All Those Yesterdays

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, or telehealth 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.
Ryan is now able to provide substance abuse & mental health assessments, diagnosis, and outpatient counseling along with mental health therapy. Appointments can be made by calling 712-580-4732 Ext. 8, please leave a message, but if he is operating from home, please call 712-363-8066 (work cell). If you are in crisis or hav an emergency please call 911 or go to the nearest emergency room. There are NO WALK-IN appointments and the office will be open by appointment only.
Ryan will be able to provide telehealth, or in person sessions at his regular office location depending on COVID-19 conditions at the time of your call. All COVID-19 Guidelines are being followed and are in place (social distancing, etc). Groups will be held via telehealth at this time. Please use the office number or 712-363-8066 (work cell used when not in the office).
Accepting the following insurance plans: Iowa Medicaid Enterprises, Iowa Total Care, Amerigroup, Medica, Wellmark Blue Cross/Blue Shield, Midland's Choice, United Health Care, Health Paartners, and more. Depending on each client, the following are the services that may fit your needs and the prices. Of course, each of your insurance plans will have various actual office visit co-pays, or could be totally covered, please call your insurance for more information.