Therapy Services
In St. George, Utah
Finding the right therapy starts with understanding what is happening, how it is affecting daily life, and what kind of support may help. Back in Charge provides evidence-based therapy services in St. George, Utah for children, teens, young adults, adults, parents, and families. Care is provided by licensed clinical psychologists with specialized training in the concerns they treat.
Our services include individual outpatient therapy, Cognitive Behavioral Therapy, Exposure and Response Prevention, and more concentrated outpatient treatment when additional structure may be appropriate. Each recommendation is based on the client’s age, symptoms, goals, daily circumstances, and required level of care rather than a standard plan used for everyone.
In-person appointments are available at our St. George office. Telehealth may also be available for eligible clients when remote care is clinically appropriate and permitted where the client is physically located.
Personalized Therapy From Licensed Clinical Psychologists
Effective therapy should reflect the person receiving it. Two people experiencing anxiety, intrusive thoughts, avoidance, or emotional distress may have different histories, triggers, strengths, family circumstances, and treatment needs. Back in Charge begins by developing a clearer understanding of the individual rather than selecting a method based on one symptom alone.
Our psychologists provide care within their areas of clinical training and experience. Treatment may involve structured skill development, behavioral change, gradual exposure, changes in how a client responds to difficult thoughts and emotions, or parent participation when family support is important to progress.
The goal is to create a practical treatment direction that can be explained, monitored, and adjusted. Clients should understand what they are working on, why a particular approach has been recommended, and how therapy connects with the changes they want to make outside the office.
Explore Our Therapy Services
Back in Charge offers several forms of outpatient psychological care. The appropriate service depends on the concern, symptom severity, treatment goals, developmental needs, and the amount of structure that may be helpful.
Individual Therapy provides one-on-one care organized around the client’s concerns, goals, and recommended treatment approach.
ERP Therapy focuses on helping clients face OCD-related fears and uncertainty while reducing compulsions, reassurance, avoidance, and other responses that strengthen the OCD cycle.
CBT Therapy addresses connections among thoughts, emotions, physical reactions, and behavior through structured, evidence-based strategies.
Intensive Outpatient Therapy offers a more concentrated outpatient format for eligible clients who may benefit from additional treatment time, structure, or guided practice.
These services are related, but they are not interchangeable. Individual therapy describes the format, while CBT and ERP describe treatment approaches that may be used within individual care. Intensive outpatient therapy describes a more concentrated level or schedule of outpatient support.
Who We Help at Back in Charge
Back in Charge serves children, teens, young adults, adults, parents, and families. Provider fit depends on the client’s age and the nature of the concern. Some services are designed for children and adolescents with parent involvement, while others focus on late adolescents or adults navigating mental health concerns, relationships, health experiences, or major life transitions.
Clients do not need to arrive with a confirmed diagnosis or know which therapy they need. Many people reach out because a pattern has started interfering with school, work, relationships, parenting, sleep, routines, health, or participation in meaningful activities.
An initial conversation helps the practice understand who is seeking care, what has become difficult, how urgent the concern is, and which psychologist or service may be an appropriate fit. When Back in Charge is not the right setting, another provider or level of care may be recommended.
Individual Therapy in St. George, Utah provides a private, one-on-one setting in which a client and psychologist work toward clearly defined treatment goals. Care is organized around the individual’s symptoms, circumstances, strengths, and priorities rather than a standard plan used for every client.
Individual sessions may help clients better understand patterns involving thoughts, emotions, physical reactions, avoidance, compulsions, relationships, routines, or behavior. Depending on the concern, sessions may include education, structured skill practice, exposure exercises, behavioral changes, acceptance-based strategies, or planning for situations outside the office.
For children and teens, individual care may also include selected parent sessions or caregiver guidance. For adults, treatment may involve coordination with medical, psychiatric, nutritional, or other professionals when that collaboration is clinically appropriate and authorized. The length and frequency of treatment depend on the client’s goals, progress, and recommended approach.
ERP Therapy in St. George, Utah is designed primarily for obsessive-compulsive disorder and related patterns. Exposure and Response Prevention helps clients gradually face thoughts, situations, sensations, objects, or uncertainties that trigger distress while reducing the compulsions and safety behaviors used to obtain temporary relief.
Compulsions can include visible actions such as checking, washing, repeating, or arranging. They can also involve reassurance-seeking, mental reviewing, avoidance, confessing, researching, or attempts to feel completely certain. Although these responses may reduce distress briefly, they can strengthen the OCD cycle over time.
ERP is planned collaboratively and adjusted to the client’s age, symptoms, readiness, and goals. It is not about forcing someone into unsafe situations or asking the client to confront every fear at once. Treatment uses purposeful, manageable practice to help the client tolerate uncertainty, reduce reliance on compulsions, and participate more fully in everyday life.
