Mental & Behavioral Health Therapy

Hope, and healing are found at Courage Reins. Sage O’Brien, our full time mental and behavioral health therapist, is both a licensed clinical social worker (LCSW) and a substance use disorder counselor (SUDC). 

Sage is currently providing individual, couples, and family psychotherapy sessions, utilizing Solution Focused Brief Therapy (SFBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR),  Motivational Interviewing (MI), Neuro-Linguistic Programming (NLP), and Person Centered Therapy.

As the CDC and Utah State Health Department regulations deem it safe to do so, Sage will offer weekly group sessions for DBT Skills Education and Life Support.


Sage O'Brien, MSW, LCSW, LSUDC

Director of Mental Health, Courage Reins

Sage O'Brien


“Life is a balancing act between letting go and holding on.”  - Rumi  

Sage ardently believes that the answers to the problems we struggle with lie within each one of us and there are no limits to how we can change our lives if we are willing to put our intention and effort into the process of change. Sage meets clients where they are in their lives and provides a safe, caring, and nurturing environment where they can identify core issues, heal past traumas, and achieve positive and lasting change.  

Sage holds duo licenses as a licensed clinical social worker and a substance use disorder counselor. Since discovering equine assisted psychotherapy in 2009, Sage’s passion has been working together with horses as therapeutic aids to provide psychotherapy to clients employing the EAGALA (Equine Assisted Growth And Learning Association) method. 

Sage specializes in working with individuals with acute and/or chronic trauma with comorbid diagnoses.  She approaches treatment from a client-centered perspective, primarily utilizing Dialectical Behavioral Therapy (DBT), Solution Focused Therapy (SFT), Acceptance and Commitment Therapy (ACT), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Neuro-Linguistic Programming (NLP).   

Sage’s extensive professional experience includes clinical and managerial positions at intensive outpatient, residential, transitional, and wilderness treatment settings. She received her Masters degree in Clinical Social Work from the University of Utah, where she also completed graduate certification at the school’s Alcohol and Drug Treatment Training Program. Her Bachelors of Arts in Mass Communications and Psychology was earned at the University of California, Davis.  

Mental and Behavioral Health Treatment at Courage Reins

  • Acceptance and Commitment Therapy (ACT) – Shows clients how to accept negative thinking patterns as normal, while identifying values and goals to facilitate change.

  • Cognitive Behavioral Therapy (CBT) -  Challenges negative thinking and behavior patterns, while developing improved personal coping strategies.

  • Dialectical Behavioral Therapy (DBT) – Teaches clients to more effectively manage emotions and behaviors by employing acceptance and change oriented strategies with skills for core mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.

  • Equine Assisted Psychotherapy (EAP) Using the EAGALA method – horses assist clients in identifying and resolving emotional and behavioral challenges.

  • Eye Movement Desensitization and Reprocessing (EMDR) – Enables healing from the symptoms and emotional distress of trauma using bi-lateral stimulation.

  • Motivational Interviewing (MI)Elicits behavior change by helping clients explore and resolve ambivalence

  • Neuro Linguistic Programming (NLP)Explores ways behavior patterns learned learned through experience can be changed to achieve specific goals.

  • Solution-Focused Brief Therapy (SFBT) - concentrates on finding solutions in the present time and exploring one's hopes for the future to find quicker resolution of one's problems.

Each modality is available individually or may be combined in a comprehensive treatment plan

Courage Found

Support, understanding, empathy, education, hope, and healing can all be found at Courage Reins.

Help for...



Bi Polar Disorder

Borderline Personality Disorder


Frequently feeling overwhelmed

Grief and loss

Impulsive behaviors


Loss of interest in things you once cared for

Low self esteem 

Post Traumatic Stress Disorder

Reactive Attachment Disorder


Self harming behaviors

Substance and behavioral addictions (phones, gaming, etc.) 

Suicidal thoughts 


Interested in Mental Health Therapies?

Mental Health Therapy Inquiry Form

Fill out this form for more information on our Mental Health Therapy programs.

Mental Health Therapy