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Solid Ground Counseling and Therapy
By
Scott D. Altamirano
Marriage and Family Therapist
Or...

Be a Nerd
and Learn More

Scott's
4 Specialties:

Learn more about
your therapist
A small blurb about other topics Scott is knowledgeable on
Scott's book in process:

Scott Help!: How to be a Supportive Partner to Someone with Depression

Attachment Styles

Here’s what Scott figured out early in his career:

You can be smart, funny, successful
And still tank every close relationship you care about.

If your attachment style is
Anxious, avoidant, or disorganized,
Making friends, dating, or staying married becomes a landmine of
overthinking, pulling away, and pretending you’re fine when you’re not.

Well, Good news friend!

Scott is really good at helping people stop the sabotage.

Using his unique style of attachment-based therapy,
Scott will help you learn how to connect without losing yourself,
Say what you need without panicking, and
Finally build the kind of confidence that's true to you.

Topics Covered:
~Struggling to keep or make friends
~Feeling awkward in social settings
~Dating anxiety
~Constantly arguing with your partner
~Feel like your partner is always upset with you
~Perfectionism / Burnout
~Struggling to feel confident
~People pleasing and difficulty saying 'no'
~Fear of intimacy
~Self sabotage
~Jealousy that ruins relationships
~Exploring or struggling with polyamory

Click 'Learn More: Attachment' for more

Society doesn't talk about sex and sexuality in a way that’s helpful
—or healthy—AT ALL.

Most conversations about sex are filled with shame and rules about
What you shouldn’t do.

But what the hell do I do with that!?

What's 'normal sex'!?

What's 'healthy' sex!?

Is my body ok!?

How do I get laid!?

Are there any hot tattooed goth chicks in my area!?

Scott's career path (and being wildly gay) has lead him heavily into the topic of sexuality
and he has answers to all of these, and more!

Whether you're curious, confused, repressed, or just a weirdo who has questions about their sex life - I'm here for it!

Topics covered:
~Sex / Porn addiction
~Sexual anxiety
~Sexual shame
~Body shame
~Childhood sexual trauma
~Boundary crossings among siblings
~Coming out (as gay, trans, with fetishes to partner)
~Navigating/Understanding fetishes
~Fixing your dating profile
~How to date and how its different in the gay/lesbian/straight community
~Navigating sex on dates

Sexuality

Narcissism

Maybe you're finally starting to admit what your friends have been saying for years.
Something you’ve known deep down, but didn’t want to believe.

Your partner really might be a narcissist.

You defended them, covered for them, made excuses.
You told yourself it would get better.
But it didn’t. And now, you know it won’t.

Your nervous system is fried.
You’re left with guilt, shame, and a thousand warped memories that don’t quite line up.

That’s not weakness. That’s trauma.

Sorting it all out can feel overwhelming.
But I’ve been through this process myself, and I’d be honored
To help you put the pieces back together.

Topics covered:
~Understanding Narcissistic Personality Disorder (NPD)
~Living with a narcissistic partner
~Surviving narcissistic parents
~Recovery from Narcissistic Personality Disorder (early-stage, highly individualized work)
~Emotional abuse in relationships
~Domestic violence and Coercive control
~Chronic guilt and shame
~Longstanding, Unresolved Trauma
~Healing from Gaslighting and Manipulation

Couples Counseling

No one ever said that relationships are easy.

A matter of fact,
They're incredibly hard!

A good relationship can wildly increase our quality of life,
But conflict in relationships can shave years off of our life span.

And a happy, healthy relationship is the goal

Trained in mediation
And working from a perspective that
As long as we're following healthy conflict resolution patterns
And honesty,
Scott believes that all relationships can work as long as we have
Commitment and compatibility

As long as the couple brings topics to discuss
And a concerted effort for honesty,
Scott will help you work out the kinks in your relationship

Topics Included:
~Coping Skills in relationships
~Avoidance of Conflict Resolution
~Quality Time Spent Together
~Sex in Long-term Relationships
~Infidelity
~Learning Healthy Communication Skills
~Polyamory
~Open Relationships
~Dating practices
~Codependency
~Narcissism in Relationships
~Borderline Personality Disorder in relationships
~Addiction in relationships
~Divorce
~Coparenting
~Mediation services

Ok...

There was this time I took an improv class for a year,
And as the teacher got to know us through introductions

She took notes.

Ever curious, Scott asked, 'What did you write down for me.

The teacher responded,
'Just one word:
...Obsessive.'

Damn...
...Fair enough.
...That was accurate :')

...I sat back down.

Throughout his years as a therapist, Scott has obsessively researched topics that were new to him,
Whether that be through eBooks, youtube channels, interviewing people,
or even bringing forth knowledge from past work experiences.

At some point in his career,
Scott realized that he knew waaaaaay too much about psychology.

Here are a few of the topics that Scott has deep-dived and
Done well with clinically:

Binge Eating Disorder <3
Psychology of Addictions
Child Psychology
Sexual Trauma
Borderline Personality Disorder
How to be a supportive partner
Perfectionism
Being Single and Landing a Date (Depending on gender and sexual orientation)
Identifying and Recovering from Burnout
Learning How to Make Friends
Issues with Hiding Problems / People Pleasing
Partially: Recovery from Cults / High Demand-High Control Religions
Gay Men recovering from Domestic Violence

If you wonder if Scott either researched it or can help you with your problem,
Reach out to him!

Other Topics where
Scott is Knowledgeable