Danny Marsh

Therapy should be a place where you can talk honestly about the things that are difficult to say out loud without being judged or reduced to a diagnosis—or to the hardest chapter of your life.

I work with adults and couples experiencing anxiety, depression, trauma and PTSD, suicidal thoughts, sexual trauma, intimacy and sexual-health concerns, grief, life transitions, military and veteran concerns, first-responder stress, and relational distress. Relational distress can include communication breakdown, recurring conflict, loss of trust, emotional distance, intimacy concerns, separation or divorce-related stress, changes within a family, parenting-related strain, or simply reaching a point where you are unsure how to move forward.

My role in therapy is to help you understand what is happening, identify what you want to change, strengthen your ability to respond differently, and work toward healthier functioning and relationships. My clinical style is direct, collaborative, trauma-informed, practical, and shame-free.

I am independently licensed for clinical social-work practice in Washington, Nevada, Arizona, New Mexico, Texas, and Florida; EMDR-trained; a Certified Psychosexual Assessment Specialist (CPAS); a Board-Certified Forensic Mental Health Evaluator (CFMHE); a Board-Certified Forensic Psychometrist (CFP); and a U.S. Army veteran.

My broader professional practice includes forensic mental-health evaluation and consultation. Those services are separate from psychotherapy. Once I am retained as your treating therapist and a clinical treatment relationship has been established, I cannot also serve as your forensic evaluator, expert witness, or child-custody evaluator in the same matter. Therapy is treatment-focused and is intended to support your clinical needs—not to generate an independent forensic opinion for litigation.

In order to know how to get where you want to go, we first need a clear picture of where you are.

We start with what brought you in, what you want to be different, what keeps happening despite your efforts to change it, and how the problem is affecting your daily life, relationships, work, sleep, functioning, or sense of well-being.

For people experiencing relational distress, that may mean slowing down patterns that have become reactive or painful, understanding what each person is responding to, improving communication, rebuilding safety or trust where possible, addressing intimacy or sexual concerns, developing healthier boundaries, or helping you make thoughtful decisions about what comes next.

Depending on your goals and clinical needs, I draw from Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), DBT-informed skills, trauma-informed care, and practical, solution-focused interventions. I do not force one model onto everyone. Some people benefit from structure and specific skills; others need room to understand and process what has happened; many need both.

In trauma work, you do not have to describe every detail before you are ready. The goal is safe and tolerable processing that helps reduce the impact trauma continues to have on your life—not disclosure for its own sake.

The first session is about fit, clarity, and direction. We will discuss what brought you in, what you hope will change, the history that matters, current symptoms or relationship concerns, and how those concerns are affecting your functioning. Some of which may include things I need to do to conduct a formal intake to meet insurance requirements. This first session is fairly structured.

From there, we develop a treatment direction together. I will be direct about what I am seeing, explain the reasoning behind my recommendations, and keep our work connected to the goals that brought you into therapy.

If you are coming to therapy while also involved in divorce, a parenting dispute, custody litigation, disability proceedings, an employment matter, or another legal case, you are still welcome to receive treatment. The important distinction is my role. Once I become your treating therapist, I remain in the treatment role. I cannot subsequently convert that therapeutic relationship into a forensic evaluation, serve as an expert witness on your behalf, or conduct a child-custody or parenting evaluation concerning the matter.

That separation protects the therapeutic relationship and helps preserve the distinction between treatment and independent forensic evaluation. If you need both therapy and a forensic evaluation, those services should ordinarily be provided by different professionals.

My goal in therapy is straightforward: help you better understand what is happening, reduce unnecessary suffering, improve functioning and relationships where possible, and help you move toward a life that feels more manageable, intentional, and connected.