Ky A. Miller, MSW, LCSW
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Ky A. Miller, MSW, LCSW
  • Home
  • Psychotherapy
  • Diagnosis
  • Training
  • Consultation
  • Contact

psychotherapy with ky

Welcome, I’m so glad you’re here! Thank you for taking a moment to learn about what therapy with me might feel like. Many of the people I work with come to therapy because they notice patterns within relationships or behaviors they want to shift, experience struggles with self-esteem, or feel “stuck” in certain areas of life. I often work with those who identify as people-pleasers, empaths, or highly sensitive persons (HSPs), and who may find it challenging to recognize or express their needs and emotions in relationships. All of these attributes can manifest as anxiety and depression - sometimes debilitatingly so.


My primary clinical focus is supporting clients who have experienced navigating challenges with self-concept - experiences such as self-worth, self-esteem, identity, and the relationship you have with yourself - as well as challenges in relationship with others. My process allows for the process of rediscovering who you are after trauma (developmental, sexual, relational, and beyond) and building a solid sense of self. At times, some people experience really intense self-criticism cycles where ruminating, negative thoughts about ourselves can result in a debilitating level of anxiety. The good news is that there is a way to quiet the internal harshness we can experience and alleviate the intensity of suffering. 


My approach goes beyond simply teaching coping skills; though coping skills can be life-saving, most clients I work with are wanting to engage deeper level work. Together, we work toward transforming the way you relate to yourself and others, creating a more compassionate inner world and lightening the weight of past trauma. My hope for all of my clients is sustained healing, not just quick fixes that leave you yearning for more depth.



AREAS OF CLINICAL FOCUS

I work with adults and older teens (plus their family members/partners) offering support for those who experience:

  • anxiety, ruminating or intrusive thoughts 
  • low self-esteem, negative self-talk, lack of confidence, "people-pleasing"
  • HSPs/empaths
  • childhood trauma (physical/emotional/sexual abuse/emotional neglect)
  • challenges in understanding identity/orientation
  • neurodivergence: ADHD, Autism, OCD, misophonia, unmasking, late diagnosis, and more
  • relational/attachment trauma (primary caregiver inconsistencies/unpredictability, divorce, emotionally absent parents/partners, break-ups with significant others, betrayal)
  • traits consistent with Borderline Personality Disorder and/or Narcissistic Personality Disorder - as well as Narcissistic abuse recovery (this is relational/attachment/developmental trauma, so my approach is non-pathologizing/non-stigmatizing)
  • sleep disturbances/insomnia
  • those who experience challenges with family relationships/social pressures 


I have extensive experience working with other therapists, who are the majority of my caseload. Let's explore the intersections of having very human experiences while being a therapist. I treat therapists like I would any other client and you will never hear me say "what would you tell a client to do?" You are a whole person and will be treated as such with great care. I will honor the knowledge base you have and try to not be redundant around topics of which you already have a solid concept while offering expanded perspectives and facilitating connection of concepts to inner growth/healing.


LGBTQIA+ and neurodivergent affirming, competent, and experienced space! 


Enhancing self esteem

  • reframe negative self-talk
  • build a stronger sense of/relationship with self
  • improve confidence
  • learn to trust emotions and needs


Healthy relationships/cycle-breaking

  • identify what might be contributing to relational patterns/conflict cycles
  • understand of key pillars to relational health
  • explore your attachment style
  • aid in relational rupture and repair
  • explore your boundary style and move toward establishing healthier boundaries 
  • enhance effective communication 
  • understand safe/unsafe and healthy/unhealthy relationships


Family functionality and parenting support

  • help family members understand needs behind behaviors
  • explore themes of family scapegoating
  • effective behavior management strategies
  • communication, boundaries, and building healthy relationships that last across the lifespan
  • explore family values 


Also, let's consider how neurodivergence (ND) might manifest in your world, possibly impacting mental health, well-being, and overall function. ND affirming and competent. 

therapeutic approaches

  • attachment-focused, trauma-informed, Emotionally Focused Therapy (EFT)
  • family systems, including the acknowledgement of intergenerational trauma
  • psychodynamic (how the past impacts the present)
  • Internal Family Systems (IFS) /parts work, Eye Movement and Desensitization Reprocessing (EMDR)
  • Compassion-Focused Exposure and Response Prevention (ERP) for OCD 
  • traces of Cognitive Behavioral Therapy (CBT/DBT)
  • bibliotherapy - yes we can integrate books, literature, and other published works into therapy sessions
  • psychoeducation - therapy doesn't have to be a mystery, we deserve to know why we are doing what we are doing

I don't want to teach you how to carry the weight of your past. I seek to help you heal and unburden your NERVOUS SYSTEM - so that you are carrying less. We will move BEYOND coping and into sustainable healing.

Ky: A Therapist's Bio

Ky (they/them) earned a Bachelor of Arts in Communications at California State University, Bakersfield and a Master of Social Work (MSW) from Boston University. Ky holds independent licensure in the states of Illinois (LCSW 149.025630), Washington (SWI.LW.61554715), and Oregon (LCSW  L18509).


Ky completed an advanced clinical practicum in a sexual trauma specialty program. Through this program, Ky worked extensively with clients who had experienced severe relational, developmental, and sexual trauma. Working through psychodynamic, attachment/relational, and trauma-informed approaches, Ky conceptualizes relational challenges through a trauma-informed lens allowing for intergenerational healing to occur. More recently, Ky has taken a special interest in the areas of intense anxiety and OCD. 


Ky's areas of specialization include attachment and relational/developmental complex trauma, which lends well to parenting and family systems work.  


In their personal time, Ky spends the bulk of their time outdoors hiking, camping, and sinking into backcountry solitude from their van - balancing that time with live music events and being in queer community. Staring at the night sky, spending time near bodies of water, and consuming copious amounts of music provide the balance Ky needs to feel regulated and experience aliveness.

fee schedule

PSYCHOTHERAPY SERVICES

Initial Assessment

210

Includes case conceptualization, initial diagnosis assessment, and creation of treatment plan. 1-1.5 hours.

Individual Therapy

165

50-55 minutes

Relationship Therapy

195

For couples, family members, and even friends (any relational system). 50-55 minutes


creative approaches to meet dynamic needs

Intensives

210/195

When one hour just doesn't meet the need for more time to process trauma or dig in and engage deeper level relational work. Excellent option for larger families or relational systems. 2-8 hours. Price per clinical hour.

Healthy Relationship Pscychoeducation - Attachment, Boundaries, and Communi

185

2-8 hours, workshop style. Price per clinical hour.

Child and Teen Behavioral Assessments

210/195

Oppositional behaviors/attachment reactivity

School refusal

Separation anxiety

Communication breakdowns

Emotional dysregulation


Priced per clinical hour

Assessment, Diagnosis, and Clinical Recommendations

210/195

DIAMOND, MID, YBOCS II - priced per clinical hour. More about assessment and diagnosis here.

READ MORE: YOU HAVE A RIGHT TO RECEIVE A GOOD FAITH ESTIMATE

Contact KY directly

Please complete this inquiry form and Ky will reach out for a no-cost consultation to mutually determine fit for psychotherapy.

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