About Approach Services Enneagram Resources FAQ Get in Touch

Therapy in Alpine, Utah · In-Person & Online

A place to slow down
and find your way
back to yourself.

I work with teens and adults navigating anxiety, relationship patterns, identity, and the weight of experiences they haven't fully made sense of yet.

Casey Moser, therapist
Credentials
Casey Moser, CSW
MSW · Grand Canyon University · Utah Licensed

Warmth, curiosity,
and no judgment.

"Sometimes the ways we learned to cope growing up show up later as anxiety, people-pleasing, or overthinking in relationships."

Hi, I'm Casey — a Clinical Social Worker based in Alpine, Utah, working with teens and adults who want to understand themselves more deeply and create real, lasting change.

Many of my clients look capable on the outside, but internally feel stuck in patterns they don't fully understand. They're thoughtful, self-aware people who sense there's something beneath the surface worth exploring — and they're right.

My style is warm, collaborative, and client-focused. I'm not here to hand you a diagnosis or tell you what to do. I'm here to slow down with you, listen carefully, and help you make sense of what's been happening — both inside and in your relationships.

I hold an MSW from Grand Canyon University and have trained in several evidence-based approaches. I also incorporate the Enneagram as an optional tool for self-understanding when it feels like a good fit. I see clients in Alpine and online throughout Utah.

Hover over any approach below to learn what it means.

NARMNeuroAffective Relational Model — explores how early relationships shape who we are, how we feel about ourselves, and how we connect with others. TF-CBTTrauma-Focused Cognitive Behavioral Therapy — a structured, evidence-based approach for processing trauma, often used with children and teens. CBTCognitive Behavioral Therapy — helps you understand how thoughts influence feelings and behaviors, and builds practical coping skills. DBT SkillsDialectical Behavior Therapy skills — tools for managing overwhelming emotions, improving relationships, and tolerating distress without making things worse. ACTAcceptance and Commitment Therapy — helps you clarify your values and move toward what matters most, even when difficult feelings show up. ERP for OCDExposure and Response Prevention — the gold-standard treatment for OCD, practiced here with a self-compassion framework rather than a harsh approach. Attachment-BasedExplores how our earliest bonds with caregivers shape how we connect, trust, and relate to others throughout our lives. Enneagram-InformedUses the Enneagram — a personality and motivation framework — as an optional lens for understanding patterns in how you think, feel, and protect yourself. Trauma-InformedEvery part of our work together is shaped by an understanding of how trauma affects the body, the mind, and relationships. Behavioral ActivationA structured approach to depression that helps you gradually re-engage with meaningful activities — because action and mood influence each other more than we think.

My Approach

Therapy shaped around you.

I don't use a one-size-fits-all model. Our work together is shaped by what you're carrying, what you're hoping for, and what actually helps you grow.

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Relational & Trauma-Informed

Many of the patterns that feel most stuck — anxiety, people-pleasing, emotional reactivity — have roots in early relational experiences. We explore those roots with curiosity, not blame. Everything we do is grounded in an understanding of how trauma shows up in the body and in relationships.

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Evidence-Based Skills

I draw from approaches that research has shown to be effective — including CBT (understanding how thoughts affect feelings), DBT skills (tools for emotional regulation), and NARM (a trauma model focused on identity and relationships). We use what works for you, not a rigid protocol.

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Collaborative & Client-Led

You set the pace. I listen first, ask good questions, and tailor our work to your goals. Therapy here is a genuine partnership — you're the expert on your own life, and I'm here to help you understand it more clearly.

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Understanding the Why

Managing symptoms matters, but the work I find most meaningful happens when clients start to understand why a pattern exists — where it came from, what it's been trying to do. That kind of understanding changes things from the inside out.

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Self-Compassion Woven In

Change is hard. I bring warmth and humor into our sessions because growth doesn't require suffering — and because you deserve a space that actually feels safe. We won't spend our time criticizing you; we'll spend it understanding you.

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Enneagram as Optional Lens

For clients who are curious, the Enneagram is a powerful framework for understanding the deeper motivations behind how you think, feel, connect, and protect yourself. Always optional — never used to put you in a box.

Services & Specialties

What I help with.

Anxiety & Stress

Whether it's constant overthinking, physical tension, or a sense that you're always bracing for something — we'll work to understand what's driving it and build steadier ground. Anxiety often has a story behind it, and understanding that story is part of how things shift.

