While there is a great deal of information about child development, there is much less about the developmental tasks of midlife, aging, and preparing for death. With extensive experience as a psychotherapist, Reva created Advance Health Care Directives Guidance to assist in planning for our own aging and death and as a resource for those who are caring for loved ones who are dying. AHCD Guidance offers groups, classes, individual sessions and couple’s planning on midlife, aging, and dying. Not only does Reva support you in working with the anxiety often triggered around death she supports you in completing the documentation that expresses your end of life wishes.


Meet Reva

Reva Tift, MA has worked with mid-life and aging issues for more than thirty-five years in a variety of settings. In 1979 she received her Master’s degree in Contemplative Psychotherapy and has worked with at-risk adolescents, adults, couples, groups, psychiatric clients, vulnerable elders, and the dying. Reva began AHCD Guidance in order to provide a comprehensive process for identifying and documenting wishes in the case of medical emergencies and for end of life care. Drawing on her extensive experience, Reva is committed to providing personal and skillful attention to everyone with whom she works.






Advance Health Care Directives Individual or Couple

Over three sessions complete and notarize your end of life paperwork

Decide who has the power to carry out your decisions and choices

Write your unique wishes in a personal addendum

Have the personal attention and depth of private sessions

Advance Health Care Directives Group 6-8 people

Put your own group together or join a group

Over three sessions complete the paperwork

and decision making around death and dying

Enjoy honest and lively conversations on aging and death


Reva Tift’s work as a therapist is based on her intention to reduce suffering and to increase a sense of confidence, open-heartedness, and well being. She provides an environment that is both safe and empathetic as well as direct and honest. At the heart of Reva’s work is support for taking the risk of sharing one’s vulnerability with another. As fear and contraction lessen we experience a more intimate engagement with ourselves, with others and with life. Reva works with individuals and couples and has been in private practice since 1979.


Advance Health Care Directives
with Reva Tift

The COVID-19 pandemic is both a tragedy and an opportunity. We are being forced to look at and work with feelings and issues that many of us are able to ignore when circumstances are more fortunate — especially how we relate to our experience of powerlessness, anxiety, and death.

Most of us have a preference for how we die including: who helps when we die, whether any extraordinary measures are taken to possibly prolong our life, whether we die at home or in a care facility, and what is done with our remains. These can be difficult decisions and topics that are uncomfortable to think about and discuss with our loved ones. At the same time, we may not want to let health care providers make choices that are not in line with our wishes. 

Given the current heightened uncertainty in our lives, now is a great time to complete our Advance Health Care Directives. Reva is working virtually with individuals, families, and groups.



A virtual therapeutic process group for adults will start in September. For many of us, the forced intimacy of the pandemic is bringing deeper issues out into the open. This is both disturbing and an opportunity to work with our vulnerabilities.

Download the flyer here.



At some time or other many of us wish or need to talk about death. A Death Cafe is a place to do this in a relaxed and agenda-free setting. It’s a place for respectful, serious, meaningful, tender, and funny conversations.

This FREE inclusive event invites the community to gather and discuss death.

Reva Tift is inviting you to a scheduled Zoom meeting.

Topic: Death Cafe
Time: Oct 12, 2020 10:30 AM Mountain Time (US and Canada)

Join Zoom Meeting

Meeting ID: 876 4898 9339
Passcode: 618346
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Meeting ID: 876 4898 9339
Passcode: 618346
Find your local number: https://us02web.zoom.us/u/kbiSEnV0Wg


Check the AHCD Guidance Facebook page too for updates.

Sign-up for our AHCD Guidance



  • Working with Reva to create my Advance Directive was a pleasure. Her kind manor, personal warmth and sense of humor allowed me to investigate and comfortably share how I feel about my own dying and death. Then, as the document began to take shape, Reva expertly answered my many questions and was ready to offer suggestions when I needed an example or a spark of inspiration. Looking back, I am surprised how much joy was woven into the process and I feel more at ease knowing I have an expertly crafted Advance Directive that reflects my true wishes. Thank you Reva.”

    - Dave Sheldon 2020
  • “Reva Tift’s class was just what I needed to help overcome the inertia I was feeling about my Advance Health Care Directives. Reva’s years of experience in working with people and her extensive knowledge of Advance Directives helped us feel safe to explore the deep feelings that  came up as we immersed ourselves in the task of articulating what we want our dying process to be like. The rich input from the group coupled with Reva’s generous sharing of her considerable resources made for a full experience. Not only did I learn a vast amount, I also felt empowered to move forward from my heart in creating the vision of what I would like for my dying process.”

    - Katy Wolf 2020
  • “The workshop provided all the necessary information and also allowed me to contemplate the emotional impact on my family members and realize the urgency of the conversations I plan to have.”

    - Jane VanHouten Feb 2014
  • “Reva was able to gently guide us through this complex and stress-inducing set of decisions.”

    - Charlie VanHouten Feb 2014
  • “Thank you for getting me started with this process of completing my Advance Directives. I now feel empowered to make these decisions and that I have a responsibility to communicate my wishes.”

    - Jim Fladmark Jan 2014
  • “I engaged Reva Tift to help me prepare my Advance Health Care Directives and found her to be knowledgeable and compassionate. As difficult as this preparation was for me because of the charged nature of the subject, Reva was patient, understanding and very helpful. And we got it done and notarized much to my relief. I would recommend her without reservation to assist you with preparing your Advance Health Care Directive.”

    - Sharon Conlin RN,LPC July 19,2011 Boulder, CO
  • “As a family psychotherapist, I am frequently faced with how best to be of assistance to those facing their own or their loved ones end of life needs and concerns. A recent experience of counseling family members dealing with an expected loss made it clear to me how important and compassionate it is to clarify, while we are mentally and physically healthy, the wishes and practical choices each of us an make for end of life care. I am grateful and appreciative of the consulting services provided by Reva Tift MA, to help guide me through these challenging life events with my clients, and ultimately, with myself and my own family members. Reva shares an open heart, a deep respect, extensive knowledge, and courageous spirit in dealing with issues that are at the foundation of our human experience.”

    - Barbara Featherstone, MA, LMF Redding, CA
  • “My husband and I saw Reva to talk about our Advance Directive and Medical Durable Power of Attorney. She provides a very valuable service. We had only two sessions with her because she was efficient and well organized. That did not mean that she was too businesslike, as she immediately put us at ease. She was very kind and understanding with a difficult and emotional conversation. I would strongly recommend her to anyone who needs to attend to End of Life Issues.”

    - Margaret Evans November 21, 2012 Boulder, Colorado
  • “When I tell people that Reva is helping me with my end of life decisions, they ask if everything is okay or tell me I am being morose. I realize that many people do not want to deal with the questions around their ending. Thankfully I found Reva. Her pragmatic sensitivity and thorough conscientiousness has made the process not only way easier but endurable. Daily I think of recommending her.”

    - Karla Dakin January 2019


Reva Tift, MA, AHCD Guidance | tel. 303-444-0152 | | Email or Call to setup a consultation appointment. While forms vary from state to state, the decisions are common to us all. | Offering appointments by Zoom, by phone or by FaceTime.


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Please note that the information provided by Reva Tift, MA, of Advance Health Care Directives is presented only to support your own decisions concerning your end-of-life choices and wishes. You should consult your family members, personal physician, attorney and/or estate planner for questions about your particular situation.
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