Britney Cirullo Britney Cirullo

From Play to Perinatal: Reflections on How Motherhood Changed My Work as a Therapist

For the first couple of years as a therapist, my work was filled with floor-sitting, coloring, and the language of play. I spoke in metaphors and feelings charts, built trust through games, and listened to what children couldn’t always say out loud. And then after becoming a mom myself, my work began to change. I found myself drawn toward new moms. 

This shift wasn’t sudden so much as it was inevitable. The more time I spent working with clients and going through my own perinatal experience, the more aware I became of the emotional gravity surrounding pregnancy, birth, and the early years of caregiving. I noticed how often the adults in the room were holding everything together while quietly unraveling. I saw how much a child’s world depends on the well-being of their caregivers, and how little space those caregivers are often given to process their own experience.

Working with children trains you to listen beyond words. Kids communicate through behavior, tone, silence, and play. You learn patience. You learn to slow down. You learn that big feelings can live in small bodies.

Most importantly, you learn that context matters. A child’s struggles are shaped by attachment, stress, transitions, and the systems surrounding them. Over time, that awareness naturally expands outward. You expand the lens to include who is caring for them, and how they are processing their own experience. This led me to work with people navigating pregnancy, postpartum, fertility challenges, loss, and the massive identity shifts that accompany becoming, or trying to become, a parent.

New motherhood is often painted in black and white: glowing joy or dramatic struggle. In reality, it lives in the gray. It’s love mixed with grief, gratitude alongside resentment, confidence interrupted by doubt. It is also framed as something instinctual, something you simply step into. But for many, it feels more like a disappearance before it becomes a reemergence. Clients often say, “I don’t recognize myself,” or “I don’t know who I am anymore.”

This is not a failure. It’s a developmental process.

New mothers are navigating a massive transition emotionally, relationally, and neurologically. Their nervous systems are recalibrating. Their priorities are shifting. Their sense of self is being reorganized in real time. They often feel pressure to have it all together. Instead of curiosity, they give themselves criticism. Instead of getting support, they get six weeks of maternity leave if they are lucky.

In many ways, this work is a continuation of what I’ve always done. It’s still about attachment, regulation, and safety. It’s still about helping someone feel safe enough to explore who they are becoming. Now, my work includes identity reconstruction, helping clients process through a traumatic experience that society frames as a normal experience, helping clients grieve parts of themselves that have changed, reconnect with parts that still exist, and slowly build a sense of self that includes motherhood without being consumed by it.

This is not about “getting back” to who someone was before. It’s about discovering who they are now, with more complexity, depth, and compassion than before.

In the journey to becoming a new parent, or being a new parent, progress might look like naming a need, setting a boundary, or allowing conflicting emotions to exist side by side.

It’s not about rushing toward acceptance or gratitude. Sometimes the most meaningful work is simply making space for curiosity and gentleness in the process of discovering an identity. My role isn’t to define that identity, but to help clients find themselves again slowly, honestly, and on their own terms.

I still carry my play-therapy roots with me. I just use different tools now: reflection, normalization, curiosity, and deep respect for how transformative and traumatic new motherhood and the perinatal period can be.

The clients I work with may have shifted, but the heart of the work remains the same: helping people feel less alone, more understood, and more connected to themselves during one of life’s most profound transitions.

And honestly? I can’t imagine doing anything else.


Written by: Olivia Clark-Richards, LPCC, BCN

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Therapy, Trauma Therapy Britney Cirullo Therapy, Trauma Therapy Britney Cirullo

8 Signs of a Bad Therapist

Starting therapy takes courage. Whether you’re seeking support for anxiety, depression, trauma, or life stressors, therapy should feel like a space that is safe, respectful, and supportive.

While many therapists are skilled and ethical, not every therapist is the right fit—and in some cases, a therapist may be doing more harm than good.

Let’s talk about clear signs of a bad therapist (or simply the wrong therapist for you).

1. They Don’t Listen—or Constantly Interrupt

A therapist should be curious about your experience.

Red flags include:

  • Frequently interrupting or talking over you

  • Redirecting sessions to their own agenda

  • Making assumptions without asking questions

Feeling unheard in therapy is not something you should ignore.

2. You Feel Judged, Shamed, or Invalidated

Therapy should never make you feel small or “wrong” for your feelings.

Warning signs include:

  • Minimizing your experiences (“It wasn’t that bad”)

  • Shaming language

  • Blaming you for your symptoms

This is especially harmful for individuals healing from trauma.

3. They Give Excessive or Rigid Advice

While some guidance can be helpful, therapy is not about being told how to live your life.

Be cautious if your therapist:

  • Frequently tells you what you “should” do

  • Pushes their personal beliefs or values

Effective therapy supports your inner decision-making, not dependence on the therapist.

4. There Are Poor or Unclear Boundaries

Ethical boundaries are absolutely essential for safe therapy.

Boundary no-no’s:

  • Oversharing personal details (especially those that burden you rather than foster your healing)

  • Blurring professional roles

  • Ignoring session limits or ethical guidelines

Boundary issues can feel confusing or uncomfortable—even if they seem subtle.

5. They Dismiss Culture, Identity, or Lived Experience

A good therapist is open to learning about your identity and background. A good therapist does not minimize experiences of racism, sexism, or discrimination, and does not assume their worldview applies to everyone. Cultural humility is an essential part of ethical mental health care.

6. Therapy Feels Stuck With No Discussion About Goals

Progress in therapy isn’t always linear—but it should be intentional.

Red flags include:

  • No clear treatment goals

  • No check-ins about progress

  • Months of sessions without direction or reflection

A skilled therapist collaborates with you and adjusts treatment as needed.

7. You Feel Worse Over Time With No Support or Explanation

Therapy can bring up difficult emotions—but this should be done safely and thoughtfully.

