From the Practice

Mental health, written plainly

Articles on attachment, anxiety, relationships, ADHD, and family dynamics — written by our licensed clinicians for people who want to understand what's going on, not just what to do about it.

Latest articles

Article archiveMore therapist-written postsShow 21
wilderness

Nature therapy vs ecotherapy vs wilderness therapy compared

Three terms used interchangeably that shouldn't be. A clinical breakdown of nature therapy, ecotherapy, and wilderness therapy — and when each fits.

Leanna DoppLeanna Dopp, LCSW
6 min read
Family

What is a therapeutic family vacation?

A therapeutic family vacation is a real trip with clinical work woven in — not therapy interrupting the trip, not vacation pretending to be therapy.

Leanna DoppLeanna Dopp, LCSW
8 min read
wilderness

What is adult wilderness therapy? A clinical overview

Adult wilderness therapy is a specific clinical model — distinct from the teen programs the term often evokes. A former wilderness therapist explains.

Cade DoppCade Dopp, LCSW
7 min read
Couples

What to expect from a couples therapy retreat

An honest walk-through of the structure, the actual work, the harder moments, and the integration period — from a clinician who runs these retreats.

Leanna DoppLeanna Dopp, LCSW
9 min read
wilderness

Why wilderness works for trauma — and where it doesn't

The clinical mechanisms behind wilderness therapy for trauma — why the format produces movement weekly sessions can't, and where the model fails.

Leanna DoppLeanna Dopp, LCSW
7 min read
teen-treatment

Alternatives to wilderness therapy: a former therapist's view

A former wilderness, residential, and transition-home clinician on how family-based intensive therapy fits alongside wilderness and residential options.

Cade DoppCade Dopp, LCSW
7 min read
teen-treatment

Defiant teenager help: family-based options that work

Defiance in adolescence isn't usually what it looks like. A clinician's view on what's actually happening and what the evidence supports for families.

Cade DoppCade Dopp, LCSW
8 min read
teen-treatment

Family therapy for troubled teens: when it works

Family therapy is often the most effective intervention for adolescent presentations — and sometimes it's the wrong tool. When it works, when it doesn't.

Cade DoppCade Dopp, LCSW
9 min read
teen-treatment

My teenager is out of control: what to do first

When a teenager seems out of control, families are often shown wilderness and residential options first. Family-based intensive work is also strong.

Cade DoppCade Dopp, LCSW
8 min read
teen-treatment

Therapeutic boarding school vs family intensive: a comparison

A former wilderness and residential clinician compares therapeutic boarding schools and family intensive therapy — what each does and which fits.

Cade DoppCade Dopp, LCSW
8 min read
teen-treatment

Troubled teen programs vs family-based alternatives: the research

The evidence on troubled teen programs — wilderness, residential, therapeutic boarding schools — and how family-based intensive therapy fits alongside.

Cade DoppCade Dopp, LCSW
8 min read
teen-treatment

What to do with a troubled teenager — without sending them away

A practical clinical view on what to do when your teenager is struggling — what to try first, what to avoid, and when family-based intensive work fits.

Cade DoppCade Dopp, LCSW
10 min read
ADHD

ADHD burnout: symptoms, causes, and what recovery requires

ADHD burnout can look like exhaustion, shutdown, and loss of functioning. Learn what causes it, why rest alone may not fix it, and how therapy helps.

Cade DoppCade Dopp, LCSW
6 min read
ADHD

ADHD task paralysis: why you freeze and how therapy helps

ADHD task paralysis is not laziness. Learn why starting can feel impossible, what keeps the freeze cycle going, and how therapy can help.

Cade DoppCade Dopp, LCSW
6 min read
Attachment

How to break the anxious-avoidant relationship cycle

An anxious-avoidant relationship can feel magnetic and painful. Learn why one partner pursues, the other withdraws, and what helps the cycle change.

Leanna DoppLeanna Dopp, LCSW
6 min read
Depression

High-functioning depression: when life looks fine but isn't

High-functioning depression can hide behind productivity and responsibility. Learn the signs, why it is easy to miss, and how therapy helps.

Leanna DoppLeanna Dopp, LCSW
5 min read
Couples

Premarital counseling questions to ask before marriage

Premarital counseling questions should go deeper than wedding plans. Here are the topics that help couples build clarity before marriage.

Leanna DoppLeanna Dopp, LCSW
6 min read
Couples

How to rebuild trust after cheating: what has to change

Rebuilding trust after cheating takes more than apologies. Learn what repair requires, what slows it down, and how couples therapy can help.

Leanna DoppLeanna Dopp, LCSW
6 min read
Attachment

Avoidant attachment: what it is and whether it can change

Avoidant attachment isn't a character flaw — it's a strategy that once made sense. Learn how it develops and what it takes to change.

Cade DoppCade Dopp, LCSW
8 min read
Couples

Discernment counseling: what it is and who it's actually for

Discernment counseling is for couples where one partner is unsure they want to save the marriage. It's different from couples therapy.

Cade DoppCade Dopp, LCSW
4 min read
Anxiety

Relationship anxiety: what triggers it and how therapy helps

Relationship anxiety is a pattern of fear and reassurance-seeking that persists no matter how the relationship is going. What therapy can actually do about it.

Cade DoppCade Dopp, LCSW
4 min read

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