CBT Therapy in St. George, Utah focuses on the connections among thoughts, emotions, physical sensations, and behavior. Cognitive Behavioral Therapy can help clients recognize patterns that contribute to distress and practice more useful ways of responding.
CBT is a broad evidence-based framework rather than one identical program for every mental health concern. Depending on the treatment goal, sessions may involve identifying unhelpful predictions, examining beliefs, changing avoidance, building problem-solving skills, practicing new behaviors, or completing structured activities between appointments.
The specific CBT strategies used for anxiety may differ from those used for trauma-related distress, eating or body-image concerns, behavioral difficulties, or major life transitions. The psychologist selects methods that fit the clinical concern and explains how each part of treatment relates to the client’s goals.
Intensive Outpatient Therapy in St. George, Utah provides a more concentrated form of outpatient care for eligible clients who may need greater structure, more treatment time, or additional opportunities for guided practice. It may be considered when symptoms are substantially disrupting routines, avoidance is increasing, or traditional weekly therapy has not created enough momentum.
The schedule and focus are developed around the client’s needs and may include longer or more frequent sessions over a defined period, structured practice between appointments, exposure-based work, and parent or family participation when appropriate. Intensive outpatient therapy may be relevant for concerns such as OCD, significant anxiety, phobias, school refusal, reassurance cycles, or family accommodation.
Intensive outpatient care is not the same as hospitalization, residential treatment, medical stabilization, or continuous supervision. Suitability depends on symptom severity, safety, motivation, treatment goals, provider availability, and whether the client’s needs can be addressed responsibly in an outpatient setting.
Concerns Our Therapy Services May Address
The psychologists at Back in Charge provide therapy for concerns that fall within their respective areas of specialization. These may include:
Obsessive-compulsive disorder and related patterns
Anxiety disorders, panic, phobias, and persistent avoidance
Selective mutism, separation anxiety, and school-related anxiety
ADHD-related emotional, behavioral, and organizational difficulties
Parent-child conflict connected to anxiety, OCD, or behavioral concerns
Trauma-related distress
Eating disorders and body-image concerns
Women’s mental health concerns
Pregnancy, postpartum, and other perinatal mental health concerns
Stress associated with changing roles or major life transitions
The presence of one symptom does not establish a diagnosis or determine the appropriate treatment. Repeated checking, difficulty concentrating, irritability, physical tension, sleep disruption, withdrawal, emotional outbursts, and avoidance can occur for different reasons. Assessment helps the psychologist consider the broader pattern before recommending care.
Therapy for Children, Teens, Parents, and Families
Therapy for a child or teenager should account for development, home life, school demands, relationships, independence, and the role of caregivers. Younger clients may need concrete explanations, practical activities, gradual skill-building, and support applying treatment strategies in real situations.
Parents may participate in selected sessions, receive guidance, or learn how to respond differently to anxiety, compulsions, reassurance-seeking, avoidance, difficult routines, or behavioral escalation. Parent involvement is not about assigning blame. It can help caregivers understand the treatment plan and reinforce helpful changes between appointments.
The amount of parent participation depends on the young person’s age, privacy, safety, diagnosis, treatment goals, and clinical needs. When appropriate and properly authorized, the psychologist may also consider information from school staff or other professionals involved in the child’s care.
Therapy for Young Adults and Adults
Young adults and adults may seek therapy when anxiety, OCD, trauma, eating or body-image concerns, self-criticism, major transitions, or perinatal experiences begin affecting everyday life. Therapy creates a focused setting to understand these patterns and work toward changes that are meaningful to the client.
Treatment may involve learning to approach situations that have become difficult, responding differently to intrusive thoughts, changing habits that provide short-term relief but create longer-term problems, or developing a more workable relationship with uncomfortable emotions.
Care is individualized and may include coordination with medical, psychiatric, nutritional, or other professionals when clinically appropriate and authorized by the client. Therapy recommendations consider the whole situation rather than treating mental health concerns as isolated from physical health, relationships, or daily responsibilities.
What to Expect From Evidence-Based Therapy
Evidence-based therapy combines relevant research, clinical expertise, and the client’s characteristics, preferences, culture, circumstances, and goals. It does not mean that every person receives the same worksheet, sequence, or treatment plan.
Back in Charge uses established psychological approaches within each provider’s professional competence. Depending on the concern, treatment may draw from Cognitive Behavioral Therapy, Exposure and Response Prevention, Acceptance and Commitment Therapy, behavioral strategies, exposure-based methods, trauma-focused care, or other supported approaches.
The first appointment gives the client and psychologist an opportunity to discuss the concern and determine an appropriate direction. The psychologist may ask about current symptoms, when they began, how they affect daily functioning, relevant medical or mental health history, previous treatment, relationships, strengths, and goals.
