Dr-David-Gosse-wearing-blue-shirt

About David Gosse

I began my career in psychology as a college student. During this time, I helped adults with mental illness in various treatment programs. After graduate school, I directed a treatment program for mentally ill adults.

Over the years, I saw firsthand the power of effective treatment. It helped people overcome challenges, get a new outlook, and take charge of their lives. It was always exciting to witness these life changes.

At the same time, the effects of psychiatric medication on some patients disturbed me. These drugs did help some people. But others experienced severe – and sometimes dangerous – side effects.  Some of these patients walked around like zombies, lacking in energy or vitality.

These experiences influenced me when I started my practice in 2002.  Since then, many clients have told me about their frustrations with traditional forms of treatment.

Some people don’t like seeing their problems “medicalized,” so to speak. They don’t want to be diagnosed or “labeled” with a mental disorder. In some cases, clients don’t have a diagnosis for their struggles; they just know they’re unhappy.  And many people relate to me their discomfort with medications. The side effects of these drugs concern them, and they don’t want to depend on medication to feel better.

Other clients expressed frustration with therapy that is all talk and no action. They don’t find it helpful to vent about their problems endlessly.  Instead, they want to know what they can do to about the challenges in their lives.

This feedback from clients over the years shapes my approach to counseling.  I strive to avoid labels and psychobabble in my work with clients. I also show them how to overcome their problems without pills or lengthy therapy.

The following core principles define my treatment approach:

I treat people, not diagnoses

In recent decades, the field of medicine has dominated mental health treatment.  As a result, many labels have been developed to pathologize everyday struggles in life. These include emotional, behavioral and relational problems.

I don’t believe there is a diagnosis for every problem.  You may be struggling right now, but that doesn’t necessarily mean you have some sort of mental disorder.  On the other hand, maybe you are contending with intense symptoms.  In any case, a label by itself does little to address the challenges you’re facing.

I want to help you with your day-to-day problems, rather than fitting your symptoms to a label.   As such, I customize my treatment to your needs and goals, instead of offering a “one size fits all” approach.

Together, we will pinpoint the factors that are keeping you stuck. These may be negative thoughts, feelings or experiences from the past or present.  In turn, we will develop a plan to get you out of the rut that you’re in and on the road to recovery.

Skills are better than pills

The “chemical imbalance” theory is the basis of the medical approach to treatment.  This theory says that emotional, behavioral, and relational problems are due to faulty brain chemistry.   In turn, correcting these chemical imbalances – with pills – supposedly leads to a “cure.”

The quest to rebalance brain chemistry has led to an explosion of new medications in recent decades.  Most of these drugs are for depression and anxiety.  According to this view, there is a pill for every ill.

Medication helps some people with severe symptoms.  But sometimes these drugs don’t work, and it’s not uncommon for the side effects to exceed the benefits. This is even more true for the majority of people, who only have mild to moderate symptoms.  Side effects include agitation, decreased sexual functioning, weight gain, and addiction.

But growing evidence suggests that antidepressants are ineffective.   Instead, most of the benefits from these medications seem to be due to the placebo effect.

In contrast, the potency of anti-anxiety drugs is not in doubt.  But these are also some of the most addictive prescription drugs on the market today.

Consumers spend billions of dollars on these drugs each year.  At the same time, there is no conclusive evidence to support the chemical imbalance theory.

The good news is that you probably don’t need medication to recover.  Your mood is not the result of some mysterious processes beyond your control.   You don’t know how to manage your symptoms at the moment, but it is something you can learn.  Many research-based treatments now exist to help you overcome your current challenges.  These drug-free techniques are as effective as medications, and often more so.

When you acquire the skills for sustained recovery, you will feel more confident. With practice, you can learn to manage the challenges in your life. Eventually, you will reach a point where you won’t need to rely on pills or see a therapist to feel better. And it doesn’t take as long as you might think to do so.

Therapy should lead to tangible life change

In my experience, “talk therapy” only takes a person so far. Without the right approach, you may even get worse as you rehash problems over and over again.  Talk therapy can also go on indefinitely and may make you dependent on your therapist to feel better.

I would like to be the last therapist you ever need to see.  I believe therapy should be more than mere talk.  Instead, treatment is about learning how to relieve suffering and foster change so that you can get on with your life as quickly as possible.  And rapid change is possible if you’re willing to learn and practice new skills.

Meet David Gosse

I have extensive training in TEAM Therapy.  This is an active treatment approach developed over 35 years by David D. Burns, M.D.  He is a psychiatrist and author of Feeling Good: The New Mood Therapy – one of the best-selling self-help books of all time.

TEAM Therapy is based on decades of clinical experience and research.  It provides many tools and skills that allow treatment to progress faster than traditional forms of treatment. Through teamwork and persistence, we can change your life in more ways than you can imagine.

I have helped people overcome depression and anxiety, relationships problems, and habits and addictions in the Las Vegas Valley for the past 15 years.  I also work with individuals who just want a “tune-up,” or need help taking some aspect of their lives to the next level.

Whatever you’re going through, my goal is to show you how to become your own therapist. I will teach you why you’re stuck and what to do about it. I have helped thousands of people get on the road to recovery to live happier and more fulfilled lives – and I would like to help you do the same.

Would you like to learn more about me and my practice?  If so, contact me today!