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 which 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 other and with life. Reva works with individuals and couples and has been in private practice since 1979.


2018 Special Offer

Next Upcoming Wake Up to Your Life Group

Wake Up to Your Life: A Therapy Group for Seniors

New Group will be starting in Sept 2018. Please email or call for further information.




Clarity & Kindness



Imagine having an accident while riding a bike, driving a car, or skiing. What if you discover that you have cancer, need surgery, have a problematic pregnancy, or are unexpectedly nearing the end of your life? Not having a person specified to make decisions and speak for you can leave you vulnerable. This process can often be impersonal and may not be set up to address your unique needs. Who would advocate for you if you were unable to do so for yourself?

With so many immediate priorities competing for our attention, it’s easy to put off considering what our wishes might be at the end of life. Planning for the unexpected, whether we are in our 30’s, 40’s, or older, can be an empowering experience. My goal is for us to begin to think and talk about these issues now rather than later.

Planning for the unexpected includes getting educated about end of life choices, putting your current wishes on paper and choosing a health care agent. Whether end-of-life directives have been lingering on your to-do list, or you have not even begun to think about this aspect of the future, I hope to make this gathering informative and even fun.

We will have time to network, eat and discuss living our best life, and dying our best death. This is not a sales meeting, but rather an introduction to an important conversation I am passionate about.

This gathering is limited to 20 individuals. Please RSVP to by September 17th. To reserve your space I’m asking a $10 donation (to be collected at the event). Directions will be sent after your RSVP.

For more information about my work, visit http://ahcdguidance.com

I hope you will attend.


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.
Every First Monday of the Month from 10:30am-12:00 pm
February 4th, March 4th
West Senior Center 909 Arapahoe Ave, Boulder, CO 80302

Check the AHCD Guidance Facebook page too for updates.


What’s on YOUR bucket list? put it on the wall!
Various Locations throughout
Boulder County
Check the “BEFORE I DIE” WALL Facebook page to find out where it’s going next!

Sign-up for our AHCD Guidance newsletter



  • “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 | Boulder, CO. | Skype id: RevaTift | Reva can support you with your Advance Directives. While forms vary from state to state, the decisions are common to us all. | Offering appointments in person, by phone, or by Skype.


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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. © Copyright 2018 AHCD Guidance