Bob Letke

Sometimes, the ways we've learned to cope with life's challenges can begin creating challenges of their own. Anxiety can leave us overwhelmed by worry, depression can drain our motivation and sense of purpose, stress can make it difficult to find balance, and substance use may become a way of managing painful emotions. For men, expectations around strength and independence can make reaching out for support especially difficult. For women, the pressure to care for others, manage competing responsibilities, and meet expectations can make it easy to put their own emotional needs aside.

I work with men and women struggling with substance use and addiction, anxiety, depression, stress, and trauma. These challenges often overlap with relationship or family difficulties, anger, grief and loss, or PTSD.

With over 25 years of experience in the addiction and mental health field, I understand that meaningful change begins with feeling comfortable enough to be honest about what isn't working. My approach is supportive, straightforward, and collaborative. Together, we'll identify the patterns keeping you stuck, build on your strengths, and develop healthier ways to manage life's challenges and move forward.

Our work will make room for both the person you are today and the experiences, relationships, and responsibilities that have shaped you along the way. Together, we'll explore how anxiety, depression, trauma, substance use, or other challenges may be affecting your emotional well-being, relationships, and overall quality of life.

My approach is individualized, drawing from evidence-based therapies to help you better understand yourself and address patterns that may be keeping you stuck. I use Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavior Therapy (REBT) to help you recognize and challenge unhelpful thoughts, beliefs, and behaviors. Motivational Interviewing allows us to explore change at your own pace, without pressure or judgment.

For those struggling with trauma, Eye Movement Desensitization and Reprocessing (EMDR) can help process distressing memories so they become less overwhelming and have less influence over your thoughts, emotions, and reactions in the present. I also incorporate Solution-Focused Brief Therapy to build on your existing strengths and identify practical steps toward meaningful change.

Above all, our sessions will be collaborative, supportive, and tailored to your individual needs. My goal is to help you gain a better understanding of yourself, develop healthier ways of coping, and move forward with greater confidence, balance, and emotional stability.

You don't need to have everything figured out before coming to therapy. During our first few sessions, we'll talk about what brought you here, what you've been struggling with, and what you'd like to see change. Together, we'll identify meaningful, realistic goals that reflect what's important to you.

You can expect warmth, humor, and an open mind, along with honest conversations and thoughtful challenges to patterns that may be holding you back. I strive to create a comfortable, judgment-free environment where you can speak openly, explore difficult emotions, and feel heard and understood.

Progress looks different for everyone. It may mean developing a healthier relationship with substances, managing anxiety or depression, finding better ways to handle stress, becoming more comfortable expressing emotions and asking for support, or working through trauma so past experiences have less influence over your present.

We'll regularly revisit your goals, recognize your progress, and adjust our approach as your needs evolve. When you're ready to take the next step, I invite you to view my availability and schedule an appointment through Headway.