Plain talk, real skills, and goals you actually chose.

What is a session like?

We talk. I ask about what is going on and what you want to be different, and I say what I think rather than nodding for fifty minutes. If I have a hunch, you will hear it, and you are free to tell me I have it wrong.

You set the pace on anything heavy. Nobody gets pushed into telling a story they are not ready to tell.

How do we decide what we are aiming at?

Together, early, and in plain words. We work as a team on goals that are specific and achievable, because a goal like feel better has nowhere to put your feet. Sleeping through four nights this week does.

We check them as we go. If something is not working, we change it rather than keep going out of politeness.

Do I have to believe in a particular method?

No. The methods are tools, not doctrine. DBT is my primary approach, with CBT, mindfulness, trauma focused work, grief work, and couples counseling alongside it, and what we use depends on what you are dealing with.

Two things are true: you know your life better than I do, and I know some things about how people get unstuck. The work happens where those meet.

The methods, in short

• DBTMy primary method, and the idea the whole practice is built on.

• CBTLooking at what you think, what you do, and how the two keep each other going.

• MindfulnessBeing here, in this hour, instead of in the replay or the forecast.

Also part of the work

• Trauma focused therapyFor the things that still land in the present. Paced carefully, and never faster than you want to go. I am also trained in EMDR.

• GriefFor a loss that has not finished asking anything of you, whether it was last month or years ago.

• Couples counselingFor two people who want the same thing and keep arriving at it differently. Communication, trust, and the repair after the argument.