Megan Spees, MA, LLP, CAADC, CCTSI is a Limited License Psychologist who received her master’s degree in clinical psychology from the Michigan School of Professional Psychology.
Through a comprehensive initial assessment, Megan will help clients formulate a treatment plan that is person-centered, and trauma informed. Megan will review the client’s treatment goals and outcome expectations. After the assessment is completed, Megan will work with the client to determine the frequency of their sessions and schedule further appointments and discuss boundaries for in between session coaching if necessary.
Ongoing counseling/therapy sessions will focus on identifying and providing symptom reduction, coping strategies and identify any obstacles that may need to overcome in order to resolve/heal from the things that are hindering a person’s path to self-actualization.
Megan believes that every client is unique. Healing is its own process for everyone. There is no standard number of sessions available or required for growth, so long as the client is desiring growth. If the time comes when termination presents itself, Megan will work with you to determine the best aftercare plan to ensure growth.
- ADHD – Adult
- Addiction (Drug/Alcohol)
- Anxiety (GAD)
- Behavioral Management
- Co-occurring Mental Disorders
- Conflict Resolution
- Individual Counseling
- Relationship Issues
Megan Spees, MA, LLP, CAADC, CCTS-I specializes in:
- Process Addictions and Drug and Alcohol Addiction
- Trauma (PTSD) / Anxiety Disorders
- Humanistic Psychotherapy
- Trauma Reprocessing
- Generalized Anxiety Disorder
- Co-occurring Mental Disorders
- ADHD in Adults
- Substance Abuse Evaluations
Process Addictions and Drug and Alcohol Addiction
Megan is a Certified Advanced Alcohol and Drug Counselor. She has worked with a wide range of addiction and impulse control issues and finds they are often related to underlying mental health concerns or trauma. Megan will work with clients to identify these issues and construct treatment plan goals surrounding these issues.
Megan believes that recovery is possible for everyone. Her approach focuses on a biopsychosocial humanistic approach to recovery. Using her humanistic perspective, Megan incorporates the biopsychosocial protective factors that every client inherently has and works with her clients to mitigate the risk factors present at the beginning of treatment through various exercises and treatment plan goals and objectives.
Trauma (Certified Clinical Trauma Specialist) – Individual
Megan is Certified Clinical Trauma Specialist which focuses on safety and effective treatment for helping individuals heal from Post Traumatic Stress Disorder (PTSD). Furthermore, Megan can help clients overcome all anxiety disorders by utilizing effective treatment measures.
Megan practices clinical psychotherapy with her clients. She provides individualized, person-centered psychotherapy utilizing assessments such as the ACE and the BDI-II as well as a robust clinical history in order to construct a treatment plan designed to guide the client on their path to self-actualization.
Megan believes in the client’s ability to autonomously reach their goals through their own potential and self-determination and her psychotherapy aids in this process. At a minimum, Megan sees clients on a weekly basis but does offer advanced trauma reprocessing sessions that occur more than once a week.
Megan will work with you on symptom mitigation, coping strategies and processing the things that are hindering your path to self-actualization. Every 90 days, Megan will review the progress of your symptom mitigation along with your treatment plan goals. They will then be revised and evaluated with you in session to determine where your treatment will go from there. Megan believes that every client is unique. Healing is its own process for everyone. There is no standard number of sessions available or required for growth, so long as you are still growing. If the time comes when termination presents itself, Megan will work with you to determine the best aftercare plan and synthesize your learning during your therapeutic journey.
Through her years working in inpatient treatment as well as in outpatient settings, Megan has fashioned her own unique way of helping clients heal via reprocessing advanced trauma histories. Megan finds that people do not realize that they have in fact experienced a good deal of trauma in their lives and this often hinders self-actualization.
Through personal experience working with client’s and in her own personal therapy, Megan will tell her clients that trauma, as an operational definition is, “anything beyond a person’s ability to handle at the time.”
Trauma may include, but is not limited to:
- Death of a loved one
- Medical trauma
- Loss other than death (i.e., job, relationship)
- Sexual Assault
- Child Abandonment
- Parents with an addiction/mental illness
- Being separated from parent’s due to mental health, substance abuse, or incarceration.
- Occupational trauma
- Witness to trauma
- Military Combat
The primary symptoms of trauma include nightmares and flashbacks. However, trauma can also present as anxiety and other mental health concerns, and Megan will work with you to mitigate these symptoms and improve your overall quality of life by doing so.
The above list is by no means comprehensive, but each one of these events can be processed as a trauma and can have devastating effects to a person’s psyche. Megan seeks to work with clients through teaching them reciprocal inhibition, grounding, and guided visualization all pertinent and person-centered based on the client’s lived experience of their trauma. Megan hopes to teach her clients how to mitigate the symptoms of their trauma through her own unique style.
