Collaborative Healing through Professional Guidance
Welcome. I am glad you're here.
My name is Van Otto, LPC.
I'd love to understand where you are — and where you want to go.
I offer remote counseling sessions anywhere in the state of Colorado.
I accept Insurance.

Are you living with these?
Addiction is a profoundly isolating experience, rooted not in weakness or choice but in a complex interplay of brain chemistry, emotional pain, and environmental factors. At its core, addiction hijacks the brain’s reward system, distorting priorities and creating a cycle where substances or behaviors become a misguided lifeline—a way to numb overwhelming emotions or fill unmet needs. Those struggling often grapple with shame, feeling trapped between the desire to reconnect with loved ones and the compulsion to continue their addictive patterns.
Anxiety is like an invisible weight, constantly pressing on your mind and body. It's not just worry, but an overwhelming sense of dread that can make everyday tasks feel insurmountable.
Imagine your thoughts racing, your heart pounding, and your muscles tense – all while the world around you seems oblivious to your struggle.
Living with anxiety means battling an internal critic that magnifies every concern. It's exhausting, isolating, and often misunderstood. But it's important to remember: anxiety isn't weakness or a choice. It's a real condition that can be managed with support, understanding, and proper care. While challenging, anxiety doesn't have to define you. With compassion and the right tools, it's possible to find moments of calm and build a life where you're in control, not your anxiety.
Depression is like carrying a heavy, invisible burden that colors every aspect of life in shades of gray. It's not simply feeling sad; it's a profound emptiness that drains the joy and meaning from once-loved activities. For those experiencing depression, even the simplest tasks can feel overwhelming, as if you're wandering through a thick fog.
Imagine waking up each day feeling exhausted, no matter how much you've slept. The world seems muffled and distant, and connecting with others becomes increasingly difficult. Depression whispers lies, telling you that you're worthless, that things will never improve, and that no one truly understands.
It's crucial to remember that depression isn't something you chose. It's a complex condition influenced by brain chemistry, life experiences, and other factors. While it can feel isolating, you're not alone. With support, understanding, and proper treatment, it's possible to find your way back to light and hope. Recovery may not be linear, but each small step forward is a victory worth celebrating.
Grief is love with nowhere to go. It's an ocean of emotions that crashes unexpectedly, leaving you breathless and disoriented. The absence of a loved one creates a profound emptiness that can feel both achingly personal and universally human.
In grief, time loses meaning. Some moments stretch endlessly, while memories flood in with sudden, overwhelming intensity. You might find yourself laughing and crying in the same breath, feeling both connected to and desperately separated from the person you've lost.
Healing isn't about "getting over" the loss, but learning to carry it. Your grief is a testament to the depth of your love—a sacred, painful journey that honors the relationship you shared. There's no "right" way to grieve, only your way.
Be gentle with yourself. Grief is not a straight path, but a landscape of emotions that you'll navigate with courage, one breath at a time.
LGBTQIA+ individuals often face unique mental health challenges due to societal stigma, discrimination, and internal struggles with identity. Recent studies show that LGBTQIA+ people experience higher rates of depression, anxiety, and suicidal thoughts compared to their non-LGBTQIA+ peers. These issues are often compounded by experiences of rejection, harassment, and fear of violence.
Affirmative therapy, provided by a therapist competent in LGBTQIA+ issues, can be incredibly beneficial in addressing these challenges. We will create a safe, supportive space where clients can explore their identity, process trauma, and develop coping strategies. We use evidence-based techniques like cognitive behavioral therapy to help reframe negative thought patterns and build resilience.
Online therapy platforms have made it easier for LGBTQIA+ individuals to access affirming care, especially in areas where local resources may be limited. We can help clients navigate coming out, relationship issues, gender dysphoria, and the impacts of discrimination.
Always know that seeking help is a sign of strength, not weakness. With the right support, LGBTQIA+ individuals can overcome mental health challenges and thrive in their authentic selves.
Stress is an invisible storm that sweeps through your life, leaving emotional and physical turbulence in its wake. It's like carrying a constant, heavy backpack filled with worries, expectations, and pressure—each step becoming more challenging.
Your mind races with endless to-do lists, potential problems, and future scenarios. Muscles tense, sleep becomes elusive, and even moments meant for relaxation feel charged with underlying anxiety. Stress doesn't just live in your head; it inhabits your entire body, creating a sense of perpetual alertness.
Yet, stress is also a human experience that connects us. It signals that you care, that you're trying, that something matters to you. While overwhelming, it's not a personal failure—it's a signal to pause, breathe, and seek balance.
Remember: You are more resilient than your stress. Small moments of self-compassion can be powerful anchors in life's turbulent seas.
Throughout my professional career, I have developed extensive expertise working with clients experiencing a diverse spectrum of mental health challenges.
A Therapeutic Approach to Healing and Growth
I’m committed to finding the most effective communication method for you.


An Experienced Therapist Helping You Overcome Life's Challenges
Together, we will transform aspirations into reality, one intentional step at a time.
Frequently Asked Questions
I accept payment from many insurance providers through the Sondermind platform. The cost when using insurance will depend on your deductible, your copay amount, and the specifics of your benefits. I also process self-pay clients through SonderMind, with rates set by SonderMind.
SonderMind is an online and in-person mental health platform that connects individuals with licensed therapists and psychiatrists. They provide me (and other therapists in most US states) with tools that help me focus on my work helping others. SonderMind helps me handle things like insurance billing, calendar management, and secure documentation. They also provide a platform for secure video connection. In order to submit insurance claims, you'll need to create an account there, but it's quick and easy. If you have any issues, just let me know!
Therapy is a personal journey, and the length of time varies for everyone. Some find relief in a few sessions, while others benefit from ongoing support over months or years. It depends on your goals, challenges, and progress. Together, we’ll create a plan that works for you at your own pace.
The frequency of therapy sessions depends on your needs and goals. Many start with weekly sessions for consistency and support, then adjust over time. Some benefit from biweekly or monthly check-ins. Together, we’ll determine a schedule that best supports your healing and personal growth.
Choosing the right therapy approach starts with understanding your unique needs, challenges, and goals. In our initial sessions, we’ll explore your experiences, preferences, and concerns. Based on this, we’ll tailor a therapeutic approach to best support you, whether cognitive, trauma-informed, or mindfulness-based.
Here are some tips to help you make the most of each session.
- Prepare beforehand: Reflect on what you want to discuss and write down key points.
- Schedule wisely: Choose a time when you're mentally available and can reflect afterward.
- Set clear goals: Define specific, achievable objectives for your therapy journey.
- Be open and honest: Share your thoughts and feelings openly with your therapist.
- Stay engaged: Actively listen during sessions and take notes if helpful.
- Practice consistency: Attend sessions regularly to maintain progress.
- Apply insights: Implement strategies and tools discussed in therapy in your daily life.
- Journal between sessions: Keep track of your thoughts, feelings, and progress.
- Communicate feedback: Let your therapist know what's working and what isn't.
- Allow time for self-care: Schedule downtime before and after sessions for reflection.
You’ll know therapy is working when you start noticing positive changes: greater self-awareness, improved coping skills, and shifts in thought patterns. You may feel more in control of emotions, relationships may improve, and challenges may feel more manageable. Progress isn’t always immediate, but every small step forward is a sign of growth.
