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Winona Counseling Clinic is a private therapy practice offering conjoint, family, individual, and telehealth counseling settings. General counseling topics include: abuse, adoption/foster care, aging, alcohol use disorder, anger management, bereavement/grief, bullying, caregiver, cultural transition, death and dying, divorce, domestic violence, drug use disorder, family planning, parenting, pre-marriage and marriage, relationships, reproductive issues, sexual assault, spiritual/religious issues, suicide, terminal illness, and weight-related issues. This practice offers mental health screenings and assessments including: anxiety disorders screening, court ordered DUI evaluations, depression screening, early intervention for mental illness, eating disorders screening, general assessments for substance use disorders, general mental health screening, psychological assessment, and psychological testing. This practice also offers an impaired driver program for adolescents and adults. Additionally, counseling is offered for people with anxiety disorders, attention deficit/hyperactivity disorder (ADD/ADHD), bi-polar disorder, co-occurring mental health and substance use disorders, depression, eating disorders, mood disorders, obsessive compulsive disorder (OCD), panic disorders, perinatal/postpartum depression, personality disorders, post-traumatic stress disorder (PTSD), reactive attachment disorder, and self injury. Counseling for people with the following health disorders is also available: cancer, chronic illness, chronic pain, diabetes, heart disease, multiple sclerosis, physical disabilities. Pregnancy counseling is also provided (pro-choice and right-to-life perspectives offered). The agency provides targeted services for: active military, Black/African Americans, caregivers, court-ordered individuals, crime victims/witnesses, farmers/agricultural laborers, foster children, Hispanic/Latino persons, people with low incomes, men, migrants, Native Americans, pregnant persons, stepfamilies/blended families, veterans, and women. This practice includes counselors who can offer Christian faith-based counseling, cognitive behavioral therapy, and dialectical behavioral therapy.

Provides mental health services to adult, children, and their families, including: - Individual, group, and family counseling - Psychiatry services - Psychological evaluations Services may be provided for a variety of behavioral health needs, including: - ADHD - Anger management - Anxiety - Behavior management - Bereavement - Chemical health - Crisis intervention - Depression/mood disorder - Dialectical Behavioral Therapy (DBT) - Eating disorders - Parenting - Psychotic disorder - Trauma

Provides mental health services to adult, children, and their families, including: - Individual, group, and family counseling - Psychiatry services - Psychological evaluations Services may be provided for a variety of behavioral health needs, including: - ADHD - Anger management - Anxiety - Behavior management - Bereavement - Chemical health - Crisis intervention - Depression/mood disorder - Dialectical Behavioral Therapy (DBT) - Eating disorders - Parenting - Psychotic disorder - Trauma

Offers support to individuals with a wide array of backgrounds, ages, and mental health issues. Licensed therapists provide a variety of services for the following: - ADHD ?- Adjustment disorders ?- Anger management problems ?- Anxiety problems ?- Autism spectrum disorders ?- Depression ?- Developmental disabilities ?- Domestic violence ?- Emotional and behavioral disturbance ?- Learning disorders ?- Mood disorders ?- Oppositional/Conduct problems ?- Parenting issues ?- Personality disorders ?- Relationship difficulties ?- Serious mental illness ?- Traumatic brain injuries Services include: - Critical Incident Stress Debriefing: Provides group and individual support following a critical incident/trauma in or affection the workplace - Dialectical Behavioral Therapy (DBT): Group psychoeducation, individual therapy, and crisis intervention - Employee Assistance Program (EAP) - Evaluation: Diagnostic clarification, determination of personality issues, intellectual status, and learning styles or disabilities - Psychiatry: Assessment and medication monitoring - Relationship counseling for couples - Therapy for individuals and families

The Thrive program is an intensive outpatient treatment program that helps people with co-occurring mental health disorders and chronic pain to effectively manage symptoms, improve functioning and create fuller and more satisfying lives. Most sessions are offered online, and support groups meets once a month at West Metro location. - Follows a CBT and DBT curriculum - Meets twice weekly, plus individual therapy - works in collaboration with physicians and medical care teams

Counseling services provide help in the following areas: - Attention Deficit/Hyperactivity Disorder - Depression, anxiety, and stress management - Emotional regulation and personality disorders - Grief and loss adjustments - Individual and family therapy - Mood and anxiety disorders - Self-inflicted injury ?- Trauma and abuse recovery - PTSD and DBT - Veterans issues and needs of rural community

