Counseling

with Dr. Ty Mansfield

Why Therapy?


Humans are wired for meaning, connection, and belonging. But being human, including being in relationships with other humans, can be difficult. Most of our struggles in life are intimately tied to how we experience our relationships, including with ourselves, and how we find purpose. 

From the moment we come out of the womb, we begin learning how to be human. And for a number of reasons, it can be difficult learning how to do human well. While our most formative experiences in life are with the humans who raise us ― who model human for us ― what we observe and experience with all of our relationships, including peer and other social relationships, significantly shapes our beliefs about ourselves, others, and our place in our communities and the world around us. Those experiences can be beautiful, nurturing, and empowering, but too often they can also be deeply wounding. 

Sometimes, even in some of the best of family and life circumstances, we observe and inherit problematic patterns in the way we relate to ourselves and each other and how we understand and respond to our emotions, thoughts, attractions, beliefs, and behaviors. Furthermore, in a social ecology that incentivizes speed, constant distraction, busyness, competition, and objectification of others, the impact both individually and relationally can be taxing if not deeply harmful. Interestingly, the roots for the Chinese character for “busy” mean “the death or loss of the heart.” 

With all of this in mind, even as many wouldn’t hesitate to consult a physician to address illness in the body, it can similarly be wise to consult those with training and experience to seek healing for difficulties and distress relative to the mind, emotions, and relationships. Even when we sense something in our inner world is not quite right, we often don’t have the awareness or internal resources to know exactly what we need for healing, growth, or change. And even if we did, personal growth and transformation can be hard. We need support.

It takes courage, receptivity to feedback, and introspection to confront our areas of unconsciousness, feel the pain of old patterns, and commit to new ways of being. This is the path of self-awareness, the path of living with power, the path of waking up to our full potential to wholly show up, connect with others, and contribute to the world in meaningful ways. This is the heart of enlightenment. Just as the roots for the Chinese character for “busy” connotes “the death or loss of the heart,” conversely, the character for “mindfulness” is a combination of two separate characters for “now” and “heart,” which, when combined, suggest bringing the heart into the present, or the act of experiencing life with your whole heart.

This is where I come in. 

I’m a marriage and family therapist, researcher, and educator, and I’ve worked now for over 15 years in various capacities with individuals, couples, and families. Through a unique integration of Western and Eastern principles of human thriving, I support individuals and couples seeking emotional, sexual, and spiritual wholeness, as well as deeper healing and intimacy in their relationships. I’ve worked with clients  who have struggled with myriad issues, including anxiety and depression, various issues related to healthy sexuality and sexual relationships, marital distress and infidelity, gender dysphoria, sexual and religious identity conflicts, addiction, shame, poor coping skills, and more.

My focus as a therapist is ultimately twofold: first, it is to help individuals connect more deeply with who they are ― their deepest Self. We can only truly belong to and experience true intimacy with others to the degree that we belong first to ourselves, the degree to which we can be with ourselves with compassion, honesty, and intention. Second, it is then to assist clients in understanding the rules that govern healthy relationships with others ― others whose needs and feelings and fears are just as real and just as complicated as our own. Both of these objectives create shifts in consciousness that unlock our greatest human capacities to love, serve, connect, and belong.

Essential to accomplishing either of these aims is to explore and identify the factors that have become obstacles to these ends. That may be working through shame, debilitating core beliefs, or past trauma. It could also be identifying personal and relational patterns that are causing distress or which inhibit them from connecting more deeply with others. Ultimately, it is identifying any of the factors that contribute to keeping them from a healthier relationship with themselves, from showing up more wholly in the world, and from lives full of intimacy, meaning, and intention. 

My training is in understanding relational, social, and even trans-generational systems, so rather than looking at client issues in isolation, I look at individuals and challenges they experience holistically and in the broad contexts of their lives. The goal is never to “blame,” only to understand ― and then with that understanding and awareness, have power to then address difficulties on their own terms. As we say in the field of family therapy, “The person is not the problem, the problem is the problem.” 

