Individual Therapy & Counseling

Therapy, at Trend, is a weekly or biweekly hour with a licensed professional whose job is to help you work out something that’s been too big or too persistent to move on your own. That might be grief that won’t shift. A relationship that keeps cycling. Intrusive memories. An inner monologue that has gotten meaner than you’d speak to anyone else. An adjustment to something new — a diagnosis, a move, a loss, a role.

You do not need to be in crisis to come in. Many of the people we see are functioning outwardly and privately exhausted. Therapy is a reasonable thing to do long before you are in trouble.

Who our therapists work with

Our LPCs treat the same range of concerns you’ll see on our specialties pages — depression, anxiety, PTSD and other trauma, OCD, grief, life transitions, relational patterns, identity and self-worth. Several have specific training in:

• EMDR for trauma (see our EMDR page)
• CBT for depression, anxiety, OCD, and related conditions
• Trauma-informed work more broadly, including for clients with complex or long-standing trauma histories
• LGBTQ+ affirming and neurodiversity-affirming care
• Motivational interviewing when change itself is the point of the work
• Adolescent and young-adult work

If you already know the approach you’re looking for, the Approaches page is a better entry point than this one.

What a first session looks like

Around sixty minutes. Mostly your therapist listening — to what brought you in, what you’ve tried before, what you hope to be different six months from now. By the end of the session you should have a working sense of your clinician, an initial plan (including a rough frequency and how you’ll know if it’s helping), and space to ask anything you want to ask.

You are allowed to leave a first session and decide it isn’t a fit. That is a normal outcome, not a failure. We’d rather match you with a different clinician early than have you quietly disengage later — if that’s where you land, tell us.

The subsequent weeks

Most people start at weekly sessions, sometimes twice weekly early on, and taper to biweekly or as-needed as the work settles. Duration varies. Some concerns resolve in 8–12 sessions; others benefit from longer work. A good therapist is reviewing with you regularly whether what you’re doing together is still the right thing to be doing.

Homework between sessions is part of some approaches (CBT especially) and not others. Your therapist will tell you up front what to expect.

Telehealth

All therapy is delivered over secure HIPAA-compliant telehealth across Colorado. The evidence on telehealth vs. in-person for most therapy modalities is that outcomes are comparable; patient preference and scheduling realities often tip the balance toward video.

Therapy alongside medication

For many conditions — moderate-to-severe depression, anxiety disorders, PTSD, bipolar disorder, ADHD — the combination of therapy and medication outperforms either alone. Our therapists and psychiatric NPs coordinate when a patient is seeing both, so you don’t have to run messages between two separate offices.

Confidentiality

What you share with your therapist stays between you, with a small set of exceptions required by law: imminent risk of harm to yourself or someone else, suspected abuse of a child or vulnerable adult, and court orders. Your clinician will go over these at your first visit.

Frequently asked questions

How long will I be in therapy?

It varies. Short-term work focused on a specific issue may run 8–12 sessions; longer-term work is open-ended and reviewed periodically with your therapist. You won’t be kept in therapy longer than is useful — we’d rather wind down treatment and have you come back if you need to than have standing appointments you’ve outgrown.

What if I don't click with my therapist?

Tell us. The therapeutic relationship matters more than almost any other single factor in how well therapy works, and it’s common to need one or two tries before the fit is right. We’ll rematch you within the practice — no explanation owed.

Is therapy just talking about problems?

Not usually. Some of it is. A lot of it is also specific skill-building, working with automatic thought patterns, tracking behaviors, practicing differently in the week between sessions, and processing things that haven’t fully been processed before. The proportion depends on you and on the approach.

Will my therapist give me advice?

Not the way a friend would. Therapists generally don’t prescribe what to do in your life. They help you see things more clearly, examine options you hadn’t seen as options, and — where relevant — teach concrete skills. For specific clinical techniques (CBT exercises, grounding skills for trauma work), there is real instruction.

Can I do therapy if I'm also taking medication?

Absolutely. Many people benefit from both therapy and medication management. Our therapists and psychiatric providers coordinate directly so your care isn’t fragmented.

What should I talk about in therapy?

Whatever is on your mind that you haven’t figured out on your own. You don’t need to have the right words ready before your first session. Your therapist’s job includes helping you find them.

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Therapy at Trend is provided by Licensed Professional Counselors (LPCs) licensed in Colorado.