Be cautious if:

  • You consistently feel destabilized after sessions

  • The therapist pushes you to revisit trauma without preparation

  • There is no focus on grounding or regulation

Trauma-informed therapy prioritizes nervous system safety.

8. You Don’t Feel Safe Speaking Up

One of the clearest signs something is wrong is feeling afraid to:

  • Ask questions

  • Share concerns

  • Disagree or give feedback

A good therapist welcomes honest conversation and repair.

What a Good Therapist Does Instead

A healthy therapeutic relationship often includes:

  • Feeling heard and respected

  • Collaborative goal-setting

  • Clear boundaries

  • Openness to feedback

  • A sense of safety—even during hard work

Trust your instincts. Discomfort from growth feels different than discomfort from harm.

What to Do If You Think You Have a Bad Therapist

If something feels off, you have options:

  1. Name it – If you feel safe, bring up your concerns directly

  2. Seek a consultation with another therapist

  3. Change therapists – This is allowed and often empowering

  4. Report unethical behavior if boundaries or ethics are violated

You are not “failing therapy” by choosing a better fit.

Good therapy supports growth, safety, and self-trust. If you’re experiencing the opposite, it’s okay to walk away and seek something better.

Written by Mary Beth Stevens, LPCC, BCN

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How Trisha Yearwood Used LENS Neurofeedback to Restore Clarity

When country music singer Trisha Yearwood opened up publicly about her cognitive struggles after COVID, countless people saw themselves in her story. She described experiencing significant brain fog, forgetfulness, and cognitive issues, symptoms many people experience after illness, chronic stress, or trauma, until she tried LENS (Low Energy Neurofeedback System).

What Is LENS Neurofeedback?

LENS, or Low Energy Neurofeedback System, is an FDA-approved direct neurofeedback technology that uses EEG (electroencephalography) to measure the brain’s electrical activity and administer a gentle electromagnetic signal to the brain. This signal helps to stimulate the brain, disrupt ineffective brainwave patterns, create new neural pathways, and improve overall brain functioning. A typical LENS session is simple and noninvasive:

  1. Sensors are placed on either the scalp and ears or the body to read brain activity.

  2. The system sends a very low-energy, brief signal, often lasting just a few seconds.

  3. You may feel nothing in the moment, or you may notice subtle shifts such as relaxation, lightness, or tiredness.

  4. You monitor for continued changes after session, often lasting only 24-48 hours at first.

  5. Sessions are adjusted based on your sensitivity, reactivity symptoms, and reported responses.

Trisha Yearwood’s Experience With LENS

Yearwood shared that after recovering from a mild case of COVID, she was left with persistent cognitive issues, such as difficulty recalling familiar words, trouble with focus and forgetfulness, and brain fog. These symptoms are hallmarks of both long COVID and chronic stress. She experienced initial hesitation because she “didn’t understand what this does,” but after a friend recommended it, she decided to try it. According to Yearwood, she noticed:

  • Significantly improved sleep, stating that it was the best sleep she had in 10 years

  • Reduced brain fog and improved mental clarity, stating that her brain feels like it did in her 30’s

  • How gentle and passive the treatment felt, emphasizing that sessions are short and don’t require talking like traditional therapy does

To her, the changes felt so profound that she referred to LENS as “life-changing.”

Considering LENS Neurofeedback?

Although effectiveness can vary by condition, over 85% of clients are reported to benefit significantly, and often dramatically, from LENS. LENS can be used to improve symptoms associated with the following conditions:

  • Neurodevelopmental and behavioral conditions

  • Mental health conditions and emotional dysregulation

  • Brain, cognitive, and neurological conditions

  • Sleep issues

  • Addictions and dependences

  • Chronic pain

  • Trauma and stress

In a world where our nervous systems are constantly overstimulated by technology, emotional overload, or simply the pace of daily life, LENS offers something unique: a quiet, gentle nudge back towards balance. It doesn’t force the brain to change; it simply reminds it of its capabilities. If you’re curious about how you might benefit from LENS, we’d love to talk with you and explore whether it could be a good fit. You can schedule a free consultation call through our website.

You can also refer to our page on LENS or Ochs Labs website directly for more information: https://main.ochslabs.com/about/

Watch the full interview with Tricia here (she starts talking about LENS 30 minutes in).


Written by: Hailey Adams, M.Ed., LPC

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Intention Setting in Ketamine-Assisted Therapy: Why It Matters

If you are new to learning about KAP, check out our blog KAP: What You Need to Know

Ketamine-assisted therapy (KAP) has been increasingly popular, and while much attention is often placed on the medicine itself, one of the most important parts of the process happens before a session begins: intention setting. 

Intention setting is about creating a gentle inner compass, something that helps guide reflection, emotional openness, and meaning-making throughout the therapeutic process.

What Is Intention Setting?

In the context of ketamine-assisted therapy, intention setting is a collaborative process between client and therapist that helps clarify what the client hopes to explore, understand, or approach during treatment. Unlike a goal, which is outcome-oriented (“I want to fix this problem”), an intention is process-oriented (“I want to approach this experience with curiosity” or “I want to better understand my emotions”).

In KAP, intentions help anchor the experience within a therapeutic framework rather than viewing it as something random or disconnected from personal growth. An intention is not a demand or expectation for a specific outcome. It is a point of focus that supports curiosity, emotional openness, and reflection throughout the therapeutic process.

Examples of intentions may include:

  • Developing greater self-compassion

  • Exploring emotional patterns with curiosity

  • Gaining insight into stress, mood, or relationships

  • Practicing openness to internal experience

Why Intention Setting Matters in KAP

KAP is designed to support new perspectives and emotional flexibility. Intention setting helps in several key ways:

  • Creates psychological safety
    Reflecting on an intention beforehand can help a client feel more grounded and prepared.

