Who we help
Support for Individuals and Couples in the Salt Lake Valley
We work with people who feel overwhelmed, emotionally stuck, or disconnected — in their relationships, in themselves, or both. Many clients come to therapy after difficult relational experiences, trauma, or ongoing stress that feels hard to manage alone.
Betrayal trauma after infidelity or broken trust
Anxiety and overwhelm that feel constant
Relationship conflict or emotional distance
Compulsive behaviors causing shame or secrecy
Difficulty trusting yourself or others
Feeling stuck in repeating emotional patterns
Therapy Services in Sandy, Utah
Your therapist
Meet Your Therapist
Josh Otani, LMFT
Licensed Marriage and Family Therapist & Founder, Big Valley Therapy — Sandy, Utah
Josh is a Licensed Marriage and Family Therapist specializing in betrayal trauma, couples therapy, and trauma-informed care for individuals and couples across the Salt Lake Valley. He is trained in EMDR and uses Internal Family Systems (IFS) and Emotionally Focused Therapy (EFT) to help clients move from emotional survival toward lasting healing and connection.
Therapy is most effective when you feel genuinely understood. At Big Valley Therapy, you work with one dedicated therapist who knows your history and goals — not a rotation of providers.
What healing looks like
A Safe and Structured Path Toward Healing
Therapy at Big Valley Therapy is designed to help you understand your emotions, reduce overwhelm, and create lasting change in how you relate to yourself and others. Change happens in stages — and we pace every step to where you are.
Clients often begin to notice meaningful shifts as they move through this process:
More emotional stability in daily life
Less reactivity in relationships
Improved communication with partners
Greater self-awareness and clarity
A stronger sense of safety and connection
Feeling more like yourself again
How we work
Evidence-Based Therapy Approaches
We use research-supported approaches tailored to your specific needs, history, and goals. Each method is chosen because of its strong clinical evidence for trauma and relationship healing.
EMDR
Eye Movement Desensitization and Reprocessing
Helps process distressing memories and reduce emotional intensity — without reliving every painful detail repeatedly.
IFS
Internal Family Systems
Helps you understand and heal internal emotional patterns — including self-criticism, shame, and inner conflict — with curiosity instead of judgment.
EFT
Emotionally Focused Therapy
Strengthens emotional connection and attachment security — particularly effective for couples, relationship repair, and trust rebuilding.
Our approach
A Space for Healing and Growth
Big Valley Therapy was created to help individuals and couples move through emotional pain and rebuild connection — in their relationships and in themselves. We believe healing happens fastest in a space where people feel safe, understood, and supported — not rushed or judged.
Non-judgmental
Every experience is welcomed — nothing is too messy or too much
Paced for you
We move at the speed your nervous system can handle — never faster
Evidence-based
Every approach we use is research-supported and clinically proven
Trauma-informed
Safety and stabilization always come before deeper processing
Relationship-focused
We support both individuals and couples at any stage of healing
One dedicated therapist
You work with the same therapist throughout — no handoffs
Healing is possible. You do not have to navigate this alone.
Serving Sandy, South Jordan, Draper, Murray, and the greater Salt Lake Valley — in person and via telehealth statewide.
Take the first step
Ready to Get Started?
Starting therapy is simpler than it might feel right now. Here is what getting started at Big Valley Therapy looks like:
Schedule a free 15-minute consultation
No commitment required. Just a chance to share what is going on and ask questions.
Meet with Joshua to discuss your goals
Your first session focuses on understanding your situation, your history, and what you want from therapy.
Begin healing at your own pace
Therapy is structured around your needs — in person in Sandy, Utah or via telehealth anywhere in the state.
Contact Us
We would love to support you on your healing journey. Whether you're ready to begin or just exploring whether Big Valley Therapy is a good fit, please reach out — we would love to hear from you.