Life can feel overwhelming, especially if distressing events from the past keep rippling into and impacting the present. 

Experiencing a trauma or complicated loss often requires compassionate and knowledgable support to help one navigate their healing process.

To cope with the immediate effects of trauma or complicated loss, folks sometimes develop

 patterns that helped them survive at the time, but that no longer serve them in the present.

 

They can end up feeling stuck because they keep wanting to feel better or do things differently, but they’re not sure how or where to start. 

 

They want to be different in their relationships with themselves  and with others, and they want to learn how to deal with life stressors in new ways that serve their highest good and that support their goals.

 

But past events or worries about the future keep rippling into their current life- impacting how they feel, how they relate to themselves and others, and how they deal with stress.

I Help People Discover New Ways To Deal With Life Stressors That is in Line With Their Goals and How They Currently Want to Walk Through the World

I  help folks figure out what they want to change and together we chart the course of how they might do it differently.

I help them develop insight and awareness so that they can notice when they’ve been taken off track, and together we build the toolbox of insight and skills that is  necessary so that they can do things differently.

Together, we determine what their triggers are, and how to avoid or work with their triggers so that they can increase their capacity to manage stress

and expand their tool box of long lasting skills that will support their goals.

The Benefit: Change and Growth That Builds a Path Toward The Life That They Want

Common Issues That I Can Help With Include:

Traumatic stress, PTSD and Complex PTSD

Grief, complicated grief and loss, and learning to grieve well

Depression

Anxiety

Workplace stress

Relationship challenges

Chronic pain and chronic health conditions

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Midlife challenges

Personal growth and motivation

Boundary setting and communication

Exploring one’s unique spiritual beliefs and spiritual path

Healing from relational, exploitative or narcissistic abuse from family, the workplace, or other relationships

Recent life transitions such as moving, career or educational transitions, or relationship changes

Feeling stuck in old behavioral, emotional, or relational patterns that no longer work

Experiencing a sense of imbalance that leads to neglecting important parts of life or self care

My Approach

I incorporate a number of modalities into the work that I do with clients, including:

  • EMDR
  • Mindfulness-Based Stress Reduction
  • Mindfulness Based Cognitive Therapy
  • Mindful Self-Compassion
  • Education on clinical understanding and treatment of symptoms
  • Somatic psychotherapy
  • Exploring parts of self that are in conflict with each other or no longer serve your current life   
  • Self-attunement and attachment work
  • Nonviolent Communication (NVC) Skills
  • Journaling
  • Education and support regarding the intersection of sleep, physical activity, nutrition and mental health
  • Mindfulness practices to engage the parasympathetic nervous system and expand the window of presence
  • Health at Every Size (HAES) and body diversity affirming approach; education regarding the myths, trauma and damage created by diet culture
  • Feminist approach that recognizes that a sexist culture hurts people of all genders 
  • Culturally affirming and sensitive

Getting Started is Easy

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Schedule A Free 20 Min Chat

Book An Appointment

Show Up Online For Your 1st Session!

Frequently Asked Questions

WHAT IS THERAPY LIKE?

Therapy will be different for each person, because everybody has a different situation and different goals. Typically, you can expect to meet weekly and discuss recent life events and challenges as well as progress or new insights that you’ve made since last session.

Therapy with me is usually a combination of traditional talk therapy integrated with additional non-talk approaches that are evidence-based and highly researched. These are chosen thoughtfully by taking into account your needs and style. Some of these include: mindfulness practices, somatic embodied awareness practices, self-attunement and self-attachment work, mindful-self compassion exercises, and parts work that facilitates exploring and working with different parts of self that are sometimes in conflict with each other or are no longer serving you in your current life.  Communication skills utilizing the Nonviolent Communication or NVC model can be explored to address boundaries with self and others.  EMDR,  a laser focused and non-talk way of addressing and working with difficult memories from the past, is often incorporated to address and work with symptoms of trauma, anxiety, depression or impaired feelings of self-worth and belonging. 

In the beginning of treatment, weekly meetings are usually required to establish rapport and build momentum in treatment. As therapy progresses, session frequency  can sometimes be moved to every other week for continued support of progress, and then can be moved to monthly for follow along before ending therapy altogether. Sometimes people come back intermittently for a tune-up here and there after they've completed therapy. 

While therapy often includes highly sensitive and heavy content, my style is quietly upbeat, gently down to earth and always heartfelt. When called for and possible I find that incorporating lightness can bring much needed gentleness, buoyancy and resilience to the journey. Doing therapy is hard work, but there can be times when sparks of joy and levity have their place, even in the toughest of situations.  

Therapy can be short-term, long-term, or for a specific issue, and every person processes and works at their own pace. Therefore the length of time that one engages in therapy varies. 

Those who actively engage in the therapy process and who practice the concepts and skills introduced in therapy tend to get the most from the therapeutic process.

WHY DO PEOPLE GO TO THERAPY AND HOW DO I KNOW IF IT IS RIGHT FOR ME?

People come to therapy for many different reasons. Sometimes a stressful life transition such as a divorce or a move motivates an individual to come to therapy as they learn to navigate their new circumstances. Others come to therapy because they’ve been through a traumatic or stressful situation, and they need support and help to process the event so that it no longer impacts their current life.

Others are experiencing symptoms of depression, anxiety, or grief and need support, new insights and coping skills to resolve the symptoms.

Some people come to therapy to achieve goals not yet accomplished and are looking for support to develop peak performance in their life or careers.

In short, those who come to therapy are ready to make changes in their lives and are prepared to do the work necessary to make those changes.

