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concerns we support

Therapy Session Discussion

At Pelfrey Counseling, Inc., we provide compassionate, evidence-based support for a wide range of emotional, behavioral, relational, and trauma-related concerns. We work with children (5+), adolescents, adults, and families, offering developmentally appropriate, nervous-system–informed care tailored to each person’s needs.

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Our expertise includes, but is not limited to, the following areas:

Trauma & Stress-Related Concerns

  • Developmental trauma

  • Childhood emotional neglect

  • Complex trauma

  • PTSD and acute stress reactions

  • Sexual assault & reproductive trauma

  • Medical trauma

  • Intergenerational trauma

  • Attachment injuries

  • Traumatic grief and loss

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Anxiety & Mood Disorders

  • Generalized anxiety

  • Panic attacks

  • Social anxiety

  • Health anxiety

  • Depression

  • Persistent sadness

  • Rumination and worry cycles

  • Emotional numbness or shutdown

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Behavioral & Emotional Regulation Challenges

  • Emotional dysregulation

  • Anger and frustration intolerance

  • Impulse control concerns

  • Emotional dysregulation or shutdowns (children & teens)

  • Overwhelm and burnout

  • Chronic stress responses

  • Fight/flight/freeze patterns

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Grief & Loss

  • Miscarriage and pregnancy loss

  • Infertility and reproductive trauma

  • Anticipatory grief

  • Grief after death of a loved one

  • Complicated or prolonged grief

  • Non-death losses (relationships, identity, life transitions)

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Relationship & Family Concerns

  • Parenting stress

  • Co-parenting challenges

  • Family conflict

  • Communication difficulties

  • Boundary-setting issues

  • Toxic relational patterns

  • Attachment concerns

  • Strained parent–child relationships

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Self-Esteem & Identity Concerns

  • Low self-worth

  • Body image challenges

  • Perfectionism

  • Identity development

  • Chronic self-criticism

  • Shame-based cycles

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College Student, Teen & Young Adult Issues

  • Adjustment to college or new environments

  • Academic stress or burnout

  • Roommate or social conflicts

  • Transition to independence

  • Identity formation

  • Peer pressure

  • Self-discovery challenges

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OCD & Anxiety-Driven Behaviors

  • Obsessive thoughts

  • Compulsions

  • Rituals

  • Avoidance patterns

  • Intrusive mental imagery

  • Treated with Exposure & Response Prevention (ERP)

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ADHD & Executive Functioning Challenges

  • Focus and attention difficulties

  • Overwhelm with tasks

  • Procrastination

  • Emotional impulsivity

  • Organizational struggles

  • Unique support for neurodiverse clients

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Life Transitions & Adjustment Issues

  • Divorce or relationship endings

  • Career changes

  • Relocation

  • Parenting transitions

  • Health changes

  • Loss of routine or identity

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