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Areas of Treatment Focus

The mental health field is wide and vast.  No therapist is able to gain expertise in all of the mental health issues clients experience today.

Therapists, then, identify what impassions them in the mental health field and pursue knowledge and training in those areas.  What is listed here are the areas of expertise, knowledge, and experience Counseling by Coryanna has to offer.

If you do not see what you are hoping to work on listed here, you are welcome to use the contact form to inquire if your treatment focus can be addressed in your work with Coryanna.

Trauma, PTSD,  and cPTSD

Trauma, whether it is one occurrence or something experienced over a prolonged period of time, has heavy and far-reaching psychological, cognitive, physiological, and social affects.  However, there are evidence-based practices that can break the cycle and resolve trauma.  EMDR (Eye Movement Desensitization and Reprocessing) and IFS (Internal Family Systems) are the primary approaches used in this practice to process and resolve trauma.
Please click here to see an important scheduling note about EMDR.



Depression can be episodic or persistent.  It can manifest as apathy, loss of interest in things once enjoyed, over sleeping, poor sleep, over eating, loss of appetite, difficulty concentrating, low self-esteem, hopelessness, and can include self-injurious and/or suicidal thoughts and behavior.  Treatment will include Cognitive Behavioral Therapy, improving sleep and personal hygiene, creating structure and routine, and encouraging healthy habits, such as choosing nutritious food, increasing body movement, exposure to sunlight, and mindfulness.


Anxiety and Panic Attacks

Anxiety originally had a very positive function within the human physiology.  It is designed to move us out of danger.  However, this design has not evolved as efficiently as needed, with our bodies producing stress hormones constantly when the perceived threat is something that is long-term and unknown.  Panic attacks are different from generalized anxiety as they occur unexpectedly, suddenly, and peak within minutes, lasting around 10-15 minutes.  Treatment for both anxiety and panic includes Cognitive Behavioral Therapy, mindfulness, improving sleep and personal hygiene, creating structure and routine, and increasing healthy habits, such as choosing nutritious food, increasing body movement, and spending time in nature.


Gender Identity, Sexual Orientation, and Issues experienced by the LGBTQIA+ Community

Coryanna endeavors to create a safe and therapeutic environment for clients to explore their gender identity, how they wish to express themselves, whom they're attracted to, and everything in-between.  This is a safe place to process how to come out, safety issues to address, and where to find resources in the community.  Coryanna can provide letters for gender-affirming care after the therapeutic relationship is established and such topics have been thoroughly discussed.


Codependency and Poor Boundaries

Codependency is excessive emotional reliance on another individual, organization, or system designed to help.  Conversely, codependency can occur when one makes it their primary task to "save" another.  It is destructive for the following reasons:
  • It creates an inequity of power in the relationship
  • One's identity is contingent on the other
  • It lacks appropriate and healthy boundaries
  • It is one-sided
  • It can be abusive
Overcoming codependency involves working towards healthy interdependence.  In an interdependent relationship, both individuals have space to nurture their individual identities, the adaptability to draw closer during moments of necessity, and the autonomy to choose without apprehension of consequences.


The foundation of assertiveness training lies in the belief that every individual has the right to communicate their thoughts, needs, and emotions to others, provided it is done with courtesy and consideration.  Having appropriate boundaries is just one component of interdependence.  Healthy communication relies on one's understanding and application of assertive communication, which includes active listening, open body language, acknowledgement and validation, as well as use of I-statements and accepting responsibility for one's own contribution to a conflict.  Living and communicating assertively sets the stage for productive conflict resolution where compromise is key.


Harm Due to Inherent and Systemic Racism and Implicit & Unconscious Bias

There is no way to describe this with a brief explanation in a small paragraph.  Coryanna provides therapy with this awareness and context.  Please click here for more information.


Polyamory & Ethical Non Monogamy

Relationships involving polyamory and/or ethical non monogamy are extensively difficult and can be intensely unhealthy, and even toxic, if entered into lightly and without a thorough understanding of how these relationships can be successful.  By far, the most important aspect of healthy polyamorous and ENM relationships is a firm understanding and application of assertive communication, closely followed by an interdependence that is gained through understanding the attachment style and history of all partners involved, as well as thoroughly discussed expectations and boundaries.
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