Specialties

Trauma-Informed Therapy

 

Trauma-informed therapy isn’t a single technique—it’s an orientation to care that recognizes how profoundly trauma shapes a person’s nervous system, relationships, and sense of self. At Oak Tree Behavioral Services, trauma-informed principles are woven into everything we do: we ask ‘what happened to you?’ before ‘what’s wrong with you?’

What We Offer

  • Complex PTSD and developmental trauma
  • Childhood abuse, neglect, and adverse childhood experiences (ACEs)
  • Sexual trauma and assault
  • Domestic violence and intimate partner violence
  • Medical trauma and traumatic illness
  • Racial and intergenerational trauma
  • Trauma in veterans and first responders
  • Secondary traumatic stress in caregivers and clinicians

How It Works

Trauma-informed therapy begins with safety and stabilization before any deep processing work. We use a phase-based model: establishing safety and building coping resources, processing traumatic material at a pace the nervous system can tolerate, and integration of new meaning and identity. Modalities include EMDR, trauma-focused CBT, somatic awareness, and narrative approaches.

Who This Is For

Anyone with a history of trauma—whether single-incident or complex/developmental—can benefit from trauma-informed care. We work with adults, teens, and children, and take special care with clients who have experienced re-traumatization in previous therapeutic relationships.

Frequently Asked Questions

Is trauma-informed therapy the same as EMDR?
EMDR is one evidence-based trauma treatment we use within a trauma-informed framework. Trauma-informed therapy is a broader orientation that influences how we conduct all of our work.
Do I have to talk about what happened to me?
No. Trauma-informed care prioritizes safety and your sense of control. You set the pace. Effective trauma treatment doesn’t require full verbal disclosure.
What if I’ve been re-traumatized by therapy in the past?
This is unfortunately common, and we take it seriously. We move slowly, build safety first, and let you lead.
How long does trauma therapy take?
It varies based on trauma complexity, current stability, and goals. Single-incident trauma may resolve in months; complex developmental trauma often takes longer.

Psychoanalysis
Psychoanalytic and psychodynamic therapy go deeper than symptoms—they explore the unconscious patterns, early relationships, and hidden motivations that shape how you experience yourself and the world. If you’ve addressed surface symptoms but still feel something is unresolved at a deeper level, psychodynamic work may be the piece you’ve been missing.

What We Offer

  • Chronic depression or emptiness with unclear cause
  • Recurring relationship patterns that confuse or frustrate you
  • Identity struggles and a fragmented sense of self
  • Anxiety rooted in unconscious conflict
  • Personality patterns affecting relationships and work
  • Trauma with complex interpersonal roots
  • A desire to understand yourself more deeply
  • Feeling ‘stuck’ despite previous treatment

How It Works

Psychodynamic therapy is exploratory and open-ended. Sessions focus on your free associations, dreams, relationship patterns, and the therapeutic relationship itself as a window into your inner life. The pace is slower and the goals are deeper than symptom relief—we’re working to understand the structure of your psychology.

Who This Is For

Psychodynamic therapy is best suited for individuals who are psychologically minded, motivated to explore, and interested in understanding themselves rather than just managing symptoms. It’s often used alongside or after more structured approaches.

Frequently Asked Questions

Is this the same as Freudian therapy?
Psychoanalysis has evolved considerably since Freud. Modern psychodynamic therapy incorporates object relations, attachment theory, and relational approaches alongside classical concepts.
Is psychodynamic therapy evidence-based?
Yes. A substantial research literature supports the effectiveness of psychodynamic therapy, particularly for complex, chronic, and personality-level difficulties.
How long does psychodynamic therapy take?
It’s typically longer-term than CBT—often a year or more—because the goals are deeper. Brief psychodynamic therapy is also available for focused concerns.
Will I lie on a couch?
No. Modern psychodynamic therapy is conducted face-to-face in a conversational format.

Person-Centered Therapy
Person-centered therapy, developed by Carl Rogers, is built on a radical idea: that given the right conditions, people naturally move toward growth and healing. Rather than directing or diagnosing, the therapist provides unconditional positive regard, empathy, and genuine presence—creating the relational conditions in which people find their own answers.

What We Offer

  • Self-exploration and personal growth
  • Identity and self-concept work
  • Life transitions and finding meaning
  • Depression and emotional emptiness
  • Anxiety rooted in self-judgment or perfectionism
  • Relationship patterns and attachment
  • Low self-worth and chronic self-criticism
  • Grief and loss

How It Works

Person-centered therapy is less structured than CBT or DBT—the client leads, and the therapist follows. Sessions are shaped by what you bring. The therapeutic relationship itself is the primary instrument of change. This approach is often integrated with other modalities rather than used in isolation.

Who This Is For

Person-centered therapy is well-suited for individuals seeking self-understanding, meaning-making, or personal growth—as well as those who have felt judged, pathologized, or unheard in previous therapeutic relationships. It works across the lifespan.

Frequently Asked Questions

Is person-centered therapy ‘just talking’?
It’s more than that. The quality of the therapeutic relationship in person-centered work produces genuine neurobiological and psychological change. The conditions Rogers identified aren’t passive—they’re precise and demanding.
Is this approach evidence-based?
Yes. Person-centered therapy has a strong evidence base, particularly for depression, anxiety, and personal growth outcomes.
How is this different from other therapy approaches?
Most approaches are therapist-directed. Person-centered therapy is client-directed—the therapist’s role is to create conditions for growth, not prescribe a path.
Can it be combined with other approaches?
Yes. Many of our therapists integrate person-centered principles with CBT, DBT, or trauma-focused approaches.

EMDR
EMDR (Eye Movement Desensitization and Reprocessing) is a gold-standard trauma treatment recognized by the American Psychological Association, the VA, and the World Health Organization. It helps the brain finish processing traumatic memories that got ‘stuck’—so they stop intruding on your present life. EMDR doesn’t require you to talk through your trauma in detail, making it accessible for people who have struggled with traditional talk therapy.

What We Offer

  • PTSD from combat, assault, accidents, or childhood trauma
  • Complex PTSD and developmental trauma
  • Phobias and performance anxiety
  • Grief and complicated loss
  • Disturbing memories that won’t go away
  • Panic disorder with identifiable triggers
  • Negative core beliefs rooted in past experience
  • Military sexual trauma (MST)

How It Works

EMDR follows a structured “eight-phase protocol”. After thorough preparation and stabilization, we identify target memories and process them using bilateral stimulation (typically eye movements or tapping). Clients often describe a natural desensitization—the memory remains, but its emotional charge diminishes significantly. Most EMDR treatment for a single trauma occurs within 6–12 sessions.

Who This Is For

EMDR is appropriate for adults and adolescents with trauma histories. It is particularly valuable for people who have already tried talk therapy and felt limited by it, or for those who find it difficult to verbalize their trauma experience.

Frequently Asked Questions

Does EMDR require talking about my trauma?
No. EMDR processes trauma through bilateral stimulation while you hold the memory in mind—you don’t need to narrate it in detail to your therapist.
Is EMDR scientifically proven?
Yes. EMDR has been validated in dozens of randomized controlled trials and is endorsed by the APA, VA, WHO, and SAMHSA as an evidence-based trauma treatment.
How quickly does EMDR work?
Many people experience significant relief within 6–12 sessions. Results vary based on trauma history complexity.
Can EMDR be done via telehealth?
Yes. EMDR has been adapted for telehealth delivery and is effective in that format.

Family therapy
The family is the most powerful shaping force in any person’s life. When family systems are struggling—whether from conflict, trauma, a member’s mental health or addiction, or simply the accumulated weight of unspoken things—family therapy offers a structured space to interrupt harmful patterns and build something healthier.

What We Offer

  • Parent-child conflict and communication breakdown
  • Blended family and step-family adjustment
  • Impact of addiction or mental illness on the family
  • Divorce, separation, and co-parenting
  • Sibling conflict and family roles
  • Grief and loss within the family system
  • Intergenerational trauma and family patterns
  • Family crisis support and stabilization

How It Works

Family therapy typically begins with a joint session to assess the full system, followed by a flexible combination of family sessions and individual work as indicated. We use family systems theory, Structural Family Therapy, and Emotionally Focused Family Therapy to identify patterns and create new ones.

Who This Is For

We work with families of all structures—biological, blended, adoptive, same-sex parent, multigenerational, and more. Sessions can include whoever is part of the relevant system, from young children to grandparents.

