Direct, Strategic Therapy for Iowa’s High-Achieving 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 and I am here to help you move past the why and into the how. I specialize in high-achieving professionals in Iowa. My practice is built on Efficiency.
My Approach:
We Fix the Root Cause: High-pressure careers keep your brain stuck in "survival mode." We use practical tools to retrain your brain to switch off naturally, so you stop auto-piloting into bad habits just to get relief.
Strategic Guidance: 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): I am 100% private pay and do not report to insurance companies. This keeps your mental health records off the permanent database that life insurance and licensing boards often check.
Note: Your treatment is protected by strict HIPAA and 42 CFR Part 2 laws. 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.
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 (Self-Referred): The mental energy once spent managing or hiding your use is now directed back toward your most ambitious goals. You have a proven, sustainable strategy to manage stress without auto-piloting into old habits, securing your performance and reputation long-term.
The End Game (Mandated Clients): You receive the required report to satisfy legal or board requirements, finally resolving the external crisis and allowing you to move forward with your career and life.
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)
Individual Session: $200 (50 Minutes)
Couples Session: $250 (50 Minutes)
Strictly Private Pay (Superbills provided on request).
Administrative Fees (Court/Legal): Additional fees apply for all court-mandated documentation, legal team collaborations, court letters, and paperwork submission. These services are billed separately from the session rate.
Your Next Step: You have two options. You can schedule a free 15-minute consultation if you have specific questions about privacy or fit. However, most of my clients know what they want and prefer to skip the "chat." You have the option to book your full Intake Session immediately below.
Common Questions About Therapy
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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. Since I do not bill insurance, a permanent diagnosis is not added to your medical record.
For Mandated Clients: If you are required to attend by a court or board, I will ask you to sign a release of information. I will only disclose what is required (e.g., attendance and compliance reports) to satisfy your legal obligation. I do not provide session notes.
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My approach is solution-focused and efficient, typically lasting around 6 months, not years. This is not open-ended "venting." We identify the triggers, build the specific tools you need to manage them, 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 or relationships.
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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 company’s timeline or requirement for a permanent mental health diagnosis. Staying private pay ensures your records remain distinct from your employment and insurance history.
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No. You value your time, and I do not want to waste it. If you know you are ready to work, you can skip the consultation and book a full Intake/Evaluation immediately. This allows us to begin the actual work on Day 1.
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The 90-minute session is highly structured to initiate a clear, strategic path forward, whether you are seeking therapy or a formal evaluation.
If you are booking a Therapy Intake: We spend the time clarifying your personal goals, identifying your primary triggers, and outlining a clear, tactical plan (typically 6 months) for our work. You will walk away with an understanding of the timeline and the first practical steps we will take to regain control.
If you are booking a Clinical/Court Evaluation: This is an efficient, objective information-gathering session to formulate an impartial clinical recommendation. The sole purpose is to provide the required report to the mandated entity (court or licensing board) to satisfy their legal obligations. Goals and treatment planning are only discussed if therapy is the resulting recommendation.
See my full FAQ page for more details