Trauma, attachment and relationship therapy · Online across Utah

You've managed it long enough. Let's actually resolve it.

Accepting new clients · Replies within 1–2 business days

Focused therapy for adults who are done coping and ready to do the work, whether that's trauma you've carried for years or a relationship pattern you keep repeating. I use EMDR and attachment-based methods to get at the root of the anxiety, the anger, the distance and the numbness, instead of just managing the symptoms.

  • Licensed CMHC (Utah)
  • EMDRIA-approved EMDR training
  • 500+ EMDR sessions
  • Telehealth statewide
  • HSA / FSA accepted
Cassy Pierce, Licensed Clinical Mental Health Counselor and trauma therapist in Utah
Online across UtahVideo sessions via SimplePractice
Why nothing has worked yet

Insight isn't the same thing as relief.

You might already understand exactly where your problems come from. You can name the events, explain the patterns, maybe even quote what a previous therapist told you. And yet you still snap at people you love, still lie awake at 2am, still feel a step removed from your own life.

That's because trauma isn't stored as a story you can talk your way out of. It's stored as a reaction. Understanding it intellectually and getting your nervous system to stop firing are two different projects, which is why years of talking can leave you well-informed and still stuck.

It also doesn't always look like flashbacks. For plenty of people it shows up in relationships. The same painful pattern on repeat. Going cold and pulling away the moment someone gets close. Needing constant reassurance and resenting that you need it. Never quite being able to say what you actually want. Those are attachment patterns, and you learned them somewhere, for reasons that made sense at the time.

I work on the second project. EMDR and attachment-based methods target the reaction itself, so the old material loses its charge and stops running the show. The goal isn't better coping skills. It's needing them less.

Does any of this sound familiar

Three people who are not real, and might sound like you.

These are illustrations I wrote, not clients. They're built from patterns I see often rather than from anyone's actual history. If one of them lands uncomfortably close, that's the point.

The one who keeps it together

He is good at his job. Nobody at work would guess. He has never told anyone what his stepfather was like, and does not intend to. It was a long time ago, and other people had it worse. Then last month his six-year-old spilled a drink, he heard himself shouting, and he saw his own face reflected back in his son's. He does not want to talk about his childhood. He wants to stop being a person his kids flinch at.

We wouldn't start with his childhood. We'd start with the shouting, and with what happens in his body in the two seconds before it. Once he could catch that, we'd use EMDR on the memories his body is reacting to. By week seven, a spilled drink could be just a spilled drink. He might still find parenting hard. But he'd stop believing his kids are frightened of him.

The one who looks fine

Good career, good friends, and a childhood she describes as fine. Nobody hit her. Nobody was particularly interested in her either. She is exhausted by how much effort it takes to seem normal, cannot order dinner without rehearsing it, and feels a step removed from her own life. She has been to therapy before. It was pleasant. Nothing changed.

There's no single event to process, which is why previous therapy stalled. We'd work instead on what it cost her to grow up unseen, and on the belief that her needs are an imposition. The first shift would likely be small, like telling a friend she's tired instead of saying she's fine. By the end of the block, she could be making decisions without running them past four people first.

The one in the same relationship again

This is the fourth version of the same relationship. Different man, same ending. She reads about attachment styles at two in the morning and recognizes herself in all of them. She needs reassurance constantly and hates that she needs it. When someone gives it freely, she finds a reason to distrust it. She does not think she has trauma. She thinks something is wrong with her.

Nothing is wrong with her. She has a strategy that made sense when she was nine and does not now. We'd map the pattern, find where it was learned, use EMDR on the experiences still driving it, then practice something different, starting inside our own sessions. She wouldn't be cured of wanting reassurance. But somewhere around week eight, she might notice she has stopped auditioning for it.

None of these are real people. I don't write about my clients. Not in composites, not disguised, not anywhere. If you become a client, the same applies to you. And none of this is a promise about your outcome. It's a description of the kind of change this work aims at.

Focus areas

What I work on

Trauma and attachment are the through-lines, and they rarely arrive on their own.

