COVID-19 Update
All Those Yesterdays" is still operating and taking new patients for mental health and substance use but all sessions are via telehealth or phone calls at this time due to COVID-19 restrictions. Groups and individuals are continuing and if the client has access to a computer or phone Ryan will be able to see them and they can see him while talking.  Very similar to facetime, skyping, or Facebook Messenger Video chat, but more secure. If the client doesn't have access to video, he is very happy to provide help via a simple phone call. At this time please use the temporary agency cell phone number, 712-363-8066, for contacting Ryan. If you are having a crisis, or emergency, please dial 911 or go to your nearest emergency room. Thank you.

All Those Yesterdays

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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

Mental Health and Substance Abuse Counseling

Mental Health and Substance Abuse Counseling

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Ryan has education, or training in the following types of therapy. He stated that he uses an integrated approach which means he uses all of them depending on the client’s individual needs. These therapy techniques are: Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), 12-step model, Rational Emotive Behavioral Therapy (REBT), Reality Therapy, Solution Focused Therapy, Experiential Therapy, Dialectical Behavioral Therapy (DBT), psychoeducation and Gestalt Therapy.
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Pet Assisted Therapy

Pet Assisted Therapy

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Ryan has a licensed emotional support dog that will usually be in the office with him, his name is Staley and he is a 2 year old Amercan Bully. He is a rescue and is still working on his own anxiety issues:)  Research shows that just having an animal in the office that a client is able to see, or touch produce neurotransmitters that not only calm a client, but it is therapeutic, especially to those clients who suffer from anxiety, depression, or they have had adults who have had a history of mistreating them. If you are allergic, or do not Staley in the office you can simply state that during your phone call and he will have him placed in another locked room, or kenneled in the office, the choice is yours.
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EMDR Therapy

EMDR Therapy

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"Eye Movement Desensitization and Reprocessing (EMDR) therapy is a mental health and substance abuse treatment that has been extensively researched and proven effective for the resolution of mental health symptoms from adverse life experiences. Distressing life events can overwhelm a person's ability to cope have a lasting negative effect on mental, emotional, and physical health. EMDR therapy is an integrative psychotherapy that incorporates elements from many different treatment approaches for people of all ages suffering psychological distress." (https://emdrandbeyond.com/emdr, 2018).
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