Psychotherapy for Adults

I am trained in the following modalities: EMDR, Solutions Focused Brief Treatment, CPT, CBT, DBT.

Services

Adults, Couples, Veterans & their families, First responders, LBGTQIA+

Anxiety, Stress, and Depression

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Specialties Read More

Specialties

Trauma & PTSD
Addiction
Anxiety
Depression

Issues

• Addiction
• Anxiety
• Alcohol Use
• Anger Management
• Chronic Illness
• Chronic Pain
• Coping Skills
• Depression
• Domestic Abuse
• Domestic Violence
• Drug Abuse
• Dual Diagnosis
• Grief
• Infidelity
• Life Coaching
• Life Transitions
• Marital and Premarital
• Polyonomy
• Relationship Issues
• Self Esteem
• Sexual Abuse
• Stress
• Substance Use
• Transgender
• Trauma & PTSD

 

I am a person-centered therapist and believe that everyone has the power within themselves to heal. There are no wrong ways in which to heal. Together, we will determine what works best for you.

Angela R. Isaia

Angela R. Isaia, MS, LCMHC
EMDR Therapist

I obtained my Bachelor of Arts in Psychology in May 2010 (Magna Cum Lauda).
Graduate Certificate in Integrated Community Mental Health and Substance Abuse Services For Adults in September of 2011.
Master of Science in Community Mental Health in January 2014.

I am trained in the following modalities: EMDR, Solutions Focused Brief Treatment, CPT, CBT, DBT.

 

Anxiety, Stress, and Depression

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More About Me

I was born and raised a proud Air Force Brat. My mother spent 14 years in the Air Force as a single parent raising me and my sister. Being a single parent wasn’t easy but being surrounded by other military families made it possible. A tight knit community was born between us which allowed us to form many relationships and feel as one family. When our parents were stationed in foreign countries, we were able to experience life and other types of cultures. However, being BRAT meant there were many types of relationships lost consistently throughout our childhood lives, some more than others.

Life was not always easy. While I loved being a military BRAT and wear that badge with honor to this day, times were not always easy. There were several times in which I experienced traumas as both a child and a teen. I do believe that through my experiences growing up with my military family, I became resilient. I was not only able to survive but thrive in my life.

I went on to marry an Army veteran and together we have six beautiful children. My husband and children have supported my journey and dream of working in the mental health field. I have been working as a psychotherapist since 2014 and love the work that I do. In my journey as a psychotherapist, I have advocated for the needs of my clients. I feel passionately about working with members of our veteran community and their family members and first responders. This is close to my heart as this is a community in which I grew up in and have been a part of entire my life.

Making the step to come to therapy is not easy. For some shame, fear, concern, or uncertainty may be associated with it. I want my therapeutic setting to be a place where you feel safe, comfortable, and confident. I believe that it is what is most important to reach a place of healing. I am a person-centered therapist and believe that everyone has the power within themselves to heal. There are no wrong ways in which to heal. Together, we will determine what works best for you.

I obtained my Bachelors of Arts in Psychology in May 2010 (Magna Cum Lauda).
Graduate Certificate in Integrated Community Mental Health and Substance Abuse Services For Adults in September of 2011.
Master of Science in Community Mental Health in January 2014.

I am trained in the following modalities: EMDR, Solutions Focused Brief Treatment, CPT, CBT, DBT.

I’d Love to Help

I Have Experience With…

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EMDR (Eye Movement Desensitization and Reprocessing)

EMDR (Eye Movement Desensitization and Reprocessing), as with most therapy approaches, focuses on the individual’s present concerns. The EMDR approach believes past emotionally-charged experiences are overly influencing your present emotions, sensations and thoughts about yourself. As an example: “Do you ever feel worthless although you know you are a worthwhile person?”

EMDR processing helps you break through the emotional blocks that are keeping you from living an adaptive, emotionally healthy life.

EMDR uses rapid sets of eye movements to help you update disturbing experiences, much like what occurs when we sleep. During sleep, we alternate between regal sleep and REM (rapid eye movement). This sleep pattern helps your process things that are troubling you.

EMDR replicates this sleep pattern by alternating between sets of eye movements and brief reports about what you are noticing. This alternating process helps you update your memories to a healthier present perspective.

Solutions Focused Brief Treatment

Solution-Focused Brief Therapy (SFBT) is a short-term goal-focused evidence-based therapeutic approach, which incorporates positive psychology principles and practices, and which helps clients change by constructing solutions rather than focusing on problems. In the most basic sense, SFBT is a hope-friendly, positive emotion eliciting, future-oriented vehicle for formulating, motivating, achieving, and sustaining desired behavioral change.