Trauma and PTSD

Single events, and the long layered kind of trauma that builds up through childhood, relationships, sexual trauma, accidents, or years of prolonged stress. The hypervigilance, flashbacks, shutdown and shame that outlast the event itself.

Relationship patterns and attachment

Anxious and avoidant attachment, repeating the same relationship, going distant when someone gets close, people-pleasing and codependency, and how genuinely hard it can be to let anyone really know you.

EMDR therapy

A structured, evidence-based method for reprocessing distressing memories so they stop feeling present. You don't have to narrate every detail for it to work.

Childhood emotional neglect

Nobody hit you. Nobody was interested in you either. If you grew up feeling unseen, and you still can't quite name what you feel or believe your needs count, there is a name for that. It's real, and it's very treatable.

Betrayal trauma and infidelity

Discovering an affair, hidden pornography use, or years of deception is a trauma, and it lands on your attachment system. I work individually with either partner. That might be the one carrying the injury, or the one who caused it and wants to change.

Anxiety, depression, grief & life transitions

The dread, irritability, and flatness that sit on top of unresolved trauma. Plus divorce, career upheaval, faith shifts, and the sense that you're living a life you didn't choose. And grief. Losing a person, a role, or a version of your life you expected to have. Grief needs company and time more than it needs fixing. When it's tangled up with older material, that's the work I do.

How the work is structured

Focused chapters, not open-ended therapy.

Instead of an indefinite weekly appointment, the work is organized into focused stretches of roughly 8–12 weeks, each with a defined target and a review at the end. You'll know what you're working on and whether it's moving.

01

Free 15-minute consult

A short call to hear what's going on, answer your questions, and tell you whether I'm the right fit.

02

Intake and a real plan

A longer first session to map your history and set specific goals, so we both know what success looks like.

03

The actual work

Weekly sessions using evidence-based methods including EMDR, cognitive behavioral therapy and emotionally focused individual therapy, aimed at the targets you set, at the pace your nervous system can handle.

04

Check progress, choose next

You review what's changed and decide together: wrap up, keep going, or shift to a new target. Your call.

A chapter is not the whole book. Plenty of people do more than one stretch, either for a new target or because a long history needs more room. That's normal, and I'd rather you knew that going in. The structure exists to keep the work pointed, not to rush you out the door.

Why bother

What it looks like when this works.

You get through a day without scanning for what's about to go wrong. Someone raises their voice and you notice, a beat later, that you're fine. The memory is still there, but it's become a thing that happened instead of a thing that is happening.

You stop managing yourself every waking minute. You have opinions again, and you say them out loud. The people close to you get the version of you that is actually present.

Not everyone gets all of that, and I won't promise you a specific outcome. But that's the direction we work in, and it's the standard I hold the work to.

Is this you?

Good fit if you…

One clarification, because it matters. Doing the work means showing up honestly and staying engaged. It does not mean performing, and it does not mean being fine. Hard weeks, setbacks, and sessions where you can barely find words are a normal part of trauma recovery, and I do mean normal. If you're not sure whether you'd be a good fit, that is exactly what the consult is for. Just ask me.

  • Are an adult, or a teen sixteen or older, located in Utah
  • Are willing to stay engaged between sessions, not just show up
  • Have done therapy before and want something that goes deeper
  • Keep repeating the same relationship pattern and want to understand why
  • Are high-functioning on the outside and struggling underneath
  • Want a therapist who's direct with you, not just agreeable
  • Would rather pay out of pocket than have insurance dictate your care
The first step

What happens on the call

  1. You talk, briefly. As much or as little as you want. You don't have to be articulate about it, and you don't have to have it organized.
  2. I ask five or six questions, enough to know whether what I do fits what you need.
  3. You get an answer. Either I think I can help and we talk about scheduling, or I tell you who'd be a better fit. No pitch either way.
I keep this practice small, around twelve clients a week, so the people I work with get real attention. I would rather do this well with a few people than adequately with a lot of them. It does mean openings are limited.

Start with a conversation, not a commitment.

Fifteen minutes on the phone, free, no paperwork. You'll get a clear sense of whether this is worth pursuing. If it isn't, I'll say so.

See if we're a fit