• Ryan Howes, Ph.D., ABPP

    Psychologist & Writer

  • Ryan Howes, Ph.D., ABPP

    Psychologist & Writer

Ryan Howes



I'm a licensed clinical psychologist in private practice in the Playhouse District of Pasadena, California where I provide psychotherapy for adult individuals and couples. I'm Board Certified in clinical psychology by the American Board of Professional Psychology (ABPP), a distinction held by fewer than 5% of psychologists. 


It's my goal to create a comfortable, safe environment where we'll work together to achieve your goals. Therapy can be among the most challenging and rewarding experiences of your life - I consider it a privilege to join my clients on their journey.


My specialty is helping people gain independence and power in their life. Many of my clients focus on relationships, sex, anxiety and depression, personal growth, workplace issues, fitness and sports performance, spirituality or creativity. I have a great deal of experience working with men and Christians. 

I offer my expertise as a clinician in private practice for 20 years, a clinical professor at Fuller Graduate School, a former instructor at Pepperdine University's Graduate School and Glendale College, and co-author of What Wives Wish Their Husbands Knew About Sex (with Stephen Simpson and Richard Rupp, Baker Books, 2007). I write a blog for Psychology Today helping clients get the most out of their therapy and I write an interview column for Psychotherapy Networker magazine. I founded the first ever National Psychotherapy Day on September 25, 2012, and I started offering HeadCheck®, the original mental health checkup, in 2014. 


If you're looking for therapy or assessment, have a question about how therapy works, would like to suggest a writing topic, have a media request, or just want to say hi, please give me a call (626-449-1434) or drop me a note. Thanks for stopping by!

Therapy

At a little over 100 years old, the profession of psychotherapy is relatively new. But the underlying..

Read More

Checkups

You know that a balance between physical, cognitive, emotional, and relational wellness is essential...


Read More

Writing

This blog is written for people who are in therapy or considering therapy. I want to demystify the...


Read More

Advocacy

Despite the fact that therapy is an effective, economical, natural, and meaningful way to improve...


Read More

ABOUT ME



I earn a living sitting in a comfortable chair talking with people about the most important issues in their lives.

That's my standard response when I'm asked what I do for a living. It captures how I feel each morning coming to work: I'm honored to be a part of my clients' world and privileged to use my training to help people.

In my childhood I suffered a family tragedy that resulted in a year of therapy, which was among the most profound experiences of my life. So much so that I started a peer counseling program when I was in high school. In college I was a youth worker and decided to take some psychology courses so I could better help the kids with their breakups, their parent's divorces, and their teenage angst. This resulted in a major and several years of graduate school. My education at Fuller included masters degrees in theology and psychology en route to a Ph.D. in clinical psychology, a perfect meld of my interests.

I was trained at the LA County/USC Medical Center, the Wright Institute Los Angeles, and Southern California Psychoanalytic Institute, and was fortunate to teach courses at Glendale College and Pepperdine University’s graduate school. I’ve been Clinical Professor for Fuller’s Graduate School of Psychology since 2002, teaching a few classes and supervising graduate students training to become therapists. I’ve been a psychotherapist since 1994 and mess around with music and writing on the side. In 2007 I co-authored a book entitled What Wives Wish their Husbands Knew About Sexin 2008 I started a blog for Psychology Today called In Therapy, and I began a column for the Psychotherapy Networker Magazinein 2010

In 2011 I was Board Certified in Clinical Psychology by the American Board of Professional Psychology (ABPP), a scary and rewarding process. In 2012 I started National Psychotherapy Day, a day to promote the field of therapy and fight therapy stigma. In 2014 I launched HeadCheck, the first mental health checkup. Everyone needs one.

I've been busy, but this all stems from a common theme - I believe in the healing power of the one-to-one therapeutic relationship, and I want everyone to have access to it.

