Specializing in Sexual Health, Trauma, and Chronic Pain.

Counseling, Clinical Supervision, Group Trainings, Retreats, and more!

Monthly Mindfulness Meditation Group
Live on the last Tuesday of the month
5:15-6:00 PM
Click here to listen to the Recordings 

4D Coping Skills: Mind, Body, Heart, Spirit

FREE LISTENING: 10-minute Mindfulness Reset Meditation by Charlie Curtis! Perfect for improving immune response during this time.

NEW 1-hour Webinar by Dr. Milspaw: Using Mindfulness to Thrive During Difficult Times

Check out Dr. Milspaw’s YouTube Channel for Meditations and EFT guidance.

Complete this form to receive a personalized meditation.

You may also enjoy watching the FREE Pelvic Health Summit – Nationally recognized providers speak on pelvic and sexual health.

Archived interviews with pelvic and sexual health specialists around the world.

4Directions Counseling envisions a world where integrative and multi-disciplinary professionals work together as a collaborative team to provide accessible and affordable care and support for all dimensions of a person’s wellbeing, including mind, body, heart, and spirit.

We seek to create a culture of acceptance, compassion, and authenticity in a safe, supportive environment for all persons and all relationships.

We offer a highly personalized approach tailored to each of our clients’ individual needs to help them attain the personal growth they are striving for. We utilize the most up-to-date research in neurobiology and psychoneuroimmunology to provide you with the most specialized treatment interventions.  Together with each client, we work to develop strengths and achieve life goals. Meet our team to discover the best fit for you. We specialize in sexual health, trauma, and chronic pain.

Addressing the Mind, Body, Heart, and Spirit


The mind represents the mental story of our experience. The mind tells us what we know, believe, and understand. The mind is our inner commentator, always telling us what we “should” or “should not” say, do, think, and feel. It is important to be aware of all the thoughts going through our minds so that we can decipher what it is that our bodies and hearts may be responding to. We can help you retrain your mind to create healthy habits of thought and focus.


The body represents the physical story of our experience. What are the physical sensations you experience when thinking or talking about a particular topic? Do you have butterflies in your stomach? Do you feel light or heavy? Warm or cold? Pleasure or pain? Jittery or calm? Does your breath become shallow or deep? Our body remembers and responds to all other parts of our experience. Our body’s health is crucial to our mental, emotional, and spiritual health. We encourage and offer support towards creating and maintaining a healthier physical body. 


The heart represents the emotional story of our experience. The heart tells us what we are feeling, yearning for, and sometimes missing. Do you feel joyful? Sad? Grateful? Afraid? Embarrassed? Guilty? Grief? Lonely? Motivated? Excited? The emotional response to our experience can tell us a lot about our past, present, and future. We are here to help you discover contentment and peace in your life.


The spirit represents the sensation of connection and disconnection. How connected do you feel with yourself? Your friends? Your partner? Your family? If you have a spiritual belief system, this is also the quadrant of our experience where we feel connected or disconnected from a higher power. Whatever your experience is, we want to help you strengthen your connection with yourself and anyone you wish to feel closer to.


Image Above: Gina Ogden’s 4-D Wheel Approach to Sex Therapy, detailed in her books listed on our resources page. Click on the image to learn more about Dr. Ogden’s research, approach, and her 4D Network.

Research demonstrates the importance of an interdisciplinary approach for sexual dysfunctions and chronic pain. It is crucial to incorporate all aspects of an individual’s experience for optimal healing and long-lasting benefits. Collaboration between healthcare providers is the best approach for mental, physical, emotional, and spiritual wellbeing.
4Directions Counseling offers a professional network of pelvic and sexual health specialists to help get you the attention and care you need.