion is working with people from multi-cultural populations who have experienced trauma, PTSD, depression, anxiety, suicidal ideation, grief/loss, anger, irritability, stress, and substance abuse. I am a Certified EMDR Therapist and Consultant, (Eye Movement Desensitization and Reprocessing), and offer Mindfulness, Cognitive-Behavioral Therapy and Client Centered Therapy,
![Photo of Cindy Schloss Calhoun, LISW, RPT-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/422fe142-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Cindy Schloss Calhoun
Clinical Social Work/Therapist, LISW, RPT-S
Verified Verified
West Des Moines, IA 50265
Hello and Welcome! I am an LISW therapist (Licensed Independent Social Worker) and a Registered Play Therapy Supervisor. As a therapist, I work with children adolescents, families and adults. I provide a unique combination of expressive and more traditional therapies. I have obtained highly specialized training in play and sand tray therapy, attachment, trauma, and Theraplay. I am EMDR certified with both children and adults. I am also a SoulCollage (R) Facilitator. This practice uses printed images to create a visual journal of one's life.
Hello and Welcome! I am an LISW therapist (Licensed Independent Social Worker) and a Registered Play Therapy Supervisor. As a therapist, I work with children adolescents, families and adults. I provide a unique combination of expressive and more traditional therapies. I have obtained highly specialized training in play and sand tray therapy, attachment, trauma, and Theraplay. I am EMDR certified with both children and adults. I am also a SoulCollage (R) Facilitator. This practice uses printed images to create a visual journal of one's life.
![Photo of Kelly Meany, LISW, LADC, CSAT- c, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4e98dbc2-1ff6-4675-98b4-90d5f1994a5a/1/320x400.jpeg)
Kelly Meany
Clinical Social Work/Therapist, LISW, LADC, CSAT- c
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I specialize in cognitive behavioral therapy, motivational Interviewing, EMDR, DBT and IFS.
I believe everyone has a story to tell and sometimes the beginning to the healing path is sharing that story. I have seen and helped people change directions from an undesired life path to one of true healing and personal success. My goal is to help each person be the best version of themselves that has always been inside, but was unable to flourish. Everyone has the potential to shine, but sometimes the light is buried under past trauma, self doubt, lack of confidence, or simply lacking the opportunity to look inward to find that true potential.
I specialize in cognitive behavioral therapy, motivational Interviewing, EMDR, DBT and IFS.
I believe everyone has a story to tell and sometimes the beginning to the healing path is sharing that story. I have seen and helped people change directions from an undesired life path to one of true healing and personal success. My goal is to help each person be the best version of themselves that has always been inside, but was unable to flourish. Everyone has the potential to shine, but sometimes the light is buried under past trauma, self doubt, lack of confidence, or simply lacking the opportunity to look inward to find that true potential.
![Photo of Hilary Johnson, LMHC, Counselor](https://photos.psychologytoday.com/53e9c5d1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in treating trauma through the use of EMDR (Eye Movement Desensitization and Reprocessing) and Trauma Focused Cognitive Behavioral Therapy.
Immediate appointments availiable. My name is Hilary Johnson and I am a licensed Mental Health Therapist (LMHC). Making the decision to come to therapy is not an easy one whether it is for you or your child. I am here to help by providing a safe, compassionate, and judgement free space. As a client centered therapist my goal is to focus on you and what you need out of therapy. I specialize in children (age 10 and up), teens, and young adults who have experienced trauma in their life. I also specialize in the LGBTQIA population, as an identified therapist.
I specialize in treating trauma through the use of EMDR (Eye Movement Desensitization and Reprocessing) and Trauma Focused Cognitive Behavioral Therapy.
Immediate appointments availiable. My name is Hilary Johnson and I am a licensed Mental Health Therapist (LMHC). Making the decision to come to therapy is not an easy one whether it is for you or your child. I am here to help by providing a safe, compassionate, and judgement free space. As a client centered therapist my goal is to focus on you and what you need out of therapy. I specialize in children (age 10 and up), teens, and young adults who have experienced trauma in their life. I also specialize in the LGBTQIA population, as an identified therapist.
![Photo of Jill K Shirley, JD, LMHC, IADC, NCC, Counselor](https://photos.psychologytoday.com/26ca3b99-b27e-42e1-abc6-aea847b2cdc4/3/320x400.jpeg)
Jill K Shirley
Counselor, JD, LMHC, IADC, NCC
Verified Verified
1 Endorsed
West Des Moines, IA 50265
In addition to decades of experience as a professional in other industries and working through my own personal challenges, I have experience and training in: addiction, betrayal trauma, couples/relationship work, Eye Movement Desensitization Reprocessing (EMDR), Acceptance Commitment Therapy (ACT), Cognitive Behavior Therapy (CBT), and positive psychology.
