Our services

 
 
  • Empathic Somatic Treatment for Traumatic Stress

    Your provider at Obsidian Care Collective is extensively cross trained by industry leaders on both Dr. Peter Levine's protocol from Somatic Experiencing International (SEI) and Dr. Diane Poole Heller's Dynamic Attachment Re-patterning Experience (DARe).

    SOMATIC EXPERIENCING (SE™) is a method your provider is equipped to use in session with you after you have discussed the impact and efficacy of the treatment protocol. SE integrates psychobiological approaches towards the goal of resolving trauma symptoms and relieving chronic stress. SE practitioners join with clients to become curious about where a person's nervous system could be “stuck” in any number of the following threat responses: fight, flight, freeze, appease, or collapse. These responses were exquisitely developed and we believe that your system's responses to danger or overwhelm were executed and initiated with the ultimate goal of protecting you when faced with impossible situations.

    DYNAMIC ATTACHMENT RE-PATTTERNING EXPERIENCE (DARe) is an adjunctive modality that your provider at Obsidian Care Collective is also equipped to utilize in working somatically with interpersonal and relational traumas. The DARe model was created by a long time teacher from the SEI, Dr. Diane Poole Heller. DARe protocol intertwines psychoeduation and renegotiation with respect to different attachment styles as they present in the relational field. Working with anxious, avoidant, and disorganized attachment responses, your provider at Obsidian Care Collective can employ specific techniques to steer you towards enjoying a sense of security and ease in interpersonal relationships of all kinds.

    What might happen in an SE or DARe session?

    Somatic Experiencing and DARe sessions last approximately 60 minutes and combine features of traditional talk therapy such as working with narrative as well as tracking and engaging in sensations and physiological impulses that arise in real time. SE and DARe trained practitioners may explore imagery and sensing into how different outcomes or resources present themselves. With explicit consent and when indicated, gentle touch on your arm or back is utilized to co-regulate nervous systems between client and practitioner.

    How much do SE and DARe sessions cost?

    Somatic Experiencing and adjunctive training and certificate programs such as DARe require your provider to engage in highly intensive, multi-year professional development commitments. Your Obsidian care provider has ardently spent several years in multiple post-graduate and post-licensure clinical training series to acquire and hone the skills required to not just meet the competencies but to also inhabit a mastery level of expertise. All SE services are priced as specialty care services and are considered fee for service. Additionally, we are not able to extend monthly enrollment discounts for these services. Please note, we are unable to submit Out of Network courtesy billing or provide you with a superbill for reimbursement. SE and DARe sessions do not use the traditional model of diagnoses from the ICD 10/11 or CPT coding and therefore cannot be considered reimbursable by Out of Network benefits.

    Somatic Experiencing and DARe sessions cost $175 per session which last approximately 60 minutes.

    What steps should I take if I think SE or DARe protocol would be a good fit for me?

    If you have a history of interpersonal, developmental, single-incident, and shock traumas, engaging in empathic somatic therapies may offer you reprieve from trauma-related symptoms that traditional psychotherapy has not been successful in treating. Please reach out to our practice by completing the form Request an Appointment. A provider from Obsidian Care Collective will respond to you and schedule a no cost phone consultation to discuss this gentle, yet potent treatment protocol.

    SOMATIC EXPERIENCING STUDENTS:

    Please note that Louise is an approved Personal Session Provider to Somatic Experiencing Beginning Year students accredited by the SEI.

    Fees: $175 per 60 minute session

    For SE students who are scholarship recipients the fee is $100 per 60 minute session

    Louise is also an approved teaching assistant at the Beginning, Intermediate, and Advanced levels by the SEI.

    Please contact Louise directly about Personal Sessions in your Beginning Year.

  • A Message from the Co-Founders:

    At Obsidian Care Collective we are unapologetically and fervently committed to undermining the harm that our queer and trans community endures while simply trying to survive, thrive, and access healthcare. We have a demonstrated history of reallocating resources and willfully relinquishing positions of privilege and power towards the end goal of transforming our lives collectively. Stepping into and befriending our authenticity brings us closer to our liberation; an endeavor meant to occur while in connection with others.

    Honoring Gender Variance: Transgender & Non-Binary Healthcare Services

    Obsidian Care Collective providers have extensive training on providing care and advocacy for clients seeking clinical support with their experiences of gender. Your provider has been trained and is experienced with both the Informed Consent Model as well as the World Professional Association for Transgender Health (WPATH) Standards of Care, version 8.

    Clinical Advocacy Services Include:

    • Assessment & Referral Letters for gender-related medical interventions to the providers of your choice that meet industry standards and are completed with precision the first time

    • Gender Marker changes and support with aligning identifying documentation

    • Referrals to free resources aimed at supporting how you experience gender

    • Psychotherapy and Medical Case Management

    • Providers who have fostered impeccable collegial relationships with multi-disciplinary medical professionals and are knowledgeable about most, if not all, medical interventions available

    Under the Umbrella: LBGTQIA+ Affirming Care

    The intersections of our identities are central to our lived experience and have impacted how we experience our sense of self and our access to support. For some clients seeking psychotherapy, being a member of the queer community is central to their recovery goals and for others it is but one of many aspects they are sifting through. Your provider at Obsidian Care Collective has a combination of lived experiences and advanced post-graduate clinical training that equips them to incorporate your identities into your care. Providers at Obsidian Care Collective are able to work with identity exploration, affirmation and integration with clients starting at the age of 14 and into all stages of adulthood.