Frequently Asked Questions

Does everyone have to come to every session?
Not necessarily. The configuration of who attends is flexible and determined by the therapeutic goals.
Can family therapy help even if one person won’t participate?
Yes. Working with even part of the family system can produce significant change.
Is family therapy covered by insurance?
Yes, when one family member has a clinical diagnosis. We’ll clarify coverage during intake.
What if family members have very different views on the problem?
That’s extremely common—and exactly what family therapy is designed to work with. Different perspectives are treated as information, not obstacles.

Firearm Informed Therapy

 

Firearm-informed therapy is a clinical approach that takes a client’s relationship with firearms seriously—without judgment, without agenda, and without the assumption that gun ownership is itself a problem. For millions of Americans, firearms are central to identity, vocation, culture, and safety. Clinicians who don’t understand that world can inadvertently alienate the very people who most need care.

What We Offer

  • Mental health therapy for firearm owners
  • Lethal means safety counseling and crisis planning
  • Therapy for veterans, first responders, and active duty
  • Suicide prevention with a Second Amendment-affirming lens
  • Support for law enforcement and military personnel
  • Family members of firearm owners navigating mental health concerns
  • Clinician training in firearm-informed practice
  • Integration of safe storage conversations into standard care

How It Works

Firearm-informed therapy doesn’t treat firearms as the problem—it treats the person. Our clinicians are trained to discuss firearms fluently and without stigma, to integrate lethal means safety naturally into treatment planning, and to build the kind of trust that allows gun-owning clients to engage honestly in therapy.

Who This Is For

We serve gun owners of all backgrounds, veterans, active-duty service members, law enforcement, first responders, hunters, competitive shooters, and anyone whose relationship with firearms intersects with their mental health. We also serve family members navigating concerns about a loved one who owns firearms.

Frequently Asked Questions

Will my guns be taken away if I come to therapy?
No. Therapy is confidential. Our approach is collaborative and non-coercive. Lethal means safety conversations are about keeping you safe—not removing your rights.
Why does it matter if a therapist is firearm-informed?
Clients who feel judged or misunderstood about firearms often disengage from care entirely. A firearm-informed therapist builds the trust necessary for real therapeutic work.
Is this approach Second Amendment affirming?
Yes. We respect firearm ownership as a legal right and a meaningful part of many clients’ identity and livelihood.
Do you provide safe storage counseling?
Yes. Safe storage conversations are a natural part of our clinical work—approached collaboratively and without coercion.

Clinical Rehabilitation Counseling

 

Clinical rehabilitation counseling supports individuals whose physical health, disability, or injury has created significant psychological, vocational, or functional challenges. Our rehabilitation counselors help clients navigate the emotional and practical dimensions of living with disability, chronic illness, brain injury, or the aftermath of a significant medical event.

What We Offer

  • Adjustment to disability or chronic illness
  • Traumatic brain injury (TBI) rehabilitation support
  • Vocational and return-to-work counseling
  • Chronic pain and functional limitation
  • Psychosocial adjustment following injury or surgery
  • Coordination with medical and rehabilitation teams
  • Benefits and systems navigation
  • Identity and grief related to changed functioning

How It Works

Rehabilitation counseling integrates psychological support with practical planning. We address the emotional dimensions of functional loss—grief, identity disruption, anxiety, depression—alongside practical concerns like vocational goals, accommodation planning, and navigating disability systems.

Who This Is For

We serve individuals with physical disabilities, acquired injuries, TBI, chronic illness, and those transitioning back to work or community life following a major medical event. We frequently coordinate with physicians, occupational therapists, and vocational rehabilitation services.

Frequently Asked Questions

Is rehabilitation counseling covered by insurance?
Yes. Clinical rehabilitation counseling is a covered behavioral health service under most insurance plans. Vocational services may have separate funding through Colorado DVR.
Do you work with Colorado’s Division of Vocational Rehabilitation (DVR)?
Yes. We are familiar with DVR processes and can coordinate services with vocational rehabilitation counselors.
How is this different from physical rehabilitation?
Physical rehabilitation focuses on physical function. Clinical rehabilitation counseling addresses the psychological, emotional, and vocational dimensions of living with disability or injury.
Do you work with veterans with disabilities?
Yes. We have significant experience with veteran TBI, service-connected disability, and the transition challenges that accompany them.

Play Therapy for Children

 

Play is children’s language. Long before they have words for their experiences, children communicate through play—working through fear, loss, confusion, and trauma in the only language they’ve mastered. Play therapy is a structured, evidence-based approach that uses play as the primary therapeutic medium, meeting children exactly where they are developmentally.

What We Offer

  • Anxiety and fearfulness in young children
  • Grief and loss (including pet loss and family changes)
  • Trauma and abuse processing
  • Divorce, family transition, or new sibling adjustment
  • Behavioral challenges in young children
  • Social skills and peer relationship difficulties
  • ADHD-related struggles in early childhood
  • Selective mutism

How It Works

Play therapy sessions take place in a specially equipped playroom with a range of toys, art supplies, sand trays, and expressive materials. The therapist follows the child’s lead while observing themes and patterns in play, offering reflections and gentle interventions. Parents receive regular updates and are often involved in filial therapy components.

Who This Is For

Play therapy is most appropriate for children ages 3–12. It is particularly valuable for children who struggle to verbalize their experiences, have experienced trauma, or are going through significant life changes.

Frequently Asked Questions

Is play therapy ‘real’ therapy?
Yes. Play therapy is backed by decades of research and is recognized as an evidence-based treatment by the Association for Play Therapy. Children process and heal through play the way adults process through words.
Will I know what happens in sessions?
Your therapist will provide regular parent updates while maintaining the therapeutic confidentiality that allows children to feel safe in the playroom.
How long does play therapy take?
Duration varies based on the child’s needs. Many children show meaningful improvement within 10–20 sessions.
Does my child need to talk in sessions?
No. Many children, especially those who have experienced trauma, benefit from play therapy precisely because verbal expression is not required.

Dialectical Behavioral Therapy (DBT)
Dialectical Behavior Therapy (DBT) was originally developed for borderline personality disorder—but its skills-based approach to emotional regulation, distress tolerance, and interpersonal effectiveness has proven valuable for a wide range of conditions. DBT teaches you to hold two truths at once: you are doing the best you can, and you can do better.

What We Offer

  • Emotional dysregulation and mood instability
  • Self-harm and non-suicidal self-injury
  • Borderline personality disorder
  • Eating disorders
  • Substance use and impulsive behavior
  • Chronic suicidal ideation
  • Relationship instability and fear of abandonment
  • Trauma with significant emotional dysregulation

How It Works

DBT skills are organized into four modules: Mindfulness, Distress Tolerance, Emotional Regulation, and Interpersonal Effectiveness. In individual therapy, we apply these skills to your specific challenges and work through the patterns that keep you stuck. We offer DBT-informed individual therapy; full DBT programs with skills groups are also available by referral.

Who This Is For

DBT is most commonly used with adolescents and adults who struggle with intense emotions, impulsive behavior, or self-destructive patterns. It’s particularly well-suited for people who have found other therapies insufficient.

Frequently Asked Questions

Do I need a BPD diagnosis to benefit from DBT?
No. DBT skills are valuable for anyone who struggles with emotional intensity, impulse control, or relationships—regardless of diagnosis.
Is DBT different from CBT?
DBT grew out of CBT but adds a dialectical philosophy, mindfulness practice, and an explicit focus on acceptance alongside change.
Does DBT require a skills group?
Full DBT includes both individual therapy and a skills group. We offer DBT-informed individual therapy, which incorporates skills training within sessions.
Is DBT covered by insurance?
Yes. DBT is an evidence-based treatment covered by most behavioral health insurance plans.

Cognitive Behavioral Therapy (CBT)

 

Cognitive Behavioral Therapy (CBT) is the most extensively researched form of psychotherapy in existence—with decades of clinical trials demonstrating its effectiveness across a wide range of conditions. CBT works on the principle that our thoughts, feelings, and behaviors are interconnected, and that changing unhelpful thinking patterns produces meaningful, lasting change in how we feel and act.

What We Offer

  • CBT for depression and low mood
  • CBT for anxiety, panic, and worry
  • CBT for OCD and intrusive thoughts
  • CBT for PTSD and trauma
  • CBT for chronic pain and illness
  • CBT for insomnia (CBT-I)
  • CBT for eating disorders (CBT-E)
  • CBT for substance use and addiction

How It Works

CBT is structured and goal-directed. Sessions involve identifying specific thought patterns and behavioral habits, examining the evidence for and against them, and practicing new ways of thinking and acting between sessions. Most CBT protocols are time-limited—many conditions respond significantly within 12–20 sessions.

