Empower a more authentic, connected, and meaningful life.
Welcome
This invisible suffering is often related to a developed internalized or overcontrolled (OC) way of coping with trauma and challenges in life combined with a threat-sensitive bio-temperament and reinforcing factors. This internalized/OC coping is not inherently maladaptive; in fact, it can be a superpower in many contexts (and we want to maintain and celebrate that!).
However, in excess, this can show up as hyper-perfectionism, rumination, masking, rigidity, and emotional disconnect or loneliness to name a few examples, as well as ongoing conditions, such as refractory depression, chronic anxiety and panic, restriction-based eating disorders, and certain personality styles or disorders (e.g., Avoidant or Obsessive Compulsive Personality Disorder).
I am Level 3 intensively trained in Radically Open Dialectical Behavior Therapy (RO DBT), an evidence-based practice designed specifically to address maladaptive overcontrol and internalizing disorders and to move toward openness to the present moment and growth, connectedness, and flexible control. Over the last 17 years of clinical experience, I have helped individuals, couples, and families across the lifespan effect values-oriented changes in their lives.
If you are struggling with overcontrol/internalizing disorders (see additional areas of focus) and are curious about taking the next step, please feel free to reach out for a 15-minute complimentary phone consultation. Through active and collaborative partnership, using various skills-based and client(s)-values-led approaches, we can make meaningful changes that empower a more authentic and connected life, aligned with what is important to you.
Services
Individual
In individual therapy we partner together to identify, clarify, and take active and skillful steps toward meaningful behavior change that aligns with what is important to you. My approach is primarily informed by Radically Open Dialectical Behavior Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Cognitive Processing Therapy, Cognitive Behavior Therapy, Motivational Interviewing, and Interpersonal Neurobiology.
Relationships: Family, Friend, Romantic
For those seeking to evolve their relationships from the current dynamic, I offer a skills-based and attachment-oriented approach, equipping people with tools (e.g., skills for communication, making repairs, social signaling, boundaries) and practice to skillfully effectuate change in the dynamic. I work with people involved in many types of relationships (e.g., combinations of family members, friends, and various romantic relationship structures) to co-create a more effective and shared values-aligned way of interacting, whether this may be an intentional shift toward or away from closeness, or something else altogether.
Groups and Skills Classes
Radically Open Dialectical Behavior Therapy (RO DBT) Skills Classes are offered virtually throughout California and Ohio.
Learn MoreFull RO DBT Treatment
Full RO DBT Treatment consists of individual therapy, skills class, and skills coaching in between sessions. This may be an effective option for those whose circumstances need more support than a weekly therapy session, are stepping down from a higher level of care, or are interested in a focused approach to treating overcontrolled coping and/or internalizing disorders.
Areas of Focus
Contact
(If you are seeking family therapy, please stay on this website and navigate to "Services.")
About
My name is Reina Remigio (she/ze), and I am second-generation Filipino-American, identify as non-binary in my gender, and femme in my gender expression.
Over the course of my career, I have had the honor and privilege of working together with patients challenged with diverse and complex, co-occurring issues to improve their psychological health and overall quality of life. I enjoyed doing this work in a variety of settings that served patients struggling with trauma, substance use disorders, and other mental health issues, from intensive outpatient (IOP), partial hospitalization (PHP), primary care integrated behavioral health, inpatient, forensic, residential, skilled care, and community mental health settings. I have had the added privilege of providing supervision and training to clinicians and staff, as well as teaching a global community of undergraduate psychology students at a non-profit university.
Prior to shifting fully into private practice, I served for 4 years as Clinical Director of an integrated mental health IOP/PHP center in the San Francisco Bay Area, CA, where, in addition to directly providing clinical services to patients struggling with high acuity, co-occurring disorders, I oversaw and supported clinical care, a highly skilled team of clinicians, program development, and outcome measures to ensure gold standard whole-person care that is attuned to each patient's needs and goals.
Outside of work, I cherish the time I get to spend with family and starting creative projects ;) I also volunteer for two non-profit organizations: (1) as Board Vice President for HAND of the Bay Area (Helping After Neonatal Death), which offers free, peer support services for bereaved parents/families who have experienced miscarriage, termination of pregnancy due to maternal health/medical issues, stillbirth, and infant loss in the first year of life; and (2) as a member of Trans Family Support Services - Defending Equality advocating for trans youth protections in schools.
Throughout my life, I have had a specialized interest in supporting those whose suffering is internalized, hidden, or invisible to most. I am passionate about empowering individuals, couples, and families to make meaningful values-oriented changes that allow for and support greater authenticity and connection.