Professional Biography

Education:      

B.S. Psychology/Religion - Willamette University, Salem, Oregon, 1993

M.A. Psychology - Fuller School of Psychology, Pasadena, California, 1996

M.A. Theology - Fuller Theological Seminary, 1997          

Ph.D. Clinical Psychology - Fuller School of Psychology, 1999

Certification & Licensure:                

Psychoanalytic Psychotherapy, Southern California Psychoanalytic Institute, 1999

Licensed Psychologist, California Board of Psychology, PSY #17983, 2002

Specialist, Board Certified in Clinical Psychology, American Board of Professional Psychology, 2011

 

Work Experience:

Extern, LA County/USC Medical Center, 1996-1997

Intern, Wright Institute Los Angeles, 1998-1999

Adjunct Instructor, Glendale College, 1998-2007

Adjunct Instructor, Pepperdine University, 2000-2002

Clinical Professor, Fuller School of Psychology, 2001-present

Blogger, Psychology Today, 2008-present

Associate Editor/Columnist, Psychotherapy Networker Magazine, 2010-present

Director of Content, TidePool, 2011-2012

Founder, National Psychotherapy Day, 2012

CEO, HeadCheck Mental Health Checkups, 2014

THERAPY


What is therapy?

At a little over 100 years old, the profession of psychotherapy is relatively new. But the underlying principles of therapy - relationship, communication, collaboration, encouragement, problem solving - have been around as long as people have had language. The profession came along when people started applying scientific and philosophical standards to these discussions and determined that talking with a trained professional really can help. So that's what I do. For 50 minutes, once or twice per week, for a number of weeks, months, or years, I talk with people, form relationships with them, try to understand what keeps them from their ideal life and why they're blocked, and we work together to help them reach their goals. Simple as that. No judgement, no hocus pocus, just two people working really hard to give you the best life possible. I could bore you by bragging about all my training and experience, but I'd rather say that I work my tail off for each client who sits on the couch because I love my work and believe in the process. Bragging available upon request.
For many more thoughts on therapy please visit my blog or Tips for Clients page. I write a lot about this topic. 


The kind of work I do takes many forms:

- Psychodynamic therapy
- Supportive therapy
- Couples counseling
- Pre-engagement counseling
Pre-marital counseling
Grief counseling
Creativity exploration
Counseling for personal growth
Peak performance for athletes
Therapy for existential/spiritual issues
Therapy for therapists
Case consultation
 

Here are some topics we might discuss:

Relationship issues
Depression
Grief
Anxiety
Anger
Loss
Shame
Regret
Forgiveness
Communication
Self-Esteem
Sex
Body Image
Writer's Block
Adult Children of Alcoholics
Rejection
Divorce
Empty nest
Spiritual issues
Acute Financial Stress
Organization
Trauma
Work issues
Affairs
Dreams
Friends
Physical Health


Payment, Billing & Insurance:

My fee ranges from $150 to $200, depending on your income. Clients pay by check or credit card at the beginning of the session. I will occasionally accept a lower fee in circumstances of financial difficulty. I also have an assistant named Ryan Mangum, M.A. (I know, two Ryans) who will see clients in the $80 to $140 range. I supervise all of his work, so it's kind of like having two therapists for the price of one. 
 
Many of my clients use insurance to help pay for therapy, sometimes as much at 100% (depending on the plan). I can provide an itemized monthly or quarterly receipt (called a "superbill") for you to submit to your insurance for out-of-network reimbursement (reimbursement rate depends on your plan, check with your insurance company). 

Even with the help of insurance and my lower-fee options, not everyone can afford my services. Please contact me anyway, as I will be able to connect you with even lower fee services in the area. 

OTHER STUFF


National Psychotherapy Day, September 25

Psychotherapy needs a day. A day to remove stigma, educate the public, share personal stories, and support overworked and under-appreciated community mental health clinics. So I formed one. It's September 25th every year. Wear turquoise, talk about therapy, support community mental health, and encourage others to give therapy a try. One day a year, you can do that. While you're at it, take a look at our website and Facebook page

In 2014, National Psychotherapy Day created an event called Moments of Meaning (website, Facebook). In order to demystify psychotherapy, six therapists told powerful, compelling, and confidential stories about transformative moments from their own therapy practice. We recorded the talks and present them to the world on YouTube. 