Additionally, I’ve received advanced training in differentiation and attachment theories, sexual health and sex therapy, sexual addiction recovery, Internal Family Systems (IFS), Emotionally Focused Couples Therapy (EFT), Gottman Method, Imago, Mindfulness-based, and Narrative therapies. I also trained for two years with Jack Kornfield and Tara Brach, respected psychologists and key contributors to the blending of Western mental health with Eastern spiritual practices, to certify as a mindfulness meditation teacher. 

Lastly, for the last 20 years, I have been been involved in ministry, research, cross-ideological dialogue, and therapy with individuals and families addressing questions around the intersection of sexual orientation and/or gender identity, religious/spiritual beliefs and identity, and family relationships. I’m a co-founder and past president of North Star, a faith-affirming support organization for Latter-day Saint individuals and families addressing sexual or gender identity and who desire to live within the framework of the teachings and values of The Church of Jesus Christ of Latter-day Saints. 

I’m also a member of the Reconciliation and Growth Project, a dialogue group, now in our 10th year, between LGBTQ affirmative and religious conservative mental health professionals who have developed an ethical mental health treatment protocol for working with individuals experiencing conflict between their faith and their sexuality and/or gender identity. Our treatment protocol prioritizes the two premiere therapeutic ethics of 1) client self-determination and 2) do no harm. And finally, I’m part of the 4 Options Survey research team, a similarly ideologically diverse collaborative effort looking at healthy and sustainable life paths for sexual minorities. 

Each of these initiatives has given me unique insight into understanding the component parts of healthy and sustainable life paths for sexual and gender minorities, particularly faith-based individuals whose desires for their lives fall outside of the cultural and even professional mainstream and who find it difficult to find professional and therapeutic support that aligns with their personal and deeply-held values.

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Specialties

What is mindfulness and why is it important as a therapeutic starting point? Whatever questions or concerns clients bring to therapy, the only way to engage change and healing that will be healthy, life-giving, and sustainable is to approach it with the right lens or stance. Principles embedded in mindfulness enable us to do just that.

Jon Kabat-Zinn, a professor emeritus of medicine and key player in the introduction of mindfulness into western medical and mental health disciplines, defined mindfulness as “the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding of experience moment by moment.” In essence, mindful awareness can be considered as a way of being, more than something we might “do.” Mindfulness is intentional and compassionate presence, attunement and attention to anything one might be doing.

In therapy, mindful awareness of our emotions, thoughts, beliefs, bodies, or other people is going to be key to healing. Since humans are naturally pain avoidant, our instinctive response to distress is to numb, distract, or avoid it. But mindfulness enables us to hold more compassionate, intentional, and non-judging space for ourselves and our loved ones. We then have greater power to explore and proactively address issues in a way that fosters inner and interpersonal healing and growth.

Couples often struggle with anything from difficulty communicating, betrayal and distrust, to defensive and self-protective ways of being in the relationship that undermine intimacy and openness. Sometimes it’s the simple atrophying of connection that results from being intentional to nurture the relationship in the face of competing demands of work, parenting, or religious and community involvement. 

As couples identify the internal and interpersonal patterns or pain points that are creating conflict in their relationship, they then have power to address them. I guide partners in identifying self-defeating or destructive patterns in the relationship and their respective roles in creating or maintaining those patterns. As partners see and understand their own contributions to marital distress, they can address them with greater consciousness and intention. 

Couples also strengthen their relationship as each partner grounds more deeply into a solid sense of Self. From that place of groundedness, they can hold more intentional and compassionate space for themselves and for each other, and subsequently, nurture deeper love, intimacy, and connection in their marriage. 

Sexually healthy individuals create sexually healthy marriages, and sexually healthy couples parent sexually healthy families. Because there are so many conflicting messages about sexuality, individuals and couples often struggle to integrate their sexuality in a way that is both life-giving and also feels congruent with their personal values. Because of this, men and women tend to either suppress or indulge their sexuality, which can also result in unhealthy or unwanted behaviors, such as habitual or compulsive use of pornography.