Solution-Focused practitioners develop solutions by first generating a detailed description of how the client’s life will be different when the problem is gone or their situation improved to a degree satisfactory to the client. Therapist and client then carefully search through the client’s life experience and behavioral repertoire to discover the necessary resources needed to co-construct a practical and sustainable solution that the client can readily implement. Typically, this process involves identifying and exploring previous “exceptions,” e.g. times when the client has successfully coped with or addressed previous difficulties and challenges. In an inherently respectful and practical interview process, SF therapists and their clients consistently collaborate in identifying goals reflective of clients’ best hopes and developing satisfying solutions.

CPT (Cognitive Processing Therapy)

Cognitive Processing Therapy (CPT) is a cognitive-behavioral therapy (treatment that focuses on thoughts and feelings) for Posttraumatic Stress Disorder, or PTSD, and related conditions. PTSD can develop when an individual experiences a traumatic event such as physical and sexual abuse or assault, accidents, threats, military combat, or being a witness to violence or death. CPT focuses on the connections between thoughts, feelings, behavior and bodily sensations. CPT is an evidenced based therapy which means that it has been proven to be effective through rigorous scientific research.

CPT provides a way to understand why recovery from traumatic events is difficult and how symptoms of PTSD affect daily life. The focus is on identifying how traumatic experiences change thoughts and beliefs, and how thoughts influence current feelings and behaviors. An important part of the treatment is addressing ways of thinking that might keep individuals “stuck” and get in the way of recovery from symptoms of PTSD and other problems.

CBT (Cognitive Behavioral Therapy)

Cognitive Behavioral Therapy (CBT) is a type of psychotherapeutic treatment that helps people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior and emotions.

Cognitive Behavioral Therapy focuses on changing the automatic negative thoughts that can contribute to and worsen emotional difficulties, depression, and anxiety. These spontaneous negative thoughts have a detrimental influence on mood.
Through CBT, these thoughts are identified, challenged, and replaced with more objective, realistic thoughts.

What is DBT (Dialectical Behavioral Therapy)

Dialectical Behavioral Therapy (DBT) is a type of cognitive-behavioral therapy. Cognitive-behavioral therapy tries to identify and change negative thinking patterns and pushes for positive behavioral changes.

Get In Touch

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Good Faith Estimate

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the No Surprises Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.

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Privacy policy

Privacy policy

Peaceful River Counseling, LLC operates https://peacefulrivercounselingnh.com (the “Site”). This page informs you of our policies regarding the collection, use, and disclosure of Personal Information we receive from users of the Site.

We use your Personal Information only for providing and improving the Site. By using the Site, you agree to the collection and use of information in accordance with this policy.

We receive, collect and store any information you enter on our website or provide us in any other way. In addition, we may use software tools to measure and collect session information, including page response times, length of visits to certain pages, page interaction information, and methods used to browse away from the page. We also collect personally identifiable information that you put into the contact form (including name and email); comments, and feedback.

When you conduct a transaction on our website, as part of the process, we collect the personal information you give us such as your name, address and email address. Your personal information will be used for the specific reasons stated above only.

We collect such Non-personal and Personal Information for the following purposes:
1. To provide and operate the Services;
2. To be able to contact our Visitors and Users with general or personalized service-related notices and messages.
3. To create aggregated statistical data and other aggregated and/or inferred Non-personal Information, which we or our business partners may use to provide and improve our respective services;
4. To comply with any applicable laws and regulations.

Our company is hosted on the WordPress platform. WordPress provides us with the online platform that allows us to sell our products and services to you. Your data may be stored through WordPress data storage, databases and the general WordPress applications. They store your data on secure servers behind a firewall.

We may contact you to notify you regarding your inquiry of services through our contact us form, to send updates about our company, or as otherwise necessary to contact you to enforce our User Agreement, applicable national laws, and any agreement we may have with you. For these purposes, we may contact you via email. You may opt-out at any time by emailing: admin@peacefulrivercounselingnh.com

Our site uses cookies to enhance visitor experience and also through Google Analytics for site performance.
The following links explain how to access cookie settings in various browsers:
• Cookie settings in Firefox
• Cookie settings in Internet Explorer
• Cookie settings in Google Chrome
• Cookie settings in Safari (OS X)
• Cookie settings in Safari (iOS)
• Cookie settings in Android

To opt-out of being tracked by Google Analytics across all websites, visit this link: http://tools.google.com/dlpage/gaoptout

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Notice of Privacy Practices

Notice of Privacy Practices

We abide by Federal Regulations requiring us to ensure that your health information is protected. The following notice explains our privacy practices. Clients are required to read and sign this notice on admission to our practice. We are committed to respecting your confidentiality. This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

1. Introduction. This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

2. Your Health Information Rights. While actual records that we maintain about you belong to us, the information contained in our records belongs to you. Under the federal Privacy Rules (42 CFR Part 160 and Part 164) you have the right to:

Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522. Note, however, that we are not required to agree to a restriction that you may request. If we believe it is in your best interest to permit use and disclosure of your health information, we will notify you that your request for restriction will not be honored. If we agree to the requested restriction, we may not use or disclose your health information in violation of that restriction unless it is needed to provide emergency treatment.

