Mental Health

• Screening and assessment for individual and family counseling
• Short-term crisis-oriented counseling
• Ongoing individual mental health counseling for children and adults
• Ongoing group therapy
• Ongoing couples and family therapy
• Suicide prevention services
• Referral and coordination with traditional healers

Counseling Services

Provided at kʷaxʷa iʔ include intake interview, individualized treatment planning, short-term crisis stabilization, ongoing individual, group and family counseling, peer services, equine therapy (group and individual referral), as well as health promotion/disease prevention education.

Prevention and Outreach Services

Educational presentations on strength-based topics such as dealing with stress, coping strategies and traditional cultural teachings such as song and dance and regalia making. 

Groups

A supportive way to learn about a topic and they match our traditional ways for learning. Many of our groups are specific to issues such as parenting or stress management and participants can meet folks struggling with similar concerns. 

Peer Counseling

A unique chance to connect with a counselor who has been through what you have experienced, and they have found recovery. They share what they’ve learned to help clients see hope that they can find recovery.

Client Advocacy

Case management services include screening and assessment of basic needs such as food, shelter and financial assistance. Our client advocates then assist clients to access outside resources as needed.

• Coordinate client referrals to PTHA and other tribal programs
• Coordinate referrals to county, state, and private social service programs
• Coordinate with DSHS workers
• Assist clients in Medicaid, GAU and SSI application process

Do I need Counseling?

If you are experiencing any of the below symptoms lasting longer than two weeks, you may benefit from counseling:

• Feeling very sad or depressed
• Decreased motivation or interest in life
• Persistent feeling of hopelessness
• Frequent irritability or angry outbursts
• Changes in your sleep or eating patterns
• Difficulty meeting your responsibilities at work or school 
• Seeing or hearing unusual things that others don’t
• Behavior changes noticed by yourself or others
• Panic attacks, intense fears, or excessive worrying
• Nightmares or flashbacks of traumatic events 
• Thoughts of suicide or wish to harm self

The behaviors listed below may be some of the signs that someone is thinking about suicide.

Talking About:

• Wanting to die
• Having guilt or shame
• Being a burden to others

Feeling:

• Empty, hopeless, trapped, or having no reason to live
• Extremely sad, more anxious, agitated, or full of rage
• Unbearable emotional or physical pain

Change in Behaviors, Such As:

• Making a plan or researching ways to die
• Withdrawing from friends, saying goodbye, giving away important items, or making a will
• Taking dangerous risks such as driving extremely fast
• Displaying extreme mood swings
• Eating or sleeping more or less
• Using alcohol or other drugs more often

Get the support you need through the most difficult times. If these warning signs apply to you or someone you know, get help as soon as possible, particularly if the behavior is new or has increased recently.

If you or a loved one is suffering from a mental health condition, problem gambling, or substance use disorder, please reach out and call (253) 593-0247.

ʔəswələx̌ʷ ti ʔaciłtalbixʷ. Native Strong.

Call or Text: 988, option 4
Chat: 988lifeline.org
Crisis Text Line: Text “NATIVE” to 741741

bisid čəxʷ ʔəshəliʔ. Choose life.