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Mad River

About Daniel

I am a Clinical Mental Health Counselor, psychoanalytically positioned to understand symptoms as adaptive survival functions. If you have felt consistently misunderstood by the systems intended to support you, or if your experience has felt too complex for standard care, you've found the right place.

Daniel Elliott, LMHC-A — telehealth psychotherapist serving Washington State

Philosophy of Practice

Treatment follows a deliberate sequence — not because of preference, but because sequence determines safety.

  1. 1
    Relationship first. Nothing else works without it. The therapeutic alliance is not a means to treatment — it is treatment, especially in the early phase.
  2. 2
    Contain before interpreting. For clients carrying psychosis, severe trauma, or dissociative experience, premature meaning-making can destabilize. The therapist's first job is to function as a containing presence — a mind that can hold what the client cannot yet hold alone.
  3. 3
    Build language. Once containment is established, we work toward symbolization: helping the psyche develop the capacity to think about its own experience rather than act it out or evacuate it.
  4. 4
    Integrate. Depth work — exploring the meaning and function of symptoms, relational patterns, and inner structure — proceeds only when the foundation is stable enough to support it.

This framework draws on psychodynamic and psychoanalytic theory (Bion, object relations, existential-phenomenological approaches), integrated with evidence-based tools where appropriate: CBTp for psychosis, DBT for emotional regulation, CBTi for sleep, LBT for meaning-reconstruction. Behavioral methods are used in service of depth — not as a substitute for it.

Additional commitments:

  • Bidirectional reality-testing — the clinician's perspective is held accountable, not just the client's
  • Faith-informed and spirituality-integrated care, without reducing spiritual experience to symptom
  • Regression in treatment is understood as the plan working, not breaking down

How to Use Me

Mad River is a specialized high-acuity practice. The conditions below represent areas of focused clinical training, structured treatment approaches, and ongoing supervision — not a general menu.

Psychosis-Spectrum Conditions

Schizophrenia, schizoaffective disorder, bipolar psychosis, brief psychotic disorder, treatment-resistant psychosis, and psychosis co-occurring with trauma or neurodevelopmental conditions. Treatment follows a structured phase-oriented model with phase-specific interventions and benchmarks. Explore Psychosis Care →

Trauma, Complex Trauma & Moral Injury

PTSD, Complex PTSD, extended exposure trauma (veterans, first responders), moral injury, and complex grief. Includes presentations where trauma has contributed to psychotic or dissociative symptoms. View Trauma Treatment Model →

Dissociative Disorders

DID, OSDD, dissociative amnesia, depersonalization/derealization, and dissociative presentations alongside complex trauma or psychosis. Treatment follows a phase-oriented model respecting the system's pace and goals. Learn About DID Treatment →

Personality-Spectrum & Identity

Borderline, narcissistic, antisocial, and other personality-spectrum presentations. Identity disruption, existential crisis, spiritual emergency, and motivation disorders.

Mood & Bipolar Disorders

Bipolar I and II, cyclothymia, and mood disorders with psychotic features or complex comorbidity.

Depression & Anxiety

Including treatment-resistant presentations and cases where standard approaches have not produced lasting change.

High-Stress Roles

Veterans, active-duty military, first responders, and medical professionals navigating occupational trauma, institutional mistrust, identity transition after service, or moral injury.

What to Expect

Non-Judgmental Space

Space for non-judgmental discussion

Finding Words

Assistance articulating the unexplainable

Awareness & Pacing

Practice with Awareness and Pacing

Your Autonomy

Respect for client autonomy, agency, and freedom

The Person Behind the Practice

Daniel Elliott in the field
Daniel Elliott during military service, Air Force JTAC
Daniel Elliott with his partner

Education & Credentials

Northwest University
MA in Clinical Mental Health Counseling
University of Arizona Global Campus
BA in Homeland Security and Emergency Management
Community College of the Air Force
AS in Information Systems Technology

Clinical Supervision

Daniel Elliott (License #61673311) operates Mad River, PLLC under the clinical supervision of Dr. Brent Potter, PhD, LMHC (License #LH00007704). Dr. Potter is an established author and clinician specializing in existential-phenomenological approaches to complex mental health. This collaboration ensures advanced clinical oversight for high-acuity presentations.

Background & Experience

Military & Operational History

  • USAF Special Warfare (TACP) 9 years of service as a Tactical Air Control Party operator.
  • Private Contracting & Emergency Medicine Former private defense contractor and Emergency Medical Technician (EMT-B). This operational history strips away the civilian disconnect, bringing a grounded, reality-tested approach to treating complex trauma, moral injury, and the psychological toll of high-stakes environments.

Clinical & Research Authority

  • High-Acuity Clinical Experience Clinical Mental Health Counselor with a background spanning severe psychiatric settings and spiritually integrated clinical environments. Skilled in navigating the intersection of profound mental illness and existential or spiritual crisis.
  • Psychedelic-Assisted Therapy Research Clinical Research Lead investigating the therapeutic applications of Psilocybin for complex and treatment-resistant conditions (publication pending).
  • Academic Instruction Assistant College Instructor, translating complex psychological and phenomenological theory into practical, accessible application.