• Obtain a paper copy of this Notice of Privacy Practices upon request.
• Inspect and obtain a copy of your health record.
• Amend your health record.
• Obtain an accounting of certain disclosures of your health information.
• Receive confidential communications of your health information by alternative means or at alternative locations
• Revoke your authorization to use or disclose health information except to the extent that action has already been taken.

3. Practice’s Responsibilities.

This Practice is required to:
• Maintain the privacy of your health information.
• Provide you with a notice as to our legal duties and privacy practices with respect to the  information we collect and maintain about you.
• Abide by the terms of this notice.
• Notify you if we are unable to agree to a requested restriction.
• Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will mail a revised notice to the address you’ve supplied. We will not use or disclose your health information without authorization, except as described in this notice.

4. Examples of How We Will Use or Disclose Your Protected Health Information. Your protected health information may be used and disclosed by us and others outside of our office that are involved in your care and treatment for the purposes of providing services to you. Your protected health information may also be used and disclosed to enable us to be paid for the services we render to you.

Following are examples of the types of uses and disclosure of your protected health care information that we are permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our Practice.

Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party that has already obtained your permission to have access to your protected health information. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

Payment: Your protected health information will be used, as needed, to obtain payment for services that we provide to you. This may include certain activities that your health plan may undertake before it approves or pays for the services we recommend for you. For example, some health plans must make a determination that you are eligible for reimbursement for particular services before we can provide them to you and we must provide them with protected health information to enable them to make such a determination.

Healthcare Operations: We may use or disclose, as needed, your protected health information in order to support our own business activities. These activities include, but are not limited to, quality assessment activities, certification and conducting or arranging for other business activities.

We will share your protected health information with third party “business associates” that perform various activities that are essential to the operations of our practice. Whenever we have an arrangement between our practice and a business associate, we will limit the amount of protected health information that we provide to the minimum necessary to accomplish the particular task and we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may use or disclose your protected health information, as necessary, to provide you with appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you.

5. Uses and Disclosures That We May Make Unless You Object. In the following situation, we may disclose your protected health information if we inform you about the disclosure in advance and you do not object.

Notification. Upon request, we may use or disclose information to notify or assist in notifying a family member, personal representative or another person responsible for your care, of your location and general condition.

Communication with family or other caregiver. We may disclose to a family member, other relative, close personal friend or any other person you authorize in writing, health information relevant to that person’s involvement in your care or payment related to your care. If you are present for, or otherwise available prior to, a notification or communication with family or another caregiver, and you have the capacity to make health care decisions, we may make the disclosure if you agree; or if we provide you with the opportunity to object and you do not object; or we reasonably infer from circumstances that you do not object. If you are not present for the notification or disclosure, or the opportunity to agree or object cannot be provided because of your incapacity or an emergency circumstance, we may determine whether the disclosure is in your best interest and, if so, we may disclose to the designated person only that information that is directly relevant to the person’s involvement with your health care.
6. Uses and Disclosures Not Requiring Your Authorization. The federal privacy rules provide that we may use or disclose your protected health information without your authorization in the following circumstances:

Worker’s Compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to worker’s compensation or other similar programs established by law.

Public Health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury or disability.

Correctional Institution: Should you be an inmate of a correctional institution we may disclose to the institution or agents thereof, health information necessary for your health and the health and safety of other individuals.

Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid search warrant or court order.

Criminal Activity: We may disclose your protected health information if we believe that it constitutes evidence of criminal conduct that occurred on the premises. We may also disclose your protected health information if we are required by applicable state law to report suspected child abuse or neglect or abuse of incapacitated adults or an injury that we believe may have been the result of an illegal act. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), and, in certain situations, in response to a subpoena, discovery request or other lawful process.

Relating to Decedents: We may disclose protected health information regarding an individual’s death to coroners, medical examiners or funeral directors consistent with applicable law.

As Required by Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by state or federal law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. For example, we must make disclosures when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of the federal Privacy Rules.

7. Uses and Disclosures of Protected Health Information Based Upon Your Written Authorization. Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described in the Notice. You may revoke this authorization at any time in writing, except to the extent that we have already relied upon your authorization in making disclosure.

8. For More Information or to Report Complaints. If you are concerned that we have violated your privacy rights, or you disagree with a decision made about access to your records, you may send a written complain to the Secretary of the U.S. Department of Health and Human Services. We will not and cannot retaliate if you file a complaint.

This notice was published and became effective May 17, 2022.

 

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the No Surprises Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.