Psychotherapy Networker

Often referred to as "The New Yorker of psychology," I'm honored to call myself a contributing editor for The Psychotherapy Networker since 2010. I write an interview column called Point of View, where I speak with some of the most intriguing, innovative people in this profession, including Irvin Yalom, Harriet Lerner, Mary Pipher, Donald Meichenbaum, George Lakoff, and many others. 




Blog

I write a blog for Psychology Today and since 2008 it's received over 2 million hits. I call it In Therapy: A Client's Guide to Therapy because I try to demystify the many strange elements of this work, from finding a therapist to figuring out what to say, to using Kleenex, to how to end therapy. If you've wondered about some element of therapy, I've probably written about it. If not, contact me and I may use your idea for a future post. Browse through my blog by clicking here.

 




Podcast

The Mental Health Happy Hour is a weekly(ish) podcast I create with my friend and colleague Dr. Stephen W. Simpson. We talk about common issues like road rage and self-consciousness, as well as the finer points of therapy, science, and popular culture. We'll throw in an interview or two to keep things interesting. Take a listen at our website or download through iTunes

 

 

 

 

 



HeadCheck® 
Check Between Your Ears Every Two Years



WHO: You know that a balance between physical, cognitive, emotional, and relational wellness is essential for a meaningful life. We are experienced professionals committed to helping you get there. Want to buy a HeadCheck® for a friend or family member? We can do that.


WHAT: HeadCheck® is a confidential 60-minute appointment with a trained expert using precise instruments to screen and set baselines for 50+ dimensions of cognitive, emotional, and relational health. We’ll follow up with a detailed overview of your current psychological functioning and make wellness suggestions as needed. We’ll even send our report to your physician if you’d like.


WHEN: We recommend you get your HeadCheck® baseline and screening measures today, and come back for regular checkups every two years.


WHERE: Our office is in the Playhouse District, in the heart of Pasadena. We can travel to your office in the Pasadena area if you’d prefer. Call for more info.


WHY: Because your mental health is everything. Most people leave HeadCheck® with the peace of mind that everything is okay. Sometimes we spot depression or anxiety, problems with memory, attention, or concentration, challenges with work or relationships or several other areas. These things happen, and it’s good to catch a problem as soon as possible. When we do find an issue we’ll guide you to the help you need. HeadCheck® also establishes a baseline: if you have impairment in the future (due to stroke, head injury, dementia, etc), your functioning will be compared to these HeadCheck® scores, which is tremendously valuable to your long-term health care.


HOW: 1. Give us a call or write us an email. We’ll schedule you as soon as possible – we currently have openings on Fridays and Saturdays. 2. Come in to take our fun, friendly, one-hour measure. 3. Get fast and helpful feedback verbally and in writing from our Board Certified Clinical Psychologist. 4. See us again in two years.


HOW MUCH: $299. Most PPO insurance plans will reimburse your cost and health savings plans are welcomed. Consider that Pasadena neuropsychologists often charge $4000 and test for 3 full days for a thorough psychological assessment battery. We use many of the same screening instruments at a fraction of the time and cost.

 

Come get your HeadCheck®© today. Contact us or visit our website for more information. Take measures for a meaningful life!

 

 



21 Tips for Clients in Therapy

Therapists have a big advantage in the therapy office. We've read a stack of books and spent thousands of hours learning what to do in session. Clients have to learn as they go, costing them valuable time and money. Here are a few pointers to help clients level the playing field.


Take the Whole Hour: We call it a therapy hour but it's only 50 minutes. Get your money's worth by arriving 10 minutes early to catch your breath, collect your thoughts and prepare for your session.


Forget the Clock: Show up early, but let the therapist be in charge of ending the session on time. You've got enough to think about during the session, the therapist can be responsible for wrapping up. (more here)


Make it Part of Your Life: Therapy works best when you take what you've learned and apply it to the rest of your week. Between sessions, notice areas in your life you'd like to explore. Maybe you'd find it helpful to engage in...


