What We Provide

Tacoma Recovery Counseling provides the most effective clinical support and counseling, while maintaining the highest professional standards. TRC offers therapeutic and psycho-educational services to individuals in the greater Tacoma area. TRC offers Workshops and Small Group Intensives based on a broad range of topics and specialties.

TRC provides support for individuals and couples through a variety of challenges;

Anxiety, Panic and Depression

Occupational Transitions and Job Loss

Relationship Conflict

Trauma and PTSD

Substance Abuse and Addiction

Sex and Porn Addiction

These are a few of the issues with which we work. A majority of our clients see us for support with addiction issues, traumatic memories as well as other related intimacy disorders. TRC offers individual, couples and group therapy options. In addition, TRC provides educational workshops to churches and other organizations on sexual addiction and other related intimacy disorders. 

Counseling

Counseling at TRC is offered in either a group, couple or individual sessions. Our clinicians are skilled professionals with a diverse background and experience in supporting individuals through a variety of challenging situations. Our sex addiction counselors possess additional certification and training in sex and love addiction. Our groups are facilitated by a trained and skilled counselor and are limited in size in order to create a secure environment and also to provide ample time for all to participate. Groups are a combination of group therapy and addiction treatment. All groups are confidential.

Assessments

In order to provide accurate treatment, TRC provides a variety of assessments to assist in determining the scope of the problematic behavior. Once the scale and scope of the behavior is determined, an individual treatment plan is created to match the client's needs and goals for recovery.

     Sexual Dependency Inventory  v.4  (SDI-4) 

(SDI) evolved out of an initial long-term study of 932 sex addicts and their partners. Data was gathered over a seven-year period tracing the recoveries of study participants. Sexual behavior data were collected in 170 categories. A series of factor analyses revealed ten typologies that seemed to consistently relate the behaviors. Since this early study, the SDI has gone through several iterations of improvements and the scales have been expanded.  The instrument’s normative data and the psychometrics have been evaluated extensively by researchers using data from thousands of research participants.  Clinicians have found the SDI invaluable in assisting with diagnosis, assessing the range and scope of problematic sexual behavior, and helping patients understand their own arousal templates.

Currently in use is the latest version, the SDI-R (4.0) This version represents a new generation of reporting and uses a sample of 1200 cases. It reflects significant increases in items added to various scales plus new scales. While the format remains the same, earlier calculations were based on an algorithm which combined both frequency and power. With version 4.0, new behavioral scales represent frequency of behaviors and the preoccupation scales were developed based on power ratings alone. The results reveal patterns of behaviors and obsessional thinking, or preoccupation. Additionally, the new version includes higher order factors designed to examine combinations of sexual thought and behavior patterns that commonly cluster together.

The SDI is actually a whole battery of relevant tests organized into one cohesive report. The SDI contains the Sexual Addiction Screening Test (SAST-R) and the ECR-R (Experiences in Close Relationships) by Fraley. The ECR is a four-category self-report measure and included since basic attachment issues are so prevalent in most clinical populations who are appropriate for testing using the SDI.

Additionally, the SDI gathers data on various aspects of problematic sexual behavior including typical patterns of consequences, evolution, and timing of behavior patterns, as well as therapy readiness. Information on drug use, masturbation, paraphilia and illegal behaviors are also evaluated. 

     Post-Traumatic Stress Index-Revised

At TCR we also use the PTSI-R which was developed by David Delmonico M.Ed. and Dr. Patrick Carnes Ph.D. This is an index that scales candidates on 11 different responses to trauma; Trauma Reaction, Trauma Repetition, Trauma Bonding, Trauma Shame, Trauma Arousal, Trauma Blocking, Traumatic Dissociative Avoidance, Traumatic Self Depravation, Traumatic Organization, Traumatic Dorso-depression, and Orbito-hyperactivity.

This index allows the clinician to make potential connections between specific addictive behaviors and the historic (or current) traumatic experiences. This is most helpful in dealing with clients with current or recent combat experiences or extreme stress environments. The various domains of PTSD combined with problematic coping behaviors such as compulsive video gaming, substance abuse and high risk can create further trauma and the cycles continue. This Index is helpful with all addictions, including drugs alcohol and sex.

     Money and Work Adaptive Style Index

The Money and Work Adaptive Styles Index (MAWASI ©) is designed to assist in the assessment of troublesome money and work issues which may indicate the presence of a financial and/or work addiction. Developed by Bonnie Dendooven to help others assess issues surrounding money and work, this instrument is grounded in theories of addiction, attachment, neuromarketing, and behavioral economics. The MAWASI provides a profile of responses which help to discriminate between addictive and non-addictive behavior.

To eliminate any surprises, confusion or misunderstanding our professional fees are listed below. Payment is due at the time of the session, either before or after. TRC accepts cash, check, Visa or MasterCard.

Counseling Rates

     Initial Intake Session (60-75 minutes) 200.

     Regular 45-50 min Session - 150.

     Addiction Group Session 2 hr. - 60. per week.

     Couple Session 50 minute - 200.

     Extended Session/Double 60+ Minutes - 300.

Clinical Assessments

     Sexual Dependency Inventory 4 - 125.

     Post Traumatic Stress Index (Revised) - 100.

Insurance

    TRC and Chris Causey do not bill insurance directly. We are considered an out-of-network provider. To support you in getting a portion of your counseling costs reimbursed, our Administration staff can provide a Statement of Services with all the information Insurance providers need in order to process your claim.

     To eliminate any confusion, it is often best to call your insurance provider ahead of scheduling and inquire what percentage they reimburse for seeing an out-of-network counselor if this is important to you.