What I treat · Impulse control · Ashland
Impulse control therapy for Ashland, Wisconsin.
Impulse-control therapy for Ashland residents, with Wisconsin-licensed Amber Miller, MSed., LPC. Telehealth statewide, in-person at the Superior office. Most insurance accepted, including BadgerCare and Medicaid.
Ashland sits on Chequamegon Bay in Ashland County, about an hour and ten minutes east of Superior. Northland College students and the Northwood Tech Ashland campus make up much of the local caseload. The Superior office is drivable for occasional in-person sessions.
What Impulse control therapy looks like
Impulse control shows up in a lot of shapes: snapping at someone you love before you have caught up to the fact you were angry, spending money you do not have, eating past full, leaving a job in the middle of a hard week, ending a relationship in a single sentence. Most of these are not character flaws. They are patterns with a job.
The work depends on what is underneath. With ADHD, the work is partly executive-function scaffolding. With anxiety, it is partly nervous-system regulation. With shame, it is partly the older work of why the costs have been bearable. We figure out which mix is yours.
How we work on it
CBT and DBT tools come in heavily for the in-the-moment work. Person-centered work holds the longer arc. Most weeks we talk about what happened since the last session, name the pattern, and work on a smaller-cost option to try between sessions.
Impulse-control work is not white-knuckling. It is figuring out what the impulse is for, and whether there is a less expensive version of that same job.
How sessions work for Ashland clients
Ashland is within driving distance of the Superior office for clients who want occasional in-person sessions. Most Ashland clients meet entirely by telehealth, which works as well for this kind of work as in-person. We can mix and match if that helps.
If you are at a college in or near Ashland
Ashland and the surrounding area is home to Northland and Northwood Tech. I see students from each, regardless of which campus you are on. Telehealth from a dorm or apartment works the same way it works from home. Sessions are confidential. The full angle on student work is on the college student page.
Insurance and cost in Ashland
Wisconsin BadgerCare, Medicaid, Medicare, and most major commercial insurance in Ashland are in-network. Out-of-pocket is $125 per 50 minutes session. Full detail on the insurance and fees page.
What to do next
If this read like something you recognize, the next step is to schedule the consultation or intake session. The free 15 minutes consult gives us both a sense of whether we would work well together before you book the first paid session. Text, call, or use the form, whichever is easiest.