Whether you are facing life-changing circumstances, finally facing an ongoing issue and ready to change, or simply need an objective sounding board, reaching out to a therapist is a courageous step. We will work together to explore what underlies the difficulties you face and collaborate to find solutions and mechanisms for coping. In therapy we will work together to develop a trusting relationship so that you feel safe enough to express your most authentic and vulnerable self.
In addition to decades of experience as a professional in other industries and working through my own personal challenges, I have experience and training in: addiction, betrayal trauma, couples/relationship work, Eye Movement Desensitization Reprocessing (EMDR), Acceptance Commitment Therapy (ACT), Cognitive Behavior Therapy (CBT), and positive psychology.
Whether you are facing life-changing circumstances, finally facing an ongoing issue and ready to change, or simply need an objective sounding board, reaching out to a therapist is a courageous step. We will work together to explore what underlies the difficulties you face and collaborate to find solutions and mechanisms for coping. In therapy we will work together to develop a trusting relationship so that you feel safe enough to express your most authentic and vulnerable self.
![Photo of Antonia L Valadez, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/529e2c3c-9778-4aa5-a298-ee6e4b8a91fe/1/320x400.jpeg)
Antonia L Valadez
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50265
I am also trained in EMDR and Brainspotting for trauma treatment.
Sometimes we know that certain things in our lives need to change and we may not know where to start or how to make progress toward our goals. Therapy can help individuals examine where they are, what they are struggling with, and help them create a plan to begin making changes in their lives and/or in their relationships. Trauma, anxiety, or stressful life events can make things feel overwhelming but finding a therapist you can connect with is the first step. Petunia, my 20 lb. mixed breed dog (DOB 7/4/21) is training to be a therapy dog. She is present during sessions but I can put her in her kennel if you prefer.
I am also trained in EMDR and Brainspotting for trauma treatment.
Sometimes we know that certain things in our lives need to change and we may not know where to start or how to make progress toward our goals. Therapy can help individuals examine where they are, what they are struggling with, and help them create a plan to begin making changes in their lives and/or in their relationships. Trauma, anxiety, or stressful life events can make things feel overwhelming but finding a therapist you can connect with is the first step. Petunia, my 20 lb. mixed breed dog (DOB 7/4/21) is training to be a therapy dog. She is present during sessions but I can put her in her kennel if you prefer.
![Photo of Sarah Cammoun-Myers, LMHC, Counselor](https://photos.psychologytoday.com/7477e15e-f928-4ee4-b5b9-73f0a17f8b0f/3/320x400.jpeg)
I utilize EMDR, Attachment Theory, Dialectical Behavioral Therapy, Internal Family Systems, Mindfulness and incorporate the Adaptive Information Processing theory within psychodynamic and humanistic approaches.
At Sage Counseling and Wellness, I believe that healing can occur to develop a fulfilling and harmonious life filled with meaningful connections. I strive to help clients discover and feel comfortable with their authentic self and empower them to have the courage to bring that authenticity into their relationships. I believe in the importance of maintaining a supportive and affirming environment throughout the therapeutic process. I welcome people from all walks of life, including but not limited to: LGBTQIA+, BIPOC, and individuals with disabilities by providing a safe and affirming environment to all.
I utilize EMDR, Attachment Theory, Dialectical Behavioral Therapy, Internal Family Systems, Mindfulness and incorporate the Adaptive Information Processing theory within psychodynamic and humanistic approaches.
At Sage Counseling and Wellness, I believe that healing can occur to develop a fulfilling and harmonious life filled with meaningful connections. I strive to help clients discover and feel comfortable with their authentic self and empower them to have the courage to bring that authenticity into their relationships. I believe in the importance of maintaining a supportive and affirming environment throughout the therapeutic process. I welcome people from all walks of life, including but not limited to: LGBTQIA+, BIPOC, and individuals with disabilities by providing a safe and affirming environment to all.
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![Photo of Elizabeth Crimmins, MS, LMHC, Counselor](https://photos.psychologytoday.com/2ca368b9-02af-4f65-8bff-460f3f6c6c36/2/320x400.jpeg)
I work with adolescents and adults using attachment, trauma, and EMDR theories to meet their personal goals.
I feel honored to walk alongside clients in helping renew freedom in themselves. I strive to offer a warm, supportive, and empathic environment for my clients to begin pursuing change in their lives. I work collaboratively with my clients to help them leave behind things they no longer need- behavioral patterns that lead to inauthentic relationships, difficulty in managing emotions, unhealthy view of themselves, or anything that prevents clients from being their genuine self.
