All Those Yesterdays is a mental health and substance abuse therapy provider that includes: substance use assessments, mental health assessments, diagnosis, individual therapy, and/or group therapy based on each client's needs. These services are for people who are suffering from most any life stressor, or issue (substance use, misuse, job stress, divorce, marital issue, sexual issues, anxiety, depression, PTSD, ADHD, trauma, DHS involvment, Department of Corrections involvement, etc). The owner and sole clinician’s dream was to one day be able to give the gift that he has received himself over the years in the form of therapy. Stigma has caused so many people to not seek help when they are stressed, or struggling with life issues. Professionals in our community can be especially afraid to seek help due to a certain public image that people think they need to have. Everyone can benefit from therapy including; police officers, lawyers, doctors, therapists, nurses, teachers, and other helping professions. Many in the helping profession end up with what can be called "compassion fatigue" where they expend all their emotional energy on others that they have a hard time taking care of themselves. Ryan understands this fully and wants to be the trusted clinician professionals can also turn to along with the rest of the population.  This is part of why Ryan chooses to use self-disclosure openly to help reduce the stigma and help people understand that our substance use and mental health is just as important as our physical health. He feels society needs to get to the point where if they are struggling with something emotionally or mentally they should feel the same about calling for a therapy appointment as easily as a patient would call a medical doctor if they are running a fever. 

 Appointments can be made through his website at allthoseyesterdays.org in the contact page, or call 712-580-4732 Ext. 8, please leave a message and he will return your call within 24 hours unless on vacation or other life events. If it's an emergency call 911, or go to your nearest emergency room. Office open by appointment only, no walk-ins, thank you. 

Accepting the following insurance plans: Iowa Medicaid Enterprises, Iowa Total Care, Amerigroup, Medica and Wellmark Blue Cross and Blue Shield, Midland's Choice. Depending on each client, you will not have to participate in any or all of the following, but again that will depend on presenting problem, assessment results and referal source. 

Prices are: $175.00 for a mental health/substance abuse evaluation
                $100.00 for an individual session
                $25.00 for an observed CLIA waived and FDA approved urine test for illicit drugs  
                $35.00 for the above drug test that also includes an alcohol test dipstick for the urine that tests up to 80                        hours back from last intoxication. 
                $60.00 per group session (1 to 1.5 hours)

All Those Yesterdays-Integrated Mental Health and Substance Abuse 
Counseling
Grand Avenue Community Outreach Building
605 Grand Avenue
Suite 29
Spencer, IA 51301