Clients do not need to prepare a perfect explanation or select a therapy method in advance. It is helpful to describe what has become difficult, which situations tend to trigger the concern, what has already been tried, and what the client hopes will be different.
Ongoing sessions are organized around agreed-upon goals. They may include reviewing recent experiences, identifying patterns, learning a treatment concept, practicing a skill, completing an exposure, planning a behavioral change, involving a parent, or troubleshooting barriers that appeared between appointments.
Therapy often extends beyond the time spent with the psychologist. Depending on the treatment plan, clients may practice approaching an avoided situation, reducing a compulsion, changing a reassurance pattern, completing a structured activity, observing a habit, or trying a different response during an everyday challenge.
Progress is reviewed throughout care. This does not mean that every week must feel easier or that improvement follows a perfectly straight path. Reviewing what is and is not changing helps the psychologist and client decide whether to continue, adjust the plan, change session frequency, coordinate with another professional, or consider a different level of support.
Licensed Psychologists Serving St. George and Southern Utah
Back in Charge is led by licensed clinical psychologists whose specialties support different client populations and treatment needs.
Kat Green, Ph.D., ABPP, is board certified in Clinical Child and Adolescent Psychology. Her work includes children, teens, young adults, parents, and families experiencing OCD, anxiety, ADHD-related difficulties, behavioral concerns, selective mutism, phobias, and related challenges. She also provides psychological assessment for appropriate diagnostic and treatment-planning questions.
Charlotte Esplin, Ph.D., PMH-C, provides psychological care for late adolescents and adults. Her areas of focus include women’s and perinatal mental health, eating disorders and body image, OCD, trauma, anxiety, and major life transitions. Her Perinatal Mental Health Certification reflects additional training related to mental health during pregnancy, postpartum, and the broader transition to parenthood.
The best provider match depends on age, presenting concerns, treatment goals, level of care, scheduling, and current availability.
Back in Charge provides in-person therapy at 1363 E 170 S, Suite 202, St. George, UT 84790. Our office serves clients from St. George and surrounding Southern Utah communities, including Washington, Santa Clara, Ivins, and Hurricane.
Telehealth appointments may also be available when remote treatment is clinically appropriate and legally permitted where the client is located. Eligibility can depend on the requested service, client age, clinical needs, psychologist availability, and applicable practice requirements.
Contact the practice to discuss who is seeking care, the primary concern, preferred appointment format, and current availability. This initial information helps Back in Charge determine which service or provider may offer the most appropriate starting point.
Schedule Therapy Services in St. George, Utah
You do not need to know which diagnosis, psychologist, or therapy approach applies before contacting Back in Charge. Share a brief description of the concern, the age of the person seeking care, how the problem is affecting daily life, and whether you prefer in-person or telehealth appointments.
Call (435) 227-5155 or contact Back in Charge to ask about current availability and the next step for therapy services in St. George, Utah.
FAQs About Therapy Services
in St. George, Utah
What therapy services does Back in Charge offer?
Back in Charge offers individual therapy, Cognitive Behavioral Therapy, Exposure and Response Prevention, and concentrated outpatient options for eligible clients. The appropriate service depends on the client’s age, concerns, goals, and required level of support.
Who provides therapy at Back in Charge in St. George, Utah?
Therapy in St. George, Utah is provided by licensed clinical psychologists Kat Green, Ph.D., ABPP, and Charlotte Esplin, Ph.D., PMH-C. Their specialties cover different populations and concerns, so provider fit is determined individually.
Does Back in Charge provide therapy for children and teenagers?
Yes. Back in Charge provides therapy for children, teens, young adults, parents, and families within the treating psychologist’s areas of specialization. Parent involvement may be incorporated when it supports the young person’s treatment goals.
Does Back in Charge provide therapy for adults?
Yes. Adult services may address OCD, anxiety, trauma, eating and body-image concerns, women’s and perinatal mental health, and major life transitions. An initial consultation helps determine whether the concern and requested service are an appropriate clinical fit.
Do I need a diagnosis before scheduling therapy?
No. You can contact the practice with a description of the symptoms, behaviors, or experiences causing concern. Assessment helps clarify what may be happening and which treatment approach or service may be appropriate.
How do I know whether I need CBT, ERP, or individual therapy?
You do not need to choose a method before your first appointment. Individual therapy describes a one-on-one service format, while CBT and ERP are treatment approaches that may be used within individual care depending on the concern.
Are telehealth therapy appointments available?
Telehealth may be available when it is clinically appropriate and Back in Charge is permitted to provide care where the client is physically located. Availability depends on the psychologist, requested service, client age, clinical needs, and current scheduling capacity.
How do I schedule therapy at Back in Charge?
Call (435) 227-5155 or contact the St. George office with a brief description of the concern, the age of the person seeking care, and the preferred appointment format. The practice can explain current availability and help identify an appropriate service or psychologist.