DBT programming for adolescents and caregivers

- Short-term Assessment and Treatment Program (STAT): Short-term intensive program for adolescents and adults designed to prevent out of home placement, long-term day treatment placement, prevent hospitalization and help stabilize the client and his/her family. Provides a comprehensive assessment of the client and family, teaches skills, and provides structure designed to stabilize the client and family situation and develops a comprehensive intervention plan. - Da-TRAC: Group therapy blended with mental health education to emphasize management of destructive and ineffective symptoms, and development and enhancement of health coping skills. Four tracks: Individuals experiencing a serious and persistent mental illness Individuals diagnosed with Borderline Personality Disorder (Dialectic Behavior Therapy) Individuals experiencing difficulty in managing anger Individuals in need of intensive assessment

Provides outpatient mental health services such as: - Individual and Family Therapy: Help address feelings of helplessness, sadness, difficulty concentrating on everyday activities, excessive worry, harmful thoughts, and actions that may cause harm to self or others. Therapy explores desired goals and works on changes in the way of thinking, reacting, and behaving. - Dialectical Behavioral Therapy (DBT): Helps people suffering from mood disorders and those with harmful behavior patterns to increase emotion regulation skills, decrease fluctuating emotions and moods, increase distress tolerance skills, interpersonal effectiveness skills, and mindfulness. - Psychiatry Services: Performs a full range of medical laboratory, psychological tests, and medication management to help assess both the physical and mental aspects of the client's mental health.

DBT programming with a special focus on binge-eating disorder

Offers a wide range of evidence-based mental health services for individuals, couples, and families. Services offered: - Acceptance and Commitment Therapy (ACT) - Christian counseling - Cognitive Behavioral Therapy (CBT) - Dialectical Behavior Therapy (DBT) - Eye Movement Desensitization and Reprocessing (EMDR) - Exposure therapy - Play therapy Services are tailored to each client's needs and goals, helping them address anxiety, depression, trauma, relationship challenges, sleep difficulties, and other mental health concerns.

Counseling specialties include: - Relationship Issues: Marital and pre-marital couples therapy, communication skills, conflict resolution and sexuality issues - Mood/Anxiety Disorders: Depression, anxiety, bi-polar disorders, panic attacks, post traumatic stress disorder (PTSD) and obsessive-compulsive disorders - Dialectical Behavioral Therapy (DBT): State-certified, evidence-based DBT programming for adults and a modified program for adolescents - Anger Management: Group and individual therapy - Other: Trauma related issues; foster care/adoption issues; adult ADHD; grief and loss; stress management; self-esteem; geriatric/aging; life transitions; gay/lesbian/transgender issues

Dialectical Behavior Therapy (DBT): - Borderline personality disorder or multiple mental health diagnoses Individual therapy: - Anger and frustration - Anxiety - Depression - Grief, loss, and loneliness - Life transitions and changes? Play therapy: - Express feelings - Learn how to relate to others - Modify behaviors - Problem solving skills Psychological and neuropsychological evaluations: - ADHD - Autism Spectrum Disorder - Cognitive functioning - Diagnostic clarification - Neuropsychological testing Sandtray therapy (uses sand and miniature figures): - Aggression reduction - Emotional support - Interpersonal relationship - Problem solving skills - Trauma Telemental health services Therapy for families and couples: - Boundary setting - Child rearing and parenting - Communication - Fertility - Financial issues - Grief and loss - Infidelity - Intimacy - Power struggle - The parent-child relationship

Comprehensive therapy and skills help individuals decrease symptoms and maintain safety. Program teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills that improve quality of life. Programs are Minnesota Department of Human Services certified and accredited nationally as a provider of DBT. Adult DBT Programs: - Adults age 18 and older - Comprehensive intensive outpatient, standard DBT, and one-day weekly options are available, based on level of need. - Coordinated care with other community providers - Aftercare program is available. Adolescent DBT Program: - Ages 14 - 18 - Meets twice weekly - Monthly parent education component (optional) Early Adolescent DBT Program: - Ages 12 - 14 - Meets twice weekly - Weekly parent/caregiver involvement (required) Horizons DBT Program: - For individuals with mental health issues as well as developmental challenges - DBT presented at a basic level - Meets three times weekly

