Nathan Rehm, LCSW
I want therapy to be accurate to your experience.
When I offer a direction, I want to know what fits, what does not, and what actually happens as we work. “Nothing happened,” “I’m not sure,” and “That isn’t right for me” are useful responses. So are relief, discomfort, skepticism, or something neither of us expected.
If you find yourself watching my reaction or wondering whether I think the process is working, that is useful to know too. You do not need to manage my response or convince me that the work is helping. I take your feedback seriously when deciding whether to continue, slow down, or change course.
My role is not simply to agree with you or wait for you to find the treatment on your own. I bring preparation, direction, and clinical judgment. I expect the work to adapt when your response indicates it should.
What you can expect from me
I listen to what you say, how your experience changes while we are working, and signs that something may be too much, too distant, or not reaching what matters.
I may ask questions, suggest an experiment, or direct attention to something specific. At other times, conversation, reflection, or a practical tool serves the work. I will not ask you to produce emotional intensity or a positive response to show that therapy is succeeding.
Part of my responsibility is to hold the overall direction so you do not have to design your own treatment. What I ask from you is honest feedback, including when you feel uncertain, uncomfortable, unconvinced, or unable to tell what is happening. Therapy is more useful when neither of us pretends that something helped because it was supposed to.
Why I work this way
Over more than a decade of practice, I have often seen people understand themselves well while the reactions causing difficulty remain automatic. That experience guides my clinical decisions: insight remains important, and therapy can also work directly with what happens in the moment. I am less interested in how dramatic a session feels than in whether the recurring pattern begins to loosen and more choice becomes available in daily life.
Experience in service of the work
My background includes trauma-focused therapy, complex presentations, dissociation, attachment-related concerns, and the careful preparation and pacing these areas can require. I have also provided clinical supervision and held leadership responsibilities within a grant-funded trauma program.
That experience helps me recognize complexity, decide when to stay with a direction and when to reconsider it, and draw from more than one method without losing the thread of treatment. Those choices remain my responsibility. Training does not guarantee an outcome, but it gives me more to draw on when the work is not simple or linear.
Professional foundation
- Nathan Rehm, Licensed Clinical Social Worker
- EMDRIA Certified Therapist
- Somatic Experiencing Practitioner
- More than a decade of clinical experience
EMDR and Somatic Experiencing are my primary clinical foundations. My broader advanced training includes trauma, attachment, dissociation, parts-oriented work, somatic approaches, and skills-based approaches. I draw from that background according to the person and the work rather than presenting each approach as a separate service.
Additional experience: Clinical supervision; leadership responsibilities within a grant-funded trauma program
Licensed to provide psychotherapy in: Alabama, Arizona, and Oregon
Spirituality
Some clients bring spiritual language, questions, or experiences into therapy; others do not. When you initiate that dimension, I can work within your language and understanding without asking you to adopt mine. Spirituality is not assumed or required. Secular and nonreligious clients receive the complete approach without anything missing.
Considering working together?
The Fees & Consultation page explains telehealth eligibility, session and fee information, insurance, availability, and what happens in an initial consultation. It is the best next step if you are deciding whether to contact me.
If you arrived here first and want a clearer sense of the clinical process, you can also visit How Therapy Works.