  • Provides direction without pressure
    An intention offers a reference point. If the experience moves in an unexpected direction, the intention can still serve as a support to come back to.

  • Supports integration after the session
    Intentions give therapists and clients a shared language to reflect on insights and emotions during follow-up integration sessions.

  • Keeps therapy values-centered
    The focus stays on healing, self-understanding, and emotional growth—not on the medicine itself.

What Makes a Supportive Intention?

Clients are encouraged to keep their intention open, compassionate, and flexible. Helpful intentions tend to: 

  • Be framed with curiosity rather than judgment

  • Focus on awareness instead of control

  • Allow space for emotions, memories, or insights to arise naturally

Examples of gentle, non-directive intentions might include:

  • “I want to listen to what my inner experience is showing me.”

  • “I want to explore my relationship with stress more kindly.”

  • “I want to practice letting go of resistance.”

There is no “perfect” intention. Even noticing uncertainty can be a meaningful place to start. For example, “I don’t know what I need, but I’m open to learning” 

Intention Setting as a Collaborative Process

Intention setting is done in collaboration with a trained mental health professional. Your therapist will work with you to explore what feels meaningful, emotionally safe, and aligned with your therapeutic goals, taking into account your history, current concerns, and readiness for treatment. Intentions can evolve. What feels right before a session may shift afterward, and that’s part of the work. Therapy is not about getting it “right,” but about staying engaged with the process.

Integration: Where Intentions Come Full Circle 

After a KAP session, intention setting continues to play a role during integration.—the reflective therapy work that helps translate insights into everyday life. Revisiting the original intention can help clients notice:

  • What themes emerged

  • What emotions felt significant

  • What new questions or perspectives arose

  • Areas for continued growth

Sometimes the most valuable outcome isn’t an answer, but a deeper sense of self-compassion or insight gained.

Intention setting can help transform an experience into meaningful therapeutic work.

When approached with care, guidance, and reflection, intention setting can help ensure that KAP remains what it is meant to be: a structured, ethical, and deeply human process of healing.

Written by: Olivia Clark, LPCC, BCN

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Understanding Dissociation: Signs, Symptoms, and Brain-Based Treatment Options

Dissociation is one of the most misunderstood mental health experiences—but it’s incredibly common. Many people live with dissociation without realizing what’s happening or why their mind seems to “check out” during stress, conflict, or emotional overwhelm.

In our practice, we specialize in brain-based therapy for dissociation, including neurofeedback and EMDR therapy, which help clients reconnect with their bodies, regulate their nervous systems, and safely process the root causes of dissociation.

Whether you experience mild spacing out or more intense detachment, this article will help you understand what dissociation is, why it happens, and how modern brain-based treatments can contribute long-term healing.

What Is Dissociation?

Dissociation is the brain’s way of protecting you when it senses danger or emotional overload. Instead of going into fight-or-flight, the mind might:

  • shut down

  • disconnect

  • numb out

  • escape inward

There can shame around dissociation when we begin to realize it's a stress response. But dissociation is not a weakness—it’s a survival strategy. Many people experience dissociation related to:

  • trauma or adverse childhood experiences

  • chronic stress

  • emotional neglect

  • overwhelming anxiety

  • sensory overload

  • long-term nervous system dysregulation

Understanding dissociation is the first step toward healing it.

Common Signs and Symptoms of Dissociation

Dissociation, like so many mental states, exists on a spectrum. For some people, it shows up subtly; for others, it can be intense and disruptive.

Here are the most common signs of dissociation:

1. Feeling “Checked Out” or Numb

A sense of emotional flatness or detachment from feelings.

2. Losing Time or Having Memory Gaps

You may not remember parts of conversations, events, or your day.

3. Feeling Disconnected From Yourself

A sense of watching yourself from the outside, or feeling like you’re not fully in your body.

4. Feeling Disconnected From Reality

The world may feel foggy, dreamlike, or unreal.

5. Difficulty Focusing

Trouble staying present, hearing information, or staying engaged in tasks.

6. Automatic or Robotic Behavior

Going through the motions without feeling mentally “there.”

7. Emotional Shutdown During Conflict

You may freeze, go blank, or feel like you disappeared inside.

Dissociation becomes problematic when it interferes with daily life, relationships, or functioning—or when you feel you have no control over it.

Why Dissociation Happens: The Brain-Based Explanation

Dissociation is fundamentally a nervous system response. When the brain perceives danger and believes fight or flight won’t work, it may shift into:

  • freeze

  • shutdown

  • collapse

  • detachment

This is regulated by neural circuits in the brain responsible for threat detection and survival. Over time, if someone experiences repeated stress or trauma, the brain learns that dissociation is the safest option—and begins using it even during non-dangerous situations.

This is why many people say:

  • “I go numb when emotions get too big.”

  • “I disappear inside during arguments.”

  • “My brain shuts down without warning.”

It’s not intentional—your brain is doing exactly what it learned to do to keep you safe.

Brain-Based Treatment Options for Dissociation

Healing dissociation is absolutely possible, especially when treatments address the nervous system, not just thoughts or behaviors. The most effective approaches help retrain the brain to feel safe enough to stay present.

Below are two of the most research-backed, brain-based treatments available.

1. Neurofeedback Therapy for Dissociation

Neurofeedback helps stabilize the brain and reduce the shutdown patterns that contribute to dissociation. It trains brainwave activity so the nervous system feels calmer, more regulated, and more connected.

Potential benefits of neurofeedback for dissociation include:

  • increasing here and now presence

  • improved emotional regulation

  • decreased freeze and shutdown responses

  • greater focus and awareness

  • greater ability to stay connected during therapy

  • reduced overwhelm and nervous system overload

Many clients report that neurofeedback helps them feel “anchored” in their body in a way they’ve never felt before.