DO I REALLY NEED THERAPY? I CAN USUALLY HANDLE MY PROBLEMS.

Everybody goes through challenging times in life, and sometimes it makes sense to get support from somebody who has specialized knowledge about what one is going through.

It takes a lot of courage and self-awareness to realize that additional support may be needed at times. By taking responsibility for your life and seeking specialized support, you’re taking the steps needed to gain the clarity and skills for lifelong growth and change.

HOW CAN THERAPY HELP ME?

Therapy can help in a number of ways. A few of the main benefits of therapy are:

~Attaining greater self-awareness and insight into patterns and behaviors

~Learning and practicing new emotional, behavioral and relational skills

~Building new communication skills to improve relationships and boundary setting

~Discovering important concepts that set the stage for long term growth

~Cultivating self-compassion and  an embodied sense of self-worth

~Managing stress more effectively

~Implementing new skills into old patterns

~Experiencing new ways to attune to yourself and attend to difficult emotional states

    WHAT ABOUT MEDICATION VS. PSYCHOTHERAPY?

    It’s well established that for most, medications alone don’t resolve longer-term symptoms of depression, anxiety, and trauma.

    While medications are sometimes a helpful and important part of treatment, therapy helps to get to the heart of the distress and helps clients to attain the insight and skills needed to heal and grow at a deep and long-lasting level.

    By consulting with your primary care doctor or psychiatrist, you can determine if medications are the right choice for you. Most prescribing doctors recommend therapy as an adjunct to psychotropic medication for the best outcome.

    DO YOU TAKE INSURANCE AND HOW DO PAYMENTS WORK?

    I do not bill insurance companies directly, but I do provide the necessary documentation for individuals to submit for reimbursement from their insurance company.

    Many insurance companies provide full or partial retroactive coverage for out-of-network services provided by a licensed mental health practitioner.

    I can provide an invoice (called a superbill) monthly or as needed that verifies session dates and proof of payment to those who would like to seek reimbursement through their insurance company. Individuals who would like to utilize this option are encouraged to call their insurance company ahead of time to verify coverage and details.

    Some helpful questions that I recommend asking your insurance provider about out-of-network coverage are:

    • Does my health insurance plan include out of network mental health benefits?
    • Do I have an out of network deductible? If so, what is it and have I met it yet?
    • Does my plan limit how many sessions per the calendar year I can have? If so, what is the limit?
    • Do I need written approval from my primary care physician in order for services to be covered?

    WHAT ARE YOUR RATES FOR SERVICES & HOW DO PAYMENTS WORK?

    My fee is $300.00 for the initial 80 minute intake assessment, $200.00 for a regular 50 minute session, and $300.00 for an 80 minute regular session.

     

    A credit, debit, health savings or flex spending card is stored securely on file and run after each session. All payments are due at the time of the session. 

     

    WHAT IS INFORMED CONSENT AND HOW DOES CONFIDENTIALITY WORK?

    Confidentiality is a very important component of the client psychotherapist relationship. Successful therapy requires a high degree of trust with highly sensitive subject matter that isn’t discussed anywhere but the therapist’s office.

    At the time of intake, therapists will provide a written copy of their confidentiality agreement, which states that all information that is shared in session will remain strictly confidential with the exception of a few outlined key situations that therapists are legally mandated to report, which include:

    * Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.

    * If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

    The written copy of the confidentiality agreement that you will be asked to sign is called “Informed Consent”.

    Sometimes, however, you may want me to coordinate services with someone on your healthcare team (such as your physician, college resource center, or a family member), but by law I cannot release this information without obtaining your written permission.

    In these cases, I will have you sign a Release of Information form that specifically designates the individual or agency with whom you would like me to coordinate services, as well as the time frame of communication.

    The Release of Information form may be revoked by you at any time by providing a written request to Lorena. 

     

    DO YOU OFFER A SLIDING SCALE?

    Therapy is an important investment in your mental health and quality of life and it's important to find  therapy that fits within your budget.

    I make availability in my practice for one $60.00 need-based once per week sliding scale slot. This slot is listed through Open Path Collective, a national nonprofit that provides a list of sliding scale therapists to qualifying individuals. Please feel free to contact me directly if you'd like to see if there is current or upcoming sliding scale availability.

    I'm always happy to offer a variety of resources that can assist in helping to find a therapist that will fit within your budget. Feel free to give me a call anytime for more information.  

    SOME HELPFUL QUESTIONS THAT I RECOMMEND ASKING YOUR INSURANCE PROVIDER ABOUT OUT-OF-NETWORK COVERAGE ARE:

     

    • Does my health insurance plan include out of network mental health benefits?
    • Do I have an out of network deductible? If so, what is it and have I met it yet?
    • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
    • Do I need written approval from my primary care physician in order for services to be covered?

    My fee is $300.00 for an 80 minute intake assessment, $200.00 for a 50-55 minute session, and $300.00 for a regular 80 minute session. All payments are due at the time of the session.

    Before your first appointment, we will enter your credit card or health savings or flex spending card information into the secure and encrypted electronic health record system in order to hold your place for your intake appointment. This card is then run at the time of the session, or in the event of a late non-emergent cancel or no-show. 

    Contact Me

    Ask a question or request an appointment below. For emergencies call 911 or visit your nearest hospital.

    We are committed to your privacy. Please do not include confidential or private information regarding your health condition in this form. This contact form is for general questions or messages to the practitioner.

    (775) 502-7602

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    Office Hours: Tuesday through Thursday 11:30 am to 4:30 pm