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HOW WE CAN HELP

Counseling Session Moment

At Pelfrey Counseling, Inc., we provide a range of trauma-informed, evidence-based mental health services for children (ages 5+), adolescents, adults, and families. Our approach blends nervous-system-focused therapy, cognitive and behavioral interventions, and relational support to promote meaningful, sustainable healing.

Individual Therapy (Children, Teens, and Adults)

We offer individualized therapy sessions tailored to each client’s age, developmental needs, and goals.
Areas of focus include:

  • Anxiety and panic

  • Depression and low mood

  • Trauma and PTSD

  • Emotional overwhelm and dysregulation

  • Self-esteem and identity challenges

  • Grief and loss

  • Parenting stress

  • Life transitions

  • Chronic stress and burnout


Therapy may incorporate talk-based interventions, play-based techniques, somatic work, and skill-building.

Somatic Experiencing® (SE) & Nervous System Therapy

We provide specialized body-based trauma therapy that focuses on:

  • Restoring regulation

  • Rebuilding safety in the nervous system

  • Reducing traumatic stress symptoms

  • Improving mind-body connection


SE helps clients notice patterns, release stored tension, and move from survival mode toward a more grounded state.

Gentle Reprocessing (GR)

GR is a trauma-processing approach that integrates bilateral stimulation with gentler pacing than EMDR.
It can be helpful for:

  • Trauma memories

  • Emotional blocks

  • Anxiety

  • Grief

  • Chronic overwhelm


Clients move at a supportive pace with less chance of emotional flooding.

Cognitive Behavioral Therapy (CBT)

CBT helps clients identify and shift unhelpful thought patterns that influence emotions and behaviors.
We use CBT to support:

  • Anxiety management

  • Rumination

  • Depressive symptoms

  • Cognitive distortions

  • Avoidance patterns


Clients gain tools to build healthier, more adaptive thinking patterns.

Dialectical Behavior Therapy (DBT)–Informed Treatment

We provide DBT-informed support for:

  • Emotional regulation

  • Distress tolerance

  • Interpersonal effectiveness

  • Mindfulness

  • Reducing impulsive or self-destructive behaviors


Clients learn practical skills to navigate intense emotions and improve relationships.

Trauma-Informed Parenting Support

We help parents and caregivers understand their child’s emotional needs and respond with confidence and clarity. Support includes:

  • Guidance for emotionally reactive children

  • Skills for co-regulation

  • Strategies to reduce conflict

  • Understanding trauma responses

  • Navigating school, treatment, and support systems


Parents also learn to regulate themselves to better support their child.

Support for Non-Suicidal Self-Injury (NSSI)

We offer specialized assessment and treatment for youth and adults engaging in NSSI. Services include:

  • Safety assessment

  • Function-based understanding of the behavior

  • Emotional regulation skills

  • Crisis planning

  • Reducing shame and building healthier coping strategies

Anxiety & Panic Treatment

We help clients understand and manage:

  • Panic attacks

  • Generalized anxiety

  • Social anxiety

  • Health anxiety

  • Somatic anxiety

Treatment integrates CBT, somatic strategies, grounding, and nervous system regulation.

Grief & Reproductive Trauma Support

We support individuals processing:

  • Miscarriage

  • Pregnancy loss

  • Infertility

  • Birth trauma

  • Anticipatory grief

  • Death of a loved one


Sessions are paced gently and tailored to each person’s grief journey.

College Student & Young Adult Support

Services include help with:

  • Adjustment to college

  • Academic pressure

  • Social anxiety

  • Identity exploration

  • Life transitions


We help young adults navigate independence with confidence.

Dance Movement Therapy

Dance movement therapy (DMT) is a licensed psychotherapeutic approach using movement and dance to improve emotional, cognitive, physical, and social integration. It operates on the premise that mind, body, and spirit are interconnected, utilizing non-verbal communication to foster healing, reduce stress, and improve self-awareness. 

Key Aspects of Dance Movement Therapy

  • Core Principle: Based on the idea that body movement reflects the individual's inner state and that changes in movement can lead to, and reflect, changes in the mind.