2. EMDR Therapy for Dissociation

EMDR therapy is one of the most powerful tools for treating trauma, which is often at the root of dissociation. But EMDR is especially effective because it:

  • helps reprocess traumatic memories

  • reduces the need for dissociation as a coping mechanism

  • integrates fragmented experiences

  • builds the brain’s tolerance for emotional material

  • strengthens the ability to stay present during stress

EMDR helps the brain complete the processing that dissociation has been blocking. For clients with significant dissociation, EMDR is often paired with stabilization work and nervous system strengthening before deeper reprocessing begins. This ensures therapy feels safe, grounded, and productive.

Why Combining Neurofeedback + EMDR Works Best

For many clients, dissociation is rooted both in brainwave dysregulation and unprocessed trauma. This is why combining neurofeedback and EMDR often leads to the fastest, most stable improvements. Together, they help clients:

  • build nervous system capacity

  • stay present and grounded

  • process trauma without shutting down

  • reduce dissociative episodes

  • increase emotional resilience

  • reconnect with their bodies

  • strengthen long-term stability

This integrated approach treats dissociation at the source—not just the symptoms.

Dissociation is a natural response to overwhelming experiences, but it doesn’t have to remain your default. With the right support, your brain can learn new patterns, reconnect with your body, and feel safe enough to stay present. Our practice specializes in neurofeedback therapy, EMDR therapy, and trauma-informed treatment designed specifically for clients struggling with dissociation. If you’re ready to feel more grounded, more connected, and more in control, we’re here to help.



Written by: Mary Beth Stevens, LPCC, BCN

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Mental Health, Trauma Therapy Britney Cirullo Mental Health, Trauma Therapy Britney Cirullo

10 Signs of a Trauma-Informed Therapist

Finding the right therapist can feel overwhelming, especially if you have a history of trauma or complex life experiences. A trauma-informed therapist isn’t defined by one specific technique. Instead, they understand how trauma shapes the brain, body, and relationships, and they create a space where healing can happen safely and at your pace. After sifting through therapy practice websites and psychology today profiles, you finally get a consult call scheduled… But now what? Here are 10 signs to help you gauge whether or not a therapist is trauma-informed:

  1. They Prioritize Safety Above All Else

Healing cannot happen without a sense of safety: emotional, relational, and physical. A trauma-informed therapist intentionally creates a safe space, emphasizing choice, consent, and collaboration. You may notice that they:

  • Check in with you regularly

  • Never push you to disclose details before you're ready

  • Practice regulation strategies with you in session

  • Are mindful of your sensory sensitivities and preferences

A question you might ask: “How do you create a safe and supportive environment for trauma survivors?”

2. They Understand How Trauma is Stored in the Body

Trauma isn’t a story we narrate and analyze but rather a collection of emotions and experiences we store in our nervous system. A trauma-informed therapist understands this and incorporates nervous system regulation strategies like sensory grounding, breathwork, mindfulness meditation, or somatic movement before diving into deeper work. Everyone has a “window of tolerance”, or emotional range where we can process information without shutting down or becoming overwhelmed. Trauma-informed therapists:

  • Attune to your body language, monitoring your cues for dysregulation

  • Slow down or pause when needed

  • Provide grounding, movement, or other regulation strategies, offering to practice them together in session

  • Focus on establishing trust, safety, and stabilization before deeper work

A question you might ask: “How do you handle distress or triggers as they come up in therapy?”

3. They Move at Your Pace

A trauma-informed therapist recognizes that sometimes slow is fast, meaning that rushing the process can be harmful, not helpful. They regularly check in about:

  • Whether you feel ready to explore something deeper

  • What feels overwhelming or too intense

While they may ask questions to understand your experiences, there is no expectation to share more than you’re ready to share.

A question you might ask: “What’s your intake process like?”

4. They Recognize Protective Parts and Defense Mechanisms as a Normal Part of the Therapeutic Process

Trauma-informed care is rooted in compassion and curiosity. A trauma-informed therapist recognizes that symptoms like irritability, avoidance, or hypervigilance are survival strategies that likely protected you at some point in your life. Rather than pathologizing your behaviors, they help you understand them with compassion and clarity.

A question you might ask: “How do you handle protective parts and defense mechanisms as they come up in therapy?”

5. They Are Grounded in Evidence-Based Trauma Modalities

While treating trauma is not a “one size fits all” approach, many therapists have specialized training in trauma-informed modalities such as:

  • EMDR (Eye Movement Desensitization and Reprocessing)

  • Somatic therapy

  • Internal Family Systems (IFS)/Parts work

  • Polyvagal theory

  • Trauma-Focused CBT/DBT

Your therapist doesn’t need to use all of these, but they should be comfortable explaining their approach.

A question you might ask: “What training do you have in trauma-informed care?”

6. They Take Time to Answer Questions and Explain the “Why” Behind Their Techniques

Transparency builds trust. A trauma-informed therapist wants you to understand the process so you feel empowered to make decisions about your treatment. They may explain:

  • Why they are suggesting a particular intervention

  • What you can expect during and after a session

A question you might ask: “What do you consider informed consent throughout treatment?”

7. They Encourage Feedback and Repair Ruptures Without Defense

The therapeutic relationship is proven to be the most important factor in a client’s therapy outcomes. A trauma-informed therapist will prioritize the therapeutic relationship above all else, recognizing that humans are relational beings and therefore need relational safety to heal. They encourage you to say things like:

  • “I’m not sure this approach is working.”

  • “It upset me when you responded that way.”

  • “I don’t like how that session went.”

  • “I feel uncomfortable with that.”

Instead of reacting defensively, a trauma-informed therapist will respond with curiosity, validation, and a willingness to adjust.