Clients will participate in trauma reprocessing sessions for 90 minutes at varying points throughout treatment and will have regular individual sessions as well. This will be decided on a case-by-case basis. These longer sessions are only used if clients are still experiencing nightmares and flashbacks.
Additionally, Megan will help the client work with different trauma narratives and will help them to self-regulate and reprocess their trauma if they are still experiencing flashbacks and nightmares.
Generalized Anxiety Disorder
Like how she treats trauma, Megan has developed a unique way of treating clients diagnosed with Generalized Anxiety Disorder. Through psychoeducation and system regulation, Megan teaches clients to control their own anxiety via reciprocal inhibition techniques and gradual desensitization to anxiety arousing stimuli. Megan will work with her clients to develop treatment plan goals related to immediate symptom mitigation and improvement as well as long term coping skills goals.
Anxiety can be debilitating. Megan is willing to do videoconferencing for clients that are too overwhelmed to come in office. She is also willing to conduct coaching via phone/text-message, given appropriate boundaries that will be discussed and outlined in the client’s file as part of their treatment plan. Through her humanistic perspective, Megan has developed a unique way of sitting with clients and helping them hold their struggles in a safe, conducive, healing environment. Megan will sit with you and be wholly present while helping you mitigate and self-regulate your anxiety symptoms inside and outside the office.
Anxiety can have many symptoms including:
- Nausea, vomiting, indigestion, GERD
- Dizziness, blurry vision, tunnel vision
- Clammy hands
- Hot/cold sweats
Although this list is not exhaustive, the symptoms can be debilitating and often hinder clients from meeting their goals and living their best lives. Megan will teach coping strategies such as grounding and reciprocal inhibition to teach clients to control their anxiety and recognize the physical signs and symptoms.
Co-occurring Mental Health Disorders
Co-occurring disorders refers to when a person has two or more mental health disorders or medical illnesses. These co-occurring disorders may overlap and begin at the same time, or one may appear before or after the other. Examples of co-occurring disorders include but not limited to are alcohol addiction and panic disorder, major depression and cocaine addiction, marijuana addiction and schizophrenia, cocaine addiction and anxiety disorders, trauma and substance abuse, self-harm behavior and opioid abuse and anorexia nervosa and cocaine abuse.
Given her wide range of experience in working in inpatient and outpatient treatment, Megan will work with clients with advanced mental health issues that may be compounding their substance abuse concerns and vice-versa.
Megan will help assess and treat your mental health concerns and substance abuse concerns in a combined way as this is the best evidenced-based way to treat these issues. Additionally, Megan believes in a person-centered approach that involves incorporating all individuals in a client’s treatment team. Therefore, she will coordinate with your psychiatrist or Primary Care Physician in order to give you the best care possible and help advocate for you on your behalf.
ADHD in Adults
As an adult with ADHD herself, Megan is aware of the struggles that individuals with this concentration deficit tend to have while trying to function in the adult world. From over-talkativeness to impulsivity and a lack of general boundaries, these issues can range from the mild to the extreme. Megan will work with you to develop coping skills related to your self-identified struggles with ADHD.
Together, Megan believes that even adults who have not been treated before can successfully navigate the difficulties of adult ADHD. Megan will work with clients on skills such as time management, symptom tracking, and prioritization as well as identifying self-sabotage tendencies that are often related to ADHD struggles in an adult’s personal life.
Substance Abuse Evaluations
Megan will also use the American Society of Addiction Medicine (ASAM) Criteria to determine the client’s appropriateness for outpatient treatment and will refer clients to inpatient treatment for substance abuse if this is warranted based on a robust ASAM review. ASAM Criteria is criteria that determines a client’s appropriateness for inpatient or outpatient treatment due to their ranking on six dimensions. The six dimensions are as follows:
- Dimension 1: Intoxication/Withdrawal
- Dimension 2: Biomedical Needs
- Dimension 3: Emotional/Cognitive/Behavioral Concerns
- Dimension 4: Readiness to Change
- Dimension 5: Risk for Relapse/Continued Use
- Dimension 6: Social Support/Recovery Living Environment
Megan finds that the more “yes” answer’s clients have to the following questions, the more likely their addictive behavior has grown into a developing substance abuse problem:
- Do you find yourself craving the substance or being anxious/depressed when you cannot get the substance or engage in the activity (i.e., gambling; sex)
- Do you find that you need more of the substance to achieve the desired effects?
- Do you continue to use despite irrefutable consequences to your health, relationships, social, and occupational life?
- Do you find that you frequently engage in the substance/activity longer than intended or take more than you meant to?
- Do you spend a great deal of time trying to get the substance, recover from its effects, or use the substance or do the activity?
- Do your mental health concerns get worse when you engage in the substance/activity or alternatively, do they go away when you use the substance or engage in the activity?
If you answered yes to many of these questions, you might have a substance abuse problem. Megan will work with you to help mitigate these risk factors and help you maintain your goals whether they are moderation management or sobriety.
- Arizona Trauma Institute
- American Psychological Association