About

Cathexis Health makes the framework, the training and the app.

Cathexis is one body of work in five parts. The map is free, clinicians learn to use it in the room, and the app lets a person work with their own pattern in their daily life.

Why it exists

Most people doing the work, in therapy, in recovery or on their own, run into the same problem.

They understand their patterns, but they can’t seem to change them.

I know that gap from the inside.

My story

I grew up in a small town in southern Colorado. By the time I finished high school, the opioid crisis had reached my community, and I was inside it.

For years, my whole life narrowed to one need: not going into withdrawal.

Relationships ended. My motivation disappeared. My body became something I endured, not something I understood.

At the time, I didn’t have words for what was happening. I didn’t know I had learned to expect threat all the time. I only knew I was stuck, and that the person I’d been was disappearing.

In 2012, I asked for help. I’ve been in recovery ever since.

Read the rest of my story

What happened next surprised me. Getting better wasn’t enough. I needed to understand what had happened inside me.

Wanting to understand what had happened led me into the mental health field. I worked first in substance use treatment, then in residential programs with people living with co-occurring disorders, chronic pain, memory loss, cognitive impairment and complex mental health conditions. Today I’m a clinician in a residential program in Los Angeles, for people living with both a mental health condition and substance use.

In every setting, I saw the same thing. People were struggling, but not because they lacked insight. They were struggling because they couldn’t recognize what was happening in their bodies at the moment it mattered. They felt something real, and no one was teaching them to notice it, or what it meant.

As I trained as a clinician at Pepperdine and studied neuroscience, that became clearer. The people I saw make lasting change weren’t always the most motivated or the most self-aware. They were the ones who learned to notice their patterns as they happened. They learned to say:

“My chest feels tight. Part of me is expecting something bad.”

Before, they might have said:

“I’m anxious again. Something is wrong with me.”

The problem was access. That kind of awareness usually takes months of skilled therapy to build, and the people who need it most often can’t get that therapy.

Care like that is getting harder to get. Right now, insurance companies are denying coverage for the residential care people need, and they’re denying it quickly. People who need that care are going without it.

Not everything a residential program does can fit in a phone. But some of it can.

So I built Cathexis.

It’s based on how the brain makes sense of what you feel in your body. It brings what can travel: the questions a therapist asks at a first visit, the questionnaires clinics use, a short daily practice, and a way to work on one pattern in your real life, one step at a time. It helps you notice your patterns, understand what they mean to you, and practice responding differently while you’re still in the moment.

It doesn’t replace treatment. It’s for the time between visits, or for when treatment is out of reach.

Cathexis is the tool I wish I’d had at 19, when my nervous system was running patterns I couldn’t see.

And the goal I wrote into the business plan is for people to need the app less over time. The point isn’t to keep you using the app. It’s for you to understand your own patterns well enough that you need it less.

Justin DeGarbo

Who

Justin DeGarbo, MA

Founder & Clinical Director, Cathexis Health

He wrote the framework and every program, and he builds the app. He has worked in residential treatment and recovery since 2013, with people living with substance use, co-occurring mental health conditions, and memory loss.

Ioana DeGarbo

Co-Founder and Chief Operating Officer

She runs the company’s finance and operations. Her background is in healthcare finance and audit, at firms including CohnReznick, KPMG and RSM US.

Background

  • MA in Clinical Psychology, Pepperdine University
  • Alcohol and Drug Counselor certificate, Loyola Marymount University
  • BA in English, Colorado State University Pueblo
  • More than a decade in residential treatment and recovery care
  • In recovery since 2012

Justin DeGarbo is a clinician and the founder of Cathexis Health.