8. They Consider You to be the Expert in the Room

Trauma often involves a loss of control. A trauma-informed therapist emphasizes collaboration, not power. They encourage choice by offering options and welcoming feedback. You’re a partner in the therapy process, not a passive participant. No one can be an expert on your life experiences except you!

9. They Create a Culturally Sensitive Space

Trauma doesn’t exist in a vacuum. A trauma-informed therapist considers the impact of individual identity, culture, race, gender, sexuality, systemic oppression, and environmental factors. They work to create a space that is:

  • Inclusive

  • Affirming

  • Respectful of your lived experiences

A question you might ask: “How do you define cultural competence or cultural humility in your work?”

10. They are Continually Learning

Trauma research is constantly evolving, and trauma-informed therapists stay engaged with new information. They reflect on their own biases, seek supervision, and invest in ongoing education. Their humility is part of what keeps therapy safe.

Trauma can make it hard to trust others, including therapists. Recognizing the signs of trauma-informed care can help you choose someone who honors your story and empowers your healing.

Written by: Hailey Adams, M.Ed., LPC

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Mental Health, psychedelics, Therapy Britney Cirullo Mental Health, psychedelics, Therapy Britney Cirullo

Ketamine-Assisted Therapy in Cuyahoga Falls & Akron, Ohio: What You Need to Know.

Ketamine-assisted therapy (KAP) is emerging as a powerful and evidence-based approach for individuals seeking relief from depression, anxiety, and trauma. For those searching for ketamine-assisted therapy in Cuyahoga Falls or ketamine therapy in Akron, Ohio, this innovative treatment offers a unique blend of neuroscience and psychotherapy designed to support lasting mental health improvement.

If you’re exploring alternative mental health treatments in Cuyahoga Falls or Akron, understanding how KAP works, who it helps, and what to expect can guide your decision toward healing.

Why Consider Ketamine-Assisted Therapy for Mental Health?

Many individuals consider ketamine-assisted therapy after finding limited success with traditional therapy or medication. Ketamine works differently than standard antidepressants by increasing neuroplasticity and enabling the brain to shift rigid thinking patterns.

People seek ketamine therapy for concerns such as:

  • Treatment-resistant depression

  • Chronic anxiety or panic disorders

  • PTSD and complex trauma

  • Emotional numbness or burnout

  • Persistent suicidal ideation

  • Feeling stuck or disconnected

When combined with psychotherapy, ketamine-assisted therapy can help clients:

  • Increased emotional flexibility

  • Improved mood and hope

  • Greater insight and self-awareness

  • Enhanced trauma processing

  • Long-term symptom relief

This approach allows individuals to explore emotions and internal experiences with greater openness and reduced fear.

Who Is a Good Fit for Ketamine-Assisted Therapy?

A good candidate for ketamine-assisted therapy is someone who:

  • Feels stuck in traditional mental health treatment

  • Seeks deeper therapeutic work

  • Is psychologically stable and medically screened

  • Is committed to preparation and integration sessions

  • Has a safe and supportive environment

KAP may not be appropriate for those with:

  • Active psychosis or severe dissociative disorders

  • Uncontrolled medical conditions

  • Severe substance dependency without stabilization

  • Significant safety concerns

Professional assessment and careful screening ensure safe and ethical delivery of ketamine-assisted psychotherapy.

What Does Ketamine Feel Like in a Therapeutic Setting?

During ketamine-assisted therapy sessions, individuals typically describe the experience as:

  • Deeply introspective

  • Dreamlike or expansive

  • Emotionally open yet grounded

  • Temporarily dissociative

  • Calm and reflective

Clients often feel a gentle separation from their usual mental patterns, allowing them to approach difficult memories and emotions with increased clarity and compassion. Each session is guided by a trained therapist to ensure safety, integration, and therapeutic meaning.

The Importance of Set and Setting in Psychedelic-Assisted Therapy

In any form of psychedelic-assisted therapy, “set and setting” directly influence therapeutic outcomes.

Set (Mindset)

Preparation sessions focus on:

  • Clarifying intentions

  • Addressing fears or expectations

  • Emotional readiness

  • Building therapeutic trust

Setting (Environment)

A professional ketamine therapy clinic prioritizes:

  • Calming, private spaces

  • Comfortable options for resting during the dosing session

  • Soothing music and lighting

  • Trauma-informed therapist presence

  • Clear safety protocols

This intentional environment allows the nervous system to relax, helping clients feel safe enough to explore deeply emotional material.

Ketamine-Assisted Therapy in Cuyahoga Falls & Akron: A Modern Path to Mental Wellness

For individuals seeking advanced mental health care in Cuyahoga Falls and Akron, Ohio, ketamine-assisted therapy offers a transformative option grounded in science, compassion, and therapeutic support.

When delivered ethically and intentionally, ketamine-assisted psychotherapy can help individuals reconnect with themselves, process unresolved trauma, and cultivate emotional resilience.

If you’re considering ketamine-assisted therapy for yourself or a loved on, a consultation with one of our trained providers can help determine whether this approach aligns with your needs and goals.

Schedule your free initial phone consultation here.

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Mental Health, Neuroscience, psychedelics, Therapy Britney Cirullo Mental Health, Neuroscience, psychedelics, Therapy Britney Cirullo

7 Key Benefits of Group Ketamine-Assisted Therapy

Group Ketamine-Assisted Therapy (G-KAP) is an emerging therapeutic approach that combines the neuroplasticity-enhancing effects of ketamine with the supportive dynamics of group therapy. This modality offers several unique benefits:

1. Enhanced Emotional Processing

Ketamine can lower psychological defenses, allowing individuals to access and process deep-seated emotions and memories. In a group setting, sharing these experiences can amplify healing, as participants offer support and validation to one another.