Trauma & C-PTSD

Using trauma-informed approaches, we'll gently explore how past experiences are showing up in your present — in your body, your relationships, and your sense of self — and work toward healing at your pace. No forcing, no rushing.

Relationship Patterns

People-pleasing, codependency, conflict avoidance, difficulty trusting — these patterns usually have deep roots. Therapy can help you understand where they came from and begin building relationships that feel safer and more honest.

Identity & Self-Worth

If you struggle to know who you are outside of what you do for others, or your sense of self feels fragile or unclear, this work can help you reconnect with something more grounded — not a performance, but actually you.

Depression & Low Mood

Persistent sadness, low motivation, or feeling disconnected from your own life. We'll work together to understand what's underneath and find a path forward — one that doesn't require you to just "try harder."

Teens & Adolescents

I offer a supportive space for preteens and teens who need room to reflect, problem-solve, and make sense of their world — without judgment, and with a lot of genuine care.

Practice Details

Self-Pay Rate$150 / session
FormatIn-person (Alpine) & Online
ClientsPreteens, Teens, Adults
PaymentCard, HSA, Cash, Venmo, Zelle
InsuranceSee list ↓
  • Aetna
  • Blue Cross/Shield
  • Cigna/Evernorth
  • DMBA
  • EMI Health
  • GEHA
  • PEHP
  • Regence
  • SelectHealth
  • UMR
  • UnitedHealthcare
  • U of U Health Plans
  • Out of Network

Please verify your benefits before your first appointment — I'm happy to help you figure out what to ask.

Enneagram-Informed Therapy

Understanding yourself
more deeply.

The Enneagram isn't a personality test — it's a map of motivation. It explores not just how you behave, but why: the deeper drives, fears, and longings that shape how you move through the world.

Unlike other personality frameworks, the Enneagram focuses on what's happening underneath the surface — the stories we tell ourselves, the ways we protect our hearts, and the patterns we fall into when we're stressed or scared.

I incorporate the Enneagram as an optional tool in therapy for clients who are curious about it. It can give language to patterns that previously felt confusing, and open up insight into relationship dynamics, emotional habits, and self-protective strategies.

This is never a box to put yourself in. It's an invitation to get curious about yourself — with a little more compassion and a little less self-judgment.

The Enneagram is always offered as an optional lens, not a required framework.

Enneagram diagram

A lens for understanding motivation, not a label

Client Resources

A library for your journey.

These are resources I return to and recommend regularly — curated for current clients and anyone on a path of self-understanding. If you're in therapy with me, this is a good place to explore between sessions.

Book · Relationships

Attached

Amir Levine & Rachel Heller on attachment styles — why we connect the way we do, and how to build more secure relationships. Especially helpful for anxious attachment patterns.

Book · Parenting

The Power of Showing Up

Daniel Siegel & Tina Payne Bryson on how a parent's consistent presence shapes children's brains and emotional lives. One of the most important parenting books I know of.

Book · C-PTSD

Are You Mad At Me?

Meg Josephson's book for those navigating the relational hypervigilance and emotional patterns that come with complex trauma — feeling like you're always scanning for disapproval.

Book · ADHD

ADHD 2.0

A practical, science-based guide to understanding and thriving with ADHD. Valuable for adults with ADHD and parents of kids who have recently been diagnosed.

Book · Connection

How to Know a Person

David Brooks on the art of truly seeing and understanding another human being — and what it means to actually be known. For clients who want to build deeper connections.

Book · Friendship

Platonic

Dr. Marisa G. Franco uses attachment science to explain how to make and keep deep, lasting friendships — a topic therapy doesn't address nearly enough.

Book · Workbook · OCD

The Self-Compassion Workbook for OCD

A structured companion for OCD treatment — built around self-compassion rather than self-criticism. Used in session and as a resource between appointments.

View on Amazon →
Podcast · OCD & Anxiety

Your Anxiety Toolkit — Mindfulness Episode

Kimberley Quinlan's podcast is one of my favorites for clients with intrusive thoughts and OCD. This mindfulness episode is one I've shared many times recently.

Listen on Apple Podcasts →
App · Self-Care

Finch

A self-care tracking app where you take care of a little virtual bird by completing daily check-ins and personal goals. Surprisingly effective for building self-compassion habits.

App · Emotions

How We Feel

An emotion-tracking app that helps you identify, name, and understand your feelings — great for building emotional intelligence and self-awareness between sessions.