  • Methodology: Sessions are led by trained therapists and may include improvisation, exploration of movement, and the use of music, props, or breath work to express emotions that are difficult to verbalize.

  • Applications: It is used to treat a wide range of conditions, including PTSD, depression, anxiety, eating disorders, autism, and chronic pain.

  • Setting: It can be practiced in various settings, including hospitals, rehabilitation centers, schools, and private practices.

  • No Experience Needed: Participants do not need dance experience; the focus is on the therapeutic process rather than the aesthetic quality of the movement. 


Benefits

  • Emotional Regulation: Helps to manage feelings and reduce anxiety.

  • Physical Health: Can improve mobility, decrease chronic pain, and aid in rehabilitation.

  • Social Skills: Enhances communication and fosters connection with others in group settings.

  • Self-Awareness: Increases understanding of one's body and emotional state. 

Expressive therapy

Expressive therapy is an integrative mental health practice that uses various creative modalities—including visual arts, drama, music, writing, and movement—to promote healing, emotional release, and personal growth. It focuses on the creative process rather than the final product, allowing individuals to explore, articulate, and manage emotions, trauma, and mental health conditions in a safe, non-judgmental environment. 


Key Aspects of Expressive Arts Therapy

  • Multimodal Approach: Unlike traditional art therapy which might focus on one medium, expressive arts therapy often combines several, such as drawing followed by movement or writing to explore a theme

  • Process-Oriented: The emphasis is on the act of creating, which helps individuals access inner resources for healing and self-discovery.

  • Versatility: It is used for various populations to address challenges like stress, trauma, depression, and anxiety, as well as to improve self-esteem and cognitive function.

  • Body-Based Focus: It connects emotional experiences with physical expression, which can be particularly effective for accessing preverbal or deeply held emotions.

  • Non-Interpretation: While some therapy forms analyze the artwork, expressive arts therapy often focuses on the client's own meaning-making and experience of the creation. 


Benefits

  • Emotional Regulation: Helps in identifying, feeling, and releasing complex emotions.

  • Communication: Provides an alternative for individuals who struggle to express feelings through words alone.

  • Improved Well-being: Promotes personal growth, self-awareness, and self-esteem.

  • Trauma Processing: Supports recovery from trauma and negative life experiences. 


Common Techniques

  • Visual Arts: Painting, drawing, sculpting, and collage.

  • Movement & Sound: Dance and sound improvisation.

  • Writing & Narrative: Journaling, poetry, and storytelling.

  • Performance: Drama and mask work. 

EmDR

Eye Movement Desensitization and Reprocessing (EMDR) is a structured psychotherapy that helps the brain reprocess and heal from traumatic memories by reducing their emotional charge. While focusing on a distressing memory, the patient follows the therapist's guided bilateral stimulation—such as eye movements, sounds, or taps—to lessen the memory's power. 

Key Aspects of EMDR:

  • Purpose: Primarily treats PTSD, trauma, anxiety, and depression by helping the brain re-process, or "digest," memories that feel "stuck".

  • How it Works: It uses bilateral stimulation (visual, audio, or tactile) to activate both sides of the brain, allowing the patient to process memories without re-experiencing the intense emotions.

  • Process: The therapy does not require detailed, long-term talking about the trauma. Instead, it focuses on specific, negative memories, associated beliefs, and bodily sensations.

  • Structure: It consists of an eight-phase approach, which includes history, preparation, assessment, desensitization, and installation.

  • Effectiveness: It is recognized by the WHO, APA, and VA as an effective,evidence-based treatment for PTSD. 

 

What to Expect:

  • Not Hypnosis: The patient is fully awake and in control throughout the session.

  • Duration: Often faster than traditional talk therapy, but the total number of sessions depends on the complexity of the trauma.

  • Outcome: The goal is not to forget the trauma, but to change how the memory is stored in the brain, reducing its distress and allowing for more positive beliefs. 

Telehealth Services

Convenient, secure video sessions for clients residing in Massachusetts, providing access to support from home, school, or work when needed.

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