Who This Is For

CBT is appropriate for adults, teens, and children (with age-appropriate adaptations). It works best for people who are motivated to engage actively between sessions, as homework and practice are integral to the approach.

Frequently Asked Questions

Is CBT the right therapy for me?
CBT has the strongest evidence base of any therapeutic modality for most common mental health conditions. Your therapist will discuss whether it’s the best fit for your specific situation.
Does CBT involve homework?
Yes. Between-session practice is a core component. This might include thought records, behavioral experiments, or exposure exercises.
How many sessions does CBT take?
Most CBT protocols are 12–20 sessions. Some focused interventions (like CBT-I for insomnia) can be effective in as few as 6–8 sessions.
Is CBT covered by insurance?
Yes. CBT is a recognized evidence-based treatment and is covered by virtually all behavioral health insurance plans.

Youth & Adolescent Counseling

 

Growing up is harder than it looks. Children and teens face enormous pressures—academic, social, family, and internal—and they often lack the vocabulary to express what they’re struggling with. Our therapists are skilled at meeting young people where they are, building trust, and creating real change during some of the most formative years of their lives.

What We Offer

  • Anxiety and school refusal
  • Depression and mood disorders in youth
  • ADHD and executive function struggles
  • Behavioral challenges and defiance
  • Peer relationship and social skills difficulties
  • Trauma and abuse
  • Self-harm and suicidal ideation
  • Identity, LGBTQ+ affirmation, and self-esteem

How It Works

We begin with a family intake to understand the full picture, then typically see the young person individually—with parental involvement calibrated to the child’s age and the presenting concern. For younger children, play therapy and expressive techniques are integrated naturally into sessions.

Who This Is For

We work with children as young as four through young adulthood. Parents and caregivers are considered partners in the therapeutic process, and we offer parent coaching alongside individual youth work when helpful.

Frequently Asked Questions

At what age can children start therapy?
We work with children as young as four. Younger children receive play-based therapy rather than traditional talk therapy.
Will you tell parents everything my teen says?
Confidentiality is important for therapeutic trust. We discuss the limits of confidentiality with teens and their parents at the outset and handle disclosures carefully.
Can therapy help my child at school?
Yes. We frequently collaborate with school counselors, teachers, and IEP teams—with parental consent—to create consistent support across settings.
How do I know if my child needs therapy?
Significant changes in behavior, mood, sleep, grades, or peer relationships are common signals. When in doubt, an intake appointment can provide clarity.

Individual Counseling

 

Individual counseling is a one-on-one relationship with a trained therapist—a space that belongs entirely to you. No performance, no roles to play. Just an honest exploration of what’s getting in your way and what you want your life to look like. At Oak Tree Behavioral Services, we match you with a therapist whose approach fits your needs and whose style fits who you are.

What We Offer

  • Depression and mood disorders
  • Anxiety, panic, and worry
  • Trauma and PTSD
  • Life transitions and identity
  • Grief and loss
  • Relationship and attachment issues
  • Self-esteem and personal growth
  • Stress and burnout

How It Works

Your first session is a conversation—we get to know you, understand what brought you in, and talk about what you’re hoping to get out of therapy. From there, we develop a collaborative treatment plan. Sessions are typically 50 minutes, weekly or biweekly, and telehealth is available for all Colorado residents.

Who This Is For

We see adults, teens, and children for individual therapy. Our clinicians have diverse training backgrounds and specialties—we take care to match each client with the therapist best suited to their needs.

Frequently Asked Questions

How do I know if I need therapy?
If something is significantly affecting your quality of life, relationships, or ability to function, that’s reason enough. You don’t have to be in crisis.
What kind of therapy will I receive?
It depends on you and your therapist. We use a range of evidence-based approaches including CBT, DBT, EMDR, ACT, and person-centered therapy.
Do you offer telehealth?
Yes. We offer both in-person and telehealth sessions. Telehealth is available to anyone in Colorado.
What insurance do you accept?
We accept most major Colorado insurance plans. Contact us to verify your specific benefits before your first appointment.

Couples Counseling

Every relationship faces challenges—the question is whether you face them together or let them drive you apart. Couples counseling at Oak Tree Behavioral Services gives partners a skilled, neutral space to communicate more honestly, repair what’s been broken, and build a relationship that works for both of you.

What We Offer

  • Communication and conflict resolution coaching
  • Infidelity recovery and trust rebuilding
  • Premarital counseling and relationship preparation
  • Discernment counseling for couples considering divorce
  • Intimacy and emotional disconnection
  • Blended family and co-parenting challenges
  • Relationship impact of mental health or addiction
  • LGBTQ+ affirming couples therapy

How It Works

We typically begin with a joint session, followed by individual sessions with each partner, then return to joint work. This structure lets us understand each person’s perspective fully before working together. Sessions are structured but flexible—we go where the relationship most needs to go.

Who This Is For

We work with all types of couples—married, unmarried, same-sex, and long-term partnerships. Both partners don’t have to be ready at the same time; one person starting the process often shifts the dynamic.

Testing and Evaluation
Testing takes the guesswork out of treatment. A thorough evaluation provides an accurate diagnosis, identifies your strengths and challenges, and informs a treatment plan that’s built on real data—not assumptions. At Oak Tree Behavioral Services, our doctoral-level clinicians conduct comprehensive evaluations for a wide range of clinical questions.

What We Offer

  • ADHD evaluation for children, adolescents, and adults
  • Bariatric/pre-surgical evaluations
  • Learning disability and academic assessment
  • Autism spectrum screening and evaluation
  • Cognitive and neuropsychological screening
  • Emotional and behavioral assessment for children
  • Fitness-for-duty and occupational evaluations
  • Diagnostic clarification for complex presentations

How It Works

The evaluation process typically begins with a clinical intake interview, followed by standardized testing using validated instruments. We then interpret results in the context of your history and referral questions, and provide a written report with findings and recommendations. Most evaluations are completed within 1–2 appointments.

Who This Is For

We evaluate children, adolescents, and adults. Referrals come from schools, physicians, surgeons, attorneys, and employers—as well as individuals seeking clarity on their own.

Frequently Asked Questions

How long does a evaluation take?
It depends on the type. A focused ADHD evaluation may take 2–3 hours. A comprehensive neuropsychological battery may span multiple sessions.
Will I receive a written report?
Yes. Every evaluation includes a written report with findings, diagnosis (when applicable), and recommendations for treatment or accommodations.
Is testing covered by insurance?
Many insurance plans cover testing when medically necessary. We verify your benefits before scheduling.
Can testing help my child get school accommodations?
Yes. Our reports can be used to support IEP/504 plan applications and college accommodation requests.

Issues

Career Counseling

 

Career struggles aren’t just professional—they affect your self-worth, relationships, and mental health. Whether you’re facing burnout, a career transition, job loss, or confusion about your direction, Oak Tree Behavioral Services offers career counseling that blends psychological insight with practical strategy.

Signs You May Benefit from Career Counseling Support

  • Persistent dissatisfaction or dread about work
  • Burnout, exhaustion, or emotional emptiness
  • Uncertainty about career direction or next steps
  • Difficulty navigating workplace conflict
  • Fear of failure or imposter syndrome
  • Job loss or forced career transition

Our Treatment Approach

Our therapists help you explore identity, values, and strengths to clarify what you really want—then build actionable steps to get there. We address the emotional and psychological barriers that keep people stuck, not just the logistics.

Frequently Asked Questions

Is career counseling covered by insurance?
It depends on whether a clinical diagnosis is part of treatment. We’ll clarify this during your intake.
How is this different from a career coach?
We’re licensed mental health clinicians who address the emotional roots of career challenges—anxiety, self-worth, trauma—alongside practical planning.
Can you help with burnout?
Yes. Occupational burnout is one of the most common issues we see, and it responds well to therapy.

Veteran Health

 

Veterans and active-duty service members carry experiences that few civilians can fully understand. At Oak Tree Behavioral Services, our clinicians are trained in military culture and provide evidence-based care for the full range of veteran mental health concerns—without stigma, without judgment, and with deep respect for your service.

Signs You May Benefit from Veteran & Military Mental Health Support

  • PTSD symptoms from combat, MST, or other service-related trauma
  • Difficulty transitioning from military to civilian life
  • Depression, isolation, or emotional withdrawal
  • Anger management or relationship problems post-service
  • Substance use to cope with service-related stress
  • Suicidal ideation or thoughts of self-harm

Our Treatment Approach

We use EMDR, CPT, and CBT for veteran PTSD, as well as culturally-informed supportive therapy for transition challenges, identity, and family reintegration. We are familiar with VA systems and can coordinate care with VA providers. We accept TriCare and most major insurance plans.