I assist men and women who are seeking a healthier relationship with their sexuality and to integrate it more wholly with other aspects of their life, including their spirituality. For men and women who desire to move beyond unwanted sexual behaviors, such as pornography or infidelity, I help them explore the “why” behind their behavior so they have great power to develop a more positive relationship with their sexuality and live congruently with their values. Some of the common issues I address are:

Healthy sexual self-concept and integration for single and married individuals 
Sex therapy or addressing sexual concerns in marriage
Integrating sexuality & spirituality
Unwanted habitual or compulsive use of pornography
Healing from sexual trauma
Parenting healthy sexuality

For 20 years I have been involved in ministry, research, cross-ideological dialogue, and therapy with individuals and families addressing questions around the intersection of sexual orientation and/or gender identity, religious/spiritual beliefs and identity, and family relationships. Each of these initiatives has given me unique insight into understanding the complexities, sensitivities, and component parts of healthy and sustainable life paths for sexual and gender minorities, particularly faith-based individuals whose desires for their lives fall outside of the cultural and even professional mainstream and who find it difficult to find professional and therapeutic support that aligns with their personal and deeply-held values.

Because each individual is unique and there’s no “one size fits all” approach to addressing sexual and gender identity, and because values and goals vary for each person, I explore with clients their personal experiences and the issues they feel are hindering them from living according to those values. From that exploration, we collaboratively structure therapy around the issues that feel most relevant and needed. In sum, the following are some key therapeutic focuses: 

Addressing keys to thriving in mixed-sexuality relationships (sometimes referred to as mixed-orientation relationships);
Enhancing sexual intimacy in a mixed-sexuality/orientation marriage and navigating desire differences;
Fostering congruence between sexuality, identity, and faith, and identifying key components to individual and relational thriving;
Fostering congruence between gender, identity, and faith, and identifying key components to individual and relational thriving;
Working with families who are seeking how to best support their sexual and gender minority loved ones. 

Therapy Services

If you’re interested in therapy, I would be honored to assist you in your journey. It can be a big and vulnerable step but whatever your concerns or needs, you don't have to walk this journey alone. I am confident that together we can work toward some meaningful healing and growth in your life. Contact me for an initial visit where I can get to know you better and we will discuss your needs and assess the best path forward.

If you live in the state of Utah, I offer in-person or Telehealth options. Telehealth sessions are facilitated via a HIPAA-compliant video platform. If you do not live in Utah, please see the following section, "Coaching & Consultation."

*Sessions are 50 minutes. I can also schedule longer sessions upon request and according to availability.

Coaching & Consultation 

If you do not reside in Utah, whether you live elsewhere in the United States or anywhere around the world, and you're interested in working together, I would be honored to assist you.

Because therapy is regulated and licensed by individual states, and because I am licensed as a therapist only in the state of Utah, any service outside the state of Utah is defined as coaching or consultation. Although therapy and coaching have distinct objectives and methods, they also share a lot of common ground. As such, I can support individuals and couples in a number of meaningful ways toward healing and growth.

Read more about the distinctions in the next section.

*Sessions are facilitated via Telehealth, a HIPAA-compliant video platform.

How is Coaching
Different From Therapy? 

Though coaching and therapy share a lot of common ground, each uses distinct objectives and methods.

Therapy

Therapy aims to treat clinical problems such as depression, emotional trauma, severe addictions, suicide ideation, etc. When experiencing serious emotional distress, more involved therapeutic intervention by a trained and licensed mental health professional is the best option for services. Therapy typically begins with an evaluation and, for those wanting to submit for reimbursement to their insurance, a formal diagnosis. This may include diagnostic interviewing, formal assessment, and a review of contributing factors.