    How we find Love: Relational Diversity

    Having engaged in extensive training on attachment theory and the impacts of early childhood experiences as they inform how we engage in important relationships, Obsidian Care Collective providers are thrilled to be a resource to you. We possesses intermediate-level expertise in supporting polyamorous folks who are engaged in all kinds of constellations of relationships; past and present. We also possess intermediate-level expertise in affirming and navigating the intricacies within BDSM/Kink practitioners and community members.

  • PCIT is an evidence based treatment protocol designed for children ages 2 to 7 years and their parent(s) or caregiver(s). It is a highly interactive, directive behavioral therapy that has been shown in a robust, long-term body of international research to strengthen attachment and build trust and connection between parent(s) and child.

    PCIT has been shown to help children with Attention Deficit Hyperactivity Disorder, Disruptive Behavior Disorder, Oppositional Defiant Disorder, anxiety, mood, and traumatic disorders. PCIT also addresses attachment difficulties. Engaging in PCIT can develop and strengthen attention, emotional regulation, and cooperation.

    How can PCIT sessions help my family?

    Parent(s) or caregiver(s) are taught traditional play therapy skills and behavior management skills as a critical portion of treatment. Parent(s) or caregiver(s) learn and practice in real time during sessions supported by live coaching by the psychotherapist. Between weekly session, parent(s) or caregiver(s) are expected to practice these skills at home daily in between weekly sessions.

    There are two phases of PCIT that together create a sense of trust, safety, warmth, connection, and mutual respect between the parent(s) or care giver(s) and child.

    Child Directed Interaction (CDI) is all about relationship building and strengthening to solidify the sense of connection and security between parent(s) and child. This strengthening of connection is the foundation we help to firmly secure for decreasing tantrums and power struggles.

    Parent Directed Interaction (PDI) focuses on building and strengthening parents’ or caregivers’ behavior management tools to restore a healthy power balance between parent(s) or caregiver(s) and child. PDI is designed to help children learn and practice following directions and accepting limits, referred to as minding, until it becomes a habit.

    PCIT is complete when both phases are delivered, proficiency of both sets of skills is demonstrated, and behavioral issues are no longer clinically significant. A typical course of PCIT may be 20-30 sessions. Parent(s) or caregiver(s) are incentivized to remain active in the course of treatment. The success of PCIT and the length of each phase (number of sessions) is dependent upon homework completion. When families participate in the full PCIT Protocol, and they commit themselves fully to their homework, studies show repeatedly that behavior and parent(s) or caregiver(s)/child relationships improve dramatically!

    What is an Evidence Based Treatment (EBT) model, and what does that mean for my provider?

    Evidence Based Treatment (EBTs) protocols are highly structured, specialized therapy modalities that can be replicated and studied to determine how effective they are at creating the change we are looking for. PCIT is an evidence-based treatment model with over two decades of research confirming its success at building a sense of trust, safety, warmth, connection, and mutual respect between parent(s) and children.

    Maureen has been working with children with trauma, attachment issues, anxiety, mood, and behavioral disorders since 2003. Prior to her training in PCIT, Maureen had been trained for over a decade in attachment theory, developmental trauma, and its applications to parent(s) or caregiver(s)/child relationships.

    In 2017, Maureen participated in 59 hours of training through PCIT International, provided by certified trainers who are faculty at the Center for Child and Family Health in Durham, NC. Over the following three years, Maureen received clinical supervision with a certified PCIT trainer every two weeks and completed the full International PCIT protocol with two families under his supervision. Maureen is highly trained in PCIT and has learned to deliver the model with the highest level of fidelity to the internationally recognized standard model. Maureen continues monthly case consultations with a group of PCIT providers, under the guidance of a PCIT certified trainer. Maureen is currently eligible for International PCIT certification.

    Parent(s) or caregiver(s) coaching

    Parenting or being the primary care giver to a child can be our greatest joy and our biggest challenge. Parenting children and adolescents can be complicated by our own experiences in life, messages we received from our families of origin, shifting cultural expectations, developmental crises, and the general uncertainty and vulnerability of lacking clear cut answers. In general, parent(s) and caregiver(s) are doing the very best they can with the resources they have to provide opportunities, support, and a positive future for their children.

    Maureen is able to apply her knowledge of Dynamic Attachment Repatterning experience (DARe), Somatic Experiencing® (SE™) and some of the behavioral and attachment principles of Parent Child Interaction Therapy and Child-Adult Relationship Enhancement (CARE) to support parent(s) or caregiver(s) in their pursuits to connect with and enhance their relationships with their children, whether their children are school aged or in their mid-life. She is able to help parent(s) and caregiver(s) to identify their concerns about their children and their relationships and to provide a developmental context and strategies to connect with, repair relationships with, and effectively guide their children.

    If you are a parent or caregiver who would benefit from an informed analysis of the issues before you and guidance or coaching informed by two decades of training and experience, we welcome you to reach out for consultation. It is never too late to repair and redirect the relational course.

    What steps should I take if I think PCIT or Parent Coaching would be a good fit for me?

    If you are interested in receiving more information or seeking any of these services, please reach out to our practice by completing the Request an Appointment form. A provider from Obsidian Care Collective will respond to you and schedule a no cost phone consultation to discuss these options with you.