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Family / Behavioral Therapist
Sandy, UT
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Licensed Therapist (LMFT/LCSW/CMHC) — Betrayal Trauma & Couples Specialty | Sandy, UT (Hybrid) Big Valley Therapy LLC Sandy, UT Job Details Full-time From $60 an hour 10 hours ago Benefits Flexible schedule Qualifications LMFT Licensed Clinical Social Worker CMHC Full Job Description I'm Josh Otani, LMFT and founder of Big Valley Therapy in Sandy, Utah. I built this practice around betrayal trauma, compulsive sexual behavior, pornography addiction recovery, and couples recovery. I find EFT, IFS, and EMDR to be helpful modalities in case conceptualization, and I wanted a space that takes this work seriously instead of treating it as one slice of a generalist caseload. I'm building toward a niche specialty clinic, not a generalist practice, and this role would be my very first hire — someone to build that vision alongside me from the ground up. My clinical approach I work from a values-based, client-centered framework — I don't come in with a fixed moral stance on pornography use, infidelity, or sexting, but instead help each client and couple get clear on their own values and work toward congruence with them. For some clients, that means reconciling behavior with religious or spiritual convictions; for others, it's entirely secular. What's consistent is the emphasis on clarity, not judgment. I also let clients lead on language: whether or not "addiction" is the right word for their experience isn't something I decide for them — for some, that label is stigmatizing; for others, it's the exact framing that motivates recovery. My focus is less on the label and more on how they define the behavior for themselves, and what that definition is doing for or against their growth. I'm also slow to diagnose. It's common for a betrayed partner to want to immediately label the other as a narcissist, and while some patterns genuinely warrant that conversation, I try to look past a label to the humanity underneath it — often insecure attachment wounds from earlier in life that show up as defensiveness, avoidance, or self-protection. That doesn't excuse harmful behavior, but it does shape how I approach change: understanding the wound behind the pattern tends to open more doors than a diagnosis closes. Using an IFS lens, I work directly with the addictive or compulsive parts that clients carry — parts that often hold deep shame, and that have lied or justified behavior in ways that have injured trust, both within the relationship and within the client's own self-trust. That pattern of lying often erodes the client's own self-esteem and self-confidence over time, even as it's damaging the relationship around them. On the other side, I hold space for the very real grief and sadness of the betrayed partner — the loss of the person they thought they knew. My work sits in both directions: building understanding for the partner who acted out, and building understanding for the partner who was injured, so that both are actually seen rather than one being cast as purely the problem and the other purely the victim. I strive to empower both parts of this — helping the one who acted out heal from shame and grow in vulnerability, and helping the injured partner recognize what's actually within their control, so they can move forward with self-worth and clarity rather than staying stuck in the wound. I'm not a therapist who leads clients toward divorce or separation — my focus is on increasing understanding and trying to help the relationship and both partners heal. I know some relationships don't survive this, and that's not a decision I make for anyone, but my starting point is always working toward repair, not toward an ending. Given our location, a meaningful portion of our caseload includes clients connected to The Church of Jesus Christ of Latter-day Saints, alongside clients from a wide range of religious and secular backgrounds. I'm looking for someone who can work respectfully and skillfully across that spectrum — meeting each client where their values actually are, not where we assume they should be. Clinically, I focus on both the intrapersonal impact of these behaviors (body image, self-mastery, dysregulated coping) and the interpersonal impact (trust repair, relational distance, codependence) — this isn't just behavior management, it's whole-person and whole-relationship work. Here's what the role looks like You'd come on as a W-2 employee at $60/hour , with standard payroll and tax withholding — no 1099 guesswork. You'd need to be fully licensed (LMFT, LCSW, or CMHC) with an active Utah license. The setup is hybrid : in-person sessions from our Sandy office on shared days, telehealth the rest of the time. Hours are flexible, and this is a great fit for someone who'd like to work up to meeting with approximately 25 clients per week (a full caseload) at their own pace. I recognize burnout is a real thing in this field, especially in specialty trauma work, and I want to build a culture where there's clear, open communication about workload — so caseload growth is something we talk through together, not something pushed on you from the top down. I handle the practice infrastructure — office space, EHR, payroll, and business overhead — so you can focus on clinical work. Who I'm hoping to find Someone who's genuinely drawn to this work — individuals and couples navigating betrayal, compulsive behavior, and rebuilding trust — not just willing to take it on. Someone who wants a focused, specialty-driven environment rather than a mixed generalist caseload, and who's excited about being part of a clinic in its early, formative stage. I'm also hoping to build a real team dynamic — someone who likes collaborating, not just working in parallel. Part of my vision is being able to cross-refer within the practice, so a couple might work with one of us together while each partner also has individual support from the other clinician — a coordinated, systemic approach rather than siloed care. To support that kind of coordination, there's a standing case consultation (weekly or biweekly) — not a heavy meeting schedule, just enough to stay in sync on shared clients. I also want to build a culture where good work gets noticed and celebrated — team lunches, recognizing wins, the kind of environment where you're not just another clinician on a roster. That includes both clinical work and the fundamentals: clean, timely documentation matters to me, not just because it protects billing accuracy and keeps us audit-ready, but because consistency deserves recognition too, not just quiet expectation. I'm looking for someone who genuinely likes collaborating with a team, not just working independently under one roof. This role is a great fit for someone who is already an approved clinical supervisor , or who wants to become one and has already completed the required supervisor training course — I'd love for you to help mentor the associate-level clinicians who come after you. Training or familiarity with EFT, IFS, or EMDR helps, but honestly, what matters more is a flexible, integrative approach — every client needs something a little different. A note on credentialing & ramp-up We're currently paneled with SelectHealth, Regence BCBS Utah, Cigna, UHC, UMR, HMHI-BHN, PEHP, EMI Health, Molina Medicaid Utah, Tricare/TriWest VA CCN, and Aetna. If you're already credentialed with any of these payers, that can help speed up the process. I plan to start the credentialing process roughly two months before your actual start date, so paneling is already underway (and ideally some panels are already active) by the time you're seeing clients — rather than starting that clock from zero on day one. I opened Big Valley Therapy in March 2026 with around 20 clients who followed me from my previous practice, and since then I've built the caseload by another 25+ clients through active outreach — referral relationships with LDS Family Services, insurance company referral lists, and a podcast appearance, with more community speaking engagements and local networking (business cards, informational flyers, mental health events) actively in motion. Once you're on board, I'll put dedicated marketing effort specifically behind you — your own bio, content, and visibility — not just relying on the practice's general presence to bring you clients. None of this guarantees a specific caseload speed, but it means you're stepping into a practice with real, demonstrated referral momentum, not a cold start. What you'd get $60/hr, W-2, standard payroll and tax withholding Psychology Today subscription covered Flexible hours and real schedule autonomy A warm, established office space in Sandy, UT A practice with active marketing and referral support already in motion Room to supervise, if that's something you want The chance to help shape a specialty clinic from its earliest days, not just join an established one To Apply Send your resume and license info to [email], and tell me a little about why this specialty matters to you. Big Valley Therapy is an equal opportunity employer. Given the nature of this specialty work, we welcome applicants from all religious, cultural, and personal backgrounds — what matters most is your clinical skill and genuine care for this population.