Provides access to information and referral to services provided by Olmsted County Adult and Family Services as well as information about services in the community. - Assertive Community Treatment (ACT): Intensive non-residential treatment which involves rehabilitative mental health services. Helps people become independent and integrate into the community as they experience recovery. - Dialectical Behavior Therapy (DBT): State certified intensive outpatient program combines with coordinated community support services with the goal of reducing the need for hospitalization and increasing the individual's ability to participate in community living. - Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. Provides Rule 24 assessments which determine financial eligibility for funding and refers to Rule 25 assessments which determine appropriate level of chemical dependency treatment. Substance Use Services: - Case management services provide ongoing monitoring of individuals engaged in treatment and early recovery - CRAFT, a program for women who are pregnant or recently delivered and who are abusing chemicals ?- Information and referral - Licensed outpatient treatment groups for individuals on probation - Targeted Case Management: Provides case management services to individuals who have been diagnosed with a Serious and Persistent Mental Illness (SPMI) by a mental health professional

Outpatient mental health facility providing couples, family, group, and individual counseling, including: - Adolescent/youth counseling - Anger management - Anxiety disorders counseling and group therapy - Bereavement/grief counseling - Cultural transition counseling - Depression counseling - Dialectical Behavioral Therapy (DBT-IOP) offered at Minneapolis, West Metro, and West Saint Paul locations - Eating disorders counseling, including anorexia and bulimia - Family violence counseling - Gambling counseling - Geriatric counseling - Marriage counseling - Medication assessment and management - Phobias counseling - Post-abortion counseling - Psychiatry - Psychological testing and evaluation - Sexual assault counseling - Sexuality issues/sexual addictions counseling - Suboxone treatment for Opioid use disorder and addiction available in Minneapolis and West Metro Telehealth services available.

Provides outpatient services such as: - Extensive outpatient sexual behavior assessment - Parent/Caregiver Support Groups: Parents and caregivers have the opportunity to learn more about dynamics of sexual misconduct and treatment, as well as share their struggles in coming to terms with their adolescent's sexual behavior problems - Treatment group for adolescent males ages 11 - 18 experiencing problematic sexual behavior Group Therapy Treatment Program: - 12 - 16 weeks of sessions - Family and individualized therapy as recommended - Individualized treatment plan - Parents support group - Progress Review meetings upon request - Services may include cognitive behavioral therapy, dialectical behavior therapy skills training, educational curriculum, and experiential group therapy Individual Therapy Services: - Cognitive behavioral therapy - Dialectical behavior therapy - Play therapy - Pro-social skills training

Aims to help children: - Develop abilities and skills that are typical for youth of the same age without mental health symptoms - Gain coping skills and self-management tools to manage symptoms and related stress - Restore emotional, social, and behavioral skills that have been impacted by mental health disorders Specific services provided to a youth and their family are based on: - Availability - Family needs - Family culture - Model or type of services offered in the area Services can be basic community-based therapy services, such as in a home or school. They can also be more structured and focused intensive site-based services, such as day treatment. For families with complex needs and multiple providers, services must be coordinated with other providers or agencies working together in order to provide comprehensive continuity of care. Services may include: - Behavior skills in-home program: One hour session to help children learn specific skills to reduce symptoms of their mental health diagnosis - Children's day treatment: Using trauma-focused CBT and DBT-inspired programming - Crisis plan development: For the child and family - Skills training: Individual, family, and group to learn social, coping, communication, and/or daily life skills - Therapy: Individual, family, and/or group psychotherapy Provides counseling for children and youth for 2 - 5 hours per week at the clinic, home, school, or community setting focusing on: - Adjusting to transitions - Anxiety - Depression - Family/relationship issues - Sexual issues- Substance abuse? - Trauma Services may be a combination of skills training, psychotherapy, and crisis assistance. If appropriate, children and teens may be referred to participate in psychotherapy groups as a part of treatment. Groups are comprehensive, trauma-informed, and Dialectical Behavior Therapy (DBT)-inspired for the treatment of depression, anxiety, trauma, and other mental health disorders.

Offers a variety of mental health and therapy services such as; - Anger management and related domestic issues counseling - Becomers Support Group: Support for childhood sexual abuse survivors - Child play therapy - Couples therapy - Dialectical Behavior Therapy (DBT) - Family counseling - General counseling and psychotherapy - Individual therapy - Lasting Promises Support Group: Marriage support group - Marriage counseling - Parent coaching - Restoration Project: An intensive treatment program for men who have engaged in harmful sexual behaviors, including individual and group therapy. Therapists coordinate closely with participants' probation officers to ensure comprehensive care. Also provides therapy services for the entire family, safe and intentional reconciliation and reunification services for men and their families, and/or individuals they have offended, as appropriate.