Frequently Asked Questions

Do I have to use the VA to see you?
No. You can see us independently from the VA, and we can also coordinate with VA providers if helpful.
Do you accept TriCare?
Yes. We accept TriCare and several other military-connected insurance plans.
Do you understand military culture?
Yes. Our clinicians are trained in military culture and will not require you to explain your service experience from the ground up.

Traumatic Brain Injury
Traumatic brain injury (TBI) can profoundly alter cognition, personality, emotional regulation, and daily functioning—often in ways that are invisible to others. Therapy can’t reverse the neurological injury, but it can dramatically improve quality of life by addressing the emotional, behavioral, and adjustment challenges that follow TBI.

Signs You May Benefit from Traumatic Brain Injury (TBI) Support

  • Irritability, mood swings, or emotional outbursts after head injury
  • Difficulty with memory, concentration, or planning
  • Depression or anxiety following a TBI
  • Changes in personality reported by loved ones
  • Difficulty returning to work or pre-injury functioning
  • Co-occurring PTSD from the injury event

Our Treatment Approach

We provide TBI-informed therapy adapted to cognitive and processing changes that may affect how someone engages in therapy. We address grief over the pre-injury self, family system impact, emotional regulation, and co-occurring PTSD, and coordinate with neurologists and rehabilitation teams.

Frequently Asked Questions

Is this for mild TBI or severe TBI?
We work with the full spectrum—from concussion and mild TBI to more significant injuries—adjusting our therapeutic approach accordingly.
Do you work with veterans with TBI?
Yes. TBI is highly prevalent in the veteran population, and we have significant experience with veteran TBI and its co-occurrence with PTSD.
Can family members be involved?
Yes. TBI affects the whole family system, and family education and therapy are often a valuable part of care.

Trauma and PTSD

 

Trauma changes the nervous system. PTSD isn’t weakness—it’s your brain doing its best to protect you from a threat that has already passed. With the right treatment, trauma responses can be processed and resolved. You don’t have to keep living in the shadow of what happened.

Signs You May Benefit from Trauma & PTSD Support

  • Intrusive memories, flashbacks, or nightmares
  • Emotional numbness or detachment
  • Hypervigilance, startle responses, or feeling constantly ‘on edge’
  • Avoidance of reminders of the trauma
  • Negative beliefs about yourself or the world since the trauma
  • Difficulty in relationships, sleep, or daily functioning

Our Treatment Approach

Our trauma therapists are trained in EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Processing Therapy (CPT), and trauma-focused CBT. We assess carefully and choose the approach best suited to your trauma history and presentation.

Frequently Asked Questions

Do I have to talk about everything that happened?
No. Effective trauma therapy doesn’t require you to narrate your trauma in detail. Approaches like EMDR can process trauma without extensive verbal recounting.
Is EMDR scientifically supported?
Yes. EMDR is a gold-standard trauma treatment recognized by the APA, VA, and WHO.
Can trauma from childhood be treated now?
Yes. Childhood trauma can be effectively addressed in adulthood. Many clients find it transformative.

Substance Abuse
Substance abuse doesn’t mean you’re weak—it means you found something that worked, until it didn’t. Whether you’re struggling with alcohol, prescription drugs, methamphetamine, or other substances, Oak Tree Behavioral Services offers evidence-based outpatient treatment that addresses both the addiction and the pain underneath it.

Signs You May Benefit from Substance Abuse Support

  • Using substances more than intended or for longer than planned
  • Giving up activities you used to enjoy
  • Continuing to use despite physical or mental health consequences
  • Relationship conflict or isolation related to use
  • Legal or financial problems tied to substance use
  • Feeling unable to cope without the substance

Our Treatment Approach

We integrate Motivational Interviewing, CBT, trauma-focused therapy, and relapse prevention planning. We understand that substance abuse often co-occurs with depression, anxiety, trauma, and chronic pain—and we address them together.

Frequently Asked Questions

Do you offer intensive outpatient (IOP)?
We provide standard outpatient counseling. If IOP level of care is indicated, we’ll help connect you with appropriate resources.
Can I continue to see my regular doctor while in substance abuse counseling?
Yes. Coordination with your medical provider is encouraged, especially if medications for addiction treatment (e.g., Suboxone) are involved.
What if I relapse?
Relapse is a common part of recovery, not a failure. We address relapse without shame and use it as information to strengthen your recovery plan.

Stress

 

Stress is inevitable. Chronic, unmanaged stress is not. When stress becomes persistent, it affects your physical health, mental health, relationships, and ability to function. Therapy goes far deeper than relaxation techniques—it addresses the patterns, beliefs, and life structures that fuel ongoing stress.

Signs You May Benefit from Stress Management Support

  • Feeling constantly overwhelmed, rushed, or unable to keep up
  • Physical symptoms: headaches, tension, stomach problems, fatigue
  • Difficulty sleeping due to worry or racing thoughts
  • Irritability, short temper, or emotional reactivity
  • Using food, alcohol, or screens to decompress
  • Neglecting relationships or things you enjoy due to stress

Our Treatment Approach

We use CBT, mindfulness-based stress reduction (MBSR) principles, ACT, and practical life-structure work to address both the symptoms and the sources of stress. We also explore perfectionism, overcommitment, and people-pleasing patterns that keep the stress cycle going.

Frequently Asked Questions

Is stress ‘bad enough’ to go to therapy for?
If it’s affecting your health, relationships, or quality of life—yes. You don’t have to be in crisis to benefit from therapy.
How many sessions does stress management take?
Many clients see significant relief in 6–10 focused sessions, though some continue longer for deeper pattern work.
Do you offer telehealth?
Yes. We offer both in-person and telehealth sessions across all three Colorado locations.

Sports Performance
The mental game is where championships are won—and where athletes quietly suffer. Whether you’re dealing with performance anxiety, burnout, injury recovery, or the pressure of high-stakes competition, Oak Tree Behavioral Services offers sports psychology-informed therapy to help you compete at your best.

Signs You May Benefit from Sports Performance Support

  • Anxiety before or during competition
  • Mental blocks or choking under pressure
  • Difficulty recovering mentally after injury
  • Burnout, loss of motivation, or withdrawal from sport
  • Identity struggles tied to athletic performance
  • Perfectionism or fear of failure affecting your game

Our Treatment Approach

We use evidence-based mental performance techniques including visualization, attentional focus training, self-talk restructuring, and CBT for performance anxiety. We also address the whole athlete—including mental health challenges that exist beyond sport.

Frequently Asked Questions

Do you work with youth athletes?
Yes. We work with athletes from middle school through elite adult competition.
Is sports performance therapy covered by insurance?
Sessions that address clinical concerns (anxiety, depression) are typically covered. Pure performance coaching may not be.
Can you help me come back from an injury?
Yes. The psychological side of injury recovery—fear of re-injury, identity disruption, depression—is a major focus of our sports therapy work.

Sleep or Insomnia
Chronic insomnia affects nearly one in three adults and is strongly linked to depression, anxiety, and physical health problems. Cognitive Behavioral Therapy for Insomnia (CBT-I) is the gold-standard first-line treatment—more effective than sleep medications with no side effects.

Signs You May Benefit from Sleep & Insomnia Support

  • Difficulty falling asleep at night
  • Waking up in the middle of the night and unable to return to sleep
  • Waking too early
  • Daytime fatigue, irritability, or cognitive difficulties
  • Reliance on sleep medications that are losing effectiveness
  • Anxiety about sleep itself

Our Treatment Approach

CBT-I addresses the behavioral habits and thoughts that perpetuate insomnia. Treatment typically includes sleep restriction therapy, stimulus control, cognitive restructuring of sleep-related beliefs, and sleep hygiene. Most clients see significant improvement within 6–8 sessions.

Frequently Asked Questions

Is CBT-I better than sleep medication?
Research consistently shows CBT-I produces better long-term outcomes than medication alone, with no dependence or side effects.
How long does CBT-I take?
Most clients complete CBT-I in 6–8 sessions. Improvements often begin within the first 2–3 sessions.
Does this work for sleep apnea?
CBT-I is designed for insomnia specifically. Sleep apnea requires a different medical intervention. We can help clarify what type of sleep problem you have.