2. Stronger Sense of Community

Participating in KAGT fosters a sense of belonging and reduces feelings of isolation. The shared journey creates a supportive network, which can be crucial for individuals facing mental health challenges.

3. Accelerated Healing

The collective energy and shared insights in a group can expedite personal healing. Observing others' breakthroughs can inspire and motivate participants, leading to faster and deeper therapeutic progress.

4. Diverse Perspectives

Engaging with individuals from varied backgrounds and experiences can provide new coping strategies and viewpoints, enriching one's own healing process.

5. Cost-Effectiveness

Group therapy sessions are often more affordable than individual ones, making ketamine-assisted therapy accessible to a broader range of individuals seeking treatment. Here at Alternative Therapeutics, we offer a sliding scale for G-KAP ranging from $150, $250 or $350 per 4 hour group session.

6. Reduced Stigma

Being part of a group normalizes the therapeutic process, reducing the stigma associated with mental health treatment and encouraging more individuals to seek help.

7. Integration of Experiences

Group discussions before and after ketamine sessions facilitate the integration of experiences, helping participants make sense of their journeys and apply insights to their daily lives.

Overall, Group KAP harnesses the power of community to enhance the therapeutic effects of ketamine, offering a holistic approach to mental health treatment. However, Group KAP isn’t for everyone. Those who struggle with severe social anxiety or feel strongly about privacy, may be better suited for 1:1 KAP.

Learn more about what we offer with KAP here. Reach out to britney@trainyourbrainohio.com with any questions or a free introductory consultation.

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From Football to Fungi: How Mushrooms Saved My Mind

Written by: Hunter Allan - Co-founder Vesper Mushrooms

Growing up playing high school football, head trauma was simply part of the game. You’d take a hit, see stars, shake it off, and get back on the field. It was almost a badge of honor, a testament to your toughness. For years, coaches preached about grit and resilience, but rarely did anyone talk about the long-term effects of the physical toll we endured. This is of course, not a unique experience as almost 6 million people play tackle football in the US each year.

It wasn’t until my junior year of high school that our training staff introduced a new concussion protocol. Suddenly, we had baseline tests, cognitive assessments, and recovery plans. What struck me the most wasn’t the complexity of the new protocol but the glaring realization of how underserved we as young athletes had been during all those years leading up to it. I can honestly say that I would not have known there was anything dangerous about continuing to play with a concussion prior to that new protocol. Hell, I wouldn’t have known how to identify a concussion short of being knocked out cold.

As things changed on the science side, so too did our attitudes towards our brain health. Suddenly it wasn’t a funny quip when a player was visibly shaken to say he had ‘gotten his bell rung’, a phrase I had heard on almost a daily basis before. It was serious now. What a sobering wake-up call. I couldn’t help but think back to all those times I had played through the dizziness, the headaches, and the confusion. What was the long-term cost of all those hits? Would the damage continue to haunt me decades down the road? Was this to blame for what I would consider uncharacteristic behavior of late? I had been more irritable, anxious and sensitive. The uneasiness stuck with me like a shadow I couldn’t shake. I needed to do something.

The Solution on the Slopes

A year or 2 after hanging up the cleats, Jake and I were hitting the slopes east of Salt Lake City like we often did. Half a decade prior, we had met on the practice field preparing for our freshman fall season. Now we maintained a bond over the shared love of snow sports.

This particular day, sitting on a ski lift with the freezing wind biting at our faces, we passed directly over the spot where one of us had just taken a firm tumble and gotten up rattled. One of us probably remarked about how “there’s the spot where you went down, you’re lucky there’s a lot of powder left right there”. This Prompted a remark about how that crash was just one more tally on the sum total of all of the head trauma from our football days. The joke didn’t land.

Turns out, both of us shared a deep concern about how all those hits to the head could impact our lives down the road. It wasn’t just paranoia; there was mounting scientific evidence entering the zeitgeist suggesting that former football players often faced serious cognitive issues later in life related to the game. The thought of early-onset dementia or memory loss was terrifying, especially when you’re still so young and should feel invincible.

And that’s when I brought up something I’d recently heard about. “Have you heard of Lion’s Mane?” I asked Jake who had recently begun learning about mushroom cultivation as a hobby. “Supposedly, it’s good for brain health”.

The idea intrigued both of us. By the time we reached the top of the lift, we were already talking about how we could start incorporating Lion’s Mane into our routines. Jake mentioned that he had considered growing some and would do just that.

We couldn’t have imagined the path that this, the first in a series of important conversations, would lead us down.

The more we learned about this natural marvel, the more excited we were to begin experimenting and sharing our findings as far and wide as possible.

Let's take a look into the science behind the fascinating mushroom that offered us a beacon of hope.

Lion’s Mane for Cognitive Support and Brain Health: The Science

You’ll notice a trend here regarding the early science of lion’s mane and its benefits; the lion’s share (pun intended) of the science up till now has been published in Japan.

Japan is where Yamabushi monks were perhaps the first people to ever use lion’s mane to enhance their meditative practice. Japan is also where the renowned biochemist Hirokazu Kawagishi first described the potential of lion’s mane to promote NGF synthesis. More on that later.

Lion’s Mane mushroom (Hericium erinaceus) had begun to gain widespread attention for its ability to support brain health and cognitive function. This interest is due to the presence of bioactive compounds called hericenones and erinacines, which have been studied for their potential neuroprotective properties. This discovery held the possibility of not only protecting our brains from further damage but potentially repairing some of the harm already done.

But that’s not what I found most interesting for my purposes.

Neuroprotection and Cognitive Studies with Lion’s Mane

Research suggests that Lion’s Mane may promote the production of Nerve Growth Factor (NGF), a protein essential for the growth, maintenance, and survival of neurons. Enhanced NGF levels are associated with improved neuroplasticity, which is critical for learning and memory. This is unique and Lion’s mane is one of the only things known to potentially support cognitive regeneration.

