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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.

Intensive outpatient substance program that provides short- and long-term treatment for adults with substance use disorders. Licensed for Rule 25/comprehensive assessments. Medicated assisted treatment and withdrawal management provided to conduct diagnostic assessments and treatment coordination. Licensed to prescribe Suboxone and Naloxone.

Provides individual, couples, and family therapy. Services include: - Addiction and recovery - Adoption and Foster care adjustments for youth, birth and adoptive families - Christian-based therapy (upon request) - Conflict resolution - Eye Movement Desensitization Reprocessing Therapy (EMDR) - Grief therapy - Parenting support - Stress management - Telehealth - Therapy for anxiety and depression - Treatment for trauma, abuse and Post Traumatic Stress Disorder (PTSD) - Work and career issues

Provides individual, couples, and family therapy. Services include: - Addiction and recovery - Adoption and Foster care adjustments for youth, birth and adoptive families - Christian-based therapy (upon request) - Conflict resolution - Eye Movement Desensitization Reprocessing Therapy (EMDR) - Grief therapy - Parenting support - Stress management - Telehealth - Therapy for anxiety and depression - Treatment for trauma, abuse and Post Traumatic Stress Disorder (PTSD) - Work and career issues

Provides different types of therapy and counseling services, including: - Individual adult therapy - Individual child therapy - Couples, marriage, and relationship therapy - Family therapy - Group therapy - Medication management - Nutrition therapy - Psychiatric services Helps support those struggling with a range of concerns, including but not limited to the following areas of specialization for therapists: - Addiction - Anger - Anxiety - Depression - Eating and body image - Gender identity - Grief and loss - Illness and health - Life stage transitions - Relationships - Sexuality and sexual orientation - Trauma and Post-Traumatic Stress Disorder (PTSD) - Virtual/telehealth available - Wellbeing - Work and occupation

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

Case Management: Offers short-term and long-term case management to help adults with severe and persistent mental illness (SPMI) live successfully and independently. Case managers provide support for individuals who are at the greatest risks and need life-changing assistance. People are connected to care coordination, housing support, coordinating of physical and health supports, and intensive goal planning and management. Depending on a person's needs, services include: - Assessment - Case planning - Advocacy - Care coordination - Housing assistance or coordination - Monitoring and support - Crisis evaluation and assistance - Connection to community wellness and social activities Mental Health Clinic: Avivo's Mental Health Clinic in Minneapolis exists to support Avivo's mission in the areas of recovery and mental health in Minnesota. Therapists provide counseling, mental health diagnostic assessments, and crisis resources. Expertise in working with co-occurring concerns, trauma, SPMI, mood disorders, and complex barriers such as homelessness and unemployment. Target Mental Health Case Management (TCM) and Intensive Case Management (ICM): Offers long term (voluntary and court ordered) case management programs provided to people with severe and persistent mental illness (SPMI). TCM/ICM case managers operate from a harm reduction, housing first, and trauma informed model to provide client centered, culturally responsive long-term case management. Assists with goals relating to: housing stability, employment, community supports, and healthcare.

Designed to provide mental health services and resources in a school setting which reduces barriers to students and their families. Practitioners offer family, individual, and group services in the community, home, or school. Visit website for participating school districts.

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

Provides state-certified adult and child mental health services, including: - Adult residential services - Children's mental health targeted case management - Counseling - Consultation and contracted services - Diagnostic assessments - Infant and early childhood mental health services - Mental health behavioral aides (MHBA) - School link mental health (SLMH) - School-based children's therapeutic services and supports (CTSS) - Reflective supervision

- Chemical use assessments - Comprehensive mental health and behavioral assessments - Co-occurring disorders counseling - Coping skills - Couples and family therapy - Crisis intervention - Family and couple's therapy - Individual and group therapy - Medication coordination - Neuropsychological screening - Online screening tests available - Psychiatric consultation - Referrals to resources for education and support - Screenings for adolescent and early intervention services - Stress management - Tele-mental health available

Provides psychiatric evaluations, medication management, assessments, and therapy

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

Provides therapy and counseling at school sites and HDC clinic locations

- Strength-based truancy/delinquency prevention program with student family advocates that meet with students individually and in groups to help them achieve their goals - School-based Children's Therapeutic Services and Supports (CTSS) for students with mental health diagnoses

Mental health services including: - Adult Rehabilitative Mental Health Services (ARMHS) - Psychological testing and evaluation - Individual therapy - Family therapy - Consultation on behavioral issues in geriatric care centers - LGBT services Home-based skills training in areas including: - Social Skills - Communication - Coping - Anger management - Problem solving - Nurturing - Behavior management Treatment for issues including: - Depression - Anxiety - ADD/ADHD - Parent-child problems - School Problems - Behavioral Issues - Developmental disabilities - Chemical dependency issues - Post-Traumatic Stress Disorder - Phobias - Trauma - Abuse issues - Phase of life issues - Elderly issues - Women's issues - LGBT issues - Anger

Behavioral health clinicians are committed to treating the whole person, including addressing issues like depression, anxiety, and chemical abuse. Services include: - Adult Rehabilitative Mental Health Services (ARMHS) - Diagnostic assessments - Individual, couple, adolescent, child, and family therapy - Mental health consultations and referrals - Psychoeducation and Classes - Treatment planning

Provides individual, couple, family and play therapy; psychological assessment. Services provided for: - ADHD - Anger management and conflict resolution - Assessment and counseling for bariatric surgery patients - Autism spectrum disorders - Children and adolescents including behavioral and school problems - Chronic illness - Cluttering/hoarding - Couples problems - Depression and anxiety - Developmental disabilities - Grief and loss - Kleptomania - Overspending - Parenting concerns ?- Recovery from physical, sexual or emotional trauma - Step and blended family counseling ?- Veterans emotional health

Mental health support for individuals, couples, families, and groups of any age seeking help for various reasons, including sadness, hopelessness, stress, anxiety, or problems adjusting to life changes. Offers services for helping people face life's daily challenges or for dealing with ongoing mental health issues or trauma. It can help people cope better with life's challenges by providing tools, skills, and insight. This support can help improve functioning in relationships, work, family, school, self care, and physical health.

