The choice to enter therapy often comes after some thought and consideration. Thinking about change and taking action to find support take courage. Whether a difficult life event has occurred, or over time you have wanted to improve certain areas of your life, even coming to visit a website is a step along the way. Dr. Minten works with this natural process of change - how you think, what you feel, and what will assist you in taking the next steps toward health. Compassion, empathy, respect, and genuineness are cornerstones Dr. Minten uses to forming connection that will be the platform from which changes can be made. Our general orientation is Existential, which means we focus on each person's lived experience with little theoretical "overlay" and we attend to each person's unique experience of life including emotions, a sense of purpose and meaning, and living life fully with less regret. Other modalities below supplement this foundational perspective.

Relationship Health

Dr. Minten’s work includes a strong focus on interpersonal relationships. Our sense of purpose and meaning often come from our connections with loved ones. Advances in neurobiology have shown how we are wired for feeling and connection  and help us understand how connection supports our strength and resiliency. Our ability to manage our relationships with others at home, work, school, and other activities is important to our experience of belonging and having a role or place in the world. 

Partners and families can work with immediate emotions and experience in the moment, take home skills to practice, target conflict resolution skills right in session, and more. Dr. Minten works with each couple and family to deepen connection, improve communication, and heal from past events. 

Also, she has worked locally to create referral lists of mental and physical health providers in the Reno-Sparks area who are affirmative and friendly for LGBTIQIAP individuals, couples, and families. Under health provider referrals are those who may assist with the transgender transition process at various stages and ages of transition. Ask about our local referral list of providers (doctors, endocrinologists, plastic surgeons, estheticians, resources for voice lessons, contacts and information for local support groups, and more). Also you can access this list from the TAG (Transgender Allies Group) website (you will leave this website):

Therapeutic Modalities

 EMDR  stands for Eye Movement Desensitization Reprocessing. EMDR uses an  information processing therapy used to work with trauma and anxiety -  from catastrophic traumatic events  to smaller, chronic stressful life  events - all of which can shape our beliefs about ourselves and our  world, our emotional reactions, and our physical sensations. EMDR has  show efficacy in working with myriad mental health concerns related to trauma and anxiety. The process works by accessing the natural process in our  brains to resolve past experiences.  EMDR uses bi-lateral stimulation  (one side of our body to the other - right and left) through visual,  tactile, or auditory methods, while attending to three areas of our  experiences: past events, current situations, and future behaviors. EMDR  combines  elements of psychodynamic, cognitive behavioral,  interpersonal, and experiential therapies for a  comprehensive and integrated treatment approach.

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Motivational Interviewing

Whatever  the internal processes during MI [Motivational Interviewing] that  inspire change and strengthen commitment, they surely involve the whole  brain including our capacity for love, hope, interest, compassion, and  joy.  - William R. Miller, 
MINT Bulletin, 2009, Vol. 15 No. 1

Mary  uses Motivational Interviewing in her work with individuals, couples,  and families to assist with behavior changes, to help resolve  ambivalence, and to work through challenges that arise in the course of  the change process. Motivational Interviewing is both centered on the  client and directed toward change, assisting people in the change  process by building on and using each person’s strengths, values,  dreams, and goals.  Motivational Interviewing is fundamentally respectful, collaborative,  affirming of each person’s unique strengths and abilities.

While  it is not at all incompatible with giving advice or teaching new  skills, a motivational interviewing method places its main bets on the  person’s own resourcefulness. The overall view is that confidence (like  the importance aspect of motivation for change) is not something to be  imposed but, rather, is evoked from the person, literally called  (voiced) forth in the person’s own words and ideas… finding hope and  confidence for change is a collaborative process in which the counselor  is privileged to participate.      - William R. Miller and Stephen Rollnick, Motivational Interviewing, 2nd edition.

Family Systems
We are connected, for better or worse, and when these connections are healthier, we are healthier.  Mary helps families steer away from judgment, blame, or finding fault with one another, and toward finding healthier patterns and ways to connect that still fit the individual, the family, and the values of the family's culture. In Family Systems work, we do not look for blame, we look for how people influence each other and how to improve interactions to increase connection. Many patterns are passed from generation to generation - both healthy and unhealthy ways of being in the world. We look for health, and build on that healthy functioning, we look for relational strengths and help individuals, couples, and families use these strengths. When we find challenges, we understand that changing patterns that have been part of a family history takes time and patience but can be done - for us and for generations, generations, and generations to come.

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 Everyone has people in their lives that are gay, lesbian or transgender or bisexual. They may not want to admit it, but I guarantee they know somebody. - Billie Jean King

Managing coming out, intern and external homophobia, transphobia, and cultural heterosexism are challenging tasks. Families can become disconnected through shame, misunderstanding, and painful beliefs. Navigating parenting, keeping committed partnerships strong and healthy, making gender transitions, maintaining hope and balance in one's life are challenging tasks in a world where acceptance and equality remain illusive. 
  Therapeutic assistance can be considerably valuable in helping families and couples find their way through these waters. Mary works with individuals, couples, and families to meet the challenges LBGTIQIAP people face in today’s world. 

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General Therapy and 
Existential Approach 

Relationship Health




Motivational Interviewing

Family Systems

New Leaf Counseling and Consulting
Our Practice Methods 
Oh, the comfort, the inexpressible comfort of feeling safe; having neither to weigh thoughts nor measure words, but to pour them all out, chaff and grain together, knowing that a faithful hand will take and sift them, keep what is worth keeping, and then, with the breath of kindness, blow the rest away. - George Eliot, 1819-80

It demands great spiritual resilience not to hate the hater whose foot is on your neck, and an even greater miracle of perception and charity not to teach your child to hate.  
- James Authur Baldwin