How I Learned to Put Myself First: Why Self-Care Is Not Selfish
Leadership coach and CEO: "What are you doing with the people God gave you in your life, because you are one of the people God gave you?" "If you are still on Earth, you still have work to do?" How do I start? — Cheri
Behind The Gepina Method
Unlike any other lymphatic drainage in the world.
The Cohesive Therapy Approach
The Gepina Method™: Personalized Lymphatic Care Rooted in Clinical Expertise
At the heart of Cohesive Therapy is The Gepina Method™, a unique lymphatic therapy approach born from both personal experience and over two decades of clinical expertise.
Founder and Clinical Director Gepina Caterina’s journey began at just 16 years old in Cape Town, South Africa, while helping care for her mother during her cancer recovery. Witnessing firsthand the profound impact that compassionate, hands-on care could have on healing planted the seed for what would become a lifelong passion: helping women and individuals reclaim their health, restore balance, and feel their best.
Today, that passion has evolved into The Gepina Method™—a comprehensive approach that blends the renowned Vodder Method of Manual Lymphatic Drainage with advanced Eastern, European & Western lymphatic techniques, myofascial release, vacuum therapy, and other evidence-informed modalities.
At Cohesive Therapy, we specialize in lymphatic-focused care for:
Post-Surgical Recovery
Lymphedema Management
Lipedema Support
Oncology & Cancer Recovery
Autoimmune Conditions
Menopause & Hormonal Health
Prenatal & Postpartum Recovery
Auto Accident Recovery
General Wellness & Inflammation Reduction
Every treatment is tailored to the individual, combining advanced clinical knowledge with intuitive, compassionate care. Our goal is not only to address symptoms but to support lasting healing by calming the nervous system, restoring balance, and encouraging optimal lymphatic function.
With more than 20 years of experience, Gepina has developed rigorous training standards for every therapist at Cohesive Therapy. Each practitioner undergoes extensive education, mentorship, and clinical training to ensure the consistency, expertise, and exceptional results that have become the hallmark of our practice. If you've been searching for answers, relief, or a trusted partner in your healing journey, you're in the right place. Cohesive Therapy is setting a new standard in lymphatic health care.
From Our Community
Why People Choose Us—In Their Own Words
Discover our signature programs
Lymphedema Care
Wellness & Preventative Care
Surgery Recovery (Pre- & Post-Operative Care)
Stephanies Story
Who? Superwoman, Mom, and Businesswoman. Journey treatment plan. Plastic surgery recovery, postpartum and optimal wellness.
About our modalities
The signature technique found nowhere else in the world.
The Gepina Method has been taught across the Northwest to plastic surgeons, chiropractors, naturopathic doctors, and MDs to relieve lymphatic congestion, puffiness, swelling, and boost overall wellness—its integration has been a game-changer.
Meet Our Caring Practitioners
Our dedicated team is here to support your unique healing journey
Our staff bio: each practitioner is deeply committed to Cohesive Therapy’s vision as a lymphatic healing center — a team-led, community-driven practice delivering consistent, sustainable care. Under Gepina’s intensive mentorship program, clinicians complete rigorous, hands-on training to master the Gepina
Method and its clinical applications, ensuring consistent technique across the team for profound results. Guided by compassion and clinical thoroughness, our practitioners treat the person and the problem, craft individualized treatment plans, collaborate with surgeons and other providers when necessary to achieve the best healing outcomes, and deliver 5-star, white‑glove service every step of the way
