All Those Yesterdays is a mental health and substance abuse therapy provider that includes: OWI assessments, substance use or mental health assessments, diagnosis, individual or group therapy, based on each client's individual needs, for people who are suffering from most any life stressor, or issue ( substance abuse, job stress, divorce, marital issue, sexual issues, anxiety, depression, PTSD, ADHD, trauma, 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 that 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 mental health and substance use 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/mentally or a possible addiction 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 assessments, diagnosis, and outpatient counseling along with mental health therapy. Ryan currently accepts Amerigroup, United Health Care (Optum), Iowa Total Care, and Iowa Medicaid Enterprise insurance for substance abuse clients. He is also working on his contract with Blue Cross Blue Shield as he showing to be out of network right now. If you are seeking strictly mental health he can only accept self-pay at this time. Please spread the word. Appointments can be made through his website at 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 please. 

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

Learn More about Ryan Jensen

Learn More about Ryan Jensen

Why did he choose to be a substance abuse and mental health therapist, because he is also a person with co-occurring disorders (meaning he is long term recovery from addictions and has had traumatic events in his life that affect his mental health).

“What I noticed when I got clean and sober is that my mind and emotions were still not where they needed to be. I was sober, but had not dealt with my attachment disorder, the death of my alcoholic father, the death of my loving mother, being diagnosed with type 1 diabetes after being an a NCAA baseball pitcher, who also tore his rotator cuff and lost any chance of being drafted. All of these events occurred for me by the time I was 25 years old. This is what’s considered complex trauma. I had hopes and dreams of pitching in the majors, what I got was a major addiction to methamphetamine and alcohol and a whole bunch of complex trauma that was affecting my life. I am now able to be fully functioning in life and am just trying to help people as I have been helped to improve their overall quality of life in any way that I can.”

Ryan also felt the need to help the less fortunate in Menomonie, WI in 2010, so he and two other individuals decided to start a non-profit organization which has two transitional living homes which are still operating in full force today. He felt that a lot of the people coming out of jails, prisons and treatment centers had nowhere healthy to go after being at these places, which led a lot of them back to jail or relapsing soon after residential treatment. They formed a sober living environment in these homes where men and women could live until they became independent again. Ryan and his partners not only required abstinence from the tenants to live there, but they also had to get a job, attend 12 step meetings, or be involved with therapy. Of course, Ryan and his partners helped them find ways of getting jobs, forming resumes, getting state aid and so on. The name of the transitional living company is Soft Landing Transition Services. You can find more information on that at

Ryan is not just a person in recovery from these issues he also has the following education, certifications, trainings and licenses:


  • University of Wisconsin-Stout- Bachelor’s in Early Childhood Education and Coaching Authorization
  • Chippewa Valley Technical College- Substance Abuse Counseling Major
  • Capella University- Master’s in Clinical Mental Health Counseling (with distinction)

Licenses, Certifications or Trainings in the following:

  • National Certified Counselor (NCC)
  • Licensed Mental Health Counselor (LMHC)
  • International Alcohol and Drug Counselor (IADC)
  • Eye Movement Desensitization and Reprocessing Clinician (EMDR)
  • Certified Co-Occurring Disorders Professional (CCDP)
  • Iowa Athletic Coaching Authorization
  • 40 hours of continued education every two years in the state of Iowa for co-occurring disorders since 2006.