DBT programming with a special focus on substance use and mental health.

Provides specialty medical care services such as: - Diabetes and nutrition education - General surgery - Integrated behavioral health services such as psychological assessments and counseling. Therapies include cognitive behavioral therapy, dialectical behavioral therapy, and assertive community treatment. Conditions treated are depression, anxiety, and generalized mood disorders. Meetings are in-person or virtual. - Weight management - Wound Care

Intensive Outpatient Programs (IOP) provides a partial-day program level of care to individuals struggling with symptoms of mental illness that are interfering with their daily living and are not manageable in weekly therapy or medication management. The program is four to five days per week where the patient returns home after each treatment day and runs 6 - 8 weeks long. Access to care begins with an assessment to identify the treatment approach that could be most beneficial in treatment. IOP offers multiple modalities of therapeutic programming such as: Adapted Dialectical Behavior Therapy (A-DBT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Art Therapy integrating the needs of those living with mental illness. Specialized IOP tracks include Perinatal IOP for pregnant and postpartum individuals to under Perinatal Mood and Anxiety Disorders (PMADs). Treatment is provided through several ways such as psychiatric medication management, psychoeducation, group and individual therapy, skills building, symptom management, and art therapy. Transportation options are also available to and from IOP programming through the client's insurance provider. Clients should reach out to their Medical Assistance provider 1-3 days ahead to set up transportation. NOTE: Adapted Dialectical Behavioral Therapy (A-DBT) services are only available at Edina and Woodbury sites.

Offers individual, couples, marriage, and family counseling services for: - Addictions - Anger management - Anxiety - Communication difficulties - Conflict - Couple and marriage therapy - Depression - Dissociation - Divorce - Emotion regulation - Family issues - Finances - Grief/loss - Health - Infidelity - Intimacy - Parenting/co-parenting - Personal growth - Phobias - PTSD (Post Traumatic Stress Disorder) - Relational conflicts - Relationships - Self-esteem - Sexual, physical or emotional abuse - Shame - Sibling and parental issues - Spiritual/religious beliefs - Stress - Transitions - Trauma Approaches:: - Daring Way Groups - DBT (Dialectical Behavioral Therapy) training - EMDR (Eye Movement Desensitization and Reprocessing) - Expressive therapies - Prepare-enrich - Sand tray and art therapy - Solution focused - Strength-based - Systems focus - TFT (Thought Field Therapy)

Provides comprehensive mental health counseling services such as: - Abuse including sexual, physical, verbal, and domestic violence - Anger issues - Anxiety - ADD/ADHD - Autism - Bi-polar disorders - Christian counseling - Chronic pain and medical issues - Co-dependency issues - Conflict resolution skills ?- Couples therapy and retreats - Depression - Diagnostic assessment for children ages birth - 5 years - Eating disorders ?- Equine-assisted therapy - Family therapy - Grief and loss - Individual therapy - Learning disabilities - Life transitions - Neuropsychological testing - Parent-child interaction therapy and parenting concerns - Personality disorders - Play therapy - Self esteem issues - Sexual and gender issues - Stress management - Suicidal thoughts and feelings of guilt/shame - Trauma - Work issues Specialty areas provided: - Accelerated Resolution Therapy (ART) - Brain-based intervention - Cognitive Behavioral Therapy (CBT) - Emotional Focused Therapy (EFT) - Eye Movement Desensitization and Reprocessing (EMDR) Therapy - Dialectical Behavioral Therapy (DBT) - Personalized Cognitive Remediation Therapy (PCRT)

Comprehensive therapy and skills help individuals decrease symptoms and maintain safety. Program teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills that improve quality of life. Programs are Minnesota Department of Human Services certified and accredited nationally as a provider of DBT. Adult DBT Programs: - Adults age 18 and older - Comprehensive intensive outpatient, standard DBT, and one-day weekly options are available, based on level of need. - Coordinated care with other community providers - Aftercare program is available. Adolescent DBT Program: - Ages 14 - 18 - Meets twice weekly - Monthly parent education component (optional) Early Adolescent DBT Program: - Ages 12 - 14 - Meets twice weekly - Weekly parent/caregiver involvement (required) Horizons DBT Program: - For individuals with mental health issues as well as developmental challenges - DBT presented at a basic level - Meets three times weekly