Therapy for First Responders

You show up for everyone else. This is where you show up for yourself.

Total Wellness 365 has served the greater Cincinnati community since 2015, expanding into Northern Kentucky in 2026. We are a small group practice offering therapy and clinical services to first responders, their partners, and families — because this work affects everyone in the home.

First Responders face challenges, cultural pressures, and expectations most people never encounter. Our commitment is to meet that reality with compassionate, evidence-based care.

The clinicians at Total Wellness 365 are trained in therapeutic modalities such as: Cognitive Behavior Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization Reprocessing (EMDR), Developmental and Relational Trauma Therapy (DARTT), Acceptation and Commitment Therapy (ACT).

About Dr. Sarah Boettner

Dr. Sarah Boettner is the founder and clinical director of Total Wellness 365 with over 25 years of clinical experience. She established the practice in 2015 following a career in law enforcement with state government and in rehabilitation and treatment with non-profit agencies. A Certified Sex Addiction Therapist (CSAT) with a Ph.D. in Clinical Sexology, Dr. Sarah is committed to supporting individuals and couples in healing and restoring sexual wellness. Throughout her career she witnessed stigma preventing people from accessing the mental health support they truly needed – and that reality continues to shape her work. Her clinical focus includes anxiety, trauma, anger management and problematic sex behaviors or compulsive porn use.

Dr. Sarah believes total wellness is a daily commitment – 365 days a year. She and her team approach every therapeutic relationship from a whole-person perspective built around the 4 pillars of wellness— career + education, sex + relationships, mental + physical health, and spirituality + identity.

Relevant Background

What Dr. Sarah brings to the therapy space is years of experience inside systems most therapist have never touched – and a genuine respect for what that life costs.

She didn’t start in a therapy office. Her early training was in human behavior, forensic psychology and crisis deescalation. An internship in a rural Kentucky parole department came first, then years working in the Ohio foster care system with juvenile offenders working alongside law enforcement daily. She earned a Master’s in Criminal Justice from Tiffin University and went to work for the Ohio Department of Rehabilitation and Correction as a Parole Officer. That job was law enforcement rather than social work, and she treated it that way. Later she moved into community corrections, eventually managing the community corrections program of the largest non-profit in Ohio, while earning a second Master’s in Community Mental Health from Wright State University.

She spent years training and supervising officers and correctional staff, writing operational and clinical manuals, and doing the actual work—field supervision, shift coverage, interagency politics, and assignments that didn’t always go smoothly.

Her husband spent 26 years in dispatch supporting first responders before retiring. Her extended family has served in the military across multiple generations.

Dr. Sarah’s training is clinical. Her background and experience are in the field. That combination is rare, and it shapes everything about how she works with first responders.

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