In a 2009 study conducted by researchers at Tohoku University in Japan, participants aged 50–80 with mild cognitive impairment were given Lion’s Mane mushroom powder for 16 weeks. The study found significant improvements in cognitive function compared to the placebo group.

Research published in the International Journal of Medicinal Mushrooms found that Lion’s Mane extracts significantly stimulated NGF production, promoting neurite outgrowth by as much as 60.6%. This discovery supports the notion that Lion’s Mane could be a powerful natural tool for encouraging nerve regeneration and protecting the brain from degenerative processes.

Another study published in The Journal of Neurochemistry demonstrated that active compounds from Lion’s Mane improved nerve growth and memory in pre-clinical testing. The researchers noted significant improvements in cognitive performance, further suggesting Lion’s Mane’s potential to protect against age-related cognitive decline and neurodegenerative diseases like Alzheimer’s.

Further research into Lion’s Mane’s potential to combat neurodegenerative diseases has been promising. In a 2011 study, also conducted by researchers at Tohoku University, Lion’s Mane extract was shown to reduce memory loss and prevent neuronal damage caused by amyloid-beta plaques—one of the primary contributors to Alzheimer’s disease.

If I had already taken enough damage to cause deterioration in my brain, maybe NGF stimulation and neurogenesis could give me a shot at reclaiming some of what I’d lost. It sounded too good to be true. The idea that you could reverse brain damage felt like a pipe dream. Still, how unwise not to look at this incredible body of literature.

Mental Health Studies with Lion’s Mane

Beyond cognitive protection, Lion’s Mane may also help with mental health. A 2010 study conducted by researchers in Japan explored the mushroom’s effects on anxiety and depression. Over four weeks, menopausal women who consumed Lion’s Mane extract reported significantly reduced feelings of irritation and anxiety compared to those who received a placebo

The potential of Lion’s Mane to promote hippocampal neurogenesis (the growth of new neurons in the brain’s hippocampus) and reduce inflammation makes it a powerful natural tool for supporting emotional regulation and cognitive function.

Even if I wasn’t guaranteed to reverse any of my concussion damage or to see improvements in my focus, it would be worth it to at least try lion’s mane if it may at least help me to feel less irritable and anxious. Plus, it’s natural.

Why It Matters; Why I Take Lion’s Mane

These findings suggest that Lion’s Mane is a powerful natural tool for promoting brain health, enhancing cognitive function, and supporting overall mental wellness. While more research is always useful, the evidence so far is incredibly promising for those looking to support their brains through natural, holistic means.

Lion’s mane certainly isn’t any more magical than anything nutritive and antioxidizing but is certainly a large piece of a larger puzzle, one that many are already seeing benefit from.

In my own experience, when I began using lion’s mane extract regularly, I noticed improved focus which allowed me to get through a workday or a long study session without constant need to distract myself.

I felt quicker, with faster word recall and better fluidity.

Maybe most importantly and most noticeable of all, I felt better. I wasn’t irritable the way I had been before. I had alleviation of light and sound sensitivity which had been a grating symptom since receiving one concussion in particular.

Once I switched from using powder to the more bioavailable liquid extracts, the timeline worked like this; (this is meant to highlight where my personal excitement came from. Everyone seems to have their own unique take as to why they enjoy using lion’s mane extract)

Days 1-3: Usually no noticeable improvement from using the lion’s mane (though some of our clients report feeling impact within the first 2 days so it’s not unheard of).

Day 3 - 2 weeks: Steady improvement in my mood, I feel noticeably present and aware of my surroundings. I am prone to sweating the small stuff.

Beyond 2 weeks: As I continue to use lion’s mane, I feel sharper. I feel like I’m able to easily shrug things off and continue focusing on what matters. I feel like any word in my vocabulary is immediately available, I don’t have to go searching for it. Plus, it might just be me but I think my Spanish improves.

That’s just me.

In the years since lion’s mane, we embarked to share the potential value of functional mushrooms like lion’s mane and in return, many in our community have shared their experiences with us. The positive and enlightening stories of growth we’ve heard from our customers act like the motor that keeps us pushing to share the power of these amazing organisms.

From Beckett:

“I definitely felt like my cognition improved. It was like I had another layer to my thoughts, and it's really helped me in my daily life.”

From Sarah:

“I drink it every morning in a glass of water. It has helped me be more focused and alleviated some brain fog issues.”

And from Erica:

“The Lion's Mane helps calm my nervous system, far better than anything else I have encountered and I have tried numerous things. “

From Curiosity to Creation: The Birth of Vesper Mushrooms

A single remark on a frigid ski lift was the spark that set everything into motion. The more Jake and I talked about Lion’s Mane and its potential benefits, the more fascinated we became. We weren’t interested in a quick fix or a magic pill so we kept an eye out for something real. Something natural that could actively support brain health even in already-healthy brains and possibly even reverse some of the damage we’d already endured.

As Jake and I began experimenting, we tried out different extracts and blends of Lion’s Mane. One of the biggest lessons we learned from clear evidence is that liquid mushroom extracts are the way to go. Lion’s mane and other mushrooms have a rough chitinous cell-wall which doesn’t digest well. When you extract the nutrients from the mushrooms into a liquid, you can readily use the beneficial nutrients in your cells.

As we got deeper into the world of functional mushrooms, we were fascinated to learn that Lion’s Mane was only the beginning. The other mushrooms we classify as ‘functional mushrooms’ are the following:

Reishi (Ganoderma lucidum): Known as the “Mushroom of Immortality,” or “Queen Mushroom”. Reishi is renowned for its calming effects. Studies suggest it may help reduce stress, enhance sleep quality, and support immune function through its powerful anti-inflammatory and antioxidant properties.

