Lori Rodriquez-Fletcher, LICSW Licensed Independent Clinical Social Worker

01/08/2026

By BBGHAt Greater Nebraska Medical and Surgical Services (GNMSS), a new walk-in clinic will now be available to the community! The walk-in c

01/07/2026

I think culturally we are doing a really good job of normalizing the use of therapy and medication, but I wonder if we underemphasize that therapy takes time and effort to work. Quick-fix "breakthroughs" get glamorized in pop culture's version of therapy, but in real life, change comes slowly.

If your is getting care for yourself through , give it time.

A study of 10,000 people showed that it took about 20 sessions (that's about six months of weekly sessions) for 50% of people to experience notable symptom improvement. With a full year of treatment, that number jumped to 75%. Research like this is tricky, and numbers change depending on how researchers measure "improvement" and other studies suggest different timelines, but this large study really highlights that a key part of effective therapy is giving it time to work.

Source: Shedler & Gnaulati (2020, Networker) full link in profile.

01/06/2026

01/06/2026

If you've read comment sections, you may have seen how important self-regulation skills can be.

But young children don't have these skills built in. As adults, we can begin helping children begin to build self-regulation skills starting from birth, through the process of co-regulation, a.k.a., helping a child manage their emotions by making them feel safe, calm and understood.

Strong co-regulation in early childhood is directly connected to how well a child develops coping strategies, emotional awareness and resilience over time. Head here if you want more: https://bit.ly/4apJRyM

01/04/2026

January is National Stalking Awareness Month. It’s everyone’s responsibility to help end domestic violence 💜

January is National Stalking Awareness Month. Stalking can be a scary, even dangerous, violation of privacy impacting millions of people each year. Abusers often choose to stalk partners as a means to harm them, even after the relationship itself may have ended.

Current or former partners often weaponize their familiarity with a victim’s life in order to make their stalking behaviors more invasive — and more deadly. Research shows that stalking increases the risk of intimate partner homicide, and survivors need support and resources long before an abuser chooses to escalate their behavior.

Keep reading: https://buff.ly/dVzm1p6



[Image description: Against a blue background, white text reads: "Abusers often choose to stalk partners as a way to scare, threaten, harm, and control them, even if the relationship itself is over. Abusers may weaponize their familiarity with a victim’s life in order to make their stalking behaviors more invasive – and more deadly." NNEDV logo below. The NNEDV logo consists of 66 small house shapes arranged in a large house shape, and text reading: "NNEDV National Network to End Domestic Violence."]

12/29/2025

One of our Child-Parent Psychotherapy(CPP) rooms in the Scottsbluff office location. This room will get a little makeover in the new year to also better accommodate for Parent-Child Interaction Therapy (PCIT) needs. As the year comes to an end, I wanted to provide a few updates and give some end of the year reflections. Our providers will be taking some time off in the next week so that we can have a break and spend some time together. Doing this allows us to serve you better. Individual providers have already communicated this to our clients. For those of you who are calling with therapy inquiries or referrals, I will get back to you all.

Our team has grown this year. Kate continues to see clients of all ages in our Scottsbluff office and is closer to getting done with her provisional hours. She enjoys working with children and parents and is completing her CPP training but is able to take CPP referrals. Nichelle joined our team part-time and prefers to see adults or couples in Scottsbluff. Betsy has joined and will be in the Alliance office. She will be starting to see clients soon. We are still working on her credentialing. I continue to see clients of all ages in Alliance, Scottsbluff, and Sidney for individual and family therapy, assessments (call for more info), CPP, and IoWA PCIT. I do mostly court involved cases, but work with all clients regardless if they are court involved or not. I enjoy working with the littles (infant and early childhood) and their families. I also provide co-occurring assessment and therapy.

While things may feel heavy, we have had some great celebrations in the past two months. Along with our collaborative partners, we have celebrated 5 children successfully reunifying with their parent or parents, six children getting adopted (all but one was by a family member or kin), 5 children/teens and one adult successfully complete their therapy goals and get discharged, one adult who celebrated 2 years of sobriety, and have many more clients, parents, and families who are working hard on their goals and gaining insight, support, and new tools to help them on their healing and life journeys. We are so honored you have choosen us to help serve you. We look forward to the new year. Please call (308) 763-9261 for all inquiries.

12/28/2025

Self-care Sunday 🤍

12/21/2025

, a pill or powder containing any combination of ketamine, ecstasy, m**h, co***ne, fentanyl, oxycodone and tramadol, is emerging in communities and club scenes nationwide. It mixes stimulants and depressants with dangerous impact. play a critical role in awareness, prevention, and support. Learn more in NASW’s new Behavioral Health Practice tool.
https://www.socialworkers.org/Practice/Behavioral-Health/Behavioral-Health-Tools/Understanding-the-Implications-of-Pink-Cocaine-in-Substance-Use

12/08/2025

💚 Nebraska mental health clinicians: Our 2026 Child-Parent Psychotherapy Training is now open for registration!

CPP Training is an 18-month intensive program that enables clinicians in Nebraska to work with caregivers and children ages 0 to 5 who have experienced trauma, loss, or disruptions in attachment. Our training program is led by Nebraska's only certified CPP trainers and provides in-depth instruction and support for clinicians.

All training components, including dates, times, and registration prerequisites, are listed on our website: https://www.nebraskababies.com/events/2026-cpp-training

12/07/2025

These are things we have learned about babies, young children, and trauma. This is the work we do in Child-Parent Psychotherapy. Yes, I provide CPP services to babies and work with children under five and their caregivers. I love CPP work, and it has shaped how I do therapy with ALL my clients because many of them have unresolved early childhood trauma that we work together to help heal.

12/04/2025

Time Outs may not be working the way we think they are.

When your child is having a meltdown, their brain is only focused on finding safety - not learning lessons. They can't access wisdom or logic in those big emotional moments because that part of their brain simply isn't developed yet.

Here's what we're learning: children don't learn to self-soothe alone. They learn to regulate WITH you, through your calm presence and connection.

We call this "Time In," a relationship-based approach that builds security while still providing structure.

Read the full blog to discover this brain-based alternative: https://zurl.co/rsM4E