App · Safety Planning

Safety Plan (US Dept. of Veterans Affairs)

For clients managing suicidal ideation — a structured, personalized safety planning app developed by the VA. Simple, private, and clinically grounded.

App · Recovery

I Am Sober

A daily tracker for sobriety and recovery goals, with milestones and community support. Useful for clients working on addiction or habitual behaviors they want to change.

App · Sleep

CBTi Coach

A VA-developed app for Cognitive Behavioral Therapy for Insomnia — one of the most effective non-medication approaches for persistent sleep difficulties.

App · Focus

Focus Friend

App-blocking and timer tool for your phone — helpful for reducing digital distraction, protecting your attention, and setting healthier boundaries with technology.

App · ADHD

Tiimo

An ADHD-friendly time-blocking, scheduling, and visual timer app. Designed to make daily routines more manageable and less overwhelming for ADHD brains.

Rest Practice · 10 min

NSDR — Non-Sleep Deep Rest (10 min)

From Huberman Lab. NSDR is a guided rest protocol (similar to Yoga Nidra) that promotes nervous system recovery without sleep. A powerful midday reset.

Watch on YouTube →
Rest Practice · 20 min

NSDR — Non-Sleep Deep Rest (20 min)

A longer version of the Huberman Lab NSDR protocol — excellent for stress recovery, improving sleep quality, and nervous system regulation.

Watch on YouTube →
App · Meditation

Insight Timer

A free meditation app with thousands of guided sessions — including Yoga Nidra for sleep, body scans, and breathwork. Great for beginners and experienced meditators alike.

Enneagram · Free Test

Enneagram Blueprint

My current go-to recommendation for learning your type — well-researched, nuanced, and avoids the common oversimplifications. Includes a free test to get started.

Take the free test →
Enneagram · Deep Dive

The Enneagram Institute

The foundational resource for Enneagram education — includes in-depth type descriptions, wings, instinctual variants, and levels of development.

Referral · Psychiatry

Ascent Mental Health — Medication Management

For clients who may benefit from a psychiatric evaluation or medication support alongside therapy. Located in Orem, UT. Able to accept many of the same insurance plans.

Skill · Emotional Regulation

NICER

A step-by-step skill for sitting with difficult emotions rather than pushing them away:

NNotice & name the emotion. Just identifying it ("I'm feeling anxious") creates a little distance.
IInvite it to stay. Instead of fighting it, let it be there. Resistance often amplifies.
CCurious: Why are you here? What threads are attached? Get gently inquisitive, not judgmental.
EEmbrace the emotion. Bring some compassion to it — it's there for a reason.
RReturn to the present moment using grounding skills (like 5-4-3-2-1 sensory grounding), then continue with your day, schedule, values, or goals.

Skill · Physical Regulation · DBT

TIPP

Temperature · Intense exercise · Paced breathing · Progressive muscle relaxation. A DBT skill for quickly bringing your body out of a high-emotion state by changing your physical experience first — because sometimes the body needs to shift before the mind can follow.

Skill · Breathwork · Somatic

Finger-by-Finger Breath Awareness

Press your thumb and each finger together one at a time while breathing slowly and intentionally. Each finger directs your breath to a different part of your body:

👆 Pointer finger — breathe into your chest
🖕 Middle finger — breathe into your rib cage
💍 Ring finger — breathe into your belly
🤙 Pinky — breathe into your pelvic floor

A simple, discreet tool you can use anywhere to bring breath — and awareness — into different layers of the body.

Skill · Nervous System · Somatic

Vision & Gaze Control

Deliberately widening your visual field (panoramic vision) or softening your gaze can shift your nervous system from a stressed, narrow-focus state toward a calmer, more open one. A research-backed tool from neuroscience for regulating arousal without doing anything obvious.

Skill · Activation · Somatic

Start With One Movement

When you're shut down or frozen, the goal isn't to do everything — it's to pick up a hand, or lift a foot, and go slowly from there. Tiny, intentional movement can interrupt a freeze state and begin to bring your system back online gently.

Skill · Cognitive · Productivity

Eisenhower Matrix

When the to-do list feels crushing, list everything out and sort it into four boxes: Urgent + Important (do now) · Important, not urgent (schedule) · Urgent, not important (delegate) · Neither (let go). Helps separate real priorities from noise.

Skill · Behavioral Activation · Depression

Behavioral Activation Chart

For moments of pure overwhelm or emotional shutdown — when motivation is gone and nothing sounds worth doing. This structured tool helps you identify small, manageable actions that match your current capacity and gently rebuild momentum. Used in session for depression and shutdown states.