Cordyceps (Cordyceps militaris): Commonly used to boost energy and physical performance, Cordyceps is thought to improve oxygen utilization and enhance stamina. It may also support heart health and assist the body’s natural ability to manage stress.

Chaga (Inonotus obliquus): Often referred to as the “King Mushroom,” Chaga is prized for its high antioxidant content. It has been studied for its potential to support immune health, reduce oxidative stress, and promote overall cellular health.

Turkey Tail (Trametes versicolor): This mushroom is best known for its immune-boosting properties. Rich in polysaccharides like PSK and PSP, Turkey Tail has been researched extensively for its ability to support gut health and enhance immune function.

Maitake (Grifola frondosa): Sometimes called the “Dancing Mushroom,” Maitake is believed to enhance immune function and support metabolic health. It may also assist in balancing blood sugar levels and promoting cardiovascular wellness.

We began to extract each of these mushrooms, growing most of them in-house. Whenever we have to add outside mushrooms to our extracts, we use all-USA mushrooms from a vendor we are confident in. What started as a couple of concerned former football players trying to find some assurance for themselves turned into something multi-faceted. Vesper Mushrooms is our liquid extract brand and Myco Energy combines lion’s mane and cordyceps along with l-theanine and B-vitamins into a natural, sugar free energy drink.

By now we have all seen ads for mushroom coffee or other mushroom supplements, all offering unique approaches to making functional fungi accessible and simple for everyone. However you choose to incorporate these mushrooms into your lives, we would be glad to hear from you regarding your experiences with functional fungi.

Mushrooms are incredible. Roughly 2 million unique organisms and for the most part, we understand very little about them. In recent years we’ve discovered how they can help digest plastic waste and oil spills, how they can help save the bees, and how mushrooms intelligently interact with each other and the world. Did you know mushrooms can communicate with each other? We are now even beginning to understand how psychoactive compounds found in mushrooms might have therapeutic benefits. But of all the 2 million mushrooms, and the 6 ‘functional mushrooms’, I never hesitate when I’m asked which of them all is my favorite. There’s just something about lion’s mane.

Hunter Allan Co-founded Vesper Mushrooms in 2022 along with Jake Stout. Vesper Mushrooms makes high-quality liquid mushroom extracts, grown and extracted in the USA.

Learn more about Vesper Mushrooms products below:

Lion’s Mane Extract: Perfect for enhancing cognitive function, promoting mental clarity, and supporting nerve regeneration.

Reishi Extract: Known for its calming properties and support of the body’s natural stress response.

Pink Freud - Reishi and Lion’s Mane Blend: A powerful combination designed to promote both relaxation and focus.

Gray Matter - 5 Mushroom Spagyric Concentrate: A holistic formula for overall brain health and vitality.

Chaga Extract: Renowned for its immune-boosting properties.

Cordyceps Extract: Ideal for enhancing physical performance and stamina.

Turkey Tail Extract: Supports gut health and overall immune function.

Gold Metal Cordyceps and Lion’s Mane Blend: The basis for our Myco Energy drink, aimed at promoting sustained energy and mental performance.

You can check out Myco Energy at mycoenergy.com.

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Attachment, Mental Health, Therapy Britney Cirullo Attachment, Mental Health, Therapy Britney Cirullo

Understanding Attachment Theory in Counseling

Through the lens of attachment theory, all relationship behaviors are attempts to experience, maintain, or obtain connection and security. Attachment theory, developed by psychologist John Bowlby, suggests that the bonds we form with our caregivers in infancy and childhood determine how we perceive and engage in relationships as adults. We develop secure attachments when our caregivers provide consistent love, support, and responsiveness, fostering a sense of safety and trust in relationships.

In contrast, insecure attachments are developed when caregivers are unpredictable, neglectful, or absent, often creating difficulty trusting others and issues with emotional intimacy. These initial attachment experiences can influence the type of relationships we choose and environments we create later in life. In an environment of secure attachment, our needs for security and closeness are met, and so we feel safe to be vulnerable, connect with others, and explore the world around us. But in an environment of insecure attachment, we may develop dysfunctional behaviors in a misguided attempt to get our attachment needs met, often not knowing what a securely attached relationship even feels like. Looking at these behaviors through the lens of attachment theory helps us find better ways to achieve the same goal: To feel seen, heard, safe, and loved.

Understanding attachment theory helps put words to our body’s attachment experiences. Our body is wired with systems that are always working to gain and maintain safety and survival. For example, our body’s appetite system lets us know when we are hungry and cues us to eat. Similarly, our body is wired with an attachment behavioral system that causes our bodies to experience distress when our attachment feels threatened and maintain this distress until we get our attachment needs met. Just like we learn to recognize our body’s signals of hunger and how to communicate and meet those needs, counseling can help us learn to recognize our body’s signals for attachment and how to communicate and meet those needs in functional ways.

If your counselor practices attachment theory, you can expect them to:

  1. Prioritize the therapeutic relationship

  2. Create a safe, non-judgmental environment for you to explore painful feelings and experiences

  3. Help you identify your individual attachment style and explore the role that it plays in your current relationships

  4. Support you in exploring past experiences that shaped your attachment system and encourage you to reflect on how these experiences may impact the way you perceive and interact with the world now

  5. Help you shift dysfunctional perspectives and engage in more functional behaviors to meet attachment needs

Attachment theory is not just about the past; it’s also about the future. The therapeutic relationship itself can serve as a corrective emotional experience, allowing us to process and challenge dysfunctional attachment patterns in a safe, supportive, and secure environment. By learning to recognize, communicate, and fulfill our attachment needs, counseling can help us develop and feel a more secure attachment with our loved ones and ourselves.

Curious about your attachment style? Take this free quiz!!

Written by: Hailey Adams, M.Ed., LPC

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