I work with adolescents and adults using attachment, trauma, and EMDR theories to meet their personal goals.
I feel honored to walk alongside clients in helping renew freedom in themselves. I strive to offer a warm, supportive, and empathic environment for my clients to begin pursuing change in their lives. I work collaboratively with my clients to help them leave behind things they no longer need- behavioral patterns that lead to inauthentic relationships, difficulty in managing emotions, unhealthy view of themselves, or anything that prevents clients from being their genuine self.
![Photo of Shatai Joiner, LMHC](https://photos.psychologytoday.com/011b6ff2-34c9-462c-b51d-d323b24d171d/1/320x400.jpeg)
As a part of the therapy process I use trauma informed care practices, cognitive behavioral therapy, EMDR and mindfulness modalities to assist others in achieving their goals.
I am a Licensed Mental Health Counselor and the founder of Exhale Therapy and Wellness. With a passion for helping individuals achieve emotional well-being, I am committed to providing a space to empower growth and authenticity, one breath at a time. I firmly believe in the power of therapy to promote self-awareness, resilience, and inner strength. I use an integrative and collaborative therapeutic approach, recognizing that each individual's journey is unique.
As a part of the therapy process I use trauma informed care practices, cognitive behavioral therapy, EMDR and mindfulness modalities to assist others in achieving their goals.
I am a Licensed Mental Health Counselor and the founder of Exhale Therapy and Wellness. With a passion for helping individuals achieve emotional well-being, I am committed to providing a space to empower growth and authenticity, one breath at a time. I firmly believe in the power of therapy to promote self-awareness, resilience, and inner strength. I use an integrative and collaborative therapeutic approach, recognizing that each individual's journey is unique.
![Photo of Bekki Klodt, LMHC, NCC, MSE, EMDR-C, Counselor](https://photos.psychologytoday.com/19fe7eb7-1ff6-45e1-8671-0a93fe696911/2/320x400.jpeg)
Bekki Klodt
Counselor, LMHC, NCC, MSE, EMDR-C
Verified Verified
2 Endorsed
West Des Moines, IA 50265 (Online Only)
I use traditional talk therapy mixed with other evidence-based techniques including EMDR.
In this hectic world, we can go through situations that feel bigger than our ways to cope. I'm here to help you get back to a place that feels good, where you can navigate life with confidence. Whether you want to process what you're going through, heal from the past, feel more in control of your life, or simply feel less anxious or overwhelmed, I will make sure your therapy space is safe, builds off your strengths, and helps you feel more centered (never judged or shamed).
I use traditional talk therapy mixed with other evidence-based techniques including EMDR.
In this hectic world, we can go through situations that feel bigger than our ways to cope. I'm here to help you get back to a place that feels good, where you can navigate life with confidence. Whether you want to process what you're going through, heal from the past, feel more in control of your life, or simply feel less anxious or overwhelmed, I will make sure your therapy space is safe, builds off your strengths, and helps you feel more centered (never judged or shamed).
![Photo of Brie Carl, LISW, CGP, ASDCS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/59ebb936-28a4-43fc-b371-47340c36fd92/2/320x400.jpeg)
Brie Carl
Clinical Social Work/Therapist, LISW, CGP, ASDCS
Verified Verified
1 Endorsed
West Des Moines, IA 50265
I am trained in EMDR which is clinically proven to be beneficial in the resolution of both past traumatic events and present life conditions.
Life can be overwhelming and, at times, take unexpected turns. In those moments, it is refreshing to know that we have someone to turn to who can support us as we navigate those challenges. After all, just like children, emotions heal when they are heard and validated.
I am trained in EMDR which is clinically proven to be beneficial in the resolution of both past traumatic events and present life conditions.
Life can be overwhelming and, at times, take unexpected turns. In those moments, it is refreshing to know that we have someone to turn to who can support us as we navigate those challenges. After all, just like children, emotions heal when they are heard and validated.
![Photo of Ronda L Hood, IADC, LMHC](https://photos.psychologytoday.com/dab07764-f823-4f33-8cae-a7abc5093c47/1/320x400.jpeg)
Ronda L Hood
Licensed Mental Health Counselor, IADC, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50265
Is anxiety holding you back from living your best life? You deserve to feel at peace and in control, yet worry, racing thoughts, and irritability keep getting in the way. Those endless replaying fears and strained relationships don’t have to define your life. Imagine a life where your emotions and thoughts are perfectly aligned with your values, needs, and desires. Together, we can make this a reality. With over 25 years of expertise in Emotion-Focused Therapy (EFT), Compassion-Focused Therapy (CFT), and Eye Movement Desensitization and Reprocessing (EMDR), I’m here to help you break free.