Designed to provide mental health services and resources in a school setting which reduces barriers to students and their families. Practitioners offer family, individual, and group services in the community, home, or school. Visit website for participating school districts.

Provides culturally sensitive Adult Rehabilitative Mental Health Services (ARMHS) that can be provided in the office, client's homes and other appropriate community locations. Provides culturally sensitive outpatient therapy and counseling services as well as diagnostic evaluations and psychological assessments for adults and youth ages 13 - 19. Conditions treated include: - Anxiety - Attention-Deficit/Hyperactivity Disorder - Autism Spectrum Disorder - Depression - Family problems - Grief - Life transitions - Post-Traumatic Stress Disorder - Post-partum depression - Severe and persistent mental illness - Stress-related conditions Individual, couple, family, and group therapy sessions are available. Telehealth services are available.

Counseling helps individuals resolve concerns in their lives: - Family problems - Marital difficulties - Depression - Anxiety - Stress-related concerns Counseling is available for clients, family members and concerned persons. It is also helpful when family and friends are deciding how to intervene with a person in denial of chemical abuse or a similar problem. Family Education & Counseling: - Supports family members - Enhances the client's positive changes Staff: - Renee Jore-Anderson, MS LMFT LADC,

Services offered: - Depression, anxiety, and stress management - Medication management - Individual, family, and couples counseling - Substance abuse counseling - Trauma counseling Telebehavioral health visits are available.

Mental Health and Psychiatry Services: - Diagnostic Assessments - Genetic Testing: For the purpose of understanding about clients and the effectiveness of treatments. With genetic testing, providers can better understand the reasons, factors, and risks associated with individuals, including medication reactions, to better predict successful outcomes and basic concepts of genes and how they can influence the client's health and response toward particular treatments. - Individual, Family and Marriage Counseling - Medication Management: Provides monitoring of medications that a client takes to ensure that he or she is complying with a medication regimen, while also ensuring the client is avoiding potentially dangerous drug interactions and other complications. - Medication Therapy and Counseling: Offers a medication-assisted treatment program for alcohol and opiate addiction. The medication options administered along with a tailored therapy plan are Vivitrol and Suboxone, both of which are used to reduce withdrawal symptoms; decrease cravings; and prevent use of heroin, opioids, and alcohol. - Psychiatric Consultations: Provides comprehensive evaluations to individuals of psychological, biological, medical, and social causes of emotional distress. - Telehealth (available statewide) - Treatment Planning: Each individual enrolled in the program will create a treatment plan with a counselor. The treatment plan will be customized, compiled of goals and objectives based on an individual client's needs and wants. Substance Use Treatment Services: - Comprehensive Substance Use Assessments: The comprehensive assessment is done with a counselor to establish a better understanding of the individual's past and current substance use. The assessment screens for mental and physical health needs as well. In addition, the Rule 25 substance use assessment is performed by a certified assessor, which helps to determine placement and level of care. - Family Therapy (Group or Individual): This is counselor-facilitated therapy designed for spouses, family members, and friends of people who struggle with addiction to come together with clients and others who share similar experiences. This service is interactive and focuses on the role addiction plays in family dynamics. The goal of family therapy is for family members and clients to gain insight into the nature of addiction and how it affects the whole family. Family members will learn how to identify what behaviors support recovery and what behaviors inhibit recovery, along with learning tools and gaining resources on how to help them. - Group Therapy: Group therapy consists of being with peers that share many of the same struggles. During group therapy, clients share the objectives they have completed and receive feedback from the counselor and other group members. Everyone is counseled as an individual in a group. Group therapy is beneficial for a variety of factors: instillation of hope, universality, gaining knowledge through others experience, and having a sense of belonging, to name a few. - Individual Therapy: Individuals who are in group therapy will also receive individual therapy with an LADC. Individual therapy is beneficial for treatment planning and being able to work on core issues that are not appropriate or comfortable in a group setting. - Medication Therapy and Counseling: Medication therapy and counseling is a service or group of services that optimizes drug therapy with the intent of improved therapeutic outcomes. - Medication-Assisted Treatment Program: Offers a medication-assisted treatment program for alcohol and opiate addiction. The medication options administered along with a tailored therapy plan are Vivitrol and Suboxone, both of which are used to reduce withdrawal symptoms; decrease cravings; and prevent use of heroin, opioids, and alcohol. - Primary Day and Evening Group: Monday, Tuesday, and Thursday from (9:00am - 12:00pm or 5:30pm - 8:30pm) This is an intensive program designed to present information in a format that helps clients gain a fresh perspective in areas they have had difficulty internalizing and putting into practice in their daily struggle with addiction. This is an outcome-based program. Length of time is dependent upon the client's progress and special needs. - Treatment Planning