(Attention-Deficit Hyperactivity Disorder) is a neurobehavioral disorder that can appear in childhood or throughout adulthood. People with ADHD demonstrate brain functioning differences that can impact daily life.

Symptoms may include:

• Difficulty maintaining focus
• Struggles with time management
• Poor organization
• Hyperactivity
• Impulsivity
• Fatigue
• Poor self-image or self-esteem
• Communication skills deficits
• Hyperactivity
• Inconsistent academic achievement

Treatment includes counseling with the client and family to implement behavioral strategies for reducing the impact of symptoms, as well as evaluation for medication if needed.

(ODD) is a mental disorder involving a persistent pattern of conflict in the relationships between a child or adolescent and the important authority figures in their lives, including caregivers and educators. These relationships are often marked by constant power struggle, poor attachment, irritability, anger outbursts, and difficulties with empathy.

Symptoms:

• Irritable mood
• Argumentative
• Defiant behavior
• Problems in school or at home

Treatment involves individual and family therapy, sometimes in combination with medication, that will work to set healthy boundaries in relationships and create positive outlets for the expression of anger, anxiety, and frustration.

A counseling program guided by trained therapists focusing on identifying sources/triggers of anger as well as developing skills to regulate emotion and control angry impulses.

If left untreated, the stress from chronic anger can lead to:

• Increased blood pressure
• Aggression
• Anxiety/Depression
• Legal/criminal consequences
• Relationship troubles
• Other physical changes in the body

Social skills are the tools that we utilize when interacting with others in daily life. They involve understanding, communication, empathy, social norms, and ourselves. Social skills are vital in building both personal and professional relationships and can help you accomplish career and personal goals as well as contribute to achievements. Children and adults can benefit from the improved relationships supported by growing this skill set.

Parenting refers to the complex relationship between a parent and a child (whether they are bonded through biology or a loving commitment) as the caretaker works to support the child into becoming the best versions of themselves. Parents promote and support the physical, emotional, social, and intellectual development of a child from infancy to adulthood.

Counseling may assist with developing:

• Healthier expressions of love and affection
• Stress management
• Relationship skills (empathy and healthy communication)
• Autonomy and independence
• Education and learning
• Life skills
• Behavioral management
• Health
• Safety
• Coping skills to manage unexpected stressors
• Flexibility in navigating changes to the family unit

Co-parenting is the shared parenting duties of children by their parents or parental figures who are non-married or living separately. While children can never have too much love, it can sometimes be challenging to coordinate responsibilities when those who love them do not always agree.

Counseling may assist with developing:

• Working together as a team
• Creating a no judgment zone, future focused
• Improved communication
• Conflict management skills
• Boundary setting
• Consistent and predictable patterns of support, i.e. routine
• A sense of security
• Healthy attachment

Individuals who struggle with excessive use of substances or have a physical or psychological dependence may become harmful to themselves and/or others. Abuse of substances can include difficulties with a single substance or a combination of alcohol, prescription or over the counter (OTC) medicine, heroin, cocaine, opioids, marijuana, cigarettes, or other tobacco products.

If left untreated, substance abuse may lead to:

• Social, emotional, physical, and job-related issues

Treatment may include any combination of counseling and medication management to improve coping skills and reduce physical and emotional dependence.

Grief is an overwhelming feeling of sorrow in response to a significant loss, typically the loss of a loved one, that can overwhelm a person’s ability to cope. While grief is most commonly associated with bereavement, it can also be experienced after a significant life change, such as the development of a disability, a loss of a relationship, the loss of a job, or an unexpected diagnosis.

Individuals may feel as though they are removed from everyday routines, unable to commit to regular duties, or disconnected from their life and loved ones.

Symptoms:

• Overwhelming sense of sadness
• Numbness
• Poor energy and motivation
• Feeling stuck in a state of mourning

Serving this population involves experience with issues specific to this community. Individuals may feel a sense of fear or shame as they explore their identity and sexuality, especially if they do not find support in their significant relationships. Our clinicians are here to help navigate the complex concerns of this community in a safe and affirming environment.

Some concerns may be:

• Fertility issues
• Navigating non-traditional relationships
• Adoption
• Marital/Relationship issues
• Gender expression
• Transgender concerns
• Couples counseling
• Strained familial relationships

Geriatrics refers to medical care for older adults. This type of counseling can include specialization in mental and physical health of individuals in the later stages of life.

Therapeutic focuses may include memory, learning capabilities, and coordination, as well as adjusting to new physical limitations, approaching end of life, grief/loss, and anxiety related to medical concerns.

The SASSI is a psychological screening measure that is available in separate versions for adults and adolescents. The Adult SASSI-3 helps identify individuals who have a high probability of having a substance dependence disorder. The Adolescent SASSI-A2 is designed to identify individuals who have a high probability of having a substance use disorder, including both substance abuse and substance dependence. This screening tool can be a step towards managing addiction or substance abuse in the treatment process.

Many doctors will order a pre-surgical psychological evaluation to ensure that you understand the procedure and have a thorough understanding of what contributes to weight loss and gain.

A pre-surgical evaluation is a means of ensuring that you are prepared for future success with your bariatric weight loss surgery. It assesses different aspects of general weight loss and the surgery itself, including:

• Behavior patterns
• Emotions and beliefs
• Physical development
• Current life circumstances
• Motivation for the surgery
• Expectation for the surgery

While it might feel unnecessary, it is important to remember that this assessment is designed to give you the best possible outcome from your bariatric weight loss surgery.

Smoking cessation is the process of quitting smoking. This type of counseling can help alleviate dependency on tobacco or nicotine through a variety of behavioral and cognitive strategies.

Reasons why you may want to quit:

• Improve your overall health
• Lower risk of disease
• Exposing loved ones to second-hand smoke

Symptoms include:

• Nicotine cravings
• Anxiety
• Depression
• Irritability
• Anger or frustration