Brandi Horak LMHC

I have a variety of experience within the mental health and substance abuse field from working with young children, children, adolescents, young adults, adults, and even older adults. In the beginning of my career, I was a crisis counselor who would evaluate each client who walked into the facility and refer them for any services, such as therapy, medication management and substance use. I would also need to provide direct crisis care if a client walking in was at harm to themselves or others.

I also worked within Integrated Behavioral Healthcare, inside medical clinics alongside Primary Care Physicians (PCP), Physician Assistants (PA), Nurse Practitioners (NP), and other specialists. I enjoyed seeing the process of a client receiving care from different providers at the same time. When I say different providers at the same time, I am talking about a collectivistic approach and/or wrap-around services to where the client is being taken care of from many different angles. Providers that work together can offer a level of care suitable for the children, couples and individuals with medical care, psychiatric care, and mental health treatment to ensure compliancy and overall sustainability.

I have worked in outpatient facilities with co-occurring substance use disorders (SUD) and mental health disorders to correctional facilities. Outpatient programs, specifically for SUD, are designed primarily to offer addiction treatment with the flexibility for the client to go to school, work, or both. It allows clients to remain independent and learn how to live a functionable life without the need of drugs and alcohol to help cope with everyday stressors. In the outpatient programs I provided couples therapy, family therapy, group, and individual therapy. Although that focus of the outpatient programs was SUD related, I provided mental health therapy to my clients. People start using drugs and alcohol for many varied reasons. However, there is a belief that SUD and mental health disorders are not correlated with each other. People can either start using drugs or alcohol due to trauma that they have endured as a child, adolescent, adult, or lifetime, or develop trauma from the addiction. Alongside being an LMHC for a co-occurring facility, I was a program supervisor that ran an outpatient program. I created my own protocols, which consisted of developing therapeutic groups, behavior modification groups, developmental strategies for change, resources in the community, case management program to offer levels of care that we could not provide in an outpatient level of care, direct relations with probation officers, a DUI curriculum that met the needs of the client and the requirements for the DUI program to suffice in successful completion, supervised a staff of counselors, office managers, and case manager, with continuing to carry a caseload.

The main therapeutic approaches I utilize are Rational Emotive Behavior Therapy (REBT) and Reality Therapy / Choice Theory. REBT is a type of Cognitive Behavioral Therapy (CBT), that focuses primarily on helping clients understand irrational beliefs and learn how to manage their overall thoughts, behaviors, and emotions in a healthier, rational, and more realistic way. Reality Therapy or Choice Theory derives around the same concepts of CBT, and focuses on improving current relationships and situations, while avoiding discussion of past events. As a therapist, I understand the importance of understanding the past events. Current events are the result of past events, which is why I make sure I provide a whole level of care when implementing these specific types of therapeutic techniques. Reality Therapy bases its approach on that our basic needs can be satisfied by building strong relationships with family, friends, spouses, and/or partners. It allows a client to improve overall sense-of-self and quality of life to learn how to make better choices.

 

Mental health is getting better regarding it being talked about more today. However, there still is that stigma associated with mental health. The need for mental health therapy is so important whether people realize it or not. It starts with one person to make a difference in your life. I am here to help guide you through the counseling process and will be with you every step of the way. I will provide you with respect, honest, comfort, and a safe place to open and work through things you may have not talked to anyone else before.