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Values and Philosophy
The Art of Creating Change
Psychotherapy is the art of creating change by joining the experience, wisdom and knowledge of the therapist and the client with the care and connection of a trusting relationship.
For over thirty years, I have been helping individuals, couples and families find solutions to often vexing challenges, including anxiety, depression, trauma, relational conflicts, loss, health problems, and various life transitions. I have also devoted much of that time to promoting the well-being of lesbian, gay, bisexual, transgender and queer-identified people. This has deepened my appreciation for both the experience of difference and the impact that various systems such as families, communities, laws, schools, and religious institutions can have on individuals. I therefore pay close attention not just to what is happening within you, but what is happening around you.
I utilize many approaches to solving problems. In addition to my systems focus, I can incorporate psychodynamic, body-centered, trauma-based, cognitive-behavioral, solution-focused and narrative strategies into my work. However, no one size fits all. My work involves creating an amalgam of approaches tailored to your needs, goals and concerns. Furthermore, all of my work with you is strengths-based. I focus not just on your problems and barriers, but on your strengths, talents, and capacities.
Training and Experience
Early in my career, I was fortunate to work in a variety of settings: an in-patient psychiatric hospital, a psycho-social rehabilitation center, a community mental health center, and a school-based counseling program for youth. Each of these professional experiences taught me about the relationships between individuals and multiple systems and cultures, grounded me in the realities and challenges of human life, and honed my skills in helping others to meet them.
Through my own experiences as a gay man, I have been a committed advocate for LGBT concerns in the fields of social service and mental health for all of my adult life. I served for 6 years as the Executive Director of The Center on Halsted (formerly Horizons Community Services) and also served as Clinical Director of The Evelyn Hooker Center for Gay and Lesbian Mental Health, a program of The University of Chicago Department of Psychiatry. I was an Adjunct Faculty member for the Illinois School of Professional Psychology, where I taught a course in Clinical Practice with Lesbians and Gay Men. I am co-author of Something To Tell You: The Road Families Travel When A Child Is Gay (Columbia University Press, 2000), and write an online column about and for LGBTQ couples for Windy City Media Group.
Founding Live Oak with my friend and colleague, Jeff Levy, allowed both of us to enhance services for LGBT individuals and their families. We recognize that working with the LGBT population requires so much more than just being “gay-friendly.” We have therefore dedicated ourselves to learning and applying the sophisticated body of knowledge that now exists, and training hundreds of mental health professionals in providing quality service to this population. These years of practice, learning and teaching infuse and inspire my work.
I have presented nationally on a range of issues affecting the LGBT communities, have served on numerous boards and advisory committees, and am a recipient of the City of Chicago Gay and Lesbian Hall of Fame Award, the HUMAN FIRST Award, the Illinois Gay and Lesbian Task Force Human Rights Achievement Award, the Gay Chicago Magazine Hall of Fame Award, and the Grinnell College Alumni Award.
My work with the LGBT population does not preclude my working with non-LGBT people, and my practice is comprised of both. It does, however, strengthen my resolve to empower others, celebrate difference, and recognize the uniqueness of every individual and family.
Range of Focus
- Gay, lesbian and bisexual individuals
- Couples and relationship issues
- Childhood trauma, including physical/sexual abuse, psychological abuse/neglect, ostracism and harassment
- Depression
- Anxiety and stress
- Addictive behaviors
- Bereavement, loss and grief
Individual Psychotherapy
Our work together begins with building a partnership of mutual trust. In addition to my expertise, I bring to this work my respect, honesty, commitment, openness to your concerns, self-awareness, an ethical approach to practice, and a desire to succeed. As we establish a trusting relationship, we can challenge old patterns of living that may no longer be useful and construct new ways of thinking or acting in the world that offer greater satisfaction. Through this process, change happens. Through practice, work, and attention to new challenges, change deepens and becomes consistent over time.
I will engage actively with you and listen closely to your perspective. During the beginning phase of our work, we will assess the reasons you are coming to see me. With the greatest sensitivity, I will ask you questions so that I can more fully understand your concerns and learn any relevant history. I will review my thoughts and observations with you, spend some time constructing and clarifying the goals of our work, use the experience of our relationship to understand what is occurring elsewhere, and suggest some ways to move forward.
