Nathan Duff

I’ve been working in mental health in various settings since 1996. I did 3 years of residential, 5 years elementary school counseling, and I both provided and supervised community crisis services for about 10 years. This was primarily working with teenagers, although it covered all ages from ADHD 5 year olds, to suicidal / self-injurious 30-somethings, to schizoaffective senior adults.

For about the last 7 years I’ve been providing traditional outpatient counseling focused primarily on issues of emotional dysregulation including borderline personality, trauma / sexual trauma, domestic violence, existential issues, and, of course, anxiety and depression since the pandemic seemed to bring those along with it.

In terms of my professional journey, around the mid 2010s I began focusing on bipolar and borderline, partially because I was often seeing that in crisis services. Over time I recognized the effect of unresolved trauma, particularly sexual trauma, on borderlines and ended up re-focusing my attention there. In the last year or so, I’ve been working on shifting my focus back toward teens. Although you can certainly have significant transformation at age 35, I believe it’s much better to focus on prevention and early resolution, before things snowball.

I have had specialized training in several areas and currently have CCTP (Certified Clinical Trauma Professional), CYMHS (Certified Youth Mental Health Specialist), and C-DBT (Certified in Dialectical Behavior Therapy).

My current age range is about 12 years old and up, but to some extent this depends on the specific situation and whether a parent can join sessions in-person.