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Spokane therapist, therapist in Spokane, WA

South Hill Counseling and Biofeedback Clinic

Cheryl Osler, EdD, RN, CNS, AHN-BC, LMHC, CLNC        

Brandi Rilkoff, MS, NCC, LMHC, GMHS, CCTP

Maureen Elston, ARNP, PMHNP                

5915 S. Regal St. Suite 304
Ben Burr Office Building
Spokane, WA 99223

[email protected]

Cheryl Osler, EdD, RN, CNS, AHN-BC, LMHC



Cheryl Osler, Ed.D, MS, MA, RN, CNS, AHN-BC, LMHC

Cheryl Osler received her bachelor’s of nursing from Seattle Pacific University, a master’s degree in Community Mental Health Nursing from University of Hawaii, a master's degree in Clinical Psychology from Argosy University and a Doctorate in Educational Leadership from University of Southern California. She is a Clinical Nurse Specialist, a Board Certified Advanced Holistic Nurse Practitioner, a Life Coach, a Child Mental Health Specialist, and a Licensed Mental Health Counselor. In her practice she specializes and is certified in Cognitive-Behavioral Therapy to treat individuals, couples, and families in the following areas: stress, anxiety, depression, postpartum depression, developmental disabilities, grieving, and Attention Deficit Disorders. Additionally, she is certified in Heart Rate Variability biofeedback and utilizes biofeedback and neurotherapy. As a tenured nursing instructor at Spokane Community College and Chair of the Nursing Department, she teaches psychiatric, obstetrics, medical-surgical, fundamentals, cultural diversity, health management and professional nursing leadership courses. She also teaches online psychology courses as an adjunct psychology professor at Embry-Riddle Aeronautical University.

Cognitive behavior therapy (CBT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. CBT is commonly used to treat a wide range of disorders including phobias, addictions, depression, and anxiety.

Cognitive behavior therapy is generally short-term and focused on helping clients deal with a very specific problem. During the course of treatment, people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior.

Biofeedback: Heart Rate Variability:  HeartMath’s research in Heart Rate Variability  has demonstrated that different patterns of heart activity (which accompany different emotional states) have distinct effects on cognitive and emotional function. During stress and negative emotions, when the heart rhythm pattern is erratic and disordered, the corresponding pattern of neural signals traveling from the heart to the brain inhibits higher cognitive functions. This limits our ability to think clearly, remember, learn, reason, and make effective decisions. (This helps explain why we may often act impulsively and unwisely when we’re under stress.) The heart’s input to the brain during stressful or negative emotions also has a profound effect on the brain’s emotional processes—actually serving to reinforce the emotional experience of stress.

In contrast, the more ordered and stable pattern of the heart’s input to the brain during positive emotional states has the opposite effect – it facilitates cognitive function and reinforces positive feelings and emotional stability. This means that learning to generate increased heart rhythm coherence, by sustaining positive emotions, not only benefits the entire body, but also profoundly affects how we perceive, think, feel, and perform.

The Institute of HeartMath’s research has shown that generating sustained positive emotions facilitates a body-wide shift to a specific, scientifically measurable state. This state is termed psychophysiological coherence, because it is characterized by increased order and harmony in both our psychological (mental and emotional) and physiological (bodily) processes. Psychophysiological coherence is state of optimal function. Research shows that when we activate this state, our physiological systems function more efficiently, we experience greater emotional stability, and we also have increased mental clarity and improved cognitive function. Simply stated, our body and brain work better, we feel better, and we perform better.

HeartMath Video:


HeartMath Links:





Cheryl Osler, Ed.D, MS, RN, CNS, MA, LMHC, NCC

, Cheryl Osler, Spokane Therapy, Therapist in Spokane, WA, Washington, 99204