Sexual Addiction
Compulsive sexual behavior—sometimes called sexual addiction—involves a pattern of sexual thoughts or behaviors that feel out of control, cause significant distress, and continue despite harmful consequences. Our therapists provide skilled, non-shaming treatment that addresses the underlying drivers of compulsive behavior.

Signs You May Benefit from Sexual Addiction Support

  • Pornography use that feels compulsive or out of control
  • Sexual behaviors that continue despite relationship or professional consequences
  • Failed attempts to reduce or stop sexual behavior
  • Using sexual behavior to cope with stress, loneliness, or pain
  • Secrecy, shame, or a double life
  • Escalating sexual behavior over time

Our Treatment Approach

We use CBT, ACT, and trauma-informed approaches to address compulsive sexual behavior. We also provide couples therapy for partners who have been impacted, including betrayal trauma support.

Frequently Asked Questions

Is sexual addiction a real diagnosis?
Compulsive sexual behavior disorder is recognized by the ICD-11. It’s a real and treatable condition, regardless of the ongoing debate about terminology.
Do you work with partners who’ve experienced betrayal?
Yes. Betrayal trauma following discovery of compulsive sexual behavior is a significant part of what we address.
Is treatment confidential?
Yes. All sessions are confidential with standard legal exceptions.

Sex Therapy

 

Sexual concerns are among the most common—and most underaddressed—mental health issues. Whether you’re dealing with desire discrepancy, sexual dysfunction, intimacy avoidance, or the aftermath of sexual trauma, sex therapy provides a professional, confidential space to work through issues that affect your quality of life and relationships.

Signs You May Benefit from Sex Therapy Support

  • Low sexual desire or desire differences with a partner
  • Difficulty with arousal, orgasm, or sexual pain
  • Sexual anxiety or performance concerns
  • Intimacy avoidance or shutdown after trauma
  • Sexual compulsivity or out-of-control sexual behavior
  • Relationship strain due to sexual incompatibility

Our Treatment Approach

Sex therapy is talk-based (not physical) and uses sensate focus exercises, psychoeducation, trauma processing, and couples intimacy work. Our therapists are trained in AASECT-aligned approaches and address both individual and relational dimensions of sexual health.

Frequently Asked Questions

Is sex therapy just for couples?
No. Many individuals benefit from sex therapy for concerns that don’t require a partner to be present.
Is anything done physically in sex therapy?
No. Sex therapy is entirely talk-based. Exercises are assigned as homework and discussed in session.
Are sexual topics discussed openly?
Yes. Our therapists are trained to discuss sexual topics professionally and without judgment.

Self-Harming
Self-harm is often a way of coping with overwhelming emotions—not a sign of being ‘broken’ or beyond help. At Oak Tree Behavioral Services, we provide a non-judgmental space to understand what’s driving self-harming behavior and develop healthier, more effective ways to manage emotional pain.

Signs You May Benefit from Self-Harm Support

  • Cutting, burning, scratching, or hitting yourself
  • Using physical pain to manage emotional numbness or distress
  • Hiding injuries from others
  • Feelings of shame or secrecy around the behavior
  • Escalating frequency or severity over time
  • Self-harm as a response to trauma, anxiety, or depression

Our Treatment Approach

We use DBT (Dialectical Behavior Therapy), which is the gold-standard treatment for self-harm, along with trauma-informed care. DBT teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills that address the root causes of self-harm.

Frequently Asked Questions

Does self-harm mean someone is suicidal?
Not necessarily. Self-harm and suicidal ideation are different, though they can co-occur. We assess for both and address each appropriately.
Do you work with adolescents?
Yes. Self-harm is most common in adolescence and we have significant experience working with teens and their families.
Should I tell my child’s school?
This is a nuanced decision. Your therapist will help you navigate disclosure decisions in a way that protects and supports your child.

Self Esteem
Low self-esteem quietly sabotages careers, relationships, and happiness. It shapes how you treat yourself, what you pursue, and what you believe you deserve. Therapy can help you identify where your self-image came from, challenge the beliefs that hold you back, and build genuine, lasting confidence.

Signs You May Benefit from Self-Esteem Support

  • Chronic self-criticism or negative self-talk
  • Difficulty accepting compliments or recognizing your strengths
  • People-pleasing or difficulty saying no
  • Fear of failure or avoidance of new challenges
  • Feeling fundamentally flawed, unlovable, or not enough
  • Comparisons to others that leave you feeling inadequate

Our Treatment Approach

We use CBT, schema therapy, and compassion-focused therapy to identify the origins of low self-esteem and build a more balanced, grounded self-concept—one rooted in evidence rather than early wounds.

Frequently Asked Questions

Can low self-esteem be fixed?
Yes. With the right therapeutic approach, people develop genuinely different ways of seeing and relating to themselves.
Is this suitable for teenagers?
Adolescence is a critical time to address self-esteem. We work with teens using age-appropriate approaches.
How is this different from ‘positive thinking’?
Real self-esteem isn’t positive thinking—it’s an accurate, grounded relationship with yourself. Therapy goes much deeper than affirmations.

School Issues
School is where children spend most of their waking hours—and for many, it’s a significant source of stress, anxiety, or conflict. Whether your child is struggling academically, socially, or emotionally in school, therapy can help identify what’s getting in the way and build skills to thrive.

Signs You May Benefit from School Issues Support

  • Refusing to go to school or frequent absences
  • Anxiety about tests, grades, or performance
  • Difficulty with teachers, peers, or school rules
  • Declining grades despite effort
  • Behavioral problems in the classroom
  • Bullying, social exclusion, or conflict with classmates

Our Treatment Approach

We assess academic, emotional, and social factors contributing to school struggles. We use CBT, school refusal protocols, and coordinate with school counselors and teachers with parental consent to create a consistent support environment.

Frequently Asked Questions

Can you work with my child’s school?
Yes. With your permission, we can communicate with teachers, counselors, and special education teams.
What if my child has an IEP?
We’re familiar with special education processes and can provide documentation or participate in IEP meetings when appropriate.
At what age can children start therapy for school issues?
We work with children from early elementary through high school for school-related concerns.

Relationship Issues
Relationship struggles—whether with a partner, family member, friend, or colleague—can be a major source of pain and stress. Therapy helps you understand your relational patterns, communicate more effectively, and build the connections you want.

Signs You May Benefit from Relationship Issues Support

  • Recurring conflict with the same person
  • Feeling chronically misunderstood or dismissed
  • Difficulty trusting others after past hurt
  • Patterns of choosing the wrong people or relationships
  • Fear of intimacy or commitment
  • Codependency, people-pleasing, or unhealthy boundaries

Our Treatment Approach

We use attachment-based therapy, CBT, and interpersonal approaches to help you understand how early experiences shape your current relationships and build more secure, satisfying connections.

Frequently Asked Questions

Do I need to come with a partner?
Not necessarily. Individual therapy for relationship issues is very effective for understanding your own patterns.
Can therapy help after a breakup?
Yes. Processing the end of a relationship, understanding what happened, and preparing for healthier future connections are all goals we can work toward.
What if the other person won’t come to therapy?
You can still make meaningful progress working on your side of the relationship dynamic individually.

Pregnancy, Prenatal, Postpartum
Pregnancy and the postpartum period are among the most emotionally complex times in a person’s life. Perinatal mood and anxiety disorders affect one in five new mothers—and are among the most common, and most undertreated, medical complications of pregnancy. You deserve real support.

Signs You May Benefit from Pregnancy, Prenatal & Postpartum Support

  • Persistent sadness, emptiness, or crying during or after pregnancy
  • Anxiety, panic attacks, or intrusive thoughts about your baby
  • Feeling detached from your baby or unable to bond
  • Rage, irritability, or feeling out of control
  • Fear that you’re a bad mother or that something will happen to your baby
  • A traumatic birth experience

Our Treatment Approach

We are trained in perinatal mental health and use evidence-based approaches including CBT, trauma-focused therapy, and interpersonal therapy adapted for the perinatal period. We support individuals through pregnancy loss, birth trauma, PPD, postpartum anxiety, and postpartum PTSD.

Frequently Asked Questions

When should I seek help?
As soon as you notice symptoms—don’t wait to see if it ‘gets better on its own.’ Perinatal mood disorders are highly treatable when addressed early.
Is postpartum depression the same as ‘baby blues’?
No. Baby blues are brief (2 weeks). Postpartum depression lasts longer, is more intense, and requires professional support.
Do you work with partners who are struggling?
Yes. Partners can also experience postpartum depression and anxiety, and we provide support for them as well.