Is anxiety holding you back from living your best life? You deserve to feel at peace and in control, yet worry, racing thoughts, and irritability keep getting in the way. Those endless replaying fears and strained relationships don’t have to define your life. Imagine a life where your emotions and thoughts are perfectly aligned with your values, needs, and desires. Together, we can make this a reality. With over 25 years of expertise in Emotion-Focused Therapy (EFT), Compassion-Focused Therapy (CFT), and Eye Movement Desensitization and Reprocessing (EMDR), I’m here to help you break free.
![Photo of Andrea Vignovich, MA, LMHC, RPT, Counselor](https://photos.psychologytoday.com/e2713b01-2b0b-4f95-aff7-ebcc6dd57097/2/320x400.jpeg)
I am able to offer a variety of counseling modalities such as Individual therapy, group consultation, play therapy, sports and performance counseling, and EMDR.
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
I am able to offer a variety of counseling modalities such as Individual therapy, group consultation, play therapy, sports and performance counseling, and EMDR.
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
![Photo of Sarah Rowat, MS, LMHC, Counselor](https://photos.psychologytoday.com/68cb3c88-0b5a-41e8-9388-7968d024cb7e/1/320x400.jpeg)
Sarah is trained in Eye Movement Desensitization and Reprocessing (EMDR), a best practice effective in working with adverse life experiences.
Sarah believes we each author our own story in the context of our cultures and relationships. As a professional counselor, Sarah considers therapy to be the hope that change is possible, the past does not determine the future, and tomorrow can be different than today. Sarah remains humbled by the invitation to walk alongside individuals in their journeys toward wellness as they discover the richness within themselves to be whole, balanced, strong, and interwoven with healthy relationships.
Sarah is trained in Eye Movement Desensitization and Reprocessing (EMDR), a best practice effective in working with adverse life experiences.
Sarah believes we each author our own story in the context of our cultures and relationships. As a professional counselor, Sarah considers therapy to be the hope that change is possible, the past does not determine the future, and tomorrow can be different than today. Sarah remains humbled by the invitation to walk alongside individuals in their journeys toward wellness as they discover the richness within themselves to be whole, balanced, strong, and interwoven with healthy relationships.
![Photo of Beverly Robinson - RPB Counseling Services, LLC, MS, LMHC, LPCC, Counselor](https://photos.psychologytoday.com/f45c931d-a21e-420a-af8e-8e8f12f84f9d/1/320x400.jpeg)
Utilizing multiple evidence-based techniques including EMDR, CBT and Mindfulness to cater to each individual clients’ experience.
Overwhelmed by intense bouts of guilt, anger, shame and fear? Trapped. I specialize in helping clients who are struggling with PTSD, Trauma, Grief, Acute Life Challenges, Relationship Issues, Anxiety and Depression. Through our work together, clients will learn techniques to reduce intensity and practical resources to address persistent emotions. Allowing clients to be more present and achieve a new state of balance in their lives.
Utilizing multiple evidence-based techniques including EMDR, CBT and Mindfulness to cater to each individual clients’ experience.
Overwhelmed by intense bouts of guilt, anger, shame and fear? Trapped. I specialize in helping clients who are struggling with PTSD, Trauma, Grief, Acute Life Challenges, Relationship Issues, Anxiety and Depression. Through our work together, clients will learn techniques to reduce intensity and practical resources to address persistent emotions. Allowing clients to be more present and achieve a new state of balance in their lives.
![Photo of Tracy Swartzlander, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ce8ebb7a-b7f1-416c-b7ea-c1d014888cd9/2/320x400.jpeg)
Tracy Swartzlander
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50265
I am trained in several modalities of therapy including Adlerian Play Therapy, Art Therapy, Sand Tray, EMDR, CBT, DBT.
I have worked with children and families for over 25 years in a multitude of capacities. I strive to meet my clients where they are and offer the most effective treatment approaches possible. I have extensive training and experience in working with those who struggle with Depression, Anxiety, OCD, Trauma, Divorce and Blended Family Issues and parenting difficulties. I offer individual therapy and family therapy and work primarily with ages 10 to adult.
I am trained in several modalities of therapy including Adlerian Play Therapy, Art Therapy, Sand Tray, EMDR, CBT, DBT.
I have worked with children and families for over 25 years in a multitude of capacities. I strive to meet my clients where they are and offer the most effective treatment approaches possible. I have extensive training and experience in working with those who struggle with Depression, Anxiety, OCD, Trauma, Divorce and Blended Family Issues and parenting difficulties. I offer individual therapy and family therapy and work primarily with ages 10 to adult.