Addiction, anxiety, trauma, strained relationships, and the screens that pull us away from each other. For more than two decades, Paul Randak has helped people find their way back to connection.
I've spent more than two decades in mental health and addiction treatment, and opened three treatment centers before starting Dream River Counseling. The most important thing I've learned is this: what people reach for, whether it's a drink, a pill, a phone, or an old pattern in a relationship, is almost always trying to solve something. Anxiety. Loneliness. Grief. A feeling too big to sit with.
My work is helping you find out what that something is, and building something better in its place. Usually that means more connection: with the people you love, with your own inner life, and with what matters to you.
It is normal to struggle, and it is okay to ask for help.
More about Paul and how he worksWhatever brings you in, we look at what's underneath it, and at the relationships around it.
Alcohol, substances, and other compulsive patterns. Paul is a licensed Substance Use Disorder Counselor who has spent his career in addiction treatment. The work focuses on the whole person, not a label.
Learn more →Anxiety, depression, trauma, grief, and life transitions. Practical tools for what's in front of you, and space to understand the patterns beneath it.
Learn more →Rebuild trust, work through conflict, and feel close again. 90-minute sessions give both partners room to be heard, including when addiction or devices have come between you.
Learn more →When one person struggles, the whole family feels it. Family sessions help everyone communicate, set healthy limits, and support recovery together.
Learn more →An evidence-based therapy for trauma and PTSD that helps the brain reprocess painful memories so they lose their emotional charge.
Learn more →For depression, anxiety, PTSD, and addiction that haven't responded to other treatment. KAP pairs ketamine, given under medical supervision, with preparation and integration therapy. Paul has offered KAP since 2019.
Learn more →All services are available in person or by teletherapy. See rates and insurance.
Who's driving: you, or your phone?
Social media, the news, games, and endless scrolling are designed to be hard to put down. Paul's program helps you understand what the phone is doing for you, work with the parts of you that reach for it, and rebuild real connection. Choose better habits, cutting back, or a structured detox, for individuals, couples, and families.
Sessions draw on proven, practical methods for the problem in front of you, and on a background in Jungian and transpersonal psychology for the patterns beneath it.
Body, mind, relationships, and spirit all shape how we heal, so the work accounts for all of them. Your plan is built around you, and it changes as you do.
Methods we use
Licensed marriage and family therapist and substance use disorder counselor with more than two decades in mental health and addiction treatment. Founder of three treatment centers and author of Just Another Bozo on the Bus.
Read Paul's full bio →
In the final semester of his Master of Social Work, after nearly five years as a ketamine guide and medical assistant. Matthew guides KAP sessions and sees individual clients under Paul's supervision.
Read Matthew's full bio →Interns at Dream River Counseling provide services under the clinical supervision of a fully licensed therapist.
Here's exactly what happens next.
Call the Utah or Oregon office, or send your name and number through the contact form. No health details needed.
We'll call you back, usually within one business day, to answer questions, check your insurance, and send an invitation to the secure client portal for paperwork and scheduling.
Your first session is where we get to know each other, talk through what's bringing you in, and decide together on a plan. In person or online.
Don't see your plan? Ask us. We may still be able to help, and a sliding fee scale is available for clients in need.
1100 S Union Ave
Midvale, UT 84047
801-450-0199
1111 E Burnside St
Portland, OR 97214
503-476-1171
The ideas behind Paul's work, in his own words: why disconnection sits at the heart of addiction and suffering, and how genuine connection heals. None of us is perfect. We're all on the same bus.
Now accepting new clients in Utah, Oregon, and online. Reach out and we'll follow up within one business day.
If you are in crisis, call or text 988 to reach the Suicide & Crisis Lifeline.