Pet Loss
The loss of a beloved pet is a profound grief—and one that’s often minimized by those who haven’t experienced it. Pets are family members, sources of unconditional love and routine, and for many people, central figures in daily life. If you’re struggling after losing a pet, your pain is real and deserves real support.

Signs You May Benefit from Pet Loss Support

  • Intense sadness, emptiness, or crying spells after your pet’s death
  • Guilt about end-of-life decisions
  • Difficulty functioning at work or home
  • Others dismissing your grief as ‘just losing a pet’
  • The loss triggering memories of other losses
  • Anticipatory grief if your pet is terminally ill

Our Treatment Approach

We provide compassionate grief counseling that honors the significance of animal bonds. We address guilt, trauma around the circumstances of death, anticipatory grief for aging pets, and the particular isolation that comes with pet loss.

Frequently Asked Questions

Is it ‘normal’ to be this sad about a pet?
Absolutely. The human-animal bond is deeply real, and grief after pet loss can be as intense as grief after losing a person.
Do you help with euthanasia decisions?
Yes. The anticipatory grief and guilt around end-of-life decisions for pets is one of the most common reasons people seek support.
Can children be seen for pet loss?
Yes. Children often process their first experience of death through pet loss, and therapy can support that process.

Peer Relationships
Friendships are central to a child’s wellbeing and development—but social struggles can be incredibly painful and difficult to navigate alone. Whether your child is being bullied, has difficulty making friends, or is dealing with toxic peer dynamics, our therapists can help.

Signs You May Benefit from Peer Relationships Support

  • Difficulty making or keeping friends
  • Being bullied or engaging in bullying behavior
  • Social anxiety in peer settings
  • Exclusion or rejection by peers
  • Social media-related conflict or distress
  • Loneliness, withdrawal, or feeling different from peers

Our Treatment Approach

We use social skills training, CBT, and narrative therapy to help children and teens build confidence, navigate social situations, and develop authentic connections. Parent involvement is often included to reinforce skills at home.

Frequently Asked Questions

What age do you work with for peer issues?
We work with children as young as six and through adolescence for peer relationship concerns.
Can therapy help with social anxiety?
Yes. Social anxiety is very treatable and responds well to CBT and graduated exposure approaches.
Do you address cyberbullying?
Yes. Online peer conflict is a significant part of many children’s social lives and is fully addressed in therapy.

Parenting
Parenting is the most important job in the world—and the one with the least training. Whether you’re struggling with a defiant toddler, a troubled teen, co-parenting conflict, or simply feeling overwhelmed and ineffective as a parent, therapy can give you practical tools and renewed confidence.

Signs You May Benefit from Parenting Support Support

  • Feeling like nothing you try with your child works
  • Power struggles, defiance, or frequent meltdowns
  • Anxiety about your child’s behavior, development, or future
  • Co-parenting conflict affecting your children
  • Parenting a child with ADHD, autism, trauma, or behavioral challenges
  • Feeling burned out, resentful, or disconnected as a parent

Our Treatment Approach

We draw on Parent-Child Interaction Therapy (PCIT) principles, Collaborative Problem Solving, and evidence-based parenting strategies. We work with the parent alone or with parent and child together depending on what will be most effective.

Frequently Asked Questions

Do I bring my child to sessions?
That depends on the issue. Some parenting work is most effective when we work with you alone; other situations benefit from joint sessions.
Do you help with divorced or separated co-parents?
Yes. We work with co-parents on communication strategies and child-centered approaches to co-parenting conflict.
At what age does your parenting support apply?
We work with parents of children from toddlers through young adults.

Obesity
Obesity is rarely just about diet and exercise—it’s shaped by genetics, trauma history, emotional eating, stress, and mental health. Sustainable change requires addressing the psychological dimensions of weight, not just the physical ones. Our therapists provide non-judgmental support for the emotional and behavioral side of weight management.

Signs You May Benefit from Obesity & Weight Management Support

  • Using food to manage emotions or stress
  • Feelings of shame, guilt, or disgust related to your body or eating
  • Yo-yo dieting or inability to sustain changes
  • Binge eating or loss of control around food
  • Depression or anxiety that contributes to weight gain
  • Weight-related health concerns affecting your quality of life

Our Treatment Approach

We use CBT, ACT, and mindful eating approaches to address the emotional patterns underlying weight struggles. We work collaboratively with dietitians and medical providers and can support patients before and after bariatric surgery.

Frequently Asked Questions

Do you provide diet or nutrition counseling?
We address the psychological side of eating. We refer to registered dietitians for nutritional guidance and often work in coordination with them.
Is weight stigma an issue in your practice?
We are explicitly committed to a weight-neutral, non-stigmatizing approach. All body sizes are welcomed without judgment.
Can therapy help with emotional eating?
Yes. Emotional eating is one of the conditions that responds best to psychological intervention.

Men’s Issues
Men face unique pressures—cultural expectations to appear strong, difficulty asking for help, and mental health stigma that runs deep. Our therapists provide a direct, practical, judgment-free environment where men can address real challenges without being told how to feel.

Signs You May Benefit from Men’s Issues Support

  • Anger, irritability, or emotional shutdown
  • Withdrawing from relationships or activities you used to enjoy
  • Using work, alcohol, or screens to avoid emotional pain
  • Anxiety about work performance, finances, or identity
  • Relationship problems or feeling disconnected from your partner
  • Life transitions (divorce, job loss, fatherhood, retirement)

Our Treatment Approach

We meet men where they are—offering direct, solution-focused therapy that builds on strengths rather than dwelling on weakness. We work on communication, emotional intelligence, purpose, and the specific pressures men face in today’s world.

Frequently Asked Questions

Is therapy just for people in crisis?
No. Many men come to therapy to perform better, communicate more effectively, or navigate transitions—not because something is falling apart.
Do you have male therapists?
We have both male and female therapists. You can request a preference when scheduling.
Will therapy make me ‘soft’?
Quite the opposite. Working on yourself requires more courage than avoiding hard things. Our clients consistently report feeling more effective, not less.

Marital and Premarital
Every relationship hits difficult stretches—communication breakdowns, growing apart, conflict patterns, or major life transitions. Whether you’re preparing for marriage, working through a rough season, or recovering from a serious rupture, couples therapy at Oak Tree Behavioral Services can help you reconnect.

Signs You May Benefit from Marital & Premarital Counseling Support

  • The same arguments happening over and over
  • Feeling more like roommates than partners
  • Emotional or physical disconnection
  • Infidelity or breach of trust
  • Major life disagreements (finances, parenting, intimacy)
  • Wanting to start marriage on the right foundation

Our Treatment Approach

We use Gottman Method, Emotionally Focused Therapy (EFT), and Imago Therapy techniques depending on what fits your relationship best. Premarital counseling proactively builds communication skills, aligns expectations, and identifies potential friction points before they become problems.

Frequently Asked Questions

Do both partners have to be willing?
Ideally, yes—but we can work with one partner when the other is not ready. Even one person changing patterns can shift a relationship.
Do you offer discernment counseling for couples considering divorce?
Yes. Discernment counseling helps couples decide whether to work on the relationship, separate, or divorce—without the pressure of a premature decision.
How long does couples therapy take?
Most couples see meaningful improvement within 12–20 sessions, though some choose to continue longer.

Life Coaching

 

Sometimes you don’t need to process trauma—you need a skilled partner to help you clarify your values, set meaningful goals, and stop getting in your own way. Our clinician-led life coaching blends therapeutic insight with forward-focused action planning to help you live with intention.

Signs You May Benefit from Life Coaching Support

  • Feeling stuck, unfulfilled, or directionless
  • Difficulty making decisions or committing to goals
  • Procrastination or self-sabotaging patterns
  • Wanting more from life but not knowing where to start
  • Life transitions without clear next steps
  • Low motivation or persistent sense of mediocrity

Our Treatment Approach

Unlike coaches without clinical training, our therapist-coaches understand how psychological patterns—anxiety, perfectionism, fear of failure—sabotage progress. We combine evidence-based techniques with practical goal-setting to create real, lasting momentum.

Frequently Asked Questions

Is life coaching covered by insurance?
Insurance covers mental health treatment, not coaching. We’ll be transparent about what is and isn’t billable to insurance during your intake.
What’s the difference between therapy and life coaching?
Therapy focuses on healing past pain and diagnosable conditions. Coaching focuses on present functioning and future goals. Many clients benefit from elements of both.
How quickly will I see results?
Most clients notice meaningful momentum within 4–8 sessions when they engage actively between appointments.

