Telehealth psychotherapy for adults in Alabama, Arizona, Florida, and Oregon
You may understand why it happens. In the moment, it can still take over.
At Lumen Hearts, therapy works with both what you understand and what happens automatically. New lived experiences can help different responses become more available when you need them.
You may already know the pattern well.
Perhaps you can trace a reaction to its roots and explain why it makes sense. Then the situation happens again, and you are pulled into the same response.
You may be skilled at analyzing, fixing, doing, or caring for others, yet notice your own needs only after you are depleted. Rest, confidence, or a clear boundary may be there briefly, then harder to access when pressure returns.
You may also react strongly and then turn against yourself for reacting. Knowing that a response has a history does not necessarily make it easier to be with when it arrives.
The insight you have gained still matters. The question is whether the pattern also needs a different kind of experience for change to become available in the moment.
We begin with something genuinely supportive.
That may mean an experience of steadiness, strength, connection, protection, or relief. Rather than only discussing it, we pay attention to what actually happens as you experience it.
Sometimes something helpful becomes more available. Sometimes doubt, numbness, fear, grief, irritation, a difficult memory, or simply nothing at all shows up. That response is useful information. It is not a sign that you are failing at therapy.
We do not decide in advance what your response should be. We stay curious about it and use what we learn to choose the next step.
This is not positive thinking or a way around painful material. Difficult experiences can become part of the work without being deliberately intensified. Pain does not have to become its organizing center or the proof that serious therapy is happening.
More room to respond. Less need to manage yourself constantly.
Over time, a reaction may arrive less often, with less force, or with more room around it. You may notice a need sooner, set a boundary before reaching overwhelm, or stay connected with yourself while something difficult is happening.
The goal is not permanent calm. Calm matters, and so do strength, confidence, patience, protection, and the ability to act. The larger aim is more flexibility and choice in meeting the moment.
Working with Nathan Rehm, LCSW
I pay close attention to the details of your response: what feels useful, what does not fit, what changes, and when the work starts to feel like too much. I offer structure and direction, but I do not need you to produce a certain result. If nothing is happening, something feels wrong, or you want to slow down, I want to know.
My work is grounded primarily in EMDR and Somatic Experiencing. I am a Licensed Clinical Social Worker, an EMDRIA Certified Therapist, and a Somatic Experiencing Practitioner, with more than a decade of clinical experience and advanced work with trauma, dissociation, and complex presentations.
Practical details
Format
Telehealth psychotherapy for adults
Available in
Alabama, Arizona, Florida, and Oregon
Sessions
50 minutes
Typical starting frequency
Once or twice weekly, adjusted according to your goals and what is helping
Duration
Individual rather than predetermined, and reviewed with you as the work progresses
Fees and insurance
$160 per session · Selected insurance plans accepted; confirm your specific plan on Fees & Consultation
Current availability
Accepting new clients; therapy generally begins within two to three weeks
A conversation about what comes next.
A free 15-minute phone consultation gives us time to discuss what brings you to therapy, what you are looking for, and whether this approach may fit. You can ask questions and get a clearer sense of how I understand what you are bringing. It is not a therapy session, and scheduling or attending does not obligate you to begin treatment.
Before scheduling, you can review fees, insurance, and what happens next on the Fees & Consultation page.