Skill · Mindfulness · ACT

STOP

Stop what you're doing · Take a breath · Observe what's happening inside you · Proceed with your values in mind. A brief pause practice for hard conversations and reactive moments — creates space between impulse and action.

Skill · CBT

Thought Records

A core CBT tool for examining the connection between situations, automatic thoughts, emotions, and behaviors. Helps you notice distorted thinking patterns and gently test whether they're accurate — not to think positively, but to think more clearly.

Skill · DBT

DEAR MAN

A DBT interpersonal effectiveness skill for asking for what you need or saying no, while keeping the relationship intact. Describe · Express · Assert · Reinforce · Mindful · Appear confident · Negotiate.

Skill · DBT

Opposite Action

When an emotion is driving you toward a behavior that makes things worse, deliberately doing the opposite can shift the emotion itself. A counterintuitive but powerful DBT skill — especially for shame, fear, and anger.

Skill · ACT · Mindfulness

Defusion

Learning to see thoughts as thoughts — not facts. Instead of "I am a failure," try "I'm having the thought that I'm a failure." Small shift, big difference. An ACT technique for loosening the grip of difficult self-narratives.

Skill · NARM · Somatic

Noticing Without Fixing

A core NARM practice — turning attention toward what's happening in your body and emotional experience with curiosity rather than urgency. Not every sensation needs to be solved. Sometimes just being witnessed, even by yourself, is what shifts things.

Skill · OCD · ERP

Sitting With Uncertainty

OCD feeds on the need for certainty. ERP involves intentionally tolerating the discomfort of not knowing — and learning through experience that you can handle it without a compulsion. Done gradually, with support, and always with self-compassion.

A note on this library: This list grows over time. If you're a current client and there's something I mentioned in session that you can't find here, reach out — I'm happy to share it directly.

Questions you
might have.

Don't see yours? Reach out — I'm happy to talk.

If you've been curious about it, that's usually a good enough reason to try. Therapy isn't just for crisis moments — it's also for people who want to understand themselves better, break patterns that aren't working, or simply have a consistent, honest space to think. A free 15-minute consultation is the best way to see if we'd be a good fit.
The first session is mostly about getting to know each other. I'll ask about what brought you in, what's been going on, and what you're hoping for. There's no pressure to share everything at once — we go at your pace. I'll also answer any questions you have about how I work.
Yes — I accept Aetna, Blue Cross/Blue Shield, Cigna/Evernorth, DMBA, EMI Health, GEHA, PEHP, Regence, SelectHealth, UMR, UnitedHealthcare, and University of Utah Health Plans. I also see clients out-of-network. The self-pay rate is $150/session. Please reach out to verify your specific benefits before our first appointment — I'm happy to help you figure out what to ask.
Yes. I see clients both in-person in Alpine, UT and via telehealth for anyone located in Utah. Many clients prefer telehealth for the flexibility — it works well for most of the work we do together.
Yes. I enjoy working with preteens and teens who need a supportive space to reflect, problem-solve, and make sense of what they're going through. I approach teens with the same warmth and respect I bring to adult clients — they're navigating genuinely hard stuff.
NARM stands for NeuroAffective Relational Model. In plain terms, it's a way of understanding how early experiences — especially in relationships — shape who we become: how we think about ourselves, how we handle emotions, and how we connect with others. Rather than focusing on re-processing painful memories directly, NARM helps you reconnect with a more authentic sense of who you are. It's my favorite approach because it's both deeply human and genuinely effective.
Not at all. The Enneagram is one optional tool I offer for clients who are curious about it. It works really well for some people and isn't a fit for others — both are completely fine. We'll use whatever helps you most.
It varies. Some people find significant relief and clarity in a few months; others find ongoing therapy useful for deeper or longer-standing patterns. We'll check in regularly about how things are going and whether our work still feels useful and meaningful.
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected costs before beginning services as a self-pay client. I'll provide this to you in writing before our first appointment — it includes my session rate and an estimate based on your anticipated frequency of sessions. If you have questions, just ask.

Ready to take
the first step?

Reaching out is often the hardest part. I'll get back to you within one business day, and we can set up a free 15-minute consultation to see if we're a good fit.

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Location
Alpine, UT · Telehealth available throughout Utah
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Response Time
Within one business day
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Thank you for reaching out! I'll be in touch within one business day.