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Therapy Models  

Therapy models and interventions used at Present Hope Counseling, LLC are scientifically researched and evidenced-based.  


This term is applicable for a variety of treatment techniques that use "talk-therapy" to help a person identify and change distressing emotions, thoughts, and/or behaviors. This type of treatment can be administered either individually or in a group setting.

Cognitive Behavior Therapy (CBT)

CBT is a form of psychotherapy that focuses on thoughts and behaviors. The goal is to find and challenge the distorted or unhelpful thinking patterns, the respective inaccurate beliefs, and the consequential maladaptive behaviors, and to move towards positive and healthy thoughts and behaviors.

REBT is a form of psychotherapy that focuses on problems/issues as they relate to emotions, thoughts, and behaviors. The goal is similar to CBT but focuses more on the emotional impact to our thoughts and behaviors.

CBT: developed by Aaron Beck

REBT: developed by Albert Ellis

Trauma Therapy

This trauma model is a form of psychotherapy that guides survivors of childhood abuse through the various stages of trauma recovery. The models emphasize TRUST or therapeutic alliance. The therapist and client enter into the depths of and journey through the client's story. The journey traverses into and through intense cognitive, emotional, and behavioral associations, interactions, and distortions. Kehler's model incorporates components of cognitive-behavioral, systemic, attachment, and humanistic therapy models.

9-Stage Trauma Therapy: developed by Byron Kehler.

Eye Movement Desensitization Reprocessing (EMDR)

EMDR (Eye Movement Desensitization and Reprocessing) is a type of psychotherapy that focuses on trauma, PTSD, and disturbing life experiences. Studies have proven this modality as highly effective. EMDR therapy activates the brain’s information processing system that is blocked or imbalanced by an impact or trauma of a disturbing event, using an external stimuli. The traumatic memories and associations are accessed and reprocessed. These traumatic memories are then connected with new information and/or adaptive memories. The new associations connections are reported to eliminate emotional distress, increase cognitive insights, and reduce physiological arousal. Refer to for further information.

EMDR: developed by Francine Shapiro

Emotional-Focused Couples Therapy (EFT)

Emotional-focused Couples Therapy (EFT) is a type of psychotherapy that focuses primarily on the experience of emotion and attachment. Emotional experiences are organized within the framework of attachment. The pattern of interaction, or perpetual cycle, is identified and made explicit. Adaptive interactions are created based on the individual’s attachment needs for connection. These interactions are enacted within the emotional safety of the counseling room until they become naturally implicit to the couple. Refer to for more information.

EFT for Couples: developed by Sue Johnson.


PREPARE-ENRICH is a relationship inventory (assessment) designed for the couple and counselor to navigate through together. The program is designed to give feedback to the couple that will either PREPARE them for marriage or ENRICH their marriage.  The goal is to:  1) identify and  optimize areas of strength;  2)  identify and process areas of development/negative potentials; and 3) build skills  in areas of weakness . 

Prepare-Enrich: developed by Dr. David Olson and his wife, Karen Olson

Solutions Focused Brief Therapy (SFBT)

SFBT is a type of psychotherapy that seeks to help the client discover and develop the skills within themselves to implement change toward their goals. The goal of the therapist is to help the client identify ways to immediately address and manage the symptoms and issues, drawing upon past successful solutions. The therapy is collaborative in goal setting and treatment planning. The client is encouraged and empowered to move towards the future goals with the aid of the counselor.

SFBT: developed by Steve de Shazer

Structural Family Systems Therapy

Structural family therapy is a type of psychotherapy that involves the whole family unit. The theory is based on a systemic approach to healthier patterns of interaction between/among the individual members and between/among the the subsystems. The therapist joins the family in their functionality, discovering unwritten rules and interactional transactions that sustain the systemic unit. The therapist then serves as a catalyst for positive change by upsetting dysfunctional patterns of systemic interaction.

Structural: developed by Salvador Minuchin

Sandtray Therapy

Sand tray therapy is a form of expressive therapy that allows a person to construct his or her own world using miniature toys in a sand "tray." The design is an outward expression of their inner being. The world within the sand tray is a free expression, non-directive, nonverbal approach through symbolism and metaphor. As the therapist and the client explore this world, relationships and meaning manifest.

Sandtray is based on the work of C. Jung

Play Therapy

Much like Sandplay therapy, Play therapy is form of psychotherapy used to express the unconscious through play, art, and free association. Relationships, conflicts, and issues are seen through this expression. Play may be directed or non-directed, verbal or nonverbal.  

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