As we build both a solid relationship and solid understanding of your goals, strengths and challenges, we will enter a “working phase.” I may ask you to apply strengths to new arenas, offer new strategies and ask you to practice them, challenge existing patterns of thought or behavior, and provide techniques for mastering them. As always, I will welcome your honest feedback and respond with new ideas.
When new and successful patterns emerge, we will focus on ways to consolidate and strengthen them. Through practice, courage, and commitment, change becomes consistent.
Couples Therapy
I welcome and immensely enjoy the opportunity to work with couples. Although the phases of our work are similar to those described above, the work is by necessity more active and immediate. I will attend to your needs and identities as both individuals and as a system, and work with your strengths to address your challenges. There will be times where I may ask you to engage directly with each other in my office and I will offer suggestions and guidance as you do so. At other times, I will encourage you to practice new behaviors at home, and to review with me the effects of that work. I will always work to help you resolve conflict by learning new skills and strengthening the bonds between you, and to construct new meanings for the relationship.
Finally, I recognize that many of the concerns affecting same-sex couples are unique, including differences in access to legal rights and recognition, managing the impact of homophobia, and living in multiple cultures simultaneously, including gay and lesbian sub-cultures. My familiarity with these and other forces insures that I bring greater understanding and skill to my work with same-sex couples.
Group Facilitation
I believe in the transformative power of groups, and have incorporated group facilitation throughout my career. I have been conducting psychotherapy groups for gay men since 1992, and have witnessed how powerful it can be to recognize common struggles, create bonds of care and concern, and offer an arena for being truly heard. Therapeutic groups also can promote healing from troubling experiences, and offer insight into new ways of forming and maintaining lasting relationships.
Professional Training
- Adjunct Faculty, University of Illinois - Jane Addams College of Social Work
- Graduate course in Group Therapy
- Adjunct Faculty, Argosy University (formerly Illinois School of Professional Psychotherapy
- Graduate course on Clinical Practice with Lesbians and Gay Men
- Core and Associate Faculty, Chicago Center for Family Health
- Couples Therapy with Same-Sex Couples
- Affirmative Therapy with LGBT Individuals and Their Families
- Lecturer, University of Chicago - School of Social Service Administration
- Graduate Course in Family Therapy
I have also presented on a range of LGBTQ issues, including: Affirmative Practice, Domestic Violence, Same-Sex Couples, LGBT Youth, and LGBT Seniors.
Degrees
1979 M.S.W.
Jane Addams College of Social Work
University of Illinois at Chicago
1975 B.A.
Grinnell College
Grinnell, Iowa
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Certifications
Licensed Clinical Social Worker (LCSW)
Since 1990
Illinois Department of Financial and Professional Regulation
License Number: 149-003431
Academy of Certified Social Workers (ACSW)
Since 1984
National Association of Social Workers
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Specialized Training
2006 Dialectical Behavioral Therapy (DBT)
2005 Critical Incident Debriefing
1998 EMDR Level 1and 2
Contact Information
1300 W. Belmont, Suite 400
Chicago, IL 60657
773.880.1310, ext. 81
bkoff@liveoakchicago.com
Office Hours
Monday: 9:00am-6:00pm
Tuesday: 12:00pm-8:00pm
Wednesday: 9:00am-8:30pm
Thursday: 1:00pm-7:00pm
Friday: 9:00am-5:00pm
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We are a group of psychotherapists and consultants who provide counseling and educational services that enhance the emotional and psychological well being of individuals, families, organizations and communities.
We bring to our work decades of experience in clinical practice. Our longevity and success derive from the inspirational courage of our clients, our deep commitment to learning, and a strength-based philosophy that fosters growth, strengthens identity, and promotes real and lasting change.
The following principles inform our work:
- We recognize the uniqueness of each individual.
- We are goal-oriented.
- We employ a strength-based approach that begins by respecting the courage it takes to attempt change.
- We recognize that real and lasting change requires action.
- We understand, recognize, and incorporate the interrelated nature of mind, body, and brain.
- We are systems-oriented.
- We establish a partnership based on mutual accountability and trust.
- We recognize the harm that comes from discrimination and stigma, and therefore practice psychotherapy, consultation, and training that affirms the value of difference.
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