Infertility

Infertility is a profound loss that’s often invisible to the outside world. The emotional toll of diagnosis, treatment cycles, miscarriages, and uncertainty can be devastating. Oak Tree Behavioral Services provides a space where your grief and anxiety are fully understood—not minimized.

Signs You May Benefit from Infertility Support

Grief after a miscarriage or failed IVF cycle
Anxiety and obsessive thinking about fertility
Relationship strain with a partner due to fertility struggles
Isolation from pregnant friends or family
Depression or hopelessness about building a family
Emotional exhaustion from the treatment process

Our Treatment Approach

We provide individual and couples therapy tailored to the unique emotional landscape of infertility. Therapy addresses grief, anxiety, relationship strain, and the existential questions that infertility raises about identity and the future.

Grief
Grief is the price of love—and there is no wrong way to grieve. Whether you’ve lost a loved one, a relationship, a job, a pregnancy, or a sense of who you are, grief counseling provides a space to process your loss and find a way forward. Our therapists offer compassionate, skilled support for all kinds of grief.

Signs You May Benefit from Grief & Loss Support

  • Intense sadness, longing, or emptiness after a loss
  • Difficulty accepting that the loss is real
  • Avoiding reminders of the person or thing you lost
  • Guilt, anger, or numbness
  • Disrupted sleep, appetite, or functioning
  • Grief that feels stuck or gets worse over time

Our Treatment Approach

We draw on the Dual Process Model of grief, Complicated Grief Treatment (CGT), and meaning-making approaches. We honor your unique grief process rather than imposing a timeline or set of ‘stages’ you must follow.

Frequently Asked Questions

How do I know if my grief is ‘normal’?
Grief varies enormously. If it’s significantly interfering with your life for an extended period, therapy can help—even if it doesn’t feel ‘bad enough’ to seek help.
Is grief counseling covered by insurance?
Yes. Grief-related depression, anxiety, and adjustment disorders are covered diagnoses.
Do you work with children who are grieving?
Yes. We offer developmentally sensitive grief counseling for children and teens, often with parental involvement.

Gambling

Problem gambling is a behavioral addiction that can quietly devastate finances, relationships, and self-worth before it’s recognized as a problem. Whether it’s sports betting, casino gambling, online poker, or lottery, Oak Tree Behavioral Services provides evidence-based counseling to help you regain control.

Signs You May Benefit from Gambling Addiction Support

Needing to gamble more to feel the same excitement
Failed attempts to cut back or stop gambling
Gambling to escape problems or relieve distress
Lying to family or friends about gambling
Jeopardizing relationships, job, or finances because of gambling
Chasing losses with more gambling

Our Treatment Approach

We use CBT and Motivational Interviewing specifically adapted for gambling disorder. We also address underlying issues—depression, anxiety, boredom, impulsivity—that sustain problematic gambling. Financial and relationship impact is incorporated into treatment.

Gastric By-pass Evaluations

 

Most bariatric surgery programs require a pre-surgical psychological evaluation to assess your readiness for surgery and long-term success. Oak Tree Behavioral Services provides comprehensive, compassionate evaluations completed by doctoral-level clinicians—with results delivered promptly to support your surgical timeline.

Signs You May Benefit from Gastric Bypass Evaluations Support

  • Your surgeon or bariatric program has required a psych eval
  • You want to ensure emotional readiness before surgery
  • You have a history of depression, anxiety, trauma, or eating concerns
  • You want support managing emotional eating after surgery
  • You’re preparing for significant lifestyle changes
  • You need documentation for insurance approval

Our Treatment Approach

Our evaluation includes a clinical interview, behavioral health screening, and a written report sent to your surgical team. We assess psychological readiness, identify risk factors, and provide recommendations for pre- and post-surgical support. The process is supportive, not gatekeeping.

Frequently Asked Questions

Can the evaluation prevent me from having surgery?
Our goal is to support your success, not block your access. We identify factors that may need attention before or after surgery and provide recommendations.
How quickly can I get an appointment?
We strive to schedule evaluations within 1–2 weeks to keep your surgical timeline on track.
Is the evaluation covered by insurance?
Many insurance plans cover pre-surgical psychological evaluations. We’ll verify your benefits before your appointment.

Family Conflict

 

Family conflict—whether between parents and children, siblings, or blended family members—can erode trust and closeness if left unaddressed. Family therapy at Oak Tree Behavioral Services helps families communicate more effectively, repair ruptures, and create a healthier home environment.

Signs You May Benefit from Family Conflict Support

  • Frequent arguments that escalate or don’t resolve
  • Communication breakdown between family members
  • A child or teen showing behavioral or emotional problems
  • Conflict following a major change (divorce, remarriage, loss)
  • Power struggles between parents and children
  • Estrangement or emotional cutoff within the family

Our Treatment Approach

We use family systems therapy, Structural Family Therapy, and Emotionally Focused Family Therapy to identify unhealthy patterns and help your family develop new ways of relating. Sessions may include the whole family or specific subsystems depending on the presenting issue.

Frequently Asked Questions

Does the whole family have to come?
Not necessarily. We work with whatever configuration is possible and helpful. Sometimes individual sessions are combined with family sessions.
What if family members refuse to participate?
Even one person working with a skilled therapist can shift family dynamics significantly.
Do you work with divorcing families?
Yes. We provide therapy for families navigating separation, co-parenting conflict, and the impact of divorce on children.

Emotional Disturbance
Emotional disturbance refers to a range of conditions that affect emotional regulation, behavior, and functioning—often showing up in school, work, and relationships. Whether the result of trauma, neurodevelopmental differences, or environmental stress, these challenges are treatable with the right support.

Signs You May Benefit from Emotional Disturbance Support

  • Persistent sadness, anxiety, or mood instability
  • Difficulty building or maintaining relationships
  • Inappropriate emotional responses to situations
  • Physical complaints without medical cause
  • Fear or anxiety that interferes with daily life
  • Behavioral problems at school or work

Our Treatment Approach

We assess the root causes of emotional dysregulation and build individualized treatment plans using CBT, DBT, trauma-informed care, and family systems approaches. We also collaborate with schools and IEP teams when working with children.

Frequently Asked Questions

Is emotional disturbance a diagnosis?
It’s both a clinical term used in therapy and an educational classification used in schools for special education eligibility.
Can this be treated without medication?
Many individuals see significant improvement through therapy alone. When medication may be helpful, we refer to appropriate prescribers.
Do you work with schools?
Yes. We can collaborate with school counselors and IEP teams with your consent.

Eating Disorders

 

Eating disorders are among the most serious and misunderstood mental health conditions—and one of the most treatable when the right support is in place. Whether you’re struggling with anorexia, bulimia, binge eating disorder, or a complicated relationship with food and your body, our team is here to help you heal.

Signs You May Benefit from Eating Disorders Support

  • Obsessive thoughts about food, weight, or body image
  • Restricting, bingeing, or purging behaviors
  • Avoiding social situations involving food
  • Extreme distress about eating or body appearance
  • Physical symptoms like fatigue, hair loss, or dizziness
  • Secrecy around eating habits

Our Treatment Approach

We use Enhanced CBT for Eating Disorders (CBT-E), DBT, and Acceptance-Based approaches tailored to your specific diagnosis and presentation. We coordinate with dietitians and medical providers to ensure your care is comprehensive and safe.

Frequently Asked Questions

Do you treat children and teens with eating disorders?
Yes. We work with adolescents and their families using family-based approaches.
When is inpatient treatment needed?
If your medical condition requires intensive monitoring, we’ll help coordinate a higher level of care and remain your outpatient provider upon discharge.
Is binge eating disorder a real eating disorder?
Yes. Binge eating disorder is the most common eating disorder and is highly treatable with the right therapy.

Dual Diagnosis

 

Dual diagnosis—also called co-occurring disorders—means having both a mental health condition and a substance use disorder at the same time. Treating only one while ignoring the other rarely works. Oak Tree Behavioral Services specializes in integrated care that addresses both simultaneously.

Signs You May Benefit from Dual Diagnosis Support

  • Using substances to cope with depression, anxiety, or trauma
  • Mental health symptoms that worsen with use
  • Multiple failed attempts at recovery
  • Feeling ‘different’ or struggling since adolescence
  • Instability in relationships, housing, or employment
  • Prior psychiatric hospitalization combined with substance use

Our Treatment Approach

We provide integrated outpatient therapy that addresses mental health and substance use in every session—not in silos. Our clinicians are trained in trauma, mood disorders, personality disorders, and addiction, and coordinate with prescribers when psychiatric medication is part of your care plan.

