Elizabeth McKinley

I have been providing therapy/counseling in various settings for almost 30 years, most recently hospital-based psychiatric emergency crisis intervention. My areas of expertise include: crisis intervention; suicide risk assessment, prevention, and safety planning; general substance abuse treatment information in Colorado; parenting (human growth & development, infants to adolescents to adults); supervised and therapeutic visitation for non-custodial parents/guardians; family conflict (not to be confused with couples counseling); couples counseling; cognitive behavioral therapy (CBT) for “big T” and “little t” trauma; CBT for depression & anxiety; milieu treatment of severe mental illness (affect disorders such as depression/bipolar; psychotic disorders/personality disorders; treatment compliance) for adults; solution-focused brief therapy (SFBT); culturally competent behavioral health services; psychopharmacology for therapists; women’s issues (reproductive rights, infertility, sexism, domestic violence/intimate partner violence); end-of-life decisions; grief and bereavement; and non-emergent crisis intervention. My therapeutic approach is simple & straightforward talk therapy, formally referred to as cognitive behavioral therapy (CBT). Something in your life is currently causing you distress and you want help, from a neutral source, finding ways to cope with and work through the issue(s) so it no longer interferes with your ability to live your best life. This type of therapy encompasses exploration of healthy boundaries, self-advocacy, effective communication and coping skills, goal-setting, and reduction of unwanted and unhealthy automatic thoughts (catastrophizing, hindsight bias). The therapeutic relationship that will occur between us consists of identifying the issue(s) and how you’ve managed similar problems in the past; the outcomes of those efforts; learning what you can & can’t control; exploring your strengths; and developing new plans to manage the problem(s). My job as a therapist is to empower you to develop insight and create your own solutions, not solve the problem for you. Once you’ve created & implemented your plan, I will provide support, encouragement, and reinforcement. In addition to CBT, I provide Solution-Focused Brief Therapy (SFBT). SFBT concentrates on finding solutions in the present and exploring ways to find a quick and pragmatic resolution of one’s problem(s). This method takes the approach that you know what you need to do to improve your own life and, with the appropriate coaching and questioning, are capable of quickly finding the best solution(s). Another therapeutic modality I incorporate into CBT is motivational interviewing, which encourages clients to talk about their needs and stages of change, and talk about aspects of their personal history previously not considered relevant. I provide couples counseling using CBT and the framework of the Gottman Method. Last, I incorporate psychoeducation and mindfulness within the other modalities I practice. Psychoeducation combines elements of cognitive-behavioral therapy, group therapy, and education. The goal is to provide clients with facts about various facets of mental illness/wellness and its treatment, not pop culture distortions. This facilitates working with your therapist for a better overall outcome. I have an extensive library of resources designed to help you process and practice the issues we discuss in therapy in between sessions. Please know that I will point out misperceptions and misunderstandings about psychology, mental health, and human behavior. I don’t do this to belittle my clients, I do this to educate. I’ve completed post-graduate training to provide clinical supervision to new therapists pursuing licensure (LPCs only in Colorado); 10 hours of training in the Neurobiology of Trauma through the National Institute of the Clinical Application of Behavioral Medicine (NICABM). This training will enhance my ability to provide therapy for people who are survivors of past and/or current trauma. I also completed seven hours of training to provide culturally competent behavioral health services to Native Americans and Alaska Natives. Other post-graduate training: ethics, telehealth ethics; and the effect of maltreatment on brain growth and development. I have an extensive library of resources that include fact sheets; journals; workbooks; symptom trackers; guided mindful meditations; and worksheets so you can continue to work on your therapy in between sessions. If, at any point in therapy, I determine that I lack the expertise to provide sufficient therapeutic assistance to you I will assist you in finding a therapist on Betterhelp who can better meet your needs. It is also not uncommon for clients & therapists to fail to make a therapeutic connection. It’s important for both of us to be forthcoming about this if it occurs. You also have the right to a second opinion and to discontinue services with me at any time. In certain situations I will strongly recommend medication for you in addition to therapy (if you are not already taking medication). Some mental health problems are serious and require medication to reasonably manage the illness. I look forward to working with you. Thank you for taking the time to read this rather long introduction!