ARIZONA INSTITUTE FOR ADVANCED PSYCHOTHERAPY TRAINING
Fostering excellence in psychotherapy in Arizona and throughout the world.
#NoCrappyTherapists
RYAN M. SHEADE, LCSW
Co-Founder and Director of Training
Helping clinicians build clarity, confidence, and clinical precision.
Ryan M. Sheade, LCSW, is the Founder and Clinical Director of Integrated Mental Health Associates and a longtime educator and supervisor in the Arizona clinical community. His teaching integrates CBT with relational attunement, multicultural orientation, and grounded therapeutic presence.
He has trained and supervised hundreds of clinicians across Arizona and the Southwest and is known for his ability to translate complex clinical reasoning into frameworks that clinicians can apply immediately and sustainably.

My Teaching & Supervision Philosophy
Clinical work is not memorization or technique application.
It is the ongoing practice of understanding the client in context, attuning to their lived experience, and selecting interventions that are grounded in clinical reasoning rather than scripts.
Ryan teaches clinicians to:
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Think deeply
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Formulate cases with clarity
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Intervene with intention
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Track change and adjust treatment plans dynamically
How I Work With Clinicians
I teach clinicians to think, not just intervene.
When I train or supervise clinicians, we will:
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Develop a strong case formulation
We trace patterns, context, meaning, history, and function, not just symptoms. -
Connect theory to real-world application
You’ll understand why an intervention fits a moment, not just that it does. -
Slow down the clinical decision-making process
We build confidence by learning to pause, reflect, and choose with intention. -
Attend to the therapeutic relationship
CBT is not mechanical. It depends on attunement, trust, and collaborative meaning-making. -
Build a repeatable internal framework
Something you can return to — no matter the client, setting, or presenting concern.
My goal is not that you remember a protocol.
My goal is that you can walk into any session and know how to think.
Because when your clinical reasoning is clear,
Your presence becomes grounded, and your work becomes effective.

