Common Issues We Help With

outside therapy cutout logo - Alyse Pfankuch

Real-life challenges. Practical tools. You don’t need to face them alone.

Outside Therapy helps Wyoming residents address mental health concerns with evidence-based treatment and genuine compassion.
Whether you’re struggling with anxiety, burnout, depression, or trauma, our goal is to give you tools that work — not just in sessions, but in daily life.

Each condition below links to a dedicated page that explains our approach, what to expect, and how therapy helps you move forward.

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Anxiety & Stress

When worry takes over, clarity feels out of reach.

Anxiety and stress can make even simple things feel exhausting. Our approach focuses on calming the mind, relaxing the body, and building tools to handle life’s pressures with confidence. You’ll learn how to regulate your thoughts, ease physical tension, and create routines that support lasting calm.
Learn About Anxiety & Stress

Depression & Burnout

When motivation fades, therapy helps you find direction again.

Depression and burnout can drain your energy, disrupt sleep, and make progress feel impossible. We help you identify what’s behind the fatigue and overwhelm, rebuild momentum, and rediscover meaning. You’ll leave with measurable goals and renewed clarity for the days ahead.
Learn About Depression & Burnout
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PTSD & Trauma

When the past still feels too present, healing begins here.

Trauma can alter how your mind and body respond to stress. Using EMDR and other trauma-informed therapies, we guide you through processing difficult experiences safely — restoring trust, calm, and a renewed sense of strength.
Learn About PTSD & Trauma

Obsessive Compulsive (OCD)

When intrusive thoughts control your day, ERP therapy can help.

We’re Wyoming’s only provider using Exposure and Response Prevention (ERP), the gold-standard treatment for OCD. Our sessions help you face intrusive thoughts safely, reduce compulsive behaviors, and regain control over your choices and routines.
Learn About Obsessive Compulsive (OCD)
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Sleep & Recovery

When rest doesn’t come easy, therapy helps you reset.

Quality sleep is the foundation of mental health. We help you understand how stress, habits, and emotions impact your rest, then build healthier sleep patterns that restore energy and focus. You’ll learn tools that last far beyond the therapy room.
Learn About Sleep & Recovery

Relationship & Conflict

When communication breaks down, connection suffers.

Relationships can be a major source of both comfort and stress. Our therapy helps you recognize unhealthy patterns, improve communication, and build emotional awareness. Whether you’re struggling with a partner, family member, or workplace dynamics, we’ll help you restore balance and confidence.
Learn About Relationship & Conflict
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Alyse Pfankuch

Why Our Approach Works

At Outside Therapy, every service begins with a clear plan and measurable goals.
We combine modern mental health science with whole-person care, drawing from modalities like:

  • ACT (Acceptance and Commitment Therapy) for mindset and motivation

  • CBT (Cognitive Behavioral Therapy) for thought and behavior change

  • DBT (Dialectical Behavior Therapy) for emotional balance

  • EMDR (Eye Movement Desensitization and Reprocessing) for trauma recovery

  • ERP (Exposure and Response Prevention) for OCD and anxiety disorders

  • Positive Psychology to promote purpose and resilience

We don’t do “forever therapy.” We do focused, intentional work that helps you reach a finish line and maintain your progress long after sessions end.

Ready to Start Feeling Better?

We’re accepting new clients — no waitlist, flexible hours, telehealth statewide.
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