Photo of Shelly Gray, Counselor in Council Bluffs, IA
Shelly Gray
Counselor, MS, LMHP, NCC
Verified Verified
Council Bluffs, IA 51501
Waitlist for new clients
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
(402) 608-2879 View (402) 608-2879

Online Therapists

Photo of Mental Health Associates, LLC, Clinical Social Work/Therapist in Council Bluffs, IA
Mental Health Associates, LLC
Clinical Social Work/Therapist
Verified Verified
Sioux City, IA 51104
The mission of Mental Health Associates is to provide the highest quality mental health services, with a commitment to each individual at any stage of their life, and to provide research-based therapeutic services by highly trained and independently licensed professionals.
The mission of Mental Health Associates is to provide the highest quality mental health services, with a commitment to each individual at any stage of their life, and to provide research-based therapeutic services by highly trained and independently licensed professionals.
(712) 248-4641 View (712) 248-4641
Photo of Sarah Kay Kosiba, Marriage & Family Therapist in Council Bluffs, IA
Sarah Kay Kosiba
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
1 Endorsed
Sioux City, IA 51106
Happy to offer online therapy and remote EMDR. My work is evidence-based, unique, and creative. It is grounded in behavioral change, mindfulness, and traditional talk therapy, which has been shown to effectively reduce trauma, stress, anxiety, depression, childhood behavioral disorders, and grief. Through the therapy process adults, families, and children can find a safe place to develop the skills they need to heal, to grow, and to thrive. My goal is to make each session unique to the needs of each person so they can build upon what already makes them happy.
Happy to offer online therapy and remote EMDR. My work is evidence-based, unique, and creative. It is grounded in behavioral change, mindfulness, and traditional talk therapy, which has been shown to effectively reduce trauma, stress, anxiety, depression, childhood behavioral disorders, and grief. Through the therapy process adults, families, and children can find a safe place to develop the skills they need to heal, to grow, and to thrive. My goal is to make each session unique to the needs of each person so they can build upon what already makes them happy.
(712) 717-0477 View (712) 717-0477

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Drug Abuse Therapists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.