Alyssa Koch

Anxiety is a normal part of the human experience, if we were not anxious we would cross the street without looking both ways! However, when it gets out of control is when it becomes problematic in our daily living. It is important to explore the nature of your anxiety to identify the best intervention(s) to support you in reducing and resolving your symptoms. Using CBT, ACT, DBT, and SFT, I take an integrative approach based on the framework that fits best for each client.

I have 15 years of experience working in the field of substance use disorder and counseling those who are seeking recovery. Whether you want to stop using, or you just want to talk about your use and perhaps modify it to a healthier level, we can do that together. I also support friends and families who care about a loved one who is struggling with their drug use. I integrate harm reduction work into my therapy and I allow you to be the guide on what is best for you.

Depression can envelop people's lives. Sometimes, in obvious ways like staying in bed and not showering, but also in ways like hating a job, or forgetting to pay a bill. Everyone's depression has it own nuances. Like all mental pain depression needs respect, space and time to work itself out. We will work collaboratively to develop and utilize coping skills that can help make it more tolerable

I have 15 years of experience working in the field of substance use disorder and counseling those who are seeking recovery. Whether you want to stop using, or you just want to talk about your use and perhaps modify it to a healthier level, we can do that together. I also support friends and families who care about a loved one who is struggling with their drug use. I integrate harm reduction work into my therapy and I allow you to be the guide on what is best for you.

I have completed several courses and post graduate seminars on practical applications of and how to implement Motivational Interviewing. Motivational Interviewing is a counseling approach that is client-centered (you are the expert), counselor directed (I make observations and help increase awareness) focused on resolving inner conflict regarding change. This approach focuses on empowering clients to find their own meaning for, desire to, and capacity for change.

Cognitive behavioral therapy (CBT) is a classic talk therapy technique that helps increase awareness of negative thinking in order to better handle challenging situations. I often use CBT to help individuals understand and replace unhelpful thoughts and beliefs that keep them stuck in negative patterns.