Happy couple embracing in a wheat field during sunset, enjoying a romantic moment together.

Big Valley Therapy offers specialized therapy services in Sandy, Utah — and via telehealth throughout the state. Whether you are navigating betrayal trauma, pornography addiction, relationship conflict, or personal growth, every service here is designed to go beyond symptom management toward genuine, lasting change.

All services are provided by Josh Otani, LMFT — a licensed marriage and family therapist specializing in betrayal trauma, sexually compulsive behavior, and couples work.

Individual & Couples Therapy Services

Couples Therapy in Utah

Many couples arrive in therapy stuck in the same arguments — feeling more like roommates than partners. Couples therapy helps you slow down the patterns that create distance, understand what each partner is actually expressing beneath the surface, and rebuild the emotional safety that genuine intimacy requires.

Whether you are navigating communication breakdown, trust issues, or the aftermath of betrayal, couples therapy creates a structured space for both partners to be genuinely heard and to find a new way forward together.

Learn more about Couples Therapy in Utah →

Individual Therapy in Utah

Individual therapy offers a dedicated space to understand yourself more deeply — your patterns, your emotional responses, and the parts of you that have been carrying pain or protection for a long time. This work is not about fixing what is wrong with you. It is about developing the self-awareness, emotional regulation, and internal resources that make genuine growth possible.

Individual therapy is often most effective alongside couples work — and is frequently the foundation that makes relational healing possible.

Learn more about Individual Therapy in Utah →

Betrayal Trauma Therapy in Utah

Discovering a partner's infidelity, pornography use, or sexual compulsive behavior produces genuine trauma — with symptoms that often mirror PTSD. Betrayal trauma therapy addresses both the immediate pain and the deeper attachment wounds that betrayal activates, helping betrayed partners process what happened, rebuild their sense of self-worth, and make informed decisions about the future.

Betrayal trauma therapy is available for both betrayed partners seeking individual support and for couples working to heal together.

Learn more about Betrayal Trauma Therapy in Utah →

Pornography Addiction Therapy in Utah

Pornography addiction therapy goes beyond helping someone stop a behavior. It addresses the underlying emotional patterns, shame cycles, and attachment wounds that sustain compulsive behavior — building genuine recovery rather than white-knuckled abstinence. This work includes understanding the neurological patterns involved, developing emotional regulation skills, and rebuilding the internal sense of self that addiction erodes.

Therapy is available for individuals in recovery and for couples navigating the relational impact of pornography use.

Learn more about Pornography Addiction Therapy in Utah →

Trauma Therapy in Utah

Trauma shapes how we see ourselves, relate to others, and move through the world — often in ways we do not consciously recognize. Trauma therapy at Big Valley Therapy uses evidence-based approaches including EMDR and IFS to help clients process traumatic experiences at their root, not just manage their symptoms. The goal is not just relief — it is genuine transformation.

Learn more about Trauma Therapy in Utah →

Therapy Approaches Used at Big Valley Therapy

Every service at Big Valley Therapy is grounded in evidence-based approaches selected specifically for their effectiveness with the issues we specialize in.

Emotionally Focused Therapy (EFT)

A structured, attachment-based approach for couples — proven to improve relationship satisfaction and break negative interaction cycles

Learn more →

Internal Family Systems (IFS)

A compassionate, parts-based approach that addresses the inner emotional system — healing shame, building self-leadership, and resolving compulsive patterns

Learn more →

EMDR Therapy

An evidence-based trauma processing approach that addresses negative beliefs and emotional wounds at their neurological root — producing lasting change

Learn more →

Who Therapy at Big Valley Therapy Is For

Couples stuck in conflict cycles or emotional disconnection
Betrayed partners processing infidelity or pornography use
Individuals working to recover from sexually compulsive behavior
People navigating anxiety, shame, or unresolved trauma
Those who have tried therapy before without lasting results
Anyone ready to move from surviving to genuinely living

Getting Started

All services are offered in person in Sandy, Utah and via telehealth throughout Utah. Begin with a free 15-minute phone consultation — a no-pressure opportunity to ask questions, share what you are facing, and see if Big Valley Therapy is the right fit.

You do not have to have everything figured out before reaching out. Just a willingness to explore what is possible is enough to begin.

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.