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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 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

- Connections and Referral Unit (CRU): Secure, detoxification program that provides short-term (up to 72 hours) help to adults and adolescents under the influence of alcohol or other substances. 22-bed facility offers clients an environment for detoxifying from alcohol and drug use. Following an intake process, clients receive medical services, addiction counseling and relapse prevention education. Clients are monitored for withdrawal symptoms and an assessment is completed, followed by recommendations and referrals to community programs. - DWI Classes: Provides 8 hours of education on the effects of drinking and driving, along with tactics for improved decision making. Participants in this monthly program must be involved with traffic court or the Minnesota Department of Public Safety. - Substance Use Counseling: Provides a series of comprehensive 1:1 and group treatment options - Substance Use Outpatient Treatment Programs: Designed to help individuals overcome their dependence on alcohol and/or other chemicals. Options include 1:1 sessions with a licensed counselor, group therapy and ongoing support. - Walk-in Assessment: Offers chemical dependency assessments

Provides drug and alcohol addiction teen counseling and family therapy

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

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

Offers a wide range of counseling, consultation, and assessment to clients, both self-referred and court-ordered. Provides individual, couple, group, and family counseling addressing issues such as: - Adoption and foster care counseling - Attention Deficit/Hyperactivity Disorder (ADD/ADHD) - Child/adolescent issues - Co-dependency and addictions such as substance use, sex, food addiction, etc. - Marital and relationship concerns - Mood and emotional concerns such as depression, anxiety, phobias, etc. - Parenting and family issues - Physical and sexual abuse issues - Psychological evaluations/screenings - Psychotherapy - Spiritual/faith issues - Shame/guilt

Provides services to individuals experiencing alcohol, chemical, and opioid dependency, including: - Behavioral health therapy - Chemical health screening and treatment - Harm reduction education - Individualized care coordination services - Medication Assisted Treatment (MAT) - Acamprosate, buprenorphine, naltrexone, and suboxone - Referrals to Rule 25 assessment and treatment - Syringe exchange services

Provides individual and couple counseling and psychotherapy, medication assessment and management, urgent consultation (phone or in person), a variety of group therapies, social work assistance, and chemical health assessment and treatment.

- - Audiology Care:- - Coordination of physician referrals, as needed - - Hearing aid fittings, follow up and repair - - Hearing evaluations (audiology exams) - - Individual and family counseling on preventing and coping with hearing loss - - Cardiovascular disease care - - Child and Teen Psychology: Provides psychological care which helps individuals evaluate and resolve emotional difficulties through counseling. Psychologists work with parents, doctors, psychiatrists and social workers to help children or teens with:- - Addiction and substance abuse - - Anxiety, depression and other mental or emotional concerns - - Attention Deficit Hyperactivity Disorder (ADHD) - - Sexual or gender identity issues - - Colonoscopy - - Concussion treatment - - Ear, nose and throat (ENT, Otolaryngology) - - Gastroenterology - - Gynecology:- - Annual exams including pap smear and pelvic exam - - Breast health exams - - Family planning - - Gynecologic surgery - - Pediatric and adolescent gynecology - general care for female health development - - Pelvic surgery (pelvic prolapstepelvic support) - - Period/menstruation care including treatment for endometriosis - - Sexual health care including treatment for sexually transmitted diseases - - Internal medicine - - Orthopedics - - Osteopathic medicine - - Plastic surgery - - Podiatry - - Pregnancy (prenatal) care - - Psychology for adults - - Spine care - - Sports medicine - - Urology

Works with individuals seeking recovery to consult, provide substance use evaluations, individual and family counseling, group outpatient programming, treatment of co-occurring disorders, treatment coordination, and referrals for additional services. Can provide treatment for co-occurring disorders through mental health professionals who can help provide behavioral support throughout the treatment process.

Provides comprehensive mental health care for individuals, including: - Anxiety - Co-occurring addiction and mental health problems - Depression - Difficult life transitions including grief, and unexpected loss - Family and relationship problems - Post-traumatic stress disorder - Problems related to history of trauma Teletherapy services available for chemical health assessments, comprehensive assessments, state-funded gambling services, participation in IOP, relapse prevention, and continuing care programming, individual mental health therapy, and diagnostic assessments

- Counseling services is available for enrolled students - MENTAL HEALTH ASSESSMENTS / SCREENINGS INCLUDE: - Anxiety screening - Depression screening - General assessments for substance use disorder - General mental health screening - TYPES OF COUNSELING INCLUDE: - Academic skills and difficulties - Anger management - Alcohol use disorder counseling - Anger management - Assertiveness training - Bereavement - Career counseling - Depression - Drug use disorder counseling - Life problems and transitions and college adjustment - Pregnancy counseling (right-to-life perspective) - Psychiatric disorder counseling - Sexual assault - Stress management - Suicide

