Strategic Addiction & Anger Management Therapy for Iowa Professionals
Regain Control Before You Lose What You’ve Built
You know the stakes: One more blow-up, one more blackout, or one bad decision could cost you your marriage, your career, or both.
It Was Helping — Until It Wasn’t
It didn’t start as a problem; it started as a solution. A way to decompress after high-stakes pressure. But now, the tools you use to "switch off" are costing you your edge.
You look perfect on paper. You hit every target and manage every crisis. But privately, you are running the numbers:
The 4 PM Countdown: You are in a meeting, but part of your brain is already calculating exactly how many minutes until you can pour that first drink.
The Morning Dread: You wake up at 3 AM with a heavy chest, immediately checking your sent messages to make sure you didn’t blow up your life last night.
The "Functioning" Trap: You tell yourself it’s fine because you never miss work. But you are relying on stimulants to focus and sedatives (or alcohol) to sleep, and your body is starting to fail.
You don’t need judgment. You don’t need a label. You need a tactical plan to stabilize your life before the consequences become permanent.
Why Standard Talk Therapy Has Failed You
If you have tried therapy before and felt frustrated, it wasn’t your fault. Standard therapy often asks you to just "talk about your feelings" or revisit your childhood for years.
But you cannot "feel" your way out of an urge.
For a high-performing professional, understanding why you do it isn't enough to stop you from doing it. You need a way to physically hit the brakes.
I am Sabrina Vonderhaar, LMHC, IADC
My practice is built on Efficiency. I am not here to just listen and nod. I am a strategist. We identify your triggers, build a plan to handle them, and get you back to your life.
The "Vault": Maximum Privacy for Professionals
I am 100% private pay and do not report to insurance companies. This keeps your mental health diagnosis off the permanent database that life insurance and licensing boards often check. Your career remains secure.
Note: Your treatment is protected by strict HIPAA and 42 CFR Part 2 laws (federal confidentiality for substance use). For court- or board-mandated clients, only the minimum necessary information to satisfy requirements will be disclosed with your explicit signed release
Tactical Support for High-Stakes Problems
Therapy for Burnout & Overuse
You are hitting targets but running on empty. Stop the cycle of using substances to manage your stress before you crash.
Alcohol & Substance Use Treatment
We focus on safety and control, not judgment. We move you from "hiding and panicking" to managing your life. You don't have to be perfect to get started, you just have to be honest.
Compulsive Porn & Sexual Behavior
Stop the secret struggle that threatens your marriage and focus. We treat this as a habit that needs breaking, not a moral failing.
Anger Management
High-pressure environments create high-pressure reactions. Learn to catch the "snap" before it costs you your career or marriage.
Clinical & Court Evaluations
Impartial, efficient evaluations for court or board requirements. We provide the report you need to satisfy legal obligations without unnecessary delay.
Note: Per Iowa regulations, I do not conduct OWI/DUI evaluations for the DOT.
What Life Looks Like in 6 Months
Imagine waking up on a Saturday morning without the brain fog, the shaking hands, or the panic of checking your phone.
Tangible Results: You are passing your drug tests. You are sleeping through the night naturally. You are actually present with your family.
Reputation Secured: You have addressed the issue privately, protecting the career you spent decades building.
Control Regained: You go from feeling “one mistake away” from an explosion to feeling like you are back in the driver's seat.
Reclaimed Focus: The mental energy once spent managing or hiding your use is now directed back toward your most ambitious goals.
The End Game (Mandated Clients): You receive the clinical documentation required to satisfy legal or board requirements, finally resolving the external crisis so you can move forward.
High-Value, Direct Action. No Wasted Time.
You value your time, and so do I. You do not need to jump through hoops to get support.
Intake & Evaluation: $300 (90 Minutes)
Deep-dive assessment to establish a clinical baseline and strategic plan.
Individual Session: $200 (50 Minutes)
Focused addiction and anger management work.
Couples Session: $250 (50 Minutes)
Conflict resolution specifically related to addiction or anger.
Financial Policy: I am Strictly Private Pay to ensure your utmost privacy. I do not contract with insurance companies. Superbills provided on request.
Legal/Court Fees: Additional fees apply for court-mandated documentation, legal collaborations, and paperwork submission. These are billed separately from the session rate.
Your Next Step
You have two options to move forward:
Direct Booking (Recommended): Most clients know what they want and prefer to skip the "chat." You may book your full Intake Evaluation immediately below to secure your spot.
Consultation: If you have specific questions about privacy or fit, you may schedule a brief 15-minute consultation.
Common Questions
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No. Your treatment is completely confidential. It is protected by strict HIPAA and 42 CFR Part 2 (federal confidentiality for substance use) standards.
The Difference: Because I am private pay, I do not submit claims to insurance. This means no permanent mental health diagnosis is added to your medical record, keeping it invisible to employer background checks or life insurance audits.
Exception for Mandated Clients: If you are here for a court or board-ordered evaluation, I will disclose only the minimum required data (attendance, compliance) and only with your signed release.
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My approach is solution-focused and efficient. We typically work in a 6-month protocol, not years of open-ended venting.
Months 1-2: Stabilize the crisis and stop the bleeding.
Months 3-6: Build the neurological skills to handle high-pressure triggers without relapse.
Goal: We identify the triggers, build the tools, and get you back to your life.
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No. I view therapy as a strategic partnership, not a passive conversation. I am not here to just "hold space"; I am a clinical guide helping you take decisive action. We use data-driven tools to retrain how your brain reacts to stress so you stop auto-piloting into habits that threaten your career. You will leave sessions with a plan, not just a feeling.
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This is a strategic choice for privacy and congruence. High-stakes careers require high-value, specialized support that is not dictated by an insurance adjuster's checklist. Staying private pay ensures your clinical records remain distinct from your employment and insurance history, protecting your licensure and reputation.
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No. You value your time, and I do not want to waste it. If you have read this page and know you are ready to work, you can skip the "chat" and book your full Intake Evaluation immediately. This allows us to begin the actual clinical work on Day 1.
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The 90-minute session is highly structured to initiate a clear path forward.
For Therapy Clients: We clarify your goals, identify your primary triggers, and outline the tactical plan (typically 6 months) for our work. You will walk away understanding the timeline and the first practical steps to regain control.
For Evaluations (Court/HR): This is an objective information-gathering session. The sole purpose is to formulate the impartial clinical report required to satisfy your legal or board obligations.