Business Details
14 Years
experience
Your Trusted Partner for Holistic Mental Health & Relationship Therapy
Pivotal Counseling has been dedicated to transforming lives through specialized therapeutic services since 2012. Our practice focuses on holistic well-being, addressing physical, emotional, mental, sexual, and spiritual health. We reject one-size-fits-all approaches, tailoring evidence-based methods to meet each client's unique needs. Our team of certified professionals specializes in couples counseling, sex therapy, and ketamine-assisted psychotherapy, addressing complex issues like chronic infidelity, sexual dysfunction, and treatment-resistant mental health conditions.With locations in Greeley and Fort Collins, Colorado, we offer both in-person and online sessions across multiple states. Our commitment to accessibility includes free 20-minute consultations and flexible scheduling options. We prioritize compassionate, judgment-free care while maintaining rigorous professional standards through certifications from organizations like AASECT. By combining clinical expertise with personalized treatment plans, we help clients achieve meaningful growth and healthier relationships.
Services
Couples Counseling
Sex Therapy
Ketamine Therapy
Marriage Counseling
Free Consultation
Details
- Year established: 2012
Highlights and features
- Free 20-minute consultations with all clinicians
- Tailored evidence-based approaches for individual needs
- AASECT-certified sex therapy specialists
- Specialized training in Gottman Method Couples Therapy
- Flexible session options including outdoor walking therapy
Associations and certifications
- AASECT (American Association of Sexuality Educators, Counselors, and Therapists)
What people say
Positive and open approach
Helped understand root behaviors
Sessions were lite and fun
Validated both partners' feelings
Provided practical tools for growth
Services
Couples Counseling
Our couples counseling addresses destructive patterns and communication breakdowns through evidence-based methodologies. Specialized training in Gottman Method and Emotionally Focused Therapy helps couples rebuild trust and connection. Sessions focus on resolving chronic conflicts, improving intimacy, and developing healthier relational dynamics for both traditional and non-traditional relationships.
Sex Therapy
Specialized sex therapy addresses sexual dysfunction, identity exploration, and intimacy issues through AASECT-certified practices. Our clinicians help clients navigate challenges including painful penetration, desire discrepancies, and kink/BDSM exploration while maintaining strict ethical boundaries and non-judgmental support for diverse sexual orientations and identities.
Ketamine Therapy
Ketamine-assisted psychotherapy combines sublingual ketamine administration with guided therapeutic sessions to treat treatment-resistant depression, anxiety, and trauma. Our trained clinicians facilitate psycholytic and psychedelic experiences to promote neuroplasticity and profound personal insights through structured preparation and integration sessions.
Marriage Counseling
Marriage counseling services focus on strengthening committed relationships through communication skill development and conflict resolution strategies. Our therapists address issues like infidelity, financial disagreements, and intimacy challenges while helping couples establish healthy relationship foundations before and during marriage.
Free Consultation
Complimentary 20-minute consultations help clients find the right therapist match. These sessions allow potential clients to discuss their concerns, ask questions about therapeutic approaches, and determine if our services align with their treatment goals without financial commitment.
People
Ethan L. Bratt
Clinical Director, Certified Sex Therapist
Specializing in sex therapy and couples counseling, Ethan helps clients address infidelity, sexual dysfunction, and religious trauma. With advanced training in Gottman Method and AASECT certification, he focuses on creating safe spaces for exploring complex relationship dynamics and sexual identity issues.
Danielle DeSalvo
Relationship and Sex Therapist
Danielle specializes in LGBTQ+ relationship counseling and sexual exploration. Her expertise includes addressing communication breakdowns, power dynamics, and pleasure enrichment through an affirming, inclusive approach that supports diverse relationship structures and sexual identities.
Joseph Nolliste
Relationship and Sexuality Clinical Intern
Joseph focuses on helping couples navigate high-conflict situations and non-traditional relationship structures. His training emphasizes boundary setting, premarital counseling, and addressing religious trauma while supporting clients' exploration of ethical non-monogamy and sexual health.
Questions
Do you accept insurance?
We are not in-network with any insurance providers but offer out-of-network reimbursement assistance through Thrizer, allowing clients to save 70% upfront on sessions post-deductible.
Are sessions confidential?
All therapy sessions maintain strict confidentiality except in cases of imminent harm to self/others or mandated reporting requirements, ensuring a safe space for open discussion.
What are your cancellation policies?
Sessions canceled less than 48 hours in advance incur a full fee charge, with exceptions made for emergencies. We offer teletherapy alternatives when possible to maintain continuity of care.
Do you offer weekend appointments?
Some clinicians provide weekend sessions; availability varies. Contact our front desk to check current weekend scheduling options with specific therapists.
What makes your sex therapy different?
All clinicians are AASECT-certified or supervised by certified therapists, ensuring specialized training in sexual health principles and evidence-based techniques for addressing diverse sexual concerns.
How long does therapy typically last?
Treatment duration varies by individual needs, with most clients attending 8-12 sessions. Your therapist will develop a personalized treatment plan and regularly assess progress toward your specific goals.