Provides individual counseling with a therapist, including: - Care coordination - Couples and family counseling - Psychiatry - Psychological evaluation - Substance use counseling - Telehealth - Therapy - Treatment for ADHD, anxiety, depression, mood or behavior disorders

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)

The Leech Lake Men's Outpatient Treatment Program is committed to meeting the therapeutic needs of individual clients through the efficient and convenient provision of clinically effective services. It is committed to basing its services on a high level of respect for the client and his needs. Men's outpatient is committed to remaining a strong stable human service provider.

Provides counseling services to individuals, couples, and families including: - Anxiety related issues - Addiction counseling for tobacco, alcohol, drugs and other chemicals, gambling, food, and spending money - Counseling for children and adolescents for Autism, ADHD, eating disorders, fetal alcohol syndrome, behavioral problems, school problems, Depression, and Anxiety issues - Couples counseling such as improving communication, developing intimacy and closeness in a relationship, and relationship crisis - Depression and developing coping strategies to manage it - Family counseling such as separation, divorce, blended families, parenting, parenting issues, and childhood behavioral issues - Marriage counseling such as post-affair recovery, intimacy issues, anger, marital dissatisfaction, improving communication, and developing conflict resolution skills - Post-Traumatic Stress Disorder counseling such those who have past trauma with physical abuse, mental abuse, sexual abuse, or those who have witnessed a traumatic event - Spiritual counseling for those struggling with their purpose in life, anger with God, or have internal struggles concerning their religion/faith and the meaning of life

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)

Provides counseling and therapy by a trained therapist. Therapists may work with clients in their home, school, community setting, or even through virtual visits, depending on the client's comprehensive evaluation results. Offers therapy to individuals, couples, groups, families, and community-based therapy, such as: - Abuse and neglect - Addiction and recovery - Attention Deficit Disorder (ADD) - Attention-Deficit/Hyperactivity Disorder (ADHD) - Domestic violence therapy through the Domestic Abuse Treatment Program - Family changes, parenting, and dysfunction - Grief and loss - Life, work, and school transitions - Loneliness and depression - Psychotherapy and skills training - Relationship struggles, sex, affairs, and conflict resolution - Resilience and self-care - Self-esteem and self-efficacy - Stress and anxiety - Substance use counseling and co-occurring disorders ? - Trauma

Behavioral Health Therapists provide a wide range of services for individuals ages 6 and older, including: - Individual, family, and youth counseling and therapy for issues of depression, anxiety, grief and loss, controlling anger and moods, physical and sexual abuse, fear and obsession, parenting, and relationships - Chemical health therapy and counseling ?- Support groups for NorthPoint patients

Individual, couples, and family counseling: - Anger management - Chemical addiction and recovery - Depression and anxiety - Domestic abuse - Gambling addiction - Grief - Parenting - Play therapy for children - Psychological assessments - Stress management

Provides behavioral health services with other services, including speech and occupational therapy, cardiac rehab, and cancer care. Offers inpatient and outpatient services for all ages, such as individual therapy, gender and sexual orientation therapy, marriage and couples counseling, family therapy, and medical treatment, including evaluation and medication management. Services include addressing a variety of challenges, such as: - Abuse/neglect - ADHD - Addictions - Adjustment problems - Anxiety - Autism - Behavior problems - Chronic medical problems - Co-dependency - Depression - Divorce issues - Eating disorders - Family changes - Family dysfunction - Grief/loss issues - Learning disorders - Lifestyle changes - Parenting issues - Personality disorders - Post-traumatic stress - Recovery/relapse issues - Relationship/marital issues - School problems - Women's issues

Provides substance use services delivered by licensed professionals. Services focus on assessment, treatment planning, and ongoing therapeutic support for individuals experiencing substance-related concerns. Provides the following substance use services: - Chemical Health Counseling: Provides ongoing therapeutic support for individuals experiencing concerns related to alcohol or drug use. Services use evidence-informed approaches to support recovery goals and individualized treatment planning. - Substance Use Disorder Assessments and Chemical Health Assessments: Provides assessments that are comprehensive evaluations used to determine appropriate levels of care and treatment recommendations. Assessments are provided for personal treatment planning as well as for legal, custody, and court related requirements. All assessments meet Minnesota standards and align with national guidelines.