Journalysis: Use a journal to reflect on your sessions and jot down things you notice about yourself during the week. It doesn't have to be the "Dear Diary" of your youth, just a place to record a few thoughts or feelings. It may help to bring it to session with you. (more here)


Business First: Take care of payment, scheduling and insurance questions at the start of the session. Nothing's more awkward than ending a session with a big revelation or emotional breakthrough followed by three minutes of check writing and calendar navigation. Get all those logistical issues out of the way at the beginning.


Relationship Next: Following those business items, issues regarding the relationship with your therapist (if there are any) come next. This could be anything - you're thinking about termination, you felt angry after the last session, you're worried what she thinks of you, you had a dream about him, etc. These relationship issues take top priority because they will impact all other areas of your therapy.


What do I Want? How do I Feel? These two questions are home base for clients who feel stuck. If you find yourself lost and don't know what to talk about, revisit these questions and you're bound to find material to discuss. (more here)


Ask Anything: Clients sometimes censor their questions because they believe asking is against the rules. You're allowed to ask whatever you want, let the therapist explain their boundaries. Want to know a personal detail, professional opinion or an explanation for something she said or did? Go ahead and ask. You might not get a straight answer, but you should get a reason why not, and you might learn something about yourself in the process. (more here)


State of the Union: Check on your status any time during your therapy. How are the two of you working together? How well do you understand each other? Is therapy helping or hurting at this point? This is ideally a two-way discussion, with both of you sharing your thoughts.


Try New Things: Therapy is a great place for thinkers to try feeling, listeners to practice talking, passive people to be assertive, etc. Want to rehearse confrontation? Practice asking someone out? Let yourself cry in front of someone? Therapy is a great place for this.


Learn to Fish: A lot of people want advice from their therapist. Therapy is more about helping you come to your own conclusions than having the therapist make decisions for you. This benefits you in the long run but may seem disappointing at the time. (more here)


Ask Why: Let your inner 3-year old out and ask why you behave/think/feel as you do. Why do I hate my boss so much? Why am I so anxious before sessions? Why does the therapist's shirt bother me?


Challenge Jargon: Some therapists have been doing this work so long they assume everyone knows what they're talking about. If the therapist says some gibberish you don't understand ("this boundary violation exacerbates your abandonment issues and fixated Oedipal complex"), ask him what he means. (more here)


Say the Odd Thought: Therapy is one place where strange thoughts are acceptable. In fact, the odder the better. Have a sudden impulse? Say it. Flash to a certain memory? Talk about it. The phrase some things are better left unsaid doesn't apply here so speak freely and you might learn something interesting. (more here


Be Aware of Your Therapist: Not just who she is, but who you imagine her to be. And how you imagine she feels about you. Talk about your relationship in detail to see how your projections influence this and other relationships.


Go Deeper: If you find yourself running through mundane details of your week or hitting awkward silences, maybe there's a deeper issue you're avoiding. Ask what it is you're not talking about and talk about it. Discuss what you're discovering about yourself. Take the time to explore who you are, what you feel and why you do what you do. Push beyond it is what it is or whatever and tackle some deeper questions. Try: "I wonder why I ___" or: "Deep down, I really feel ___". (more here and here


Don't Fear the End: From the beginning, talk about when you'll know you're ready to leave therapy. Rather than cut and run, let therapy be one experience of a truly good ending. (more here)


Dream On: Bring in dreams, daydreams and fantasies, especially those about therapy. People often have more of this material when they're in therapy. This can be incredibly rich to explore.


Keep the Energy in the Room: Thoughts, feelings and questions about the therapy are best discussed first with the therapist. When you run everything by your friends first, it diffuses the energy of the encounter and sidesteps an opportunity for the therapist to understand you better. (more here)


Allow Change: Some people ask for change but feel uncomfortable when it actually happens. Accept that if you're seeking change, things will probably change, and it might require more change than you thought. An eating disorder, a sexual problem, interpersonal conflicts, an addiction - these may require a major life rehaul, not just a little tweak.


Engage and Enjoy: Therapy is like enrolling in a course where you are the subject matter. If you're curious, teachable and motivated to do some work, it can be one of the most challenging and rewarding courses you ever take.