Frequently Asked Questions

Which comes first—mental health or substance treatment?
We address both simultaneously. Research shows that treating them together produces better outcomes than treating them sequentially.
Can you prescribe medication?
Our therapists are not prescribers, but we coordinate with your psychiatrist or primary care provider.
Do you accept insurance for dual diagnosis treatment?
Yes. Most insurance plans cover outpatient co-occurring disorder treatment. Contact us to verify your specific benefits.

Drug Abuse
Drug abuse takes many forms—prescription misuse, illicit drug use, or recreational use that’s gotten out of hand. Whatever your situation, you don’t have to face it alone. Oak Tree Behavioral Services offers compassionate, evidence-based outpatient counseling to help you understand your use and move toward lasting recovery.

Signs You May Benefit from Drug Abuse Support

  • Using drugs more than intended
  • Spending excessive time obtaining, using, or recovering from drugs
  • Using drugs in dangerous situations
  • Neglecting school, work, or family responsibilities
  • Continuing use despite negative consequences
  • Cravings or strong urges to use

Our Treatment Approach

Our approach integrates Motivational Interviewing, CBT, and relapse prevention planning. We treat drug abuse in the context of your whole life—addressing trauma, mental health, relationships, and environment.

Frequently Asked Questions

Do you treat marijuana use?
Yes. Cannabis use disorder is real and treatable. We work with individuals who want to reduce or stop marijuana use.
What if I’m not ready to quit completely?
That’s okay. We meet you where you are. Harm reduction and motivational approaches are part of our toolkit.
Is what I share kept private?
Yes. Sessions are confidential with specific legal exceptions (e.g., imminent danger). We do not share information with employers or law enforcement without your consent.

Codependency

 

Codependency is a pattern where your sense of self-worth, safety, and purpose becomes enmeshed with another person’s wellbeing—often at the expense of your own. It’s common among people who grew up in chaotic households or have loved ones with addiction or mental illness. Therapy can help you rediscover yourself and build relationships rooted in mutual care rather than need.

Signs You May Benefit from Codependency Support

  • Difficulty saying no or setting boundaries
  • Feeling responsible for others’ feelings and problems
  • Neglecting your own needs to care for someone else
  • Fear of abandonment or rejection
  • Low self-esteem tied to others’ approval
  • Enabling destructive behavior in a loved one

Our Treatment Approach

We explore the origins of codependent patterns—often rooted in childhood—and help you build a stronger, more autonomous sense of self. Therapy focuses on boundary-setting, emotional regulation, and healthy interdependence.

Frequently Asked Questions

Is codependency a real diagnosis?
Codependency isn’t a formal DSM diagnosis, but it’s a well-recognized relational pattern that causes significant suffering and responds well to therapy.
Can couples work on codependency together?
Yes. We offer both individual and couples therapy to address codependent dynamics in relationships.
Is codependency related to addiction?
Often, yes. Codependency frequently develops in families impacted by addiction, but it can arise in any relationship context.

Chronic Pain

Chronic pain doesn’t just hurt physically—it shapes your mood, identity, relationships, and hope for the future. Psychological treatment for chronic pain is among the most evidence-based interventions available. Oak Tree Behavioral Services helps you change your relationship with pain and reclaim your life.

Signs You May Benefit from Chronic Pain Support

Pain lasting more than three months
Depression, anxiety, or anger tied to pain
Avoidance of activities due to fear of pain
Sleep disruption from persistent discomfort
Relationship strain related to chronic illness
Reliance on opioids or medications that concern you

Our Treatment Approach

We use Acceptance and Commitment Therapy (ACT), CBT for Chronic Pain, and mindfulness-based approaches. These are proven to reduce pain-related suffering and improve function—even when the pain itself can’t be eliminated.

Behavioral Issues
Behavioral issues can show up at any age—from toddlers with defiance to teens engaging in risky behavior to adults struggling with destructive patterns. At Oak Tree Behavioral Services, we assess the underlying causes and develop individualized treatment plans that produce lasting change.

Signs You May Benefit from Behavioral Issues Support

  • Persistent defiance, aggression, or rule-breaking
  • Difficulty at school, work, or in relationships
  • Self-destructive or risky behaviors
  • Chronic lying or manipulation
  • Inability to manage emotions or impulses
  • Social isolation or peer problems

Our Treatment Approach

We draw on behavioral analysis, CBT, and family systems approaches to understand what drives problem behaviors and reinforce positive alternatives. Parent coaching is often incorporated when working with children and adolescents.

Frequently Asked Questions

At what age can a child start therapy?
We work with children as young as four years old, using play therapy and developmentally appropriate techniques.
Do parents attend sessions?
For younger children and teens, parental involvement is often an important part of treatment. Your therapist will discuss the best approach.
Is this the same as ABA therapy?
We don’t provide Applied Behavior Analysis (ABA). Our behavioral work is talk-therapy based and suited for a broad range of concerns.

Anger Management
Anger is a normal emotion—but when it becomes destructive, it can damage relationships, careers, and your health. Oak Tree Behavioral Services provides anger management counseling to help you understand the root causes of your anger and develop healthier, more effective responses.

Signs You May Benefit from Anger Management Support

  • Frequent outbursts or explosive anger
  • Physical aggression or threats
  • Feeling rage over minor frustrations
  • Trouble calming down after becoming upset
  • Relationship problems driven by anger
  • Regret or shame after angry episodes

Our Treatment Approach

We use evidence-based approaches including CBT, Dialectical Behavior Therapy (DBT) skills, and somatic awareness techniques. We offer both individual therapy and structured anger management programs, including court-ordered anger management that results in a completion certificate.

Frequently Asked Questions

Do you offer court-ordered anger management?
Yes. We offer structured anger management programs that satisfy court requirements and provide documentation of completion.
How many sessions does anger management take?
Programs typically range from 8 to 26 sessions depending on court requirements or personal goals.
Will my employer or court know what I share?
Sessions are confidential with limited legal exceptions. We only release information with your written consent or as required by law.

Addiction
Addiction is a complex, chronic condition—not a moral failure. Whether you’re struggling with alcohol, drugs, gambling, or behavioral addictions, Oak Tree Behavioral Services offers judgment-free counseling to help you break free from the cycle of addiction and rebuild a meaningful life.

Signs You May Benefit from Addiction Support

  • Inability to stop using despite wanting to
  • Neglecting responsibilities at work, school, or home
  • Continuing use even when it causes harm
  • Needing more of a substance to feel the same effect
  • Withdrawal symptoms when not using
  • Hiding use from loved ones

Our Treatment Approach

Our therapists use Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and relapse prevention strategies. We treat the whole person—addressing underlying trauma, mental health, and environmental factors that contribute to addictive behavior.

Frequently Asked Questions

Do you offer detox services?
We are an outpatient practice and do not provide medical detox. We can help coordinate a referral to detox if needed, then continue your counseling journey with us.
Is addiction therapy covered by insurance?
Most major insurance plans cover outpatient addiction counseling. We accept many Colorado insurance plans—contact us to verify your benefits.
How long does treatment take?
Treatment length varies based on the individual. Some people benefit from short-term focused treatment; others thrive with longer-term support.

ADHD

 

Attention-Deficit/Hyperactivity Disorder (ADHD) affects millions of children and adults, making it difficult to focus, stay organized, and manage impulses. At Oak Tree Behavioral Services, our licensed therapists provide evidence-based ADHD assessment and treatment to help you build the skills you need to thrive at school, work, and home.

Signs You May Benefit from ADHD Support

  • Chronic difficulty concentrating on tasks
  • Impulsive decisions or behaviors
  • Forgetting appointments or losing items frequently
  • Restlessness or inability to sit still
  • Struggles with time management and organization
  • Emotional dysregulation or mood swings

Our Treatment Approach

We use Cognitive Behavioral Therapy (CBT), executive function coaching, and behavioral strategies tailored for ADHD. We also collaborate with prescribing providers when medication evaluation is appropriate. Our goal is to give you practical tools—not just a diagnosis.

Frequently Asked Questions

Do you test for ADHD?
Yes. We offer comprehensive psychological evaluations for ADHD across the lifespan, from children to adults.
Can adults have ADHD?
Absolutely. Many adults were never diagnosed as children. Adult ADHD is common and very treatable.
Do I need a referral?
No referral is needed. You can contact us directly to schedule an initial appointment.