Browse Our Services

Medication Management

Medication Management through Alay Health Team using telehealth in your home or at our office. They can also ship the medication directly to your home. Carmen Kosicek, MSN, PMHNP and her colleagues treat children and adults for a variety of conditions including Anxiety, ADHD, Depression, Bipolar, Mood Disorders, Schizophrenia and Addiction MAT Therapies. Currently they accept Pacific Source, First Choice Health, Regence(Blue Cross/Blue Shield) and MODA. (Not accepting Medicare or OHP at this time)

We have clinicians here on weekends and evenings to help meet your needs.

Individual and Family Therapy

Therapy can address issues with a variety of potential diagnoses such as depression, anxiety, PTSD, mood disorders, grief, physical pain and illness and others. Using the tenets of Cognitive Behavioral Therapy, Mindfulness, and Motivational Interviewing clients will discover the strength from within to manage the thoughts and feelings that interfere with their ability to enjoy a meaningful life. Family therapy focuses on identifying problems and strengths within the family dynamic with the goal to build a functional, less chaotic and joyful family.

Pain Management Support Group

The pain group meets every other week on Friday mornings at 10:30 am. Please call and get the current dates. We will get together and share experiences, helpful tips, discuss the stress of chronic pain and strategies to help, and support one another. We will also be inviting local disciplines such as Massage Therapists, Chiropractors, Pain Specialists and others that can offer home treatment tips and the latest treatment options. Each member will be given a workbook titled "Managing Pain Before it Manages You" by Margaret A. Caudill, MD, PhD, MPH. We will use the book to help guide discussions as we learn how the mind can help or hinder our physical pain.

Play Therapy

Initially developed in the turn of the 20th century, today play therapy refers to a large number of treatment methods, all applying the therapeutic benefits of play. Play therapy differs from regular play in that the therapist helps children to address and resolve their own problems. Play therapy builds on the natural way that children learn about themselves and their relationships in the world around them (Axline, 1947; Carmichael, 2006; Landreth, 2002). Through play therapy, children learn to communicate with others, express feelings, modify behavior, develop problem-solving skills, and learn a variety of ways of relating to others. Play provides a safe psychological distance from their problems and allows expression of thoughts and feelings appropriate to their development. Play is a fun, enjoyable activity that elevates our spirits and brightens our outlook on life. It expands self-expression, self-knowledge, self-actualization and self-efficacy. Play relieves feelings of stress and boredom, connects us to people in a positive way, stimulates creative thinking and exploration, regulates our emotions, and boosts our ego (Landreth, 2002). In addition, play allows us to practice skills and roles needed for survival. Learning and development are best fostered through play (Russ, 2004). (from

DBT skills training group

Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD) and it is now recognized as the gold standard psychological treatment for this population. In addition, research has shown that it is effective in treating a wide range of other disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), and eating disorders.

 •  DBT skills training group is focused on enhancing clients' capabilities by teaching them behavioral skills. The group is run like a class where the group leader teaches the skills and assigns homework for clients to practice using the skills in their everyday lives. Groups meet on a weekly basis for approximately 2.5 hours and it takes 24 weeks to get through the full skills curriculum, which is often repeated to create a 1-year program. Briefer schedules that teach only a subset of the skills have also been developed for particular populations and settings.(from