Welcome to Pivotal Counseling, a team of specialized therapists dedicated to helping individuals and couples improve their relationships, sexuality, and overall well-being. Our team is comprised of licensed and certified therapists with advanced training in areas such as couples therapy, sex therapy, and ketamine-assisted psychotherapy.
Our mission is to provide a safe, confidential, and non-judgmental space for individuals to explore their thoughts, feelings, and behaviors. We believe that relationships are the foundation of a happy and fulfilling life, and our team is committed to helping individuals and couples build stronger, healthier relationships.
Our Services
We offer a range of services designed to address the unique needs of our clients. Our services include:
- Individual Counseling: From teenagers to seniors, we help individuals identify and overcome challenges, build skills, and step forward into a healthier life.
- Couples Counseling: We help couples overcome destructive patterns and poor communication, fostering stronger, healthier relationships.
- Sex Therapy: Our trained clinicians help individuals and couples reclaim their desire, learn to embrace their sexuality, and explore new ways to nurture their relationship.
Meet Our Team
At Pivotal Counseling, we're proud to have a team of dedicated and experienced therapists who are passionate about helping individuals and couples achieve their goals. Our team includes:
- Ethan L. Bratt, MS, LMFT, CST: Clinical Director and Certified Sex Therapist
- Claire Christian, MA, MFTC: Relationship and Sex Therapist
- Spencer Jensen, MS, MFTC: Relationship and Sex Therapist
- Danielle DeSalvo, BA: Relationship and Sexuality Clinical Intern
Fees and Insurance
At Pivotal Counseling, we're committed to making our services accessible to everyone. We accept a range of insurance providers and offer flexible payment options to accommodate our clients' needs.
FAQs and More
We understand that you may have questions or concerns about our services. We've put together a list of frequently asked questions to help address your questions. If you still have questions or concerns, our team is happy to answer them.
Internships and Opportunities
We're committed to training and mentoring the next generation of therapists. We offer internships and opportunities for students and emerging professionals to gain hands-on experience.
Contact Us
If you're ready to take the first step towards a healthier, happier life, we're here to help. Reach out to us today to schedule a consultation or ask any questions you may have.
Expertise and Knowledge
Ethan Bratt and his team at Pivotal Counseling are highly skilled and expertly trained in providing counseling services. Reviewers praised Ethan's ability to apply systems theory to family, individual, and couples issues, and his dedication to staying up-to-date with the latest research and methods.
Compassion and Communication
Ethan's compassionate and empathetic approach sets him apart from other therapists. Reviewers noted his kindness, patience, and insight, making him an excellent therapist for complex and challenging cases. He takes time to get to know his clients and their unique set of challenges, providing a personalized approach to therapy.
Professionalism and Ethics
Ethan maintains the highest ethical standards, striving for excellence in his work. Reviewers praised his professionalism, organization, and attention to detail, making him a pleasure to work with. His commitment to his work is evident, and he is highly respected by his peers and clients.
Recommendations
All reviewers highly recommend Ethan Bratt and his services. They have referred friends, family members, and colleagues to him, citing his exceptional expertise, compassion, and professionalism.

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