Noah Granade, MSW, LCSWA He/Him/His
Membership & Certification
CTH Member (Charlotte Transgender Healthcare Group)
WPATH Member (World Professional Association for Transgender Health)
Noah began working in the mental health field in 2015 as a direct-care professional. Noah spent several years in higher-levels-of-care in eating disorder recovery facilities in addition to residential settings for individuals with significant difficulties functioning in daily life due to severe and/or and complex trauma. Noah has also worked in community mental health doing in-home therapy with families whose children were deemed “at-risk” for out-of-home placement on a specialty team primarily working with LGBTQ+ youth. These experiences, among other professional work in eating disorder recovery and LGBTQ+ community organizations, laid a foundation for Noah’s understanding of, and respect for, the coping strategies that are typically developed for safety and survival. Noah is aware that safety and survival often depend upon the social context of the individual and the internal and external resources available to them. Noah’s approach both holds empathy for the parts of clients that use protective strategies, while also supporting clients in increasing their capacity to create the availability of choice in response to overwhelming emotion.
Noah's Approach to Therapy
Noah believes in the importance of first establishing safety and trust within the therapeutic relationship and using this secure base to support the healing process and move towards client-identified goals. Because there are numerous factors that influence what might or might not be helpful for each individual client, Noah does not typically utilize pre-determined or “procedural” approaches that one may find in short-term protocol-based practices. Although scientific study provides evidence that symptoms can be relieved through these methods (typically through study with white, cisgender, heterosexual, able-bodied, financially secure and well-resourced individuals), Noah often hears clients express that the depths of their experiences could not be adequately addressed when utilized procedural-based or primarily solution-focused therapies. Noah’s clinical orientation is based primarily in “bottom-up” approaches; meaning that treatment is not just focused on “changing our thoughts”, but identifying and responding to the somatic nervous system responses to our external and internal environments. Noah addresses cognitive processes, problematic thought patterns, and maladaptive behaviors in relationship to the body as both ancient wisdom and the latest trauma-informed research indicate that the body is the primary holder of our experience. The body’s nervous system therefore re-enforces or shifts the communication up to the brain about whether or not we are safe at any given moment. Noah holds deep appreciation for the ways that clients learn to create their own safety (often through pathologized behavior), while bringing a curious awareness to potentially more effective strategies rooted in the clients’ strengths.
Some of the theories and modalities that inform Noah’s practice are: Attachment, and Systems Theories, Interpersonal Neurobiology, The Structural Dissociation Model, Sensorimotor Psychotherapy, and Dialectical Behavior Therapy. Noah is also currently working towards completion of Tier II of Embodied Recovery for Eating Disorders, a “trauma-informed, relationally oriented, and neurobiologically supported approach to the treatment of eating disorders.”