Coaching

A Coach helps individuals and couples identify, clarify, and achieve personal and/or couple goals and aspirations. Coaching provides the client(s) with necessary support, challenge, and guidance. Coaches collaborate with their clients in the service of the client’s self-discovery and achieving the client’s personal goals. If there is trauma, suicide ideation, or other concerns that require more involved therapeutic intervention, I will not be able to work with you in a Coaching capacity.

Pricing

Current Waitlist for New Clients

Presently, the approximate timeframe for me to be able to schedule new clients, whether for therapy or out-of-state coaching/consultation, is 8-12 months.  Because some concerns are more urgent or time-sensitive, I do have two additional options that allow individuals to expedite the wait. The three waitlist options, depending on need and urgency, are:

$180/session

Currently, the approximate timeframe for me to be able to schedule new clients is 8-12 months. The standard session rate is $180 per 50-minute clinical session.

$205/session

For those who want to expedite the 8-12-month wait, there is a Priority option. The wait time is approximately 4-6 months, and the session rate is $205 per 50-minute clinical session.

$230/session

For those who want to be seen immediately, I will try to get you in within 1-3 weeks. The session rate is $230 per 50-minute clinical session.*

*NOTE: For this option, I do not accept Bishop Pay.

If you do decide to add yourself to the waitlist, I am honored you want to include me in your journey and together I am confident we can experience meaningful healing in your life. I will be in touch with you as soon as I'm able to schedule an appointment.

Payment FAQ

When is payment due?

Fees are due at the time of service.

What forms of payment do you accept?

I accept all major credit and debit cards, FSA and HSA cards, cash, and Bishop pay.

Do you accept insurance? 

I am an out-of-network provider for all insurance companies and do not bill insurance directly. 

Some insurance providers provide partial reimbursement for out-of-network providers. Depending on your out-of-network benefit, I can provide you with a monthly statement (referred to as a superbill) to submit to your insurance company for reimbursement if you wish.

This would not apply for those outside of Utah, for whom services would be defined as coaching or consultation.

Do you accept Bishop Pay?

If you are a member of The Church of Jesus Christ of Latter-day Saints, your bishop may be willing to financially support mental health needs from ward fast offering funds as deemed appropriate. I do accept payment from bishops, assuming you have made previous arrangements with your bishop to do so and they are aware of the precise fee for services.

If your bishop has agreed to pay for some or all of your counseling, you will need to include his contact information in the intake forms so we can work out the details of payment prior to our first therapy session. Invoices to third parties, such as Latter-day Saint bishops, are required to be sent to that third party and will not be given to the party receiving services as a method of delivery.

Supervision & Therapist Consultation

I am an approved supervisor in the state of Utah and also offer as-needed consultation on ethical therapy with sexual and gender minorities seeking congruence with faith-based values. 

As part of the Reconciliation and Growth Project, a consortium of ideologically diverse LGBTQ affirmative and religious conservative mental health professionals, I co-authored
Resolving Distress Between Faith-based Values and Sexual and Gender Diversity: A Guide for Mental Health Professionals, an ethical mental health treatment protocol for working with individuals experiencing conflict between their faith and their sexuality and/or gender identity. 

We’ve also authored a statement, “
Declaration on Avoiding Harm with Sexual and Gender Minorities,” which identifies specific potential harms that therapists across the spectrum of socio-political biases must be mindful of in order to safeguard self-determination and avoid harm when working with clients navigating questions related to sexuality, gender identity, and life purpose/faith/meaning.

Similarly, as part of the 4 Options Survey research team, a similarly ideologically diverse collaborative effort studying healthy and sustainable life paths for sexual minorities, I have unique insight into understanding the component parts of healthy and sustainable life paths for sexual and gender minorities, particularly faith-based individuals whose desires for their lives fall outside of the cultural and even professional mainstream and who find it difficult to find professional and therapeutic support that aligns with their personal and deeply-held values.

Send me a message if you're interested in